Procedures & surgery prices at Ste. Genevieve County Memorial Hospital
Ste. Genevieve, MO · every code in this section with a posted price and a Medicare benchmark.
1410 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$78.50–$515.25 | $157–$1,030.50 | varies |
| Ablate inf turbinate submuc (30802) | $285.50 | $571 | 0.2× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $191.50 | $383 | 0.1× |
| Acne surgery (10040) | $106 | $212 | 0.5× |
| Acromiopl/Acromionect Partial (23130) | $954 | $1,908 | 0.3× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $644.50 | $1,289 | 0.3× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $831 | $1,662 | 0.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $659 | $1,318 | 0.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $788.50 | $1,577 | 0.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $824.50 | $1,649 | 0.4× |
| Amniocentesis diagnostic (59000) | $195 | $390 | 0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $643 | $1,286 | 0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $905.50 | $1,811 | 0.3× |
| Amputate Metacarpal Bone (26910) | $1,134.50 | $2,269 | 0.3× |
| Amputation foot transmetarsal (28805) | $715.50 | $1,431 | 0.2× |
| Amputation metatarsal with toe single (28810) | $403.50 | $807 | 0.1× |
| Amputation toe interphalangeal joint (28825) | $170 | $340 | 0.1× |
| Amputation toe metatarsophalangeal joint (28820) | $402 | $804 | 0.1× |
| Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,350 | $2,700 | 0.2× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) | $1,357.50 | $2,715 | 0.4× |
| Anal/Urinary Muscle Study (51784) | $36 | $72 | 0.3× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) | $440 | $880 | 0.2× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) | $202 | $404 | 0.2× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) | $301 | $602 | 0.1× |
| Anoscopy Ablation Lesion (46615) | $162.50 | $325 | 0.1× |
| Anoscopy Control Bleeding (46614) | $225.50 | $451 | 0.2× |
| Anoscopy diagnostic (46600) | $107 | $214 | 0.8× |
| Anoscopy remove lesion (46610) | $250 | $500 | 0.1× |
| Anoscopy W/Rmvl Foreign Body (46608) | $263.50 | $527 | 0.3× |
| Anoscopy; with biopsy, single or multiple (46606) | $252 | $504 | 0.2× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $125 | $250 | 0.1× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $129.50 | $259 | 0.0× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) likely a partial charge, not the full procedure |
$1,120 | $2,240 | 0.2× |
| Anterior colporraphy rpr cystocele w/cysto (57240) likely a partial charge, not the full procedure |
$1,250 | $2,500 | 0.2× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$990.50 | $1,981 | 0.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $136.50 | $273 | 0.8× |
| Application cast elbow finger short arm (29075) | $88.50 | $177 | 0.3× |
| Application finger splint static (29130) | $39 | $78 | 0.3× |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$76.50–$289.25 | $153–$578.50 | varies |
| Application Long Leg Splint (29505) | $80.50 | $161 | 0.5× |
| Application of cylinder cast (thigh to ankle) (29365) | $114 | $228 | 0.4× |
| Application of long leg cast (29345) | $154 | $308 | 0.5× |
| Application short arm splint forearm-hand static (29125) | $60 | $120 | 0.5× |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$75.50–$287.75 | $151–$575.50 | varies |
| Apply hand/wrist cast (29085) | $87 | $174 | 0.5× |
| Apply long arm cast (29065) | $107 | $214 | 0.4× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$45–$1,121 | $90–$2,242 | varies |
| Apply Short Leg Cast (29405) | $105 | $210 | 0.4× |
| Apply short leg cast (29425) | $69.50 | $139 | 0.2× |
| Arterial puncture (36600) range across 4 matching MRF lines |
$31.75–$70.50 | $63.50–$141 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$79.25–$166 | $158.50–$332 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $84.50 | $169 | 0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$75.50–$244.25 | $151–$488.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$95–$170 | $190–$340 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$70.25–$152 | $140.50–$304 | varies |
| Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$757 | $1,514 | 0.1× |
| Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$460.50 | $921 | 0.1× |
| Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$929.50 | $1,859 | 0.1× |
| Arthrodesis subtalar (28725) likely a partial charge, not the full procedure |
$614.50 | $1,229 | 0.0× |
| Arthrodesis triple (28715) likely a partial charge, not the full procedure |
$708 | $1,416 | 0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$1,541 | $3,082 | 0.1× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $860 | $1,720 | 0.3× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) | $600.50 | $1,201 | 0.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $640 | $1,280 | 0.2× |
| Arthroscopy Knee Osteochondral Allograft (29867) likely a partial charge, not the full procedure |
$1,373 | $2,746 | 0.1× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 2 matching MRF lines |
$688–$1,376 | $1,376–$2,752 | varies |
| Arthroscopy knee synovectomy limited spx (29875) | $525.50 | $1,051 | 0.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $585 | $1,170 | 0.2× |
| Arthroscopy shoulder distal claviculectomy (29824) | $695 | $1,390 | 0.2× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,135 | $2,270 | 0.2× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) likely a partial charge, not the full procedure |
$975.50 | $1,951 | 0.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $677 | $1,354 | 0.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $1,449 | $2,898 | 0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $744.50 | $1,489 | 0.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$975.50 | $1,951 | 0.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $649.50 | $1,299 | 0.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $603 | $1,206 | 0.2× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $623.50 | $1,247 | 0.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) likely a partial charge, not the full procedure |
$1,111 | $2,222 | 0.2× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) | $381 | $762 | 0.2× |
| Arthrotomy W/Meniscus Repair Knee (27403) likely a partial charge, not the full procedure |
$600 | $1,200 | 0.1× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) | $322 | $644 | 0.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$1,436 | $2,872 | 0.1× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) likely a partial charge, not the full procedure |
$1,225.50 | $2,451 | 0.1× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) likely a partial charge, not the full procedure |
$596.50 | $1,193 | 0.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$1,038.50 | $2,077 | 0.1× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $692.50 | $1,385 | 0.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $649.50 | $1,299 | 0.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$1,246–$2,492 | $2,492–$4,984 | varies |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $418.50 | $837 | 0.1× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) | $1,002 | $2,004 | 0.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $374.50 | $749 | 0.2× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) | $681 | $1,362 | 0.2× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $305 | $610 | 0.2× |
| Artificial insemination intra-cervical (58321) | $164.50 | $329 | 0.5× |
| Artificial insemination intra-uterine (58322) | $87 | $174 | 0.4× |
| Aspirate pleura w/ imaging (32555) | $103 | $206 | 0.2× |
| Aspirate/Inj Ganglion Cyst (20612) | $80.50 | $161 | 0.3× |
| Aspiration and/or injection thyroid cyst (60300) | $115 | $230 | 0.2× |
| Aspiration bladder insert suprapubic catheter (51102) | $240 | $480 | 0.1× |
| Autologous Chondrocyte Implantation Knee (27412) likely a partial charge, not the full procedure |
$1,556 | $3,112 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$124.75–$198.75 | $249.50–$397.50 | varies |
| Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$1,065.50 | $2,131 | 0.2× |
| Biopsy Abdominal Mass (49180) | $486.50 | $973 | 0.3× |
| Biopsy bone open deep (20245) | $327.50 | $655 | 0.1× |
| Biopsy bone open superficial (20240) | $133 | $266 | 0.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $214 | $428 | 0.1× |
| Biopsy External Auditory Canal (69105) | $138.50 | $277 | 0.1× |
| Biopsy external ear (69100) | $99.50 | $199 | 0.4× |
| Biopsy muscle percutaneous needle (20206) | $200.50 | $401 | 0.1× |
| Biopsy Muscle Superficial (20200) | $198 | $396 | 0.1× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) | $196 | $392 | 0.1× |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$449–$898 | $898–$1,796 | varies |
| Biopsy of floor of mouth (41108) | $153.50 | $307 | 0.1× |
| Biopsy of lip (40490) | $126.50 | $253 | 0.5× |
| Biopsy of palate, uvula (42100) | $154 | $308 | 0.1× |
| Biopsy of penis (54100) | $125 | $250 | 0.1× |
| Biopsy of penis; deep structures (54105) | $288.50 | $577 | 0.1× |
| Biopsy of upper nose/throat (42806) | $219.50 | $439 | 0.1× |
| Biopsy of urethra (53200) | $143.50 | $287 | 0.1× |
| Biopsy Oropharynx (42800) | $146 | $292 | 0.1× |
| Biopsy ovary uni/bi separate procedure (58900) | $1,242 | $2,484 | 0.4× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) | $400 | $800 | 0.1× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $234.50 | $469 | 0.1× |
| Biopsy soft tissue forearm&/wrist deep (25066) | $345.50 | $691 | 0.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $233.50 | $467 | 0.1× |
| Biopsy soft tissue neck/thorax (21550) | $244 | $488 | 0.1× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $311 | $622 | 0.2× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $1,004 | $2,008 | 0.6× |
| Biopsy Soft Tissue Shoulder Deep (23066) | $577.50 | $1,155 | 0.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $386 | $772 | 0.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $250.50 | $501 | 0.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $236.50 | $473 | 0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $171.50 | $343 | 0.3× |
| Biopsy Tongue Posterior One-Third (41105) | $171.50 | $343 | 0.1× |
| Biopsy Vaginal Mucosa Extensive (57105) | $426 | $852 | 0.1× |
| Biopsy Vaginal Mucosa Simple (57100) | $174 | $348 | 0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $153.50 | $307 | 0.2× |
| Biopsy, vestibule of mouth (40808) | $153 | $306 | 0.3× |
| Biopsy/removal lymph nodes (38510) | $618 | $1,236 | 0.2× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$112–$437.25 | $224–$874.50 | varies |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$63–$253.25 | $126–$506.50 | varies |
| Bladder Scan (51798) | $9 | $18 | 0.2× |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$120.75–$322.50 | $241.50–$645 | varies |
| Blood Transfusion Service (36430) | $769.75 | $1,539.50 | 1.7× |
| Bone Graft Any Donor Area Minor/Small (20900) range across 2 matching MRF lines |
$201.50–$403 | $403–$806 | varies |
| Breast augmentation with implant (19325) likely a partial charge, not the full procedure |
$681 | $1,362 | 0.1× |
| Breast Reduction (19318) range across 2 matching MRF lines |
$1,173.50–$1,850 | $2,347–$3,700 | varies |
| Bronchoscopy W/Biopsy(S) (31625) | $317.50 | $635 | 0.2× |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$671–$1,620 | $1,342–$3,240 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$658–$2,288 | $1,316–$4,576 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $138.50 | $277 | 0.1× |
| Bx Cervix (57500) | $210 | $420 | 0.2× |
| Bx prostate strtctc saturation sampling img gid (55706) | $403.50 | $807 | 0.1× |
| Bx prostate transperineal ultrasound-guided (55709) | $425 | $850 | 0.1× |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$560.50–$1,121 | $1,121–$2,242 | varies |
| Bx/exc lymph node open superficial (38500) | $356.50 | $713 | 0.1× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) | $1,236 | $2,472 | 0.8× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) likely a partial charge, not the full procedure |
$1,460.50 | $2,921 | 0.2× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) likely a partial charge, not the full procedure |
$1,550 | $3,100 | 0.2× |
| Carpal Tunnel Surgery (64721) | $442 | $884 | 0.2× |
| Catheter aspiration nasotracheal spx (31720) | $47 | $94 | 0.2× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $210 | $420 | 0.7× |
| Cautery Cervix Electro/Thermal (57510) | $223 | $446 | 0.1× |
| Cerclage cervix pregnancy vaginal (59320) | $806.50 | $1,613 | 0.2× |
| Cervical lymphadenectomy (complete) (38720) likely a partial charge, not the full procedure |
$1,438 | $2,876 | 0.2× |
| Change Cystostomy Tube Complicated (51710) | $124 | $248 | 0.2× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$55.50–$126.75 | $111–$253.50 | varies |
| Change of Windpipe Airway (31502) range across 3 matching MRF lines |
$417.75–$493.50 | $835.50–$987 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$106.50–$511.50 | $213–$1,023 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $127.50 | $255 | 0.2× |
| Chemodenerv 1 extremity 1-4 (64642) | $116.50 | $233 | 0.2× |
| Chemodenerv Musc Migraine (64615) | $140 | $280 | 0.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $121 | $242 | 0.4× |
| Chest tube placement (32551) range across 4 matching MRF lines |
$148.50–$748.75 | $297–$1,497.50 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $747.50 | $1,495 | 0.2× |
| Circumcision 28 days or older (54161) | $213.50 | $427 | 0.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $105 | $210 | 0.1× |
| Cl Tx Scapular Fx; W Manip (23575) | $387 | $774 | 0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$529.75–$687.50 | $1,059.50–$1,375 | varies |
| Claviculectomy partial (23120) | $618 | $1,236 | 0.2× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$96.50–$171.25 | $193–$342.50 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $560.50 | $1,121 | 0.2× |
