Procedures & surgery prices at Sugar Land Surgical Hospital Llp

Sugar Land, TX · every code in this section with a posted price and a Medicare benchmark.

2073 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen Surgery Procedure (22999) $1,710.60 $2,851 6.9×
Ablate inf turbinate submuc (30802) $666 $1,110 0.4×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $640.80 $1,068 0.4×
Acromiopl/Acromionect Partial (23130) $3,376.80 $5,628 1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,273.80 $2,123 0.6×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,273.80 $2,123 0.6×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,275 $2,125 0.4×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,273.80 $2,123 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,273.80 $2,123 0.6×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,273.80 $2,123 0.6×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,273.80 $2,123 0.6×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,273.80 $2,123 0.6×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure		 $1,710.60 $2,851 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,503.20 $4,172 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,503.20 $4,172 0.8×
Amputate Metacarpal Bone (26910) $2,503.20 $4,172 0.8×
Amputation foot transmetarsal (28805) $2,503.20 $4,172 0.8×
Amputation metatarsal with toe single (28810) $2,503.20 $4,172 0.8×
Amputation toe interphalangeal joint (28825) $2,503.20 $4,172 0.8×
Amputation toe metatarsophalangeal joint (28820) $2,503.20 $4,172 0.8×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,710.60 $2,851 0.2×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $2,503.20 $4,172 0.8×
Ankle Arthroscopy/Surgery (29892)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Anoplasty, plastic operation for stricture; adult Facility (46700) $1,884 $3,140 0.7×
Anorectal myomectomy (45108) $1,884 $3,140 0.7×
Anoscopy Ablation Lesion (46615) $646.20 $1,077 0.2×
Anoscopy diagnostic (46600) $1,035 $1,725 7.7×
Anoscopy remove lesion (46610) $666 $1,110 0.2×
Anoscopy; with biopsy, single or multiple (46606) $666 $1,110 0.6×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $679.80 $1,133 0.6×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $666 $1,110 0.2×
Anterior colporraphy rpr cystocele w/cysto (57240)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Anterior Tibial Tubercleplasty (27418)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Appl cranial tong/strtctc frame w/removal spx (20660) $793.20 $1,322 0.5×
Application cast elbow finger short arm (29075) $679.20 $1,132 2.4×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $331.80–$339 $553–$565 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $331.80–$339 $553–$565 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $331.80–$339 $553–$565 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $2,265 $3,775 0.2×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
likely a partial charge, not the full procedure		 $1,273.80 $2,123 0.0×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $331.80–$339 $553–$565 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.2×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.2×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $793.20–$808.80 $1,322–$1,348 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines		 $775.80–$808.80 $1,293–$1,348 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $792.60–$808.20 $1,321–$1,347 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Arthrodesis Glenohumeral Joint (23800)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $1,884 $3,140 0.6×
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.1×
Arthrodesis Posterior Interbody Lumbar (22630)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.1×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.2×
Arthrodesis Posterior/Posterolateral Thoracic (22610)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.2×
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure		 $1,465.80 $2,443 0.1×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.2×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.2×
Arthrodesis Wrist Complete W/O Bone Graft (25800)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.1×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830)
unusually low: confirm this is the full procedure		 $2,406 $4,010 0.3×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.1×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Arthrodesis, wrist; with sliding graft Facility (25805)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Arthroplasty Ankle (27700)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $4,618.80 $7,698 0.3×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Arthroplasty interphalangeal joint each (26535) $2,503.20 $4,172 0.8×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $2,503.20 $4,172 0.8×
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Arthroplasty radial head (24365) $7,608.60 $12,681 0.6×
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.2×
Arthroplasty with prosthetic replacement; distal radius Facility (25441)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.2×
Arthroplasty with prosthetic replacement; lunate Facility (25444)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) $3,721.20 $6,202 0.5×
Arthroplasty, patella; without prosthesis (27437)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Arthroplasty, temporomandibular joint, with allograft Facility (21242) $3,376.80 $5,628 0.6×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) $3,376.80 $5,628 0.6×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.1×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $3,721.20 $6,202 2.3×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $2,825.40 $4,709 0.9×
Arthroscopy Ankle Surgical Debridement Limited (29897) $2,825.40 $4,709 0.9×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) $3,721.20 $6,202 0.5×
Arthroscopy ankle w/removal loose/foreign body (29894) $2,825.40 $4,709 0.9×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $3,376.80 $5,628 1.0×
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,376.80 $5,628 1.0×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $3,376.80 $5,628 1.0×
Arthroscopy hip w/femoroplasty (29914)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,376.80 $5,628 1.0×
Arthroscopy Knee Osteochondral Allograft (29867)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $2,825.40 $4,709 0.9×
Arthroscopy knee synovectomy limited spx (29875) $2,825.40 $4,709 0.9×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $2,825.40 $4,709 0.9×
Arthroscopy shoulder distal claviculectomy (29824) $3,721.20 $6,202 1.1×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $3,721.20 $6,202 0.5×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $3,376.80 $5,628 1.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $2,825.40 $4,709 0.9×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $3,376.80 $5,628 1.0×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) $3,721.20 $6,202 0.5×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $3,721.20 $6,202 0.5×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $3,721.20 $6,202 0.5×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $3,721.20 $6,202 1.1×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Arthroscopy, knee, surgical; with lateral release (29873) $2,825.40 $4,709 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $3,376.80 $5,628 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,376.80 $5,628 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,376.80 $5,628 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,376.80 $5,628 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $3,721.20 $6,202 0.5×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $3,376.80 $5,628 1.0×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,376.80 $5,628 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $3,721.20 $6,202 0.5×