| Closed Treat Vert Body Fract (22310) range across 3 matching MRF lines |
$198–$394.50 | $396–$789 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $467.50 | $935 | 1.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closed Treatment Sesamoid Fracture (28530) | $107 | $214 | 0.4× |
| Closed Treatment Sternum Fracture (21820) range across 2 matching MRF lines |
$160.75–$320 | $321.50–$640 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $339.50 | $679 | 1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$323.50–$645.25 | $647–$1,290.50 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
$449–$496.75 | $898–$993.50 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $424 | $848 | 1.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $461.50 | $923 | 0.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 3 matching MRF lines |
$415.50–$1,036.50 | $831–$2,073 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$431–$860 | $862–$1,720 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
$323.50–$645.25 | $647–$1,290.50 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $464 | $928 | 0.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 2 matching MRF lines |
$173.25–$345.75 | $346.50–$691.50 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$87.50–$300 | $175–$600 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 3 matching MRF lines |
$323.50–$569 | $647–$1,138 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 3 matching MRF lines |
$128.25–$159.75 | $256.50–$319.50 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $140 | $280 | 0.0× |
| Closed tx patellar dislocation w/anesthesia (27562) | $462 | $924 | 1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$228.25–$454.50 | $456.50–$909 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$274–$579.50 | $548–$1,159 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $479.50 | $959 | 0.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$216.50–$530.25 | $433–$1,060.50 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$509.25–$633.50 | $1,018.50–$1,267 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$169.75–$349.25 | $339.50–$698.50 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $372.50 | $745 | 1.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$347–$462 | $694–$924 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$134.75–$267.50 | $269.50–$535 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $434.50 | $869 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Closure Gastrostomy Surg (43870) | $774.50 | $1,549 | 0.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$152.75–$536 | $305.50–$1,072 | varies |
| Closure of cystostomy (separate procedure) Facility (51880) | $331.50 | $663 | 0.1× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) | $1,793 | $3,586 | 0.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $339 | $678 | 1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 3 matching MRF lines |
$191.50–$380.50 | $383–$761 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 3 matching MRF lines |
$274–$545.75 | $548–$1,091.50 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$195–$388.50 | $390–$777 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$153.75–$306 | $307.50–$612 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 3 matching MRF lines |
$122–$431 | $244–$862 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$371.25–$594.50 | $742.50–$1,189 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$314.50–$504 | $629–$1,008 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $227 | $454 | 0.1× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $396.50 | $793 | 1.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $465 | $930 | 0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $230 | $460 | 0.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $438 | $876 | 0.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$87.50–$314 | $175–$628 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $331 | $662 | 1.3× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $436 | $872 | 0.3× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $487.50 | $975 | 2.0× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $704.50 | $1,409 | 0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$259–$402.50 | $518–$805 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 3 matching MRF lines |
$124–$303 | $248–$606 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$87.50–$217 | $175–$434 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$657.50–$1,248 | $1,315–$2,496 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $886.50 | $1,773 | 0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $715.50 | $1,431 | 0.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $495 | $990 | 2.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,971 | $3,942 | 1.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 3 matching MRF lines |
$206.25–$459.50 | $412.50–$919 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,208.50 | $2,417 | 0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $165 | $330 | 0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$109–$216.50 | $218–$433 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$131–$259.50 | $262–$519 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$87.50–$173.25 | $175–$346.50 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $738.50 | $1,477 | 0.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
$300–$658.75 | $600–$1,317.50 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $370 | $740 | 1.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $367 | $734 | 0.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$404–$1,612.50 | $808–$3,225 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$404–$645.25 | $808–$1,290.50 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $340.50 | $681 | 1.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $555 | $1,110 | 0.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $540 | $1,080 | 0.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 3 matching MRF lines |
$206.25–$441.50 | $412.50–$883 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 3 matching MRF lines |
$115.50–$345.75 | $231–$691.50 | varies |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $1,299.50 | $2,599 | 0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$213.25–$345.75 | $426.50–$691.50 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
$324.50–$478 | $649–$956 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$208.50–$345.75 | $417–$691.50 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$87.50–$258 | $175–$516 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$140.50–$157.50 | $281–$315 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$163.75–$323.50 | $327.50–$647 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$109.25–$184 | $218.50–$368 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $828 | $1,656 | 0.5× |
| Cltx prox fibula/shft fx w/manj (27781) | $413.50 | $827 | 0.3× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $444 | $888 | 0.3× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 3 matching MRF lines |
$167–$423.50 | $334–$847 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$97–$431 | $194–$862 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $410 | $820 | 0.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $701.50 | $1,403 | 0.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $629 | $1,258 | 0.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $478.50 | $957 | 1.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $181.50 | $363 | 0.7× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $466.50 | $933 | 0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) unusually low: confirm this is the full procedure |
$2,165.50 | $4,331 | 0.4× |
| Collect Blood From Catheter Venous Nos (36592) | $29.25 | $58.50 | 0.2× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$8.75–$14.50 | $17.50–$29 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $375 | $750 | 0.3× |
| Colonoscopy thru stoma (44388) | $289 | $578 | 0.3× |
| Colonoscopy w/fb removal (45379) | $400 | $800 | 0.3× |
| Colonoscopy W/Resection (45390) | $161 | $322 | 0.1× |
| Colonoscopy w/submucosal inj (45381) | $308.50 | $617 | 0.3× |
| Colpocleisis (le fort type) (57120) unusually low: confirm this is the full procedure |
$1,671 | $3,342 | 0.3× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $903.50 | $1,807 | 0.3× |
| Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$1,944 | $3,888 | 0.3× |
| Colpopexy vaginal intraperitoneal approach (57283) likely a partial charge, not the full procedure |
$736.50 | $1,473 | 0.1× |
| Colporrhaphy (57200) | $762.50 | $1,525 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $292 | $584 | 1.0× |
| Colposcopy Cervix Endocervical Curettage (57456) | $281.50 | $563 | 0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) | $190.50 | $381 | 0.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $113 | $226 | 0.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $299 | $598 | 0.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $796 | $1,592 | 0.2× |
| Colposcopy entire vagina w/cervix if present (57420) | $124 | $248 | 0.4× |
| Colposcopy of vulva (56820) | $84.50 | $169 | 0.4× |
| Colposcopy Vulva W/Biopsy (56821) | $140 | $280 | 0.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $165.50 | $331 | 0.2× |
| Colpotomy; with drainage of pelvic abscess (57010) | $618 | $1,236 | 0.2× |
| Colpotomy; with exploration (57000) | $505.50 | $1,011 | 0.2× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $747.50 | $1,495 | 0.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $971 | $1,942 | 0.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $692 | $1,384 | 0.6× |
| Combined anteroposterior colporrhaphy; (57260) unusually low: confirm this is the full procedure |
$1,887.50 | $3,775 | 0.4× |
| Complex Cystometrogram (51726) | $246.50 | $493 | 1.0× |
| Complex drainage wound (10180) | $372.50 | $745 | 0.1× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $886 | $1,772 | 0.3× |
| Conization of cervix (57520) | $886 | $1,772 | 0.3× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) | $499.50 | $999 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$157–$310.25 | $314–$620.50 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$97–$244.25 | $194–$488.50 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $152 | $304 | 0.3× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) likely a partial charge, not the full procedure |
$3,154.50 | $6,309 | 0.2× |
| Correction hammertoe (28285) | $635.50 | $1,271 | 0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $1,078.50 | $2,157 | 0.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$973.96 | $1,947.92 | 0.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) likely a partial charge, not the full procedure |
$476.50 | $953 | 0.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $750 | $1,500 | 0.2× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) range across 2 matching MRF lines |
$950–$988 | $1,900–$1,976 | varies |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$202.50–$405 | $405–$810 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$280.75–$559 | $561.50–$1,118 | varies |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $550 | $1,100 | 0.2× |
| Curettage postpartum (59160) | $600 | $1,200 | 0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $356.50 | $713 | 0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $306 | $612 | 0.1× |
| Cysto w/complex removal stone & stent (52315) | $433 | $866 | 0.2× |
| Cysto w/destruction of lesions (52214) | $186 | $372 | 0.1× |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$313.50–$627 | $627–$1,254 | varies |
| Cysto w/irrig & evac multple obstructing clots (52001) | $314.50 | $629 | 0.1× |
| Cysto w/removal of lesions small (52224) | $734 | $1,468 | 0.2× |
| Cysto w/removal of tumors small (52234) | $269 | $538 | 0.1× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) | $275.08 | $550.16 | 0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$190.50–$261 | $381–$522 | varies |
| Cysto w/up stricture tx (52342) | $172.50 | $345 | 0.0× |
| Cysto w/ureter stricture tx (52341) | $268 | $536 | 0.1× |
| Cysto w/ureteroscopy w/lithotripsy (52353) likely a partial charge, not the full procedure |
$429.50 | $859 | 0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $388.50 | $777 | 0.1× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $331.50 | $663 | 0.1× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) likely a partial charge, not the full procedure |
$446.50 | $893 | 0.1× |
| Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$457 | $914 | 0.1× |
| Cystometrogram W/Up (51727) | $331 | $662 | 0.5× |
| Cystometrogram W/Vp (51728) | $336.50 | $673 | 0.5× |
| Cystometrogram W/Vp&Up (51729) | $122 | $244 | 0.2× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) likely a partial charge, not the full procedure |
$809.50 | $1,619 | 0.1× |
| Cystoscopy implant stent (52282) | $182 | $364 | 0.1× |
| Cystoscopy inject material (52327) likely a partial charge, not the full procedure |
$167.50 | $335 | 0.0× |
| Cystostomy Cystotomy W/Drainage (51040) | $465 | $930 | 0.2× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) | $539.50 | $1,079 | 0.2× |
| Cystouretero w/excise tumor (52355) likely a partial charge, not the full procedure |
$240 | $480 | 0.0× |
| Cystourethroscopy (52000) | $274.50 | $549 | 0.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $180 | $360 | 0.1× |
| Cystourethroscopy tx female urethral syndrome (52285) | $225 | $450 | 0.3× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $315.50 | $631 | 0.1× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) likely a partial charge, not the full procedure |
$393 | $786 | 0.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $232 | $464 | 0.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | $270 | $540 | 0.1× |
| Cystourethroscopy with biopsy (52204) | $382.50 | $765 | 0.2× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) | $251.50 | $503 | 0.1× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) | $190 | $380 | 0.1× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) | $350 | $700 | 0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 4 matching MRF lines |
$70.50–$177.50 | $141–$355 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $716 | $1,432 | 0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $421 | $842 | 0.6× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $550 | $1,100 | 0.8× |
| Dcmprn fasct leg post compartment only (27601) | $416 | $832 | 0.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$239.50–$1,218 | $479–$2,436 | varies |
| Debride nail 1-5 (11720) | $30.50 | $61 | 0.5× |
| Debride nail 6 or more (11721) | $42.50 | $85 | 0.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$289.50–$2,631 | $579–$5,262 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) | $110.50 | $221 | 0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$123.50–$990.50 | $247–$1,981 | varies |
| Declot vascular device (36593) range across 3 matching MRF lines |
$28.50–$414.25 | $57–$828.50 | varies |
| Decomp forearm,1 compart,w/o debride (25020) | $435 | $870 | 0.3× |
| Decompression of leg (27892) | $500 | $1,000 | 0.2× |
| Decompression of tibia nerve (28035) | $694 | $1,388 | 0.4× |
| Deep Muscle Biopsy (20205) | $345 | $690 | 0.1× |
| Delivery of placenta (59414) | $440 | $880 | 0.1× |
| Destr penis lesion(s) (54065) | $161 | $322 | 0.1× |
| Destroy cerv/thor facet jnt (64633) | $265 | $530 | 0.1× |
| Destroy lumb/sac facet jnt (64635) | $238 | $476 | 0.1× |
| Destruct B9 Lesion 1-14 (17110) | $153 | $306 | 0.8× |
| Destruction Benign Lesions 15/> (17111) | $120 | $240 | 0.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $92 | $184 | 0.3× |
| Destruction Lesions Vulva Extensive (56515) | $300 | $600 | 0.1× |
| Destruction Lesions Vulva Simple (56501) | $113.50 | $227 | 0.1× |
| Destruction of skin lesions (17106) | $316.50 | $633 | 0.8× |
| Destruction Premalignant Lesion 15/> (17004) | $350 | $700 | 0.9× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$105.25–$207.25 | $210.50–$414.50 | varies |
| Destruction Vaginal Lesions Extensive (57065) | $337 | $674 | 0.1× |
| Destruction Vaginal Lesions Simple (57061) | $76 | $152 | 0.0× |
| Diagnostic sigmoidoscopy (45330) | $169 | $338 | 0.2× |
| Diaphragm or cervical cap fitting with instructions (57170) | $62.50 | $125 | 0.3× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $673 | $1,346 | 0.6× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $67.50 | $135 | 0.5× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $60 | $120 | 0.5× |
| Dilat rct strix spx under anes oth/thn local (45910) | $182 | $364 | 0.2× |
| Dilate Esophagus 1/Mult Pass (43450) | $154 | $308 | 0.2× |
| Dilate Urethra Stricture (53620) | $152 | $304 | 0.2× |
| Dilate Urethra Stricture (53600) | $81.50 | $163 | 0.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $632.50 | $1,265 | 0.2× |
| Dilation And Curettage Of Cervical Stump (57558) | $70 | $140 | 0.0× |
| Dilation Cervical Canal (57800) | $78.50 | $157 | 0.0× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) | $61.50 | $123 | 0.0× |
| Dilation of vagina (57400) | $143 | $286 | 0.0× |
| Drain ovary abscess open (58820) | $1,046 | $2,092 | 0.3× |
| Drain penis lesion (54015) | $200 | $400 | 0.1× |
| Drain/inj small joint/bursa w/us (20604) | $82.50 | $165 | 0.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) range across 2 matching MRF lines |
$150–$298 | $300–$596 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $151 | $302 | 0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $189 | $378 | 0.3× |
| Drainage Finger Abscess Complicated (26011) | $434.50 | $869 | 0.3× |
| Drainage Mouth Roof Lesion (42000) range across 2 matching MRF lines |
$93.50–$115.25 | $187–$230.50 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$116.50–$310.50 | $233–$621 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$159.25–$459.75 | $318.50–$919.50 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$116.75–$835.75 | $233.50–$1,671.50 | varies |
| Drainage of hydrocele (55000) | $112 | $224 | 0.2× |
| Drainage of rectal abscess (45020) | $618.50 | $1,237 | 0.2× |
| Drainage of rectal abscess (45005) | $288.50 | $577 | 0.2× |
| Drainage of scrotal wall abscess (55100) | $228 | $456 | 0.1× |
| Drainage of scrotum (54700) range across 3 matching MRF lines |
$191–$319 | $382–$638 | varies |
| Drainage of skene's gland abscess or cyst (53060) | $175.50 | $351 | 0.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $419.50 | $839 | 0.1× |
| Draw Blood Off Venous Device (36591) | $33.75 | $67.50 | 0.3× |
| Dressing Change Under Anesthesia (15852) | $50.50 | $101 | 0.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 3 matching MRF lines |
$124–$195.75 | $248–$391.50 | varies |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $308.50 | $617 | 0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 6 matching MRF lines |
$63.50–$238 | $127–$476 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$131–$207.25 | $262–$414.50 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$95–$188.25 | $190–$376.50 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $410.50 | $821 | 0.6× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $636 | $1,272 | 0.3× |
| Dstrj Lesion Anus Extensive (46924) | $375 | $750 | 0.1× |
| Dstrj Lesion Anus Simple Chemical (46900) | $57.50 | $115 | 0.1× |
| Dstrj lesion anus simple cryosurgery (46916) | $243.50 | $487 | 1.2× |
| Dstrj lesion anus simple surg excision (46922) range across 3 matching MRF lines |
$147.25–$332.75 | $294.50–$665.50 | varies |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $207.50 | $415 | 0.1× |
| Dstrj Lesion Penis Simple Chemical (54050) | $136.50 | $273 | 0.3× |
| Dstrj lesion penis simple laser (54057) | $131 | $262 | 0.1× |
| Dstrj lesion penis simple surg excision (54060) | $191.50 | $383 | 0.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $337 | $674 | 0.4× |
| Dx Bronchoscope/Lavage (31624) | $233.50 | $467 | 0.1× |
| Dx Bronchoscope/Wash (31622) | $227 | $454 | 0.1× |
| Dx Laryngoscopy Excl Nb (31525) | $231.50 | $463 | 0.1× |
| Dx laryngoscopy w/oper scope (31526) | $148 | $296 | 0.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $220 | $440 | 0.1× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $444 | $888 | 0.2× |
| Egd cautery tumor polyp (43250) | $409 | $818 | 0.2× |
| Egd control bleeding any (43255) | $709.50 | $1,419 | 0.4× |
| Egd dilation gastric/duodenal stricture (43245) | $860 | $1,720 | 0.4× |
| Egd Flexible Foreign Body Removal (43247) | $350 | $700 | 0.4× |
| Egd place gastrostomy tube (43246) | $833 | $1,666 | 0.4× |
| Egd remove lesion snare (43251) | $450 | $900 | 0.2× |
| Egd Tube/Cath Insertion (43241) | $133 | $266 | 0.1× |
| Electro-Uroflowmetry First (51741) | $13 | $26 | 0.1× |
| Endocervical curettage (57505) | $148.50 | $297 | 0.2× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) likely a partial charge, not the full procedure |
$1,120 | $2,240 | 0.2× |
| Endometrial Biopsy (58100) | $197.50 | $395 | 1.0× |
| Endoscopic injection/implant (51715) | $330 | $660 | 0.1× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $267.50 | $535 | 0.1× |
| Epididymectomy unilateral (54860) | $454 | $908 | 0.1× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$337–$556.25 | $674–$1,112.50 | varies |
| Episiotomy or vaginal repair (59300) | $205 | $410 | 0.1× |
| Escharotomy; initial incision (16035) | $186 | $372 | 0.5× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $137.50 | $275 | 0.2× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $173 | $346 | 0.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $238 | $476 | 0.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $321 | $642 | 0.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $356 | $712 | 0.2× |
| Esophagoscp Rig Trnso Biopsy (43193) | $160.50 | $321 | 0.1× |
| Evacuate mole of uterus (59870) | $521 | $1,042 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$82–$166.50 | $164–$333 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $581 | $1,162 | 0.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $392 | $784 | 0.2× |
| Exc abdl tum deep 5 cm/> (22901) | $292.50 | $585 | 0.1× |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$498–$747 | $996–$1,494 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $190 | $380 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $312.50 | $625 | 0.2× |
| Exc Back Les Sc < 3 Cm (21930) | $501.50 | $1,003 | 0.3× |
| Exc Back Tum Deep 5 Cm/> (21933) | $796 | $1,592 | 0.3× |
| Exc back tum deep < 5 cm (21932) | $470 | $940 | 0.2× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) likely a partial charge, not the full procedure |
$587.50 | $1,175 | 0.1× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$541–$582.50 | $1,082–$1,165 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $337 | $674 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $392.50 | $785 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $580 | $1,160 | 0.4× |
| Exc Face Les Sbq 2 Cm/> (21012) | $359.50 | $719 | 0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $219 | $438 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $256 | $512 | 0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $290 | $580 | 0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $355 | $710 | 0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $454.50 | $909 | 0.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $453.50 | $907 | 0.3× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $506 | $1,012 | 0.2× |
| Exc Frenum Labial/Buccal (40819) | $294 | $588 | 0.2× |
| Exc ganglion wrist recurrent (25112) | $368 | $736 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $184.50 | $369 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $235 | $470 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $261 | $522 | 0.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $916 | $1,832 | 0.6× |
| Exc hand tum deep < 1.5 cm (26116) | $557.50 | $1,115 | 0.3× |
| Exc hydrocele sprmatic cord uni spx (55500) | $315 | $630 | 0.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $124.50 | $249 | 0.1× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) | $233 | $466 | 0.1× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $565.50 | $1,131 | 0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $382.50 | $765 | 0.2× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $311 | $622 | 0.1× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) | $348 | $696 | 0.1× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $644 | $1,288 | 0.2× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $745 | $1,490 | 0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $287.50 | $575 | 0.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $361 | $722 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $510 | $1,020 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $403.50 | $807 | 0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) | $787.50 | $1,575 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $276 | $552 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $596 | $1,192 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $494 | $988 | 0.3× |
| Exc tendon shth lesion leg/ankle (27630) | $491 | $982 | 0.1× |
| Exc thigh/knee les sc 3 cm/> (27337) | $448 | $896 | 0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) | $480 | $960 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $194.50 | $389 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $222 | $444 | 0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $252 | $504 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $326 | $652 | 0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $479 | $958 | 0.2× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $904.50 | $1,809 | 0.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $564.50 | $1,129 | 0.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $578 | $1,156 | 0.2× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $656 | $1,312 | 0.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $570 | $1,140 | 0.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $606 | $1,212 | 0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $465.50 | $931 | 0.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $443 | $886 | 0.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $328 | $656 | 0.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $637 | $1,274 | 0.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $443 | $886 | 0.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $458 | $916 | 0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $456 | $912 | 0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $486.50 | $973 | 0.3× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) | $388.50 | $777 | 0.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $341 | $682 | 0.1× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $687.50 | $1,375 | 0.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $434.50 | $869 | 0.1× |
| Exc urethral diverticulum spx female (53230) likely a partial charge, not the full procedure |
$113.50 | $227 | 0.0× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | $489 | $978 | 0.1× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) likely a partial charge, not the full procedure |
$679.50 | $1,359 | 0.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $478.50 | $957 | 0.1× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $395.50 | $791 | 0.2× |
| Exc/fulguration urethral caruncle (53265) | $115 | $230 | 0.1× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $196.50 | $393 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $257.50 | $515 | 0.2× |
| Excise breast duct fistula (19112) range across 2 matching MRF lines |