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907)
likely a partial charge, not the full procedure		 $2,825.40 $4,709 0.2×
Arthroscopy, temporomandibular joint, surgical Facility (29804) $3,376.80 $5,628 1.0×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $3,376.80 $5,628 1.0×
Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) $2,825.40 $4,709 0.9×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) $3,721.20 $6,202 0.5×
Arthrotomy ankle w/expl drainage/removal fb (27610) $1,884 $3,140 0.6×
Arthrotomy biopsy interphalangeal joint each (26110) $1,273.80 $2,123 0.8×
Arthrotomy Glenohumeral Joint W/Biopsy (23100) $1,884 $3,140 0.6×
Arthrotomy W/Meniscus Repair Knee (27403)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Arthrotomy W/Synovectomy Ankle (27625) $1,884 $3,140 0.6×
Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) $1,273.80 $2,123 0.4×
Arthrotomy Wrist Joint With Biopsy (25100) $1,884 $3,140 0.6×
Arthrotomy wrist joint with synovectomy (25105) $1,884 $3,140 0.6×
Arthrotomy, elbow; with synovial biopsy only Facility (24100) $1,884 $3,140 0.6×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $1,884 $3,140 0.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $3,215.40 $5,359 0.2×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $1,921.20 $3,202 0.6×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
unusually low: confirm this is the full procedure		 $4,440.60 $7,401 0.3×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $2,503.20 $4,172 0.8×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $3,721.20 $6,202 0.5×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $2,825.40 $4,709 0.9×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,376.80 $5,628 1.0×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,825.40 $4,709 0.9×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $2,825.40 $4,709 0.9×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,376.80 $5,628 1.0×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $1,884 $3,140 0.6×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $1,884 $3,140 0.6×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $1,884 $3,140 0.6×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,273.80 $2,123 0.8×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $1,273.80 $2,123 0.4×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $1,884 $3,140 0.6×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,710.60 $2,851 1.1×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,710.60 $2,851 0.5×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $1,884 $3,140 0.6×
Arthrt w/synvct kne ant&post w/pop area (27335)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $1,884 $3,140 0.6×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $792.60–$808.20 $1,321–$1,347 varies
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $3,376.80 $5,628 1.5×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Axillary lymphadenectomy; complete (38745) $3,376.80 $5,628 0.6×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure		 $1,273.80 $2,123 0.2×
Biopsy Abdominal Mass (49180) $666 $1,110 0.4×
Biopsy bone open deep (20245) $793.20 $1,322 0.3×
Biopsy bone open superficial (20240) $666 $1,110 0.2×
Biopsy bone trocar/needle deep (20225) $792.60 $1,321 0.5×
Biopsy Bone Trocar/Needle Superficial (20220) $666 $1,110 0.4×
Biopsy muscle percutaneous needle (20206) $679.20 $1,132 0.4×
Biopsy Muscle Superficial (20200)
range across 2 matching MRF lines		 $1,273.80–$1,299 $2,123–$2,165 varies
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Biopsy Nasopharynx Visible Lesion Simple (42804) $1,273.80 $2,123 0.4×
Biopsy of breast; open, incisional (19101) $1,884 $3,140 0.5×
Biopsy of cornea (65410) $1,273.80 $2,123 0.5×
Biopsy of epididymis (54800) $666 $1,110 0.4×
Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) $666 $1,110 0.7×
Biopsy of lacrimal gland (68510) $1,884 $3,140 0.8×
Biopsy of lip (40490) $666 $1,110 2.8×
Biopsy of liver, needle; percutaneous (47000) $666 $1,110 0.4×
Biopsy of nerve (64795) $1,273.80 $2,123 0.6×
Biopsy of palate, uvula (42100) $1,275 $2,125 0.8×
Biopsy of penis (54100) $1,273.80 $2,123 0.8×
Biopsy of penis; deep structures (54105) $1,884 $3,140 0.6×
Biopsy of rectum (45100) $1,884 $3,140 0.7×
Biopsy of toe joint lining (28054)
range across 2 matching MRF lines		 $1,954.20–$1,993.20 $3,257–$3,322 varies
Biopsy of upper nose/throat (42806) $1,884 $3,140 0.6×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $1,884 $3,140 0.5×
Biopsy Oropharynx (42800) $1,273.80 $2,123 0.8×
Biopsy ovary uni/bi separate procedure (58900) $1,273.80 $2,123 0.4×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $666 $1,110 0.2×
Biopsy Salivary Gland Needle (42400) $1,273.80 $2,123 1.8×
Biopsy soft tissue back/flank deep (21925) $1,884 $3,140 1.1×
Biopsy Soft Tissue Back/Flank Superficial (21920) $666 $1,110 0.4×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,273.80 $2,123 0.8×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,884 $3,140 0.6×
Biopsy soft tissue leg/ankle area superficial (27613) $666 $1,110 0.4×
Biopsy soft tissue neck/thorax (21550) $1,273.80 $2,123 0.8×
Biopsy Soft Tissue Shoulder Deep (23066) $1,884 $3,140 0.6×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,275 $2,125 0.8×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $1,884 $3,140 0.6×
Biopsy soft tissue thigh/knee area superficial (27323) $1,273.80 $2,123 0.8×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,273.80 $2,123 0.8×
Biopsy Spinal Cord Percutaneous Needle (62269) $666 $1,110 0.4×
Biopsy Testis Incisional Separate Procedure (54505) $1,884 $3,140 0.5×
Biopsy Testis Needle Separate Procedure (54500) $1,273.80 $2,123 0.4×
Biopsy Tongue Anterior Two-Thirds (41100) $1,273.80 $2,123 2.4×
Biopsy Tongue Posterior One-Third (41105) $1,273.80 $2,123 0.4×
Biopsy Vaginal Mucosa Extensive (57105) $1,884 $3,140 0.6×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $666 $1,110 0.7×
Biopsy/removal lymph nodes (38510) $1,884 $3,140 0.5×
Bladder Scan (51798) $544.80 $908 9.2×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $984.60 $1,641 0.6×
Blepharoplasty Lower Eyelid (15820) $1,273.80 $2,123 0.6×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,273.80 $2,123 0.6×
Blood Transfusion Service (36430) $793.20 $1,322 1.8×
Blood/Lymph System Procedure (38999) $2,078.40 $3,464 4.7×
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $1,273.80 $2,123 0.2×
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962)
likely a partial charge, not the full procedure		 $1,180.80 $1,968 0.2×
Bone Marrow Biopsy (38221) $640.80 $1,068 0.4×
Bone marrow harvest allogen (38230) $666 $1,110 0.4×
Bone Marrow Harvest Autolog (38232) $666 $1,110 0.2×
Bone Marrow; Aspiration Only (38220) $666 $1,110 0.4×
Breast augmentation with implant (19325)
unusually low: confirm this is the full procedure		 $3,721.20 $6,202 0.5×
Breast Reduction (19318) $3,376.80 $5,628 0.5×
Bx Arm/Elbow Soft Tissue,Deep (24066) $1,273.80 $2,123 0.4×
Bx/exc lymph node open deep axillary node (38525) $1,884 $3,140 0.5×
Bx/exc lymph node open superficial (38500) $1,884 $3,140 0.5×
Canthoplasty (67950) $1,884 $3,140 0.8×
Canthotomy Separate Procedure (67715) $1,884 $3,140 0.8×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,884 $3,140 0.6×
Capsular contracture release (23020) $3,376.80 $5,628 1.0×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,273.80 $2,123 0.8×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $1,273.80 $2,123 0.4×
Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) $1,884 $3,140 0.6×
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) $3,721.20 $6,202 0.5×
Capsulorrhaphy Anterior W/Labral Repair (23455) $3,721.20 $6,202 0.5×
Capsulorrhaphy Anterior With Bone Block (23460) $3,721.20 $6,202 0.5×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $3,721.20 $6,202 0.5×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,710.60 $2,851 1.1×
Capsulotomy Midfoot W/Tendon Lengthening (28261) $2,503.20 $4,172 1.5×
Capsulotomy Midtarsal (28264) $2,503.20 $4,172 1.5×
Capsulotomy Posterior Capsular Release Knee (27435) $2,825.40 $4,709 0.9×
Capsulotomy wrist (25085) $1,884 $3,140 0.6×
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $2,503.20 $4,172 0.8×
Carpal Tunnel Surgery (64721) $1,273.80 $2,123 0.6×
Carpectomy All Bones Proximal Row (25215) $1,884 $3,140 0.6×
Cartilage graft; costochondral (20910) $1,273.80 $2,123 1.7×
Cataract surg w/iol 1 stage (66983) $1,884 $3,140 0.8×
Cautery Cervix Electro/Thermal (57510) $1,273.80 $2,123 0.4×
Cerclage Uterine Cervix Nonobstetrical (57700) $1,884 $3,140 0.6×
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.2×
Cervical lymphadenectomy (complete) (38720) $8,686.20 $14,477 1.3×
Chemodenerv 1 extrem 5/> mus (64644) $793.20 $1,322 1.1×
Chemodenervation of internal anal sphincter (46505) $697.80 $1,163 0.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $1,273.80 $2,123 4.1×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,102.60 $5,171 0.9×
Ciliary body destruction; cryotherapy Facility (66720) $1,273.80 $2,123 0.5×
Ciliary body dstrj cyclophotocoag transsceral (66710) $1,273.80 $2,123 0.5×
Circumcision 28 days or older (54161) $1,884 $3,140 0.9×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $1,884 $3,140 0.5×
Cl Tx Tib Shft Fx W Manip (27752) $793.20 $1,322 0.5×
Claviculectomy partial (23120) $3,376.80 $5,628 1.0×
Claviculectomy; total (23125) $3,376.80 $5,628 1.0×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Closed Rx Metacarpal Fx,Percut (26608) $2,825.40 $4,709 0.9×
Closed rx talotarsal disloc,anesth (28575) $793.20 $1,322 0.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $793.20 $1,322 3.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $793.20 $1,322 3.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $640.80 $1,068 2.6×
Closed Treatment Ulnar Styloid Fracture (25650) $793.20 $1,322 3.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $793.20 $1,322 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $679.20 $1,132 2.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $679.20 $1,132 2.7×
Closed tx carpal scaphoid fracture w/manj (25624) $793.20 $1,322 0.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Closed tx fx orbit except blowout w/manipulation (21401) $793.20 $1,322 0.5×
Closed Tx Lunate Dislocation W/Manipulation (25690) $793.20 $1,322 0.5×
Closed tx mandibular fracture w/manipulation (21451) $793.20 $1,322 0.5×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $679.20 $1,132 1.3×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
likely a partial charge, not the full procedure		 $793.20 $1,322 0.1×
Closed tx metatarsal fracture w/o manipulation (28470) $679.20 $1,132 2.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $793.20 $1,322 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $666 $1,110 0.4×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $793.20 $1,322 0.2×
Closed Tx Patellar Fracture W/O Manipulation (27520) $679.20 $1,132 2.7×
Closed tx radial head/neck fx w/manipulation (24655) $793.20 $1,322 0.5×
Closed tx radial shaft fracture w/manipulation (25505) $793.20 $1,322 0.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $793.20 $1,322 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $679.20 $1,132 2.7×
Closed Tx Scapular Fracture W/O Manipulation (23570) $679.20 $1,132 2.7×
Closed tx septal&nose fx (21337) $793.20 $1,322 0.2×
Closed tx talus fracture w/o manipulation (28430) $792.60 $1,321 3.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $2,503.20 $4,172 0.8×
Closure of urethrovaginal fistula; Facility (57310)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $679.20 $1,132 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $793.20 $1,322 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $793.20–$808.80 $1,322–$1,348 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $679.20 $1,132 0.4×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $1,884 $3,140 0.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $666 $1,110 0.4×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $793.20 $1,322 0.5×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Cltx dstl fibular fx lat malls w/manj (27788) $792.60 $1,321 3.2×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $793.20 $1,322 0.5×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $793.20 $1,322 0.5×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $793.20 $1,322 0.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $666 $1,110 2.7×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $679.20 $1,132 2.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $793.20 $1,322 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $793.20–$808.80 $1,322–$1,348 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $793.20 $1,322 3.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $679.20 $1,132 2.7×
Cltx Greater Trochanteric Fx W/O Manj (27246) $679.20 $1,132 2.7×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $793.20 $1,322 0.5×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $679.20 $1,132 2.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $679.20 $1,132 2.7×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $679.20 $1,132 0.4×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $793.20 $1,322 2.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $793.20 $1,322 2.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $793.20 $1,322 3.2×
Cltx Medial Ankle Fx (27760) $679.20 $1,132 2.7×
Cltx metacarpal fx w/manipulation each bone (26605) $793.20 $1,322 3.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $679.20 $1,132 2.7×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $793.20 $1,322 0.5×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,278.40 $5,464 2.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $793.20–$808.20 $1,322–$1,347 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Cltx post hip arthrp dislc req anes (27266) $793.20 $1,322 0.5×
Cltx prox fibula/shft fx w/manj (27781) $793.20 $1,322 0.5×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,218 $2,030 4.9×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $793.20 $1,322 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $679.20 $1,132 2.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $679.20 $1,132 2.7×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $793.20 $1,322 0.2×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $149.40–$679.20 $249–$1,132 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $793.20 $1,322 3.2×
Cltx trimalleolar ankle fx w/o manipulation (27816) $679.20 $1,132 2.7×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $3,376.80 $5,628 0.7×
Coccygectomy, primary (27080) $2,503.20 $4,172 0.8×
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $22.80–$23.40 $38–$39 varies
Colonoscopy Flexible With Decompression (45393) $3,861 $6,435 3.2×
Colonoscopy Stoma Control Bleeding (44391) $666 $1,110 0.6×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $666 $1,110 0.6×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $666 $1,110 0.7×
Colonoscopy Stoma W/Submucosal Injection (44404) $666 $1,110 0.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $666 $1,110 0.6×