$916.50–$1,833 | $1,833–$3,666 | varies |
| Excise mandible lesion (21040) | $429 | $858 | 0.1× |
| Excise tendon forearm/wrist (25109) | $569 | $1,138 | 0.2× |
| Excise Wrist Tendon Sheath (25118) | $360.50 | $721 | 0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $341.50 | $683 | 0.5× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $784.50 | $1,569 | 0.3× |
| Excision External Ear Partial Simple Repair (69110) | $434.50 | $869 | 0.1× |
| Excision H/P/P/U Complex Repair (11471) | $497.50 | $995 | 0.2× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $452 | $904 | 0.2× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $484 | $968 | 0.2× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $490.50 | $981 | 0.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $375 | $750 | 0.1× |
| Excision inferior turbinate partial/complete (30130) | $385 | $770 | 0.1× |
| Excision lesion meniscus/capsule knee (27347) | $498 | $996 | 0.2× |
| Excision lesion mouth roof (42104) | $198.50 | $397 | 0.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) | $327 | $654 | 0.2× |
| Excision Lesion Tongue W/O Closure (41110) | $230.50 | $461 | 0.1× |
| Excision Lingual Frenum Frenectomy (41115) | $254.50 | $509 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $200 | $400 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $290 | $580 | 0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $310.50 | $621 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $376.50 | $753 | 0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $253.50 | $507 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $454.50 | $909 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $650.50 | $1,301 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $240 | $480 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $289 | $578 | 0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $328.50 | $657 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $445.50 | $891 | 0.3× |
| Excision Malignant Tumor Maxilla/Zygoma (21034) likely a partial charge, not the full procedure |
$1,381.50 | $2,763 | 0.2× |
| Excision Maxillary Torus Palatinus (21032) | $339 | $678 | 0.1× |
| Excision Multiple External Papillae/Tags Anus (46230) | $345 | $690 | 0.1× |
| Excision nasal polyp(s) simple (30110) range across 2 matching MRF lines |
$257–$269 | $514–$538 | varies |
| Excision of bartholin's gland or cyst (56740) | $547 | $1,094 | 0.2× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) likely a partial charge, not the full procedure |
$497 | $994 | 0.1× |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) unusually low: confirm this is the full procedure |
$1,680.50 | $3,361 | 0.3× |
| Excision of extraparenchymal lesion of testis (54512) | $588 | $1,176 | 0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $302 | $604 | 0.2× |
| Excision of hydrocele; unilateral (55040) | $364.50 | $729 | 0.1× |
| Excision of lingual tonsil (42870) likely a partial charge, not the full procedure |
$619.50 | $1,239 | 0.1× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $233.50 | $467 | 0.1× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) likely a partial charge, not the full procedure |
$1,129.50 | $2,259 | 0.2× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) likely a partial charge, not the full procedure |
$1,270.50 | $2,541 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $177.50 | $355 | 0.1× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) | $1,195.50 | $2,391 | 0.4× |
| Excision of single external papilla or tag, anus (46220) | $101 | $202 | 0.1× |
| Excision of submandibular (submaxillary) gland (42440) likely a partial charge, not the full procedure |
$393 | $786 | 0.1× |
| Excision of tonsil tags (42860) | $181.50 | $363 | 0.1× |
| Excision of vaginal cyst or tumor (57135) | $578 | $1,156 | 0.2× |
| Excision of vaginal septum (57130) | $751 | $1,502 | 0.2× |
| Excision olecranon bursa (24105) | $480.50 | $961 | 0.1× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $751 | $1,502 | 0.2× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) | $194.50 | $389 | 0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $550 | $1,100 | 0.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $415 | $830 | 0.1× |
| Excision prepatellar bursa (27340) | $1,103 | $2,206 | 0.3× |
| Excision Radial Head (24130) | $484.50 | $969 | 0.1× |
| Excision soft tissue lesion, external auditory canal (69145) | $256.50 | $513 | 0.1× |
| Excision spermatocele w/wo epididymectomy (54840) | $347 | $694 | 0.2× |
| Excision synovial cyst popliteal space (27345) | $458.50 | $917 | 0.1× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) likely a partial charge, not the full procedure |
$465 | $930 | 0.1× |
| Excision Torus Mandibularis (21031) | $349.50 | $699 | 0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $505 | $1,010 | 0.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $474.50 | $949 | 0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $449 | $898 | 0.3× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $296 | $592 | 0.2× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $831.50 | $1,663 | 0.5× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) | $659.50 | $1,319 | 0.2× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) likely a partial charge, not the full procedure |
$418.50 | $837 | 0.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $420 | $840 | 0.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $362.50 | $725 | 0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $388 | $776 | 0.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $496.50 | $993 | 0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $310 | $620 | 0.2× |
| Excision/curettage cyst/tumor carpal bones (25130) | $425.50 | $851 | 0.1× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $559.50 | $1,119 | 0.3× |
| Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
$397–$854 | $794–$1,708 | varies |
| Expl penetrating wound spx abdomen/flank/back (20102) | $503 | $1,006 | 0.2× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) likely a partial charge, not the full procedure |
$270 | $540 | 0.0× |
| Explo/Drain Breast Abscess (19020) range across 3 matching MRF lines |
$334–$721.25 | $668–$1,442.50 | varies |
| Exploration of knee joint (27310) | $1,012.50 | $2,025 | 0.3× |
| Exploration penetrating wound spx chest (20101) | $341.50 | $683 | 0.2× |
| Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
$404–$645.25 | $808–$1,290.50 | varies |
| Exploration Penetrating Wound Spx Neck (20100) | $934 | $1,868 | 1.7× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) likely a partial charge, not the full procedure |
$609 | $1,218 | 0.1× |
| Explore/Treat Elbow Joint (24101) | $476 | $952 | 0.1× |
| Explore/Treat Hand Joint (26070) | $304.50 | $609 | 0.2× |
| External cephalic version (59412) | $328 | $656 | 0.1× |
| Fasciectomy Palm Only (26121) | $618 | $1,236 | 0.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $473.50 | $947 | 0.1× |
| Fasciotomy palmar open partial (26045) | $595.50 | $1,191 | 0.2× |
| Fasciotomy palmar percutaneous (26040) | $297.50 | $595 | 0.2× |
| Fasciotomy, foot and/or toe (28008) | $392.50 | $785 | 0.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $864.50 | $1,729 | 0.3× |
| Fetal Contraction Stress Test (59020) range across 2 matching MRF lines |
$68.50–$307.25 | $137–$614.50 | varies |
| Fetal non-stress test (59025) range across 4 matching MRF lines |
$45–$185.75 | $90–$371.50 | varies |
| Fine needle aspiration without imaging guidance (10021) | $214.50 | $429 | 0.5× |
| Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) likely a partial charge, not the full procedure |
$537.50 | $1,075 | 0.1× |
| Fluoro exam of g/colon tube (49465) | $132.50 | $265 | 0.6× |
| Fna bx w/us gdn 1st les (10005) | $130.50 | $261 | 0.2× |
| Foreskin manipulation (54450) | $55 | $110 | 0.2× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) | $777 | $1,554 | 0.2× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) range across 2 matching MRF lines |
$125.50–$251 | $251–$502 | varies |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) unusually low: confirm this is the full procedure |
$2,578.50 | $5,157 | 0.4× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) | $801.50 | $1,603 | 0.4× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) | $700 | $1,400 | 0.3× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $1,052.50 | $2,105 | 0.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $639 | $1,278 | 0.3× |
| Fusion Finger Joint (26860) | $512 | $1,024 | 0.2× |
| Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$654 | $1,308 | 0.1× |
| Fusion of knuckle (26850) likely a partial charge, not the full procedure |
$614.50 | $1,229 | 0.1× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $345 | $690 | 0.2× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) likely a partial charge, not the full procedure |
$594.50 | $1,189 | 0.1× |
| Guide Cathet Fluid Drainage (10030) | $568.50 | $1,137 | 0.8× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$694 | $1,388 | 0.1× |
| Head Surgery Procedure (21499) | $436.80 | $873.60 | 1.8× |
| Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$1,418.50 | $2,837 | 0.1× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $599 | $1,198 | 0.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $505.50 | $1,011 | 0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $636 | $1,272 | 0.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $345 | $690 | 0.4× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) unusually low: confirm this is the full procedure |
$1,802.50 | $3,605 | 0.4× |
| Hysteroscopy Biopsy (58558) | $409.50 | $819 | 0.1× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) unusually low: confirm this is the full procedure |
$1,528.50 | $3,057 | 0.3× |
| Hysteroscopy Dx Sep Proc (58555) | $313 | $626 | 0.1× |
| Hysteroscopy Endometrial Ablation (58563) unusually low: confirm this is the full procedure |
$1,536.50 | $3,073 | 0.3× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) likely a partial charge, not the full procedure |
$1,402.50 | $2,805 | 0.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $1,353.50 | $2,707 | 0.4× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) unusually low: confirm this is the full procedure |
$1,804 | $3,608 | 0.4× |
| I&d abscess peritonsillar (42700) | $194 | $388 | 0.8× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$116.50–$291.50 | $233–$583 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $625 | $1,250 | 0.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $488 | $976 | 0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $788.50 | $1,577 | 0.2× |
| I&d forearm/wrist bursa (25031) | $347 | $694 | 0.2× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $457.50 | $915 | 0.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $637.50 | $1,275 | 0.2× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$167–$332.75 | $334–$665.50 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$171.75–$321 | $343.50–$642 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$100.50–$216.50 | $201–$433 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $403 | $806 | 0.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $364 | $728 | 0.1× |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $283.50 | $567 | 0.1× |
| Immediate breast prosthesis (19340) likely a partial charge, not the full procedure |
$624 | $1,248 | 0.1× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$169.50–$332.75 | $339–$665.50 | varies |
| Incise finger tendon sheath (26055) | $569.50 | $1,139 | 0.4× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$178.50–$283 | $357–$566 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $488.50 | $977 | 0.2× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$168–$334 | $336–$668 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$98.50–$186.50 | $197–$373 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$167–$332.75 | $334–$665.50 | varies |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) | $331 | $662 | 0.1× |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$208.50–$332.75 | $417–$665.50 | varies |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) | $652.50 | $1,305 | 0.4× |
| Incision bone cortex foot (28005) | $543.50 | $1,087 | 0.2× |
| Incision extensor tendon sheath wrist (25000) | $575 | $1,150 | 0.4× |
| Incision of eardrum (69421) range across 2 matching MRF lines |
$154–$308 | $308–$616 | varies |
| Incision of eardrum (69420) | $191 | $382 | 0.8× |
| Incision of labial frenum (frenotomy) (40806) | $88 | $176 | 0.2× |
| Incision of lingual frenum (frenotomy) (41010) | $190 | $380 | 0.1× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$332.75–$599 | $665.50–$1,198 | varies |
| Incision&drainage bursa foot (28001) | $158 | $316 | 0.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $275.50 | $551 | 0.2× |
| Incisional biopsy eyelid skin & lid margin (67810) | $168.50 | $337 | 0.5× |
| Incisional biopsy skin single lesion (11106) | $143.50 | $287 | 0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
$72.50–$116.75 | $145–$233.50 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$150–$176 | $300–$352 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $109 | $218 | 0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $196.50 | $393 | 0.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$81.50–$233 | $163–$466 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $490 | $980 | 0.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$98–$490 | $196–$980 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 4 matching MRF lines |
$82.50–$635.50 | $165–$1,271 | varies |
| Injection enzyme palmar fascial cord (20527) range across 2 matching MRF lines |
$88–$90 | $176–$180 | varies |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$75–$350.50 | $150–$701 | varies |
| Injection single tendon origin/insertion (20551) | $79 | $158 | 0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$49–$380.25 | $98–$760.50 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $81.50 | $163 | 0.3× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $114.50 | $229 | 0.1× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$93.50–$187 | $187–$374 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $454.75 | $909.50 | 0.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 4 matching MRF lines |
$454.75–$671.25 | $909.50–$1,342.50 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$49–$454.75 | $98–$909.50 | varies |
| Injection, anesthetic agent; vagus nerve (64408) | $74 | $148 | 0.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) | $64.50 | $129 | 0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$72.50–$145 | $145–$290 | varies |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $205 | $410 | 0.2× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $116 | $232 | 0.1× |
| Insert and remove bone pin (20650) | $209 | $418 | 0.1× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$122.50–$137.50 | $245–$275 | varies |
| Insert cath pleura w/o image (32556) | $135 | $270 | 0.1× |
| Insert cervical dilator (59200) | $150.50 | $301 | 0.5× |
| Insert Drug Implant Device (11981) | $159.50 | $319 | 1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) | $533 | $1,066 | 0.3× |
| Insert Nasal Septal Button (30220) | $276 | $552 | 0.2× |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$91–$448 | $182–$896 | varies |
| Insert pessary/other device (57160) | $62.50 | $125 | 0.3× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$51.50–$120.75 | $103–$241.50 | varies |
| Insert tunneled cv cath (36561) | $1,117.50 | $2,235 | 0.4× |
| Insert tunneled cv cath (36563) likely a partial charge, not the full procedure |
$1,183 | $2,366 | 0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$16.50–$84.50 | $33–$169 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 6 matching MRF lines |
$175–$1,000.50 | $350–$2,001 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 3 matching MRF lines |
$225–$448 | $450–$896 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $338 | $676 | 0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 5 matching MRF lines |
$187.25–$992 | $374.50–$1,984 | varies |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $890.50 | $1,781 | 0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $375 | $750 | 0.1× |
| Insj/rplcmt breast implant sep day mastectomy (19342) likely a partial charge, not the full procedure |
$980 | $1,960 | 0.1× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$767.50–$1,226 | $1,535–$2,452 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $300 | $600 | 0.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$302.25–$896.75 | $604.50–$1,793.50 | varies |
| Intranasal Biopsy (30100) | $141.50 | $283 | 0.1× |
| Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines |
$109.75–$271.75 | $219.50–$543.50 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$136–$493.50 | $272–$987 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$145.25–$377 | $290.50–$754 | varies |
| Knee arthroscopy/drainage (29871) | $486 | $972 | 0.1× |
| Knee Arthroscopy/Surgery (29874) | $993 | $1,986 | 0.3× |
| Labyrinthotomy Transcanal (69801) | $216.50 | $433 | 0.1× |
| Lap paraesoph her rpr w/mesh (43282) likely a partial charge, not the full procedure |
$1,652 | $3,304 | 0.2× |
| Lap paraesophag hern repair (43281) likely a partial charge, not the full procedure |
$1,468 | $2,936 | 0.1× |
| Laparo ligate spermatic vein (55550) likely a partial charge, not the full procedure |
$460 | $920 | 0.1× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$1,056 | $2,112 | 0.1× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$401 | $802 | 0.1× |
| Laparoscopy Enterolysis Separate Procedure (44180) likely a partial charge, not the full procedure |
$1,000 | $2,000 | 0.2× |
| Laparoscopy fimbrioplasty (58672) unusually low: confirm this is the full procedure |
$1,904.50 | $3,809 | 0.3× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$1,396.50 | $2,793 | 0.2× |
| Laparoscopy salpingostomy (58673) likely a partial charge, not the full procedure |
$800 | $1,600 | 0.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$410.50 | $821 | 0.1× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) likely a partial charge, not the full procedure |
$1,307.50 | $2,615 | 0.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure |
$971.50 | $1,943 | 0.1× |
| Laparoscopy W/Lysis Of Adhesions (58660) unusually low: confirm this is the full procedure |
$2,265 | $4,530 | 0.4× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$700–$1,400 | $1,400–$2,800 | varies |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) likely a partial charge, not the full procedure |
$382 | $764 | 0.1× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$654 | $1,308 | 0.1× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$1,042.50 | $2,085 | 0.1× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$1,027 | $2,054 | 0.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$843 | $1,686 | 0.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) unusually low: confirm this is the full procedure |
$2,529.50 | $5,059 | 0.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$690.30 | $1,380.60 | 0.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$525 | $1,050 | 0.1× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) likely a partial charge, not the full procedure |
$897 | $1,794 | 0.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) likely a partial charge, not the full procedure |
$672.50 | $1,345 | 0.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) likely a partial charge, not the full procedure |
$579 | $1,158 | 0.1× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$1,221 | $2,442 | 0.2× |
| Laparoscopy, Tubal Block (58671) likely a partial charge, not the full procedure |
$1,396.50 | $2,793 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$1,094 | $2,188 | 0.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$755 | $1,510 | 0.1× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$876 | $1,752 | 0.1× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) likely a partial charge, not the full procedure |
$488.50 | $977 | 0.1× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) likely a partial charge, not the full procedure |
$1,680.50 | $3,361 | 0.3× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) likely a partial charge, not the full procedure |
$832.50 | $1,665 | 0.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) | $235.50 | $471 | 0.1× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) | $230.25 | $460.50 | 0.1× |
| Laryngoscopy and dilation (31528) | $136.50 | $273 | 0.0× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) | $229 | $458 | 0.1× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$115.50–$231 | $231–$462 | varies |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) | $200.50 | $401 | 0.1× |
| Laryngoscopy W/Biopsy (31535) | $178.50 | $357 | 0.0× |
| Laryngoscopy w/biopsy microscope/telescope (31536) range across 2 matching MRF lines |
$226–$452 | $452–$904 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) range across 2 matching MRF lines |
$345.75–$688.50 | $691.50–$1,377 | varies |
| Larynscop w/tumr exc + scope (31541) | $250 | $500 | 0.1× |
| Laser Surgery Anal Lesions (46917) | $542.50 | $1,085 | 0.2× |
| Laser Surgery of Cervix (57513) | $737.50 | $1,475 | 0.2× |
| Laser vaporization of prostate (52648) range across 2 matching MRF lines |
$750.50–$1,560 | $1,501–$3,120 | varies |
| Late closure of wound (13160) | $960.50 | $1,921 | 0.3× |
| Lateral retinacular release open (27425) | $427.50 | $855 | 0.1× |
| Lavage cannulation sphenoid sinus (31002) | $177.50 | $355 | 0.1× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) likely a partial charge, not the full procedure |
$590 | $1,180 | 0.1× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) | $866.50 | $1,733 | 0.3× |
| Ligation or biopsy temporal artery (37609) | $288 | $576 | 0.2× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $269.50 | $539 | 0.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) range across 2 matching MRF lines |
$381–$3,166.50 | $762–$6,333 | varies |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$725–$815 | $1,450–$1,630 | varies |
| Low Back Disk Surgery (63030) likely a partial charge, not the full procedure |
$1,754 | $3,508 | 0.2× |
| Lsh uterus 250 g or less (58541) likely a partial charge, not the full procedure |
$764.50 | $1,529 | 0.1× |
| Lysis Intranasal Synechia (30560) | $291.50 | $583 | 0.5× |
| Lysis of labial adhesions (56441) | $281.50 | $563 | 0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) range across 2 matching MRF lines |
$215.25–$226.75 | $430.50–$453.50 | varies |
| Maniplatn palar fascial crd post inj single cord (26341) | $102 | $204 | 0.4× |
| Manipulation knee joint under general anesthesia (27570) | $124 | $248 | 0.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$222.50–$370 | $445–$740 | varies |
| Marsupialization of bartholin's gland cyst (56440) | $509 | $1,018 | 0.2× |
| Mast mod rad (19307) likely a partial charge, not the full procedure |
$1,296.50 | $2,593 | 0.2× |
| Mastectomy for gynecomastia (19300) range across 2 matching MRF lines |
$556–$1,112 | $1,112–$2,224 | varies |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$707.50–$1,415 | $1,415–$2,830 | varies |
| Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$652.50 | $1,305 | 0.1× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$1,040–$1,244 | $2,080–$2,488 | varies |
| Mastopexy (19316) likely a partial charge, not the full procedure |
$487.50 | $975 | 0.1× |
| Maternity Care Procedure (59899) | $368.75 | $737.50 | 1.8× |
| Middle ear surgery proc unlisted (69799) range across 2 matching MRF lines |
$175–$350 | $350–$700 | varies |
| Muscle-skin graft trunk (15734) | $1,392.50 | $2,785 | 0.4× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) | $1,345.50 | $2,691 | 0.4× |
| Myringoplasty (69620) | $508 | $1,016 | 0.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$173–$490 | $346–$980 | varies |
| N block inj intercost sng (64420) | $102.50 | $205 | 0.1× |
| N Block Inj Paracervical (64435) | $147.50 | $295 | 0.2× |
| N Block Inj Pudendal (64430) | $113.50 | $227 | 0.1× |
| N Block Lumbar/Thoracic (64520) | $173 | $346 | 0.2× |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$206–$412 | $412–$824 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$43.25–$156 | $86.50–$312 | varies |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) | $251 | $502 | 0.6× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) range across 2 matching MRF lines |
$210.50–$421 | $421–$842 | varies |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) likely a partial charge, not the full procedure |
$495 | $990 | 0.1× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) unusually low: confirm this is the full procedure |
$2,125.50 | $4,251 | 0.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$262.50–$525 | $525–$1,050 | varies |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) range across 2 matching MRF lines |
$171–$342 | $342–$684 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$263–$526 | $526–$1,052 | varies |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) | $641.50 | $1,283 | 0.2× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) likely a partial charge, not the full procedure |
$997.50 | $1,995 | 0.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) likely a partial charge, not the full procedure |
$976.50 | $1,953 | 0.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) likely a partial charge, not the full procedure |
$977.50 | $1,955 | 0.1× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) range across 2 matching MRF lines |
$494–$953.60 | $988–$1,907.20 | varies |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) likely a partial charge, not the full procedure |
$451 | $902 | 0.1× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) range across 2 matching MRF lines |
$425–$637.50 | $850–$1,275 | varies |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) | $421.50 | $843 | 0.2× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) range across 2 matching MRF lines |
$426–$583 | $852–$1,166 | varies |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) range across 2 matching MRF lines |
$412–$824 | $824–$1,648 | varies |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) range across 2 matching MRF lines |
$428–$856 | $856–$1,712 | varies |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) | $285 | $570 | 0.2× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $337.50 | $675 | 1.3× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $68.50 | $137 | 0.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $540.50 | $1,081 | 0.3× |
| Needle Biopsy Lymph Nodes (38505) | $84.50 | $169 | 0.1× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) | $363.50 | $727 | 0.2× |
| Neuroeltrd Stim Post Tibial (64566) | $126.50 | $253 | 0.4× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $612 | $1,224 | 0.3× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $851 | $1,702 | 0.4× |
| Nipple Exploration (19110) | $747.50 | $1,495 | 0.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$55.50–$453.75 | $111–$907.50 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
$77.50–$457.25 | $155–$914.50 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$113.50–$227 | $227–$454 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $99 | $198 | 0.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $118 | $236 | 0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $109.50 | $219 | 0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $101.50 | $203 | 0.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $105.50 | $211 | 0.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $90 | $180 | 0.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 2 matching MRF lines |