Colonoscopy thru stoma (44388) $666 $1,110 0.7×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $666 $1,110 0.6×
Colonoscopy w/ablation (45388) $792.60 $1,321 0.7×
Colonoscopy w/fb removal (45379) $666 $1,110 0.6×
Colonoscopy W/Resection (45390) $792.60 $1,321 0.3×
Colonoscopy w/submucosal inj (45381) $666 $1,110 0.6×
Colpocentesis (57020)
likely a partial charge, not the full procedure		 $666 $1,110 0.1×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $1,884 $3,140 0.6×
Colporrhaphy (57200) $1,884 $3,140 0.6×
Colpotomy; with drainage of pelvic abscess (57010) $1,884 $3,140 0.6×
Colpotomy; with exploration (57000) $1,884 $3,140 0.6×
Colsc Flexible W/Control Bleeding Any Method (45382) $666 $1,110 0.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $793.20 $1,322 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $666 $1,110 0.6×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $793.20 $1,322 0.7×
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Complex Cystometrogram (51726) $666 $1,110 2.7×
Complex drainage wound (10180) $1,273.80 $2,123 0.4×
Composite Skin Graft (15760) $1,273.80 $2,123 0.6×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,503.20 $4,172 0.8×
Conization of cervix (57520) $1,884 $3,140 0.6×
Conjunctival Flap Total (68362) $1,884 $3,140 0.8×
Conjunctivoplasty W/Buccal Muc Memb Graft (68325) $1,884 $3,140 0.5×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $1,884 $3,140 0.8×
Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) $1,884 $3,140 0.8×
Constj tracheoesophgl fstl&insj sp prosth (31611) $1,884 $3,140 0.6×
Control Nasal Hemorrhage Anterior Complex (30903) $666 $1,110 5.0×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Control oropharyngeal hemorrhage simple (42960) $666 $1,110 1.2×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
unusually low: confirm this is the full procedure		 $5,158.80 $8,598 0.4×
Corneal transplant (65710) $3,376.80 $5,628 0.6×
Corneal Transplant,Penetrat,Aphakia (65750) $3,376.80 $5,628 0.6×
Correction claw finger, other methods Facility (26499) $1,884 $3,140 0.6×
Correction hammertoe (28285) $1,884 $3,140 0.6×
Correction of lid retraction (67911) $1,884 $3,140 0.8×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,503.20 $4,172 0.8×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $2,406 $4,010 0.7×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $2,503.20 $4,172 0.8×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Create Eardrum Opening (69433) $1,275 $2,125 2.4×
Create Tear Sac-Nasal Fistula (68720) $2,503.20 $4,172 0.6×
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) $666 $1,110 0.3×
Cross Intrinsic Transfer Each Tendon (26510) $1,884 $3,140 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $84 $140 0.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $451.20 $752 1.9×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,884 $3,140 0.6×
Cysto Bladder W/Ureteral Catheterization (52005) $1,884 $3,140 0.9×
Cysto calibration dilat urtl strix/stenosis (52281) $1,884 $3,140 0.9×
Cysto w/complex removal stone & stent (52315) $1,884 $3,140 0.9×
Cysto w/destruction of lesions (52214) $1,884 $3,140 0.5×
Cysto w/insert ureteral stent (52332) $1,884 $3,140 0.5×
Cysto w/removal of lesions small (52224) $1,884 $3,140 0.5×
Cysto w/removal of tumors small (52234) $1,884 $3,140 0.5×
Cysto W/Simple Removal Stone & Stent (52310) $1,884 $3,140 0.9×
Cystostomy Cystotomy W/Drainage (51040) $1,884 $3,140 0.9×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $1,884 $3,140 0.5×
Cystourethroscopy (52000) $666 $1,110 1.0×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $1,884 $3,140 0.5×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $1,884 $3,140 0.5×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Cystourethroscopy w/dil bladder general anesth (52260) $1,884 $3,140 0.9×
Cystourethroscopy w/rmvl ureteral calculus (52320) $1,884 $3,140 0.5×
Cystourethroscopy with biopsy (52204) $1,884 $3,140 0.9×
Cystourethroscopy with direct vision internal urethrotomy (52276) $1,884 $3,140 0.9×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $1,884 $3,140 0.9×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $1,884 $3,140 0.9×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $1,884 $3,140 0.5×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $1,884 $3,140 0.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $666 $1,110 0.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $1,884 $3,140 0.6×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $1,884 $3,140 0.6×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $2,265 $3,775 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $666 $1,110 0.9×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $666 $1,110 0.4×
Debridement Mastoidectomy Cavity Cmplx (69222) $1,359.60 $2,266 2.5×
Debridement Mastoidectomy Cavity Simple (69220) $960.60 $1,601 4.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Decomp forearm,1 compart,w/o debride (25020) $1,884 $3,140 1.2×
Decompress Spinal Cord Lmbr (63056)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) $3,376.80 $5,628 0.6×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $1,884 $3,140 0.6×
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Decompression of tibia nerve (28035) $1,273.80 $2,123 0.6×
Decompressive fasciotomy hand (26037) $1,891.80 $3,153 0.6×
Deep Muscle Biopsy (20205) $1,273.80 $2,123 0.4×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $1,273.80 $2,123 0.6×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $1,273.80 $2,123 0.6×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $1,273.80 $2,123 0.6×
Delay Flap/Sectioning Flap Trunk (15600) $1,273.80 $2,123 0.4×
Derma-fat-fascia graft (15770) $1,273.80 $2,123 0.4×
Destr penis lesion(s) (54065) $1,884 $3,140 0.9×
Destr W Neurolytic; Celiac Plexus (64680) $666 $1,110 0.7×
Destroy cerv/thor facet jnt (64633) $1,273.80 $2,123 0.6×
Destroy lumb/sac facet jnt (64635) $1,273.80 $2,123 0.6×
Destruct B9 Lesion 1-14 (17110) $666 $1,110 3.3×
Destruction by neurolytic agent, intercostal nerve (64620) $1,273.80 $2,123 1.4×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $1,273.80 $2,123 0.6×
Destruction by neurolytic agent; plantar common digital nerve (64632) $1,273.80 $2,123 4.1×
Destruction by neurolytic agent; pudendal nerve (64630) $1,273.80 $2,123 1.4×
Destruction Lesions Vulva Extensive (56515) $1,884 $3,140 0.9×
Destruction neurolytic agt genicular nerve w/img (64624) $1,273.80 $2,123 0.6×
Destruction of rectal tumor transanal approach (45190) $1,716 $2,860 0.6×
Destruction premalignant lesion 1st (17000) $666 $1,110 3.3×
Destruction Vaginal Lesions Extensive (57065) $1,884 $3,140 0.6×
Diagnostic sigmoidoscopy (45330) $666 $1,110 0.7×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $1,902 $3,170 1.6×
Dilat rct strix spx under anes oth/thn local (45910) $1,884 $3,140 1.6×
Dilate Esophagus 1/Mult Pass (43450) $666 $1,110 0.7×
Dilation & curettage dx&/ther nonobstetric (58120) $1,273.80 $2,123 0.4×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $1,884 $3,140 0.5×
Dilation Salivary Duct (42650) $2,659.80 $4,433 1.7×
Disarticulation of shoulder; secondary closure or scar revision Facility (23921) $666 $1,110 0.3×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $3,721.20 $6,202 0.5×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $2,563.20 $4,272 1.4×
Dissection, deep jugular node(s) Facility (38542) $3,376.80 $5,628 0.6×
Drain ant chmbr,remv vitreous (65810) $1,884 $3,140 0.8×
Drain Cerebro Spinal Fluid (62272) $666 $1,110 0.9×
Drain Hand Tendon Sheath (26020) $793.20 $1,322 0.2×
Drain penis lesion (54015) $1,273.80 $2,123 0.8×