$99–$490 | $198–$980 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $104 | $208 | 0.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $181 | $362 | 0.4× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 2 matching MRF lines |
$339.50–$679 | $679–$1,358 | varies |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) range across 2 matching MRF lines |
$287–$580 | $574–$1,160 | varies |
| Occipital Nerve Block (64405) | $81.50 | $163 | 0.3× |
| Occlusion flp tube dev vag/suprapubic appr (58615) | $1,120 | $2,240 | 0.3× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$636 | $1,272 | 0.1× |
| Open biopsy/excision inguinofemoral nodes (38531) | $424 | $848 | 0.1× |
| Open bone biopsy (20251) likely a partial charge, not the full procedure |
$397.50 | $795 | 0.1× |
| Open Repair of Rotator Cuff Acute (23410) likely a partial charge, not the full procedure |
$867 | $1,734 | 0.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,236 | $2,472 | 0.2× |
| Open treatment calcaneal fracture (28415) likely a partial charge, not the full procedure |
$832 | $1,664 | 0.1× |
| Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$1,130 | $2,260 | 0.1× |
| Open treatment greater trochanteric fracture (27248) likely a partial charge, not the full procedure |
$797.50 | $1,595 | 0.1× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) likely a partial charge, not the full procedure |
$737.50 | $1,475 | 0.1× |
| Open Treatment Humeral Condylar Fracture (24579) likely a partial charge, not the full procedure |
$1,257 | $2,514 | 0.1× |
| Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$581.50 | $1,163 | 0.1× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$777.50 | $1,555 | 0.1× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) likely a partial charge, not the full procedure |
$844 | $1,688 | 0.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$867.50 | $1,735 | 0.1× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) likely a partial charge, not the full procedure |
$855 | $1,710 | 0.1× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) likely a partial charge, not the full procedure |
$2,098 | $4,196 | 0.3× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) likely a partial charge, not the full procedure |
$2,464 | $4,928 | 0.2× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) likely a partial charge, not the full procedure |
$867 | $1,734 | 0.1× |
| Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) likely a partial charge, not the full procedure |
$1,605 | $3,210 | 0.2× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) | $666.50 | $1,333 | 0.2× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$866 | $1,732 | 0.1× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) likely a partial charge, not the full procedure |
$944.50 | $1,889 | 0.1× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) | $1,454.50 | $2,909 | 0.4× |
| Open Treatment of Ulnar Shaft Fracture (25545) likely a partial charge, not the full procedure |
$1,033 | $2,066 | 0.1× |
| Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$652.50 | $1,305 | 0.1× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) likely a partial charge, not the full procedure |
$463 | $926 | 0.1× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$1,078.50 | $2,157 | 0.1× |
| Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$710 | $1,420 | 0.1× |
| Open Treatment Tarsal Bone Dislocation (28555) likely a partial charge, not the full procedure |
$1,333.50 | $2,667 | 0.2× |
| Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$763 | $1,526 | 0.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$681 | $1,362 | 0.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 3 matching MRF lines |
$279.25–$538.75 | $558.50–$1,077.50 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$420 | $840 | 0.1× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) likely a partial charge, not the full procedure |
$2,011 | $4,022 | 0.2× |
| Open tx femoral supracondylar fracture w/o xtn (27511) likely a partial charge, not the full procedure |
$1,811 | $3,622 | 0.1× |
| Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$1,140.50 | $2,281 | 0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $733.50 | $1,467 | 0.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $795 | $1,590 | 0.2× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) likely a partial charge, not the full procedure |
$639 | $1,278 | 0.0× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$434 | $868 | 0.1× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure |
$850 | $1,700 | 0.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$759.50 | $1,519 | 0.1× |
| Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$678 | $1,356 | 0.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$857 | $1,714 | 0.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) likely a partial charge, not the full procedure |
$1,114 | $2,228 | 0.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) likely a partial charge, not the full procedure |
$1,262 | $2,524 | 0.2× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$649.50 | $1,299 | 0.1× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) likely a partial charge, not the full procedure |
$1,884.50 | $3,769 | 0.3× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) likely a partial charge, not the full procedure |
$1,656 | $3,312 | 0.2× |
| Orchiectomy radical tumor inguinal approach (54530) | $547.50 | $1,095 | 0.2× |
| Orchiopexy Ingun/Scrot Appr (54640) | $439 | $878 | 0.1× |
| Ostc prtl exostc/condylc metar head (28288) | $708.50 | $1,417 | 0.2× |
| Ostectomy calcaneus (28118) | $396 | $792 | 0.1× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $289.50 | $579 | 0.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $394 | $788 | 0.1× |
| Ostectomy, complete excision; first metatarsal head (28111) | $295 | $590 | 0.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $420 | $840 | 0.1× |
| Osteochondral allograft knee open (27415) likely a partial charge, not the full procedure |
$1,433 | $2,866 | 0.1× |
| Osteoplasty Radius/Ulna Shortening (25390) likely a partial charge, not the full procedure |
$840.50 | $1,681 | 0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $537.50 | $1,075 | 0.2× |
| Osteotomy Clavicle W Bone Graft (23485) likely a partial charge, not the full procedure |
$725 | $1,450 | 0.1× |
| Osteotomy Phalanx Finger Each (26567) | $1,128.50 | $2,257 | 0.3× |
| Osteotomy radius distal third (25350) likely a partial charge, not the full procedure |
$1,351 | $2,702 | 0.2× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) likely a partial charge, not the full procedure |
$609 | $1,218 | 0.1× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) likely a partial charge, not the full procedure |
$785 | $1,570 | 0.1× |
| Ovarian cystectomy, unilateral or bilateral (58925) likely a partial charge, not the full procedure |
$1,493 | $2,986 | 0.3× |
| Palatopharyngoplasty (42145) likely a partial charge, not the full procedure |
$743.50 | $1,487 | 0.1× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) likely a partial charge, not the full procedure |
$1,031 | $2,062 | 0.2× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) unusually low: confirm this is the full procedure |
$2,054.50 | $4,109 | 0.4× |
| Part exc bone femur prox tibia (27360) | $897 | $1,794 | 0.3× |
| Part remv talus or calcaneus (28120) | $390 | $780 | 0.1× |
| Partial excision bone clavicle (23180) likely a partial charge, not the full procedure |
$1,329.50 | $2,659 | 0.2× |
| Partial Excision Bone Humerus (24140) | $732 | $1,464 | 0.2× |
| Partial excision bone olecranon process (24147) | $659.50 | $1,319 | 0.2× |
| Partial Excision Distal Phalanx Finger (26236) | $465 | $930 | 0.3× |
| Partial excision of lip (40520) | $466 | $932 | 0.1× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) | $465.50 | $931 | 0.3× |
| Partial hymenectomy or revision of hymenal ring (56700) | $747.50 | $1,495 | 0.2× |
| Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$753 | $1,506 | 0.1× |
| Partial removal of tibia (27640) | $782 | $1,564 | 0.2× |
| Partial removal of toe (28160) | $371 | $742 | 0.1× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$753.50 | $1,507 | 0.1× |
| Partical Excision Bone Phalanx Toe (28124) | $543.50 | $1,087 | 0.2× |
| Patellectomy or hemipatellectomy (27350) likely a partial charge, not the full procedure |
$691 | $1,382 | 0.1× |
| Pelvic examination under anesthesia (other than local) (57410) | $252 | $504 | 0.1× |
| Penile Injection (54235) range across 3 matching MRF lines |
$60.50–$383.50 | $121–$767 | varies |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $408.50 | $817 | 0.1× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) likely a partial charge, not the full procedure |
$1,043 | $2,086 | 0.1× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) | $461.50 | $923 | 0.1× |
| Peri-Implant Capsulectomy Breast Complete (19371) range across 2 matching MRF lines |
$833–$850 | $1,666–$1,700 | varies |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $276 | $552 | 0.1× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$112–$1,144 | $224–$2,288 | varies |
| Perq device breast 1st imag (19281) range across 5 matching MRF lines |
$246–$1,300 | $492–$2,600 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $328 | $656 | 0.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $686 | $1,372 | 0.2× |
| Pin hand dislocation (26676) | $480 | $960 | 0.1× |
| Place Rt Device/Marker Pros (55876) range across 2 matching MRF lines |
$147.50–$2,210 | $295–$4,420 | varies |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$249.50–$345.75 | $499–$691.50 | varies |
| Placement of seton (46020) | $319 | $638 | 0.1× |
| Plastic Repair Introitus (56800) | $255 | $510 | 0.1× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$897 | $1,794 | 0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $126.50 | $253 | 0.1× |
| Proctosgmdsc Rigid Control Bleeding (45317) | $202.50 | $405 | 0.2× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) | $186.50 | $373 | 0.1× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) | $192.50 | $385 | 0.2× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) | $208.50 | $417 | 0.2× |
| Proctosgmdsc rigid w/dilation (45303) | $129.50 | $259 | 0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $196 | $392 | 0.1× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) | $205 | $410 | 0.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $140 | $280 | 0.1× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $260 | $520 | 0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $339 | $678 | 0.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $399.50 | $799 | 0.1× |
| Prq skel fixj femoral fx prox end neck (27235) likely a partial charge, not the full procedure |
$770.50 | $1,541 | 0.1× |
| Prq skel fixj metar fx w/manj (28476) | $360 | $720 | 0.1× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) | $363 | $726 | 0.1× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) likely a partial charge, not the full procedure |
$843 | $1,686 | 0.1× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $414 | $828 | 0.1× |
| Punch biopsy skin single lesion (11104) | $124.50 | $249 | 0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$93.50–$147.75 | $187–$295.50 | varies |
| Puncture Aspiration Cyst Breast (19000) | $126.50 | $253 | 0.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $804 | $1,608 | 0.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) | $625.50 | $1,251 | 0.2× |
| Rad resect elbow caps/sr bone w rels (24149) likely a partial charge, not the full procedure |
$1,367.50 | $2,735 | 0.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) | $710.50 | $1,421 | 0.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) | $1,028 | $2,056 | 0.4× |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $483 | $966 | 0.1× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) | $1,440 | $2,880 | 0.4× |
| Rcnstj Dislocating Patella (27420) likely a partial charge, not the full procedure |
$654.50 | $1,309 | 0.1× |
| Re-explore parathyroids (60502) likely a partial charge, not the full procedure |
$1,378 | $2,756 | 0.2× |
| Realignment extensor tendon hand each tendon (26437) | $594 | $1,188 | 0.2× |
| Reconstruct Finger Joint (26548) | $1,257 | $2,514 | 0.4× |
| Reconstruct ulna/radioulnar (25337) likely a partial charge, not the full procedure |
$635 | $1,270 | 0.1× |
| Reconstruct wrist joint (25445) likely a partial charge, not the full procedure |
$605 | $1,210 | 0.1× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$775 | $1,550 | 0.1× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) likely a partial charge, not the full procedure |
$567.50 | $1,135 | 0.1× |
| Reconstruction Tongue Fold (41520) | $335.50 | $671 | 0.1× |
| Reduction of rectal prolapse (45900) | $201 | $402 | 0.2× |
| Reinforce hip bones (27187) likely a partial charge, not the full procedure |
$1,834 | $3,668 | 0.3× |
| Reinforce tibia (27745) likely a partial charge, not the full procedure |
$1,228 | $2,456 | 0.2× |
| Release foot/toe nerve (64726) | $282 | $564 | 0.1× |
| Release of shoulder ligament (23415) likely a partial charge, not the full procedure |
$647.50 | $1,295 | 0.1× |
| Relieve Pressure on Nerve(S) (64722) | $419.50 | $839 | 0.2× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$85.75–$168.75 | $171.50–$337.50 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) | $383.50 | $767 | 0.1× |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$416–$455.50 | $832–$911 | varies |
| Removal foreign body foot deep (28192) range across 3 matching MRF lines |
$291.50–$598.50 | $583–$1,197 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$160.75–$320 | $321.50–$640 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
$116.50–$389.50 | $233–$779 | varies |
| Removal foreign body upper arm/elbow deep (24201) | $377 | $754 | 0.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $190.50 | $381 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$13–$106.25 | $26–$212.50 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$51.25–$106 | $102.50–$212 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $327.50 | $655 | 0.1× |
| Removal Implant Deep (20680) | $635.50 | $1,271 | 0.2× |
| Removal Implant Superficial Separate Procedure (20670) | $321 | $642 | 0.2× |
| Removal implantable contraceptive capsules (11976) | $135 | $270 | 0.2× |
| Removal intact breast implant (19328) range across 2 matching MRF lines |
$525.50–$855 | $1,051–$1,710 | varies |
| Removal of a lesion from the floor of the mouth (41116) | $306 | $612 | 0.1× |
| Removal of adenoids (42835) | $185.50 | $371 | 0.1× |
| Removal of adenoids (42831) | $234.50 | $469 | 0.1× |
| Removal of adenoids (42830) | $217 | $434 | 0.1× |
| Removal of adenoids (42836) | $231 | $462 | 0.1× |
| Removal of anal fissure (46200) | $433.50 | $867 | 0.2× |
| Removal of ankle implant (27704) | $941 | $1,882 | 0.3× |
| Removal of bladder cyst (51500) likely a partial charge, not the full procedure |
$690.50 | $1,381 | 0.1× |
| Removal of bone lesion (23140) | $372.50 | $745 | 0.1× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$126.75–$251.50 | $253.50–$503 | varies |
| Removal of heel spur (28119) | $480 | $960 | 0.1× |
| Removal of humerus lesion (23150) | $557 | $1,114 | 0.2× |
| Removal of implant from finger or hand (26320) | $329.50 | $659 | 0.2× |
| Removal of mammary implant material (19330) range across 2 matching MRF lines |
$671–$1,342 | $1,342–$2,684 | varies |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$105–$245 | $210–$490 | varies |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) likely a partial charge, not the full procedure |
$1,245.40 | $2,490.80 | 0.2× |
| Removal of residual cervix (57550) likely a partial charge, not the full procedure |
$1,345.50 | $2,691 | 0.3× |
| Removal of sperm cord lesion (55520) | $487.50 | $975 | 0.1× |
| Removal of testis (54520) | $353.50 | $707 | 0.1× |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$252.50 | $505 | 0.0× |
| Removal of tonsils (42826) | $265 | $530 | 0.1× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$58.50–$131 | $117–$262 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $131.50 | $263 | 0.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $91 | $182 | 0.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $54.50 | $109 | 0.0× |
| Removal sweat gland lesion (11450) | $403 | $806 | 0.1× |
| Removal, under anesthesia, of external fixation system (20694) | $398.50 | $797 | 0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$57–$131 | $114–$262 | varies |
| Remove armpit lymph nodes (38740) likely a partial charge, not the full procedure |
$897 | $1,794 | 0.1× |
| Remove cerclage suture (59871) | $300 | $600 | 0.1× |
| Remove drug implant device (11982) | $163.50 | $327 | 0.4× |
| Remove elbow joint implant (24160) | $792 | $1,584 | 0.2× |
| Remove Forearm Foreign Body (25248) | $401.50 | $803 | 0.2× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$49.50–$126.75 | $99–$253.50 | varies |
| Remove humerus lesion (24110) | $1,010 | $2,020 | 0.3× |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$72.25–$240.50 | $144.50–$481 | varies |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$76.25–$185.50 | $152.50–$371 | varies |
| Remove palate/lesion (42120) likely a partial charge, not the full procedure |
$1,069 | $2,138 | 0.2× |
| Remove Peritoneal Foreign Body (49402) | $375 | $750 | 0.1× |
| Remove prostate regrowth (52630) likely a partial charge, not the full procedure |
$313.50 | $627 | 0.1× |
| Remove Shoulder Foreign Body (23330) | $273.50 | $547 | 0.2× |
| Remove spine lamina 1/2 lmbr (63005) likely a partial charge, not the full procedure |
$2,045.50 | $4,091 | 0.3× |
| Remove Tendon Sheath Lesion (26160) | $588.50 | $1,177 | 0.4× |
| Remove thyroid lesion (60200) likely a partial charge, not the full procedure |
$699 | $1,398 | 0.1× |
| Remove tissue expander (11971) | $480.50 | $961 | 0.2× |
| Remove vc lesion w/scope (31545) | $343 | $686 | 0.1× |
| Remove wrist joint cartilage (25107) | $950.50 | $1,901 | 0.3× |
| Remove/Insert Drug Implant (11983) | $243 | $486 | 0.5× |
| Remv cartilage for graft nasal (20912) | $481.75 | $963.50 | 0.1× |
| Reopen fallopian tube (58350) likely a partial charge, not the full procedure |
$227 | $454 | 0.0× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$564.50 | $1,129 | 0.1× |
| Repair Anorectal Fistula Plug (46707) | $313.50 | $627 | 0.1× |
| Repair bladder neck (51845) likely a partial charge, not the full procedure |
$1,345.50 | $2,691 | 0.3× |
| Repair Collat Ankle Ligmnt,Secondary (27698) likely a partial charge, not the full procedure |
$530.50 | $1,061 | 0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$242.25–$564 | $484.50–$1,128 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$242.25–$1,480 | $484.50–$2,960 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$242.25–$512.25 | $484.50–$1,024.50 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 4 matching MRF lines |
$242.25–$991 | $484.50–$1,982 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$371.75–$639.75 | $743.50–$1,279.50 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$242.25–$991 | $484.50–$1,982 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 3 matching MRF lines |
$242.25–$437 | $484.50–$874 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$242.25–$820 | $484.50–$1,640 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $1,031 | $2,062 | 0.6× |
| Repair Finger Tendon (26433) | $522 | $1,044 | 0.2× |
| Repair Finger/Hand Tendon (26350) | $1,324 | $2,648 | 0.4× |
| Repair Hallux Rigidus (28289) | $632 | $1,264 | 0.2× |
| Repair Hand Joint (26540) | $625 | $1,250 | 0.2× |
| Repair Hand Tendon (26410) | $564.50 | $1,129 | 0.4× |
| Repair inguinal hernia, sliding, any age (49525) | $584.50 | $1,169 | 0.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $687.50 | $1,375 | 0.2× |
| Repair initial femoral hernia, any age; reducible (49550) | $476.50 | $953 | 0.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $897 | $1,794 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$270.50–$534.75 | $541–$1,069.50 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$302.25–$566.25 | $604.50–$1,132.50 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$302.25–$690.50 | $604.50–$1,381 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$242.25–$814.50 | $484.50–$1,629 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$302.25–$814.50 | $604.50–$1,629 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$237.50–$534.75 | $475–$1,069.50 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$302.25–$566.25 | $604.50–$1,132.50 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$242.25–$690.50 | $484.50–$1,381 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$242.25–$590 | $484.50–$1,180 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$140–$370.25 | $280–$740.50 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$302.25–$534.75 | $604.50–$1,069.50 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$289.25–$498.25 | $578.50–$996.50 | varies |
| Repair Laceration Palate </2 Cm (42180) range across 2 matching MRF lines |
$162.25–$322.50 | $324.50–$645 | varies |
| Repair nasal septal perforations (30630) | $636 | $1,272 | 0.2× |
| Repair Nasal Vestibular Stenosis (30465) likely a partial charge, not the full procedure |
$1,011.50 | $2,023 | 0.2× |
| Repair Nonunion Carpal Bone Each Bone (25431) likely a partial charge, not the full procedure |
$643 | $1,286 | 0.1× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) unusually low: confirm this is the full procedure |
$1,513.50 | $3,027 | 0.3× |
| Repair of hydrocele (55060) | $250 | $500 | 0.1× |
| Repair of knee ligaments (27409) likely a partial charge, not the full procedure |
$790 | $1,580 | 0.1× |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$171–$706.75 | $342–$1,413.50 | varies |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) likely a partial charge, not the full procedure |
$867 | $1,734 | 0.1× |
| Repair of rectocele (45560) | $541.50 | $1,083 | 0.2× |
| Repair of Ruptured Tendon (24342) likely a partial charge, not the full procedure |
$1,105 | $2,210 | 0.2× |
| Repair of shoulder (23420) likely a partial charge, not the full procedure |
$1,504 | $3,008 | 0.2× |
| Repair of urethra injury (53502) | $197.50 | $395 | 0.1× |
| Repair penis post injury (54440) | $260 | $520 | 0.1× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) | $515.50 | $1,031 | 0.1× |
| Repair recurrent femoral hernia; reducible Facility (49555) | $822.50 | $1,645 | 0.2× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$516.50 | $1,033 | 0.1× |
| Repair Rotator Cuff Chronic (23412) likely a partial charge, not the full procedure |
$909.50 | $1,819 | 0.1× |
| Repair shoulder capsule (23466) likely a partial charge, not the full procedure |
$832 | $1,664 | 0.1× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$192.25–$305.25 | $384.50–$610.50 | varies |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$1,157 | $2,314 | 0.2× |
| Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$619 | $1,238 | 0.1× |
| Repair/Graft Wrist Bone (25440) likely a partial charge, not the full procedure |
$1,120 | $2,240 | 0.2× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$113–$156 | $226–$312 | varies |
| Reposition Venous Catheter (36597) | $114.50 | $229 | 0.1× |
| Repr torn cruciate knee ligam (27407) likely a partial charge, not the full procedure |
$603 | $1,206 | 0.1× |
| Rerepair ing hernia reduce (49520) | $897 | $1,794 | 0.3× |
| Resect leg/ankle tum < 5 cm (27615) | $759.50 | $1,519 | 0.3× |
| Resect shoulder tumor < 5 cm (23077) | $1,662 | $3,324 | 0.6× |
| Resection of scrotum (55150) | $483 | $966 | 0.1× |
| Resection, partial or complete, phalangeal base, each toe (28126) | $354.50 | $709 | 0.1× |
| Resection/transplantation long tendon biceps (23440) likely a partial charge, not the full procedure |
$716.50 | $1,433 | 0.1× |
| Rev/rmv prph sac/gstr npg/r (64595) | $120 | $240 | 0.0× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure |
$1,662 | $3,324 | 0.1× |
| Revise external ear (69300) | $500 | $1,000 | 0.2× |
| Revise hernia & sperm veins (55540) | $482 | $964 | 0.1× |
| Revise knuckle joint (26530) likely a partial charge, not the full procedure |
$509 | $1,018 | 0.1× |
| Revise ulnar nerve at wrist (64719) | $299 | $598 | 0.2× |
| Revision of foot fascia (28250) | $437 | $874 | 0.1× |
| Revision of humerus (24400) likely a partial charge, not the full procedure |
$1,302.50 | $2,605 | 0.2× |
| Revision of knee joint (27442) likely a partial charge, not the full procedure |
$912 | $1,824 | 0.1× |
| Revision of penis (54300) | $615 | $1,230 | 0.2× |
| Revision of toe (28312) | $485 | $970 | 0.1× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) likely a partial charge, not the full procedure |
$2,792.50 | $5,585 | 0.2× |
| Revision Peri-Implant Capsule Breast (19370) | $1,455 | $2,910 | 0.4× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) likely a partial charge, not the full procedure |
$1,811 | $3,622 | 0.1× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) likely a partial charge, not the full procedure |
$1,312 | $2,624 | 0.1× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) likely a partial charge, not the full procedure |
$1,487 | $2,974 | 0.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $89.50 | $179 | 0.0× |
| Rhinoplasty primary w/major septal repair (30420) range across 2 matching MRF lines |
$1,412–$2,824 | $2,824–$5,648 | varies |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $580 | $1,160 | 0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$119.50–$204.75 | $239–$409.50 | varies |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $105 | $210 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$105.50–$208 | $211–$416 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$157–$249.50 | $314–$499 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$90.50–$179.25 | $181–$358.50 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $324 | $648 | 0.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 3 matching MRF lines |
$195.75–$424.50 | $391.50–$849 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $282.50 | $565 | 0.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$152.50–$303 | $305–$606 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $234.50 | $469 | 0.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$154.50–$336.50 | $309–$673 | varies |
| Rmvl/revj sling stress incontinence (57287) | $708 | $1,416 | 0.2× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$157–$480 | $314–$960 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$716 | $1,432 | 0.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $327 | $654 | 0.1× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) likely a partial charge, not the full procedure |
$739 | $1,478 | 0.1× |
| Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$597 | $1,194 | 0.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$534 | $1,068 | 0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $393 | $786 | 0.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$549.50 | $1,099 | 0.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$550 | $1,100 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$160.50–$564 | $321–$1,128 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$242.25–$852.75 | $484.50–$1,705.50 | varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $977.50 | $1,955 | 0.3× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $466.50 | $933 | 0.1× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $476 | $952 | 0.1× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) likely a partial charge, not the full procedure |
$751 | $1,502 | 0.1× |
| Salpingostomy (salpingoneostomy) (58770) | $2,359.50 | $4,719 | 0.7× |
| Scrotal exploration (55110) | $419 | $838 | 0.1× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) likely a partial charge, not the full procedure |