Drain shoulder bursa (23031) $1,884 $3,140 0.6×
Drain/inj small joint/bursa w/us (20604) $793.20 $1,322 2.6×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Drainage external ear abscess/hematoma cmplx (69005) $1,275 $2,125 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $666 $1,110 0.9×
Drainage Finger Abscess Complicated (26011) $1,273.80 $2,123 0.8×
Drainage of eye (65800) $1,273.80 $2,123 0.5×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,273.80–$1,299 $2,123–$2,165 varies
Drainage of palmar bursa single bursa (26025) $793.20 $1,322 0.2×
Drainage of palmar bursa; multiple bursa Facility (26030) $1,273.80 $2,123 0.4×
Drainage of rectal abscess (45005) $1,273.80 $2,123 1.1×
Drainage of scrotal wall abscess (55100) $1,273.80 $2,123 0.8×
Drainage of scrotum (54700) $1,884 $3,140 0.9×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $2,503.20 $4,172 0.8×
Draw Blood Off Venous Device (36591) $127.80 $213 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $666 $1,110 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $331.80–$339 $553–$565 varies
Dstrj Extensive Retinopathy (67227) $666 $1,110 0.2×
Dstrj Lesion Anus Extensive (46924) $1,884 $3,140 0.7×
Dstrj Lesion Anus Simple Chemical (46900) $1,884 $3,140 4.6×
Dstrj lesion anus simple surg excision (46922) $1,884 $3,140 0.7×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,884 $3,140 0.9×
Dstrj lesion penis simple laser (54057) $1,273.80 $2,123 0.6×
Dstrj lesion penis simple surg excision (54060) $1,273.80 $2,123 0.6×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,273.80 $2,123 0.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,273.80 $2,123 1.4×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,273.80 $2,123 1.4×
Dx Bronchoscope/Wash (31622) $1,273.80 $2,123 0.7×
Dx Laryngoscopy Excl Nb (31525) $1,273.80 $2,123 0.7×
Dx laryngoscopy w/oper scope (31526) $7,468.80 $12,448 4.2×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,794 $2,990 0.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $666 $1,110 0.3×
Egd cautery tumor polyp (43250) $666 $1,110 0.3×
Egd control bleeding any (43255) $666 $1,110 0.3×
Egd dilation gastric/duodenal stricture (43245) $666 $1,110 0.3×
Egd Flexible Foreign Body Removal (43247) $666 $1,110 0.7×
Egd guide wire insertion (43248) $666 $1,110 0.7×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,794 $2,990 0.9×
Egd lesion ablation (43270) $1,884 $3,140 1.0×
Egd place gastrostomy tube (43246) $666 $1,110 0.3×
Egd remove lesion snare (43251) $666 $1,110 0.3×
Egd us exam duodenum/jejunum (43259) $1,236.60 $2,061 0.6×
Egd Varices Ligation (43244) $666 $1,110 0.3×
Elbow arthroscopy (29830) $2,825.40 $4,709 0.9×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $2,193 $3,655 7.1×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $2,193 $3,655 7.1×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $2,193 $3,655 7.1×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.5×
Endoscopic plantar fasciotomy (29893) $2,265 $3,775 0.7×
Endoscopy of ureter (50953) $666 $1,110 0.2×
Endoscopy Upper Small Intestine (44360) $666 $1,110 0.3×
Endoscopy upper small intestine w/biopsy (44361) $666 $1,110 0.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,376.20 $5,627 1.1×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $666 $1,110 0.3×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $666 $1,110 0.3×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $666 $1,110 0.3×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $666 $1,110 0.3×
Enucleation Eye Implt Musc X Attached Implt (65103) $2,503.20 $4,172 0.6×
Enucleation of Eye W/O Implant (65101) $2,503.20 $4,172 0.6×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,034.40 $1,724 0.5×
Epididymectomy bilateral (54861) $1,884 $3,140 0.5×
Epididymectomy unilateral (54860) $1,884 $3,140 0.5×
Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) $1,884 $3,140 0.5×
Epidural Blood Patch (62273) $666 $1,110 0.9×
Epidural lysis mult sessions (62263) $1,275 $2,125 1.4×
Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) $3,376.80 $5,628 1.0×
Esc i p ulcer w ostect & flap (15946) $1,884 $3,140 0.9×
Esophagogastroduodenoscopy Submucosal Injection (43236) $666 $1,110 0.7×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $1,884 $3,140 0.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $666 $1,110 0.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $666 $1,110 0.3×
Ethmoidectomy Intranasal Anterior (31200)
unusually low: confirm this is the full procedure		 $2,665.80 $4,443 0.4×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,884 $3,140 1.1×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,273.80 $2,123 0.8×
Exc abdl tum deep 5 cm/> (22901) $1,884 $3,140 0.6×
Exc arm/elbow les sc < 3 cm (24075) $1,273.80 $2,123 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $666 $1,110 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $666 $1,110 0.4×
Exc Back Les Sc < 3 Cm (21930) $1,884 $3,140 1.1×
Exc Back Tum Deep 5 Cm/> (21933) $1,884 $3,140 0.6×
Exc back tum deep < 5 cm (21932) $1,884 $3,140 0.6×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $3,376.80 $5,628 0.6×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $1,884 $3,140 0.6×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,884 $3,140 0.5×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $1,884 $3,140 0.8×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $666 $1,110 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $666 $1,110 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,273.80 $2,123 0.8×
Exc Face Les Sbq 2 Cm/> (21012) $1,273.80 $2,123 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $666 $1,110 0.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $666 $1,110 0.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $666 $1,110 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $666 $1,110 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,273.80 $2,123 0.8×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $1,273.80 $2,123 0.8×
Exc Forearm Tum Deep 3 Cm/> (25073) $1,273.80 $2,123 0.4×
Exc Frenum Labial/Buccal (40819) $666 $1,110 0.4×
Exc ganglion wrist recurrent (25112) $1,273.80 $2,123 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $666 $1,110 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $666 $1,110 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $666 $1,110 0.4×
Exc Hand Les Sc < 1.5 Cm (26115) $1,884 $3,140 1.1×
Exc hand tum deep < 1.5 cm (26116) $1,884 $3,140 1.1×
Exc hydrocele sprmatic cord uni spx (55500) $1,884 $3,140 0.5×
Exc Lacrimal Gland Tumor Frontal Approach (68540) $1,884 $3,140 0.8×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $611.40 $1,019 0.6×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $1,275 $2,125 0.4×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $1,273.80 $2,123 0.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,884 $3,140 1.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,884 $3,140 1.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,273.80 $2,123 0.4×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $1,273.80 $2,123 0.4×
Exc lesion tongue w/clsr w/local tongue flap (41114) $1,884 $3,140 0.6×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $1,884 $3,140 0.6×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,942.20 $3,237 1.0×
Exc neuroma hand/foot xcp digital nerve (64782) $1,273.80 $2,123 0.6×
Exc neuroma major peripheral nrv xcp sciatic (64784) $1,273.80 $2,123 0.6×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $3,376.80 $5,628 0.6×
Exc Rct Tum Incl Muscularis Propria (45172) $1,884 $3,140 0.7×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,884 $3,140 0.7×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,273.80 $2,123 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $666 $1,110 0.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,273.80 $2,123 0.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,884 $3,140 0.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,884 $3,140 1.1×
Exc Skin Benig >4cm Face,Facial (11446) $1,884 $3,140 0.6×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $5,340.60 $8,901 3.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,884 $3,140 0.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,884 $3,140 1.1×
Exc tendon shth lesion leg/ankle (27630) $1,884 $3,140 0.6×
Exc thigh/knee les sc 3 cm/> (27337) $1,884 $3,140 0.6×
Exc thigh/knee tum dep 5cm/> (27339) $1,884 $3,140 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,884 $3,140 1.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $666 $1,110 1.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $666 $1,110 0.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,273.80 $2,123 0.8×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,265 $3,775 0.8×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,884 $3,140 0.6×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,275 $2,125 0.8×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,884 $3,140 1.1×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,265 $3,775 0.8×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,884 $3,140 0.6×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,273.80 $2,123 0.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,884 $3,140 0.6×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,884 $3,140 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,884 $3,140 1.1×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,273.80 $2,123 0.4×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,884 $3,140 0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,273.80 $2,123 0.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $1,884 $3,140 0.6×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $1,884 $3,140 0.6×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,273.80 $2,123 0.8×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,265 $3,775 0.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,265 $3,775 1.4×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $1,884 $3,140 0.6×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,884 $3,140 0.6×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,884 $3,140 0.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,273.80 $2,123 0.4×
Exc urethral diverticulum spx female (53230)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $1,884 $3,140 0.5×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,884 $3,140 0.6×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,884 $3,140 1.2×
Exc/fulguration urethral caruncle (53265) $1,884 $3,140 0.9×
Exchange Intraocular Lens (66986) $1,884 $3,140 0.8×
Excis conjunc lesn+adj sclera (68130) $1,273.80 $2,123 0.5×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,702.60 $6,171 1.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,273.80 $2,123 0.8×
Excise intraspinal lesion (63267) $3,721.20 $6,202 0.5×
Excise mandible lesion (21040) $1,884 $3,140 0.6×
Excise tendon forearm/wrist (25109) $1,884 $3,140 0.6×
Excise Wrist Tendon Sheath (25118) $1,884 $3,140 1.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $666 $1,110 0.9×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,884 $3,140 0.8×
Excision Bone Mandible (21025) $11,757 $19,595 2.0×
Excision Chalazion Single (67800) $62.43 $104.05 0.2×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $3,376.80 $5,628 0.6×
Excision Distal Ulna Partial/Complete (25240) $1,884 $3,140 0.6×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,884 $3,140 0.6×
Excision exostosis(es), external auditory canal Facility (69140)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Excision External Ear Partial Simple Repair (69110) $1,273.80 $2,123 0.4×
Excision external ear; complete amputation Facility (69120)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Excision Facial Bone (21026) $3,376.80 $5,628 0.6×
Excision H/P/P/U Complex Repair (11471) $1,884 $3,140 0.6×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,884 $3,140 0.6×
Excision Hidradenitis Axillary Complex Repair (11451) $1,884 $3,140 0.6×
Excision Hidradenitis Inguinal Complex Repair (11463) $1,884 $3,140 0.6×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,884 $3,140 0.6×
Excision inferior turbinate partial/complete (30130) $1,273.80 $2,123 0.4×
Excision Lacrimal Sac (68520) $1,884 $3,140 0.5×
Excision Lesion Cornea Xcp Pterygium (65400) $1,273.80 $2,123 1.3×
Excision lesion meniscus/capsule knee (27347) $1,884 $3,140 0.6×
Excision lesion mouth roof (42104) $1,611 $2,685 0.5×
Excision lesion tendon sheath forearm&/wrist (25110) $1,884 $3,140 1.2×
Excision Lesion Tongue W/O Closure (41110) $1,273.80 $2,123 0.4×
Excision Lingual Frenum Frenectomy (41115) $666 $1,110 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $666 $1,110 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $604.80 $1,008 0.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,273.80 $2,123 1.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $666 $1,110 0.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $666 $1,110 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,884 $3,140 0.6×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $948 $1,580 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,294.80 $2,158 1.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,273.80 $2,123 0.8×
Excision malignant tumor mandible (21044) $3,376.80 $5,628 0.6×
Excision Maxillary Torus Palatinus (21032) $3,376.80 $5,628 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $1,710.60 $2,851 0.6×
Excision Nasal Polyp Extensive (30115) $1,273.80 $2,123 0.4×
Excision nasal polyp(s) simple (30110) $1,275 $2,125 0.8×
Excision of bartholin's gland or cyst (56740) $1,884 $3,140 0.6×
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		 $1,884 $3,140 0.3×
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555)
likely a partial charge, not the full procedure		 $1,811.40 $3,019 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,273.80 $2,123 0.8×
Excision of hydrocele; bilateral (55041) $2,503.20 $4,172 0.7×
Excision of hydrocele; unilateral (55040) $2,503.20 $4,172 0.7×
Excision of lacrimal gland tumor; involving osteotomy Facility (68550) $2,503.20 $4,172 0.6×
Excision of lingual tonsil (42870)
likely a partial charge, not the full procedure		 $1,549.20 $2,582 0.3×
Excision of local lesion of epididymis (54830) $1,884 $3,140 0.5×
Excision of Mullerian duct cyst Facility (55680) $1,884 $3,140 0.5×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,273.80 $2,123 0.6×
Excision of neuroma; sciatic nerve Facility (64786) $2,503.20 $4,172 0.7×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $3,376.80 $5,628 0.6×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $3,376.80 $5,628 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $1,884 $3,140 0.6×
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) $1,884 $3,140 0.7×
Excision of single external papilla or tag, anus (46220) $1,884 $3,140 1.6×
Excision of sublingual salivary cyst (ranula) (42408) $1,273.80 $2,123 0.4×
Excision of submandibular (submaxillary) gland (42440) $3,376.80 $5,628 0.6×
Excision of tonsil tags (42860) $2,013 $3,355 0.6×
Excision of urethral diverticulum (separate procedure); male Facility (53235)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Excision of vaginal cyst or tumor (57135) $1,884 $3,140 0.6×
Excision of vaginal septum (57130) $1,884 $3,140 0.6×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.4×
Excision olecranon bursa (24105) $1,884 $3,140 0.6×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) $1,884 $3,140 0.6×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,884 $3,140 0.6×
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,884 $3,140 0.6×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,884 $3,140 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,884–$1,921.80 $3,140–$3,203 varies
Excision prepatellar bursa (27340) $1,884 $3,140 0.6×
Excision Radial Head (24130) $1,884 $3,140 0.6×
Excision soft tissue lesion, external auditory canal (69145) $1,273.80 $2,123 0.4×
Excision spermatocele w/wo epididymectomy (54840) $1,884 $3,140 0.9×
Excision synovial cyst popliteal space (27345) $1,884 $3,140 0.6×
Excision tendon finger flexor/extensor each (26180) $1,273.80 $2,123 0.8×
Excision tendon palm flexor/extensor single each (26170) $1,273.80 $2,123 0.8×
Excision Thyroglossal Duct Cyst/Sinus (60280) $3,376.80 $5,628 0.6×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $3,376.80 $5,628 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,884 $3,140 1.1×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,273.80 $2,123 0.4×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,273.80 $2,123 0.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,273.80 $2,123 0.8×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,884 $3,140 1.1×
Excision, interdigital (morton) neuroma, single, each (28080) $1,884 $3,140 1.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,884 $3,140 0.6×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,273.80 $2,123 0.8×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,884 $3,140 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,710.60 $2,851 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $1,884 $3,140 0.6×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,273.80 $2,123 0.8×
Excision/curettage cyst/tumor carpal bones (25130) $1,884 $3,140 0.6×
Excision/curettage cyst/tumor phalanx finger (26210) $1,273.80 $2,123 0.8×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $1,884 $3,140 0.6×
Excision/destruction intranasal lesion int appr (30117) $1,273.80 $2,123 0.4×
Excision/destruction lesion pharynx any method (42808) $1,273.80 $2,123 0.4×
Excision/surgical planing skin nose rhinophyma (30120) $1,273.80 $2,123 0.4×
Excision/Transposition Pterygium W/Grafg (65426) $1,884 $3,140 0.8×
Excision/Transposition Pterygium W/O Graft (65420) $1,273.80 $2,123 0.5×
Excision; trochanteric bursa or calcification (27062) $1,884 $3,140 0.6×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) $2,503.20 $4,172 0.6×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) $2,503.20 $4,172 0.6×
Expl penetrating wound spx abdomen/flank/back (20102) $792.60 $1,321 0.4×
Explo/Drain Breast Abscess (19020) $1,273.80 $2,123 0.8×
Exploration maxillary sinus (31020) $1,920.60 $3,201 0.6×
Exploration of hip joint (27033)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Exploration of knee joint (27310) $1,884 $3,140 0.6×
Exploration of spinal fusion (22830) $3,721.20 $6,202 0.5×
Exploration penetrating wound spx chest (20101) $808.80 $1,348 0.4×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $793.20–$808.80 $1,322–$1,348 varies
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $3,318 $5,530 0.5×
Exploratory elbow surgery (24000) $1,884 $3,140 0.6×
Explore eye socket,drainage (67405) $1,884 $3,140 0.8×
Explore for undescended testis (54550) $2,503.20 $4,172 0.7×
Explore inner ear (69806) $3,376.80 $5,628 0.6×
Explore inner ear (69805) $3,376.80 $5,628 0.6×
Explore treat shoulder joint (23107) $4,183.80 $6,973 0.6×
Explore/Treat Elbow Joint (24101) $1,884 $3,140 0.6×
Explore/Treat Hand Joint (26070) $1,273.80 $2,123 0.8×
Explore/Treat Knee Joint (27331) $1,884 $3,140 0.6×
Explore/Treat Wrist Joint (25040) $1,884 $3,140 0.6×
Extensive mastoid surgery (69511) $3,376.80 $5,628 0.6×
Extraction of lens (66920) $2,503.20 $4,172 1.1×
Fascia lata graft; by stripper Facility (20920) $1,273.80 $2,123 0.6×
Fasciectomy Palm Only (26121) $1,884 $3,140 0.6×
Fasciectomy Plantar Fascia Partial Spx (28060) $2,503.20 $4,172 0.8×
Fasciotomy Iliotibial Open (27305) $1,884 $3,140 0.6×
Fasciotomy palmar open partial (26045) $1,884 $3,140 0.6×
Fasciotomy palmar percutaneous (26040) $1,884 $3,140 1.2×
Fasciotomy Plantar Fascia Radical Spx (28062) $2,503.20 $4,172 0.8×
Fasciotomy, foot and/or toe (28008) $1,884 $3,140 0.6×
Fasciotomy, hip or thigh, any type (27025) $1,884 $3,140 0.6×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,884 $3,140 0.6×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $1,275 $2,125 0.6×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Finger tendon transfer (26497) $1,884 $3,140 0.6×
Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) $1,884 $3,140 0.5×
Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) $1,884 $3,140 0.5×
Fixation contralateral testis separate procedure (54620) $1,884 $3,140 0.5×
Flap; neurovascular pedicle (15750) $1,273.80 $2,123 0.4×
Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $1,273.80–$1,299 $2,123–$2,165 varies
Foreskin manipulation (54450) $666 $1,110 2.7×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $1,273.80 $2,123 0.4×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $1,273.80 $2,123 0.4×
Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969)
likely a partial charge, not the full procedure		 $1,270.20 $2,117 0.2×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $1,273.80 $2,123 0.6×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $1,273.80 $2,123 0.6×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $1,884 $3,140 0.8×
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $2,503.20 $4,172 1.1×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,273.80 $2,123 0.6×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,273.80 $2,123 0.6×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $1,273.80 $2,123 0.6×
Fuse hand bones with graft (25825)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Fusion Finger Joint (26860) $1,884 $3,140 0.6×
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Fusion of hand bones (25820)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Fusion of hand joint (26843)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Fusion of knuckle (26850)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Fusion of knuckle joint (26516) $1,884 $3,140 0.6×
Fusion of knuckle joints (26518)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Fusion of knuckle with graft (26852)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Fusion of shoulder joint (23802)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Fusion of spermatic ducts (54900) $1,884 $3,140 0.9×
Fusion of tibiofibular joint (27871)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Fusion/graft of hand joint (26844)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Gastrocnemius recession (27687) $1,884 $3,140 0.6×
Genioplasty Sliding Osteotomy Single Piece (21121) $2,825.40 $4,709 0.8×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.5×
Glaucoma surgery (66160) $1,884 $3,140 0.8×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $3,376.80 $5,628 0.6×
Graft Ear Crtlg Autogenous Nose/Ear (21235)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $3,376.80 $5,628 0.6×
Grafting of autologous soft tiss by direct exc (15769) $2,152.20 $3,587 0.6×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Hand tendon reconstruction (26500)
likely a partial charge, not the full procedure		 $1,273.80 $2,123 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,884 $3,140 0.7×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,884 $3,140 0.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,884 $3,140 0.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,884 $3,140 0.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $1,884 $3,140 0.7×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $1,884 $3,140 0.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,884 $3,140 2.0×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $3,825.60 $6,376 1.4×
Hip arthro acetabuloplasty (29915)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Hip arthro w/labral repair (29916)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $1,884 $3,140 0.7×
Hysteroscopy Endometrial Ablation (58563)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.5×
I&d abscess peritonsillar (42700) $1,035 $1,725 4.4×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $666 $1,110 0.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,884 $3,140 0.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,884 $3,140 0.6×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,884 $3,140 0.6×
I&d forearm/wrist bursa (25031) $1,884 $3,140 1.2×
I&D Intramural Im/Absc Transanal Anes (46045) $1,811.40 $3,019 0.6×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,811.40 $3,019 0.6×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,884 $3,140 0.6×
I&d perianal abscess superficial (46050) $666 $1,110 0.7×
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $1,273.80–$1,299 $2,123–$2,165 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $1,273.80–$1,299 $2,123–$2,165 varies
I&d shoulder deep abscess/hematoma (23030) $1,884 $3,140 0.6×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,884 $3,140 0.6×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $666 $1,110 0.7×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $666 $1,110 0.7×
Immediate breast prosthesis (19340)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.4×
Implant cochlear device (69930)
likely a partial charge, not the full procedure		 $4,618.80 $7,698 0.1×
Implant neuroelectrodes (63650) $3,721.20 $6,202 0.6×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $4,618.80 $7,698 0.2×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $4,618.80 $7,698 0.3×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $8,727 $14,545 0.7×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Incise finger tendon sheath (26055) $1,273.80 $2,123 0.8×
Incise flexor carpi radialis (25001) $1,897.20 $3,162 0.6×
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Incise Wrist/Forearm Tendon (25290) $1,884 $3,140 0.6×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,273.80 $2,123 0.4×
Incision & drainage leg/ankle infected bursa (27604) $1,884 $3,140 0.6×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,273.80–$1,299 $2,123–$2,165 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $3,721.20 $6,202 0.5×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,884 $3,140 1.2×
Incision bone cortex foot (28005) $1,884 $3,140 0.6×
Incision extensor tendon sheath wrist (25000) $1,884 $3,140 1.2×
Incision of eardrum (69421) $1,273.80 $2,123 0.4×
Incision of eardrum (69420) $666 $1,110 2.8×
Incision of fibula (27707) $1,884 $3,140 0.6×
Incision of Foot Tendon (28234) $1,710.60 $2,851 1.1×
Incision of hip tendon (27001) $1,884 $3,140 0.6×
Incision of iris (66500) $666 $1,110 0.3×
Incision of labial frenum (frenotomy) (40806) $666 $1,110 1.2×
Incision of lingual frenum (frenotomy) (41010) $666 $1,110 0.4×
Incision of rectal abscess (46040) $1,884 $3,140 1.6×
Incision of sperm duct (55200) $1,884 $3,140 0.5×
Incision of tibia & fibula (27709)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.1×
Incision of urethra (53010)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Incision of urethra (53000) $1,884 $3,140 0.9×
Incision of urethra (53020) $1,884 $3,140 0.9×
Incision&drainage bursa foot (28001) $1,884 $3,140 1.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,273.80 $2,123 0.8×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $1,884 $3,140 0.6×
Induced abortion dilation and curettage (59840) $1,273.80 $2,123 0.4×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,503.20 $4,172 2.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $793.20 $1,322 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $793.20 $1,322 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $793.20 $1,322 0.9×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $793.20 $1,322 0.9×
Injection aa&/strd genicular nrv branches w/img (64454) $666 $1,110 0.9×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $666 $1,110 0.7×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $666 $1,110 0.7×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $793.20 $1,322 1.1×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $793.20 $1,322 0.9×
Injection Anes Superior Hypogastric Plexus (64517) $666 $1,110 0.7×
Injection anesthetic agent suprascapular nerve (64418) $793.20 $1,322 1.1×
Injection for identification of sentinel node (38792) $666 $1,110 1.7×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Injection single/mlt trigger point 3/> muscles (20553) $666 $1,110 2.2×
Injection therapeutic carpal tunnel (20526) $666 $1,110 2.2×
Injection Turbinate Therapeutic (30200) $666 $1,110 1.2×
Injection, anesthetic agent; brachial plexus, single (64415) $793.20 $1,322 0.9×
Injection, anesthetic agent; femoral nerve, single (64447) $793.20 $1,322 1.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $666 $1,110 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $1,273.80 $2,123 6.3×
Injx anterior chamber eye air/liquid spx (66020) $1,275 $2,125 0.5×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $666 $1,110 0.7×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $666 $1,110 0.7×
Insert and remove bone pin (20650) $793.20 $1,322 0.2×
Insert Drug Implant Device (11981) $1,884 $3,140 14.1×
Insert eye socket implant (67550) $2,503.20 $4,172 0.6×
Insert Gastrostomy Tube Percutaneous (49440) $1,884 $3,140 1.0×
Insert non-tunnel cv cath (36556) $1,710.60 $2,851 0.5×
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.2×
Insert Temp Bladder Cath (51702) $679.20 $1,132 5.1×
Insert testicular prosthesis (54660)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Insert tissue expander(s) (11960) $1,275 $2,125 0.4×
Insert tunneled cv cath (36561) $1,710.60 $2,851 0.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $3,570–$3,641.40 $5,950–$6,069 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $2,503.20 $4,172 0.7×
Insertion Vascular Pedicle Carpal Bone (25430) $3,376.20 $5,627 1.0×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $1,884 $3,140 0.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,225.80 $2,043 0.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,710.60 $2,851 1.1×
Insj Stablj Dev W/Dcmprn (22867)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.2×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Insj/rplcmt breast implant sep day mastectomy (19342)
unusually low: confirm this is the full procedure		 $3,721.20 $6,202 0.5×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $4,618.80 $7,698 0.1×
Insrt/Redo Neurostim 1 Array (61885)
likely a partial charge, not the full procedure		 $4,618.80 $7,698 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $1,884 $3,140 0.7×
Intranasal Biopsy (30100) $1,273.80 $2,123 0.8×
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $666 $1,110 0.3×
Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) $1,884 $3,140 0.8×
Irrigation maxillary sinus (31000) $1,884 $3,140 7.9×
Island pedicle flap graft (15740) $1,273.80 $2,123 0.6×
Jaw arthroscopy/surgery (29800) $2,503.20 $4,172 0.8×
Keratoplasty Penetrating Pseudophakia (65755) $3,376.80 $5,628 0.8×
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) $3,376.80 $5,628 0.8×
Kidney