$632.50 | $1,265 | 0.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $623.50 | $1,247 | 0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $271 | $542 | 0.2× |
| Shave skin lesion 0.5 cm/< (11300) | $101 | $202 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $122 | $244 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $166.50 | $333 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $103 | $206 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $140 | $280 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $127.50 | $255 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $135 | $270 | 0.3× |
| Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$561 | $1,122 | 0.1× |
| Shoulder arthroscopy diagnostic (29805) | $442 | $884 | 0.1× |
| Shoulder Arthroscopy/Surgery (29825) | $521.50 | $1,043 | 0.2× |
| Shoulder joint surgery (23101) | $431.50 | $863 | 0.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $125 | $250 | 0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $143 | $286 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $132 | $264 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $191.50 | $383 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $125 | $250 | 0.6× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $216 | $432 | 0.1× |
| Sigmoidoscopy & Polypectomy (45333) | $295.50 | $591 | 0.3× |
| Sigmoidoscopy w/fb removal (45332) | $250.50 | $501 | 0.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $256.50 | $513 | 0.3× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $441.50 | $883 | 0.4× |
| Simple Cystometrogram (51725) | $169 | $338 | 0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
$205–$689.75 | $410–$1,379.50 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$242.25–$294 | $484.50–$588 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$264.25–$451.50 | $528.50–$903 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 3 matching MRF lines |
$149–$799 | $298–$1,598 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$133–$434.75 | $266–$869.50 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 3 matching MRF lines |
$168.50–$397.50 | $337–$795 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$242.25–$308.75 | $484.50–$617.50 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$216.50–$397.50 | $433–$795 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$122.50–$534.75 | $245–$1,069.50 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $1,009.50 | $2,019 | 0.5× |
| Skin Pinch Graft (15050) | $314.50 | $629 | 0.4× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$199.50–$1,812.25 | $399–$3,624.50 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$149.50–$1,811.25 | $299–$3,622.50 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$288–$4,412 | $576–$8,824 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$320.50–$4,412 | $641–$8,824 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) likely a partial charge, not the full procedure |
$773 | $1,546 | 0.2× |
| Slitting of prepuce (54001) | $132.50 | $265 | 0.1× |
| Slitting of prepuce (54000) | $103.50 | $207 | 0.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$242.25–$370.25 | $484.50–$740.50 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$164–$566.25 | $328–$1,132.50 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$191–$799 | $382–$1,598 | varies |
| Sperm washing artificial insemination (58323) | $139.50 | $279 | 0.7× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) | $1,345.50 | $2,691 | 0.5× |
| Sphincterotomy anal division sphincter spx (46080) | $319 | $638 | 0.1× |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$84–$456.75 | $168–$913.50 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $1,028 | $2,056 | 0.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $1,111 | $2,222 | 0.5× |
| Strapping ankle (29540) | $26.50 | $53 | 0.2× |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
$27.50–$87.75 | $55–$175.50 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$28–$379.25 | $56–$758.50 | varies |
| Strapping knee (29530) | $27.50 | $55 | 0.2× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$81.50–$1,121 | $163–$2,242 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$441.50–$883 | $883–$1,766 | varies |
| Suprahyoid lymphadenectomy (38700) likely a partial charge, not the full procedure |
$857.50 | $1,715 | 0.1× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) | $413 | $826 | 0.1× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) likely a partial charge, not the full procedure |
$233.50 | $467 | 0.0× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) likely a partial charge, not the full procedure |
$167.50 | $335 | 0.0× |
| Surg tx anal fistula subq (46270) | $534.50 | $1,069 | 0.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $565 | $1,130 | 0.2× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) likely a partial charge, not the full procedure |
$593 | $1,186 | 0.1× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) likely a partial charge, not the full procedure |
$891 | $1,782 | 0.1× |
| Sympathectomy cervical (64802) | $1,120 | $2,240 | 0.6× |
| Syndactylization toes (28280) | $466.50 | $933 | 0.1× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) | $574 | $1,148 | 0.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $487 | $974 | 0.3× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$94–$385 | $188–$770 | varies |
| Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$787.50 | $1,575 | 0.1× |
| Tenolysis Triceps (24332) | $581 | $1,162 | 0.2× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) | $498 | $996 | 0.2× |
| Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$655.50 | $1,311 | 0.1× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) | $449.50 | $899 | 0.1× |
| Thyroid biopsy (60100) | $116.50 | $233 | 0.2× |
| Thyroidectomy Post Prev Thyr Surg (60260) likely a partial charge, not the full procedure |
$1,171.50 | $2,343 | 0.2× |
| Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$983 | $1,966 | 0.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $934 | $1,868 | 0.5× |
| Tissue Expander Placement Breast Reconstruction (19357) likely a partial charge, not the full procedure |
$1,582 | $3,164 | 0.1× |
| Tlh uterus over 250 g (58572) likely a partial charge, not the full procedure |
$1,114.50 | $2,229 | 0.1× |
| Tnot elbow lateral/medial debride open (24358) | $499 | $998 | 0.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $687 | $1,374 | 0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $319 | $638 | 0.1× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$1,436–$2,872 | $2,872–$5,744 | varies |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) likely a partial charge, not the full procedure |
$918.50 | $1,837 | 0.2× |
| Tprnl Plmt Biodegrdabl Matrl (55874) likely a partial charge, not the full procedure |
$156.50 | $313 | 0.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$517–$1,031.25 | $1,034–$2,062.50 | varies |
| Tracheostomy Emergency Procedure Transtracheal (31603) range across 3 matching MRF lines |
$306.50–$1,031.25 | $613–$2,062.50 | varies |
| Tracheostomy planned (31600) | $291.50 | $583 | 0.1× |
| Transfer skin pedicle flap (15650) | $496 | $992 | 0.2× |
| Transur electr resection of prostate (52601) likely a partial charge, not the full procedure |
$481.50 | $963 | 0.1× |
| Transurethral incision of prostate (52450) | $439 | $878 | 0.1× |
| Transurethral resection bladder neck (52500) | $528.50 | $1,057 | 0.1× |
| Treat Big Toe Fracture (28505) | $582.50 | $1,165 | 0.2× |
| Treat ectopic pregnancy (59151) likely a partial charge, not the full procedure |
$1,680.50 | $3,361 | 0.3× |
| Treat Finger Fracture Each (26727) | $761 | $1,522 | 0.2× |
| Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$1,170.50 | $2,341 | 0.2× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$769.50 | $1,539 | 0.1× |
| Treat Hand Bone Lesion (26034) | $572.50 | $1,145 | 0.4× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$195–$388.50 | $390–$777 | varies |
| Treat Humerus Fracture (24505) | $475 | $950 | 0.3× |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Treat knee fracture (27532) | $789.50 | $1,579 | 0.2× |
| Treat Knee Fracture(S) (27538) range across 2 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$1,251.50 | $2,503 | 0.2× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$173.25–$343.75 | $346.50–$687.50 | varies |
| Treat metacarpal fracture (26607) | $478 | $956 | 0.1× |
| Treat Metatarsal Fracture (28475) | $242 | $484 | 1.0× |
| Treat midfoot fracture (28456) likely a partial charge, not the full procedure |
$342.50 | $685 | 0.0× |
| Treat Tail Bone Fracture (27200) range across 2 matching MRF lines |
$165–$327.50 | $330–$655 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$173.25–$345.75 | $346.50–$691.50 | varies |
| Treat Thumb Fracture (26645) range across 3 matching MRF lines |
$216.50–$431 | $433–$862 | varies |
| Treat thumb fracture (26665) | $920.50 | $1,841 | 0.3× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$158–$259.50 | $316–$519 | varies |
| Treat vagina infection (57150) | $42.50 | $85 | 0.7× |
| Treat Vaginal Bleeding (57180) range across 2 matching MRF lines |
$128.75–$564.50 | $257.50–$1,129 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$323.50–$645.25 | $647–$1,290.50 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$280.75–$559 | $561.50–$1,118 | varies |
| Treatment of anal fissure (46940) | $150 | $300 | 0.1× |
| Treatment of foot infection (28003) | $355.50 | $711 | 0.1× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) likely a partial charge, not the full procedure |
$1,945.50 | $3,891 | 0.3× |
| Treatment of nose fracture (21330) likely a partial charge, not the full procedure |
$497 | $994 | 0.1× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$56–$95.50 | $112–$191 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$67–$99.25 | $134–$198.50 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$40–$113.75 | $80–$227.50 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$13–$70 | $26–$140 | varies |
| Tubal ligation (58600) | $1,120 | $2,240 | 0.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $454.91 | $909.82 | 0.2× |
| Tx Gastro Intub W/Asp (43753) range across 3 matching MRF lines |
$21–$414.25 | $42–$828.50 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $599 | $1,198 | 0.2× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) likely a partial charge, not the full procedure |
$1,299 | $2,598 | 0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) | $414 | $828 | 0.1× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $416 | $832 | 0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$128.50–$275.50 | $257–$551 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines |
$146–$289.50 | $292–$579 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $274 | $548 | 0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 3 matching MRF lines |
$87.50–$196 | $175–$392 | varies |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$860 | $1,720 | 0.1× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) range across 2 matching MRF lines |
$395.50–$791 | $791–$1,582 | varies |
| Tympanoplasty (69631) likely a partial charge, not the full procedure |
$912.50 | $1,825 | 0.2× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$166.50–$333 | $333–$666 | varies |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $717.50 | $1,435 | 0.2× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) likely a partial charge, not the full procedure |
$1,090 | $2,180 | 0.2× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) likely a partial charge, not the full procedure |
$1,672 | $3,344 | 0.3× |
| Unlisted laparoscopy procedure, uterus (58578) likely a partial charge, not the full procedure |
$696 | $1,392 | 0.1× |
| Unlisted procedure anus (46999) | $150 | $300 | 0.2× |
| Unlisted Procedure Hands/Fingers (26989) | $175 | $350 | 0.7× |
| Unlisted Procedure Male Genital System (55899) | $162.50 | $325 | 0.6× |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$125.50–$454.75 | $251–$909.50 | varies |
| Unlisted Procedure Rectum (45999) | $100 | $200 | 0.1× |
| Unlisted Procedure Tongue Floor Mouth (41599) range across 2 matching MRF lines |
$126.75–$251.50 | $253.50–$503 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $325 | $650 | 0.4× |
| Unlisted Procedure, Urinary System (53899) | $62.50 | $125 | 0.2× |
| Uvulectomy excision of uvula (42140) | $282.50 | $565 | 0.1× |
| Vag hyst incl t/o complex (58291) likely a partial charge, not the full procedure |
$913.50 | $1,827 | 0.2× |
| Vag hyst w/t/o & vag repair (58263) unusually low: confirm this is the full procedure |
$2,464 | $4,928 | 0.5× |
| Vaginal Delivery After Cesarean Delivery (59612) | $1,273.50 | $2,547 | 0.4× |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$517–$1,831.25 | $1,034–$3,662.50 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) unusually low: confirm this is the full procedure |
$1,981 | $3,962 | 0.4× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) unusually low: confirm this is the full procedure |
$2,301 | $4,602 | 0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) unusually low: confirm this is the full procedure |
$2,235.50 | $4,471 | 0.4× |
| Vaginectomy, partial removal of vaginal wall; (57106) | $1,498.50 | $2,997 | 0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $326.50 | $653 | 0.2× |
| Ventilating tube removal requiring general anesthesia (69424) range across 2 matching MRF lines |
$65–$130 | $130–$260 | varies |
| Vulvectomy simple partial (56620) | $1,028 | $2,056 | 0.3× |
| Vulvectomy, radical, partial; Facility (56630) likely a partial charge, not the full procedure |
$1,166 | $2,332 | 0.2× |
| Windowing of cast (29730) range across 3 matching MRF lines |
$59–$131 | $118–$262 | varies |
| Wound Prep Trk/Arm/Leg (15002) | $319 | $638 | 0.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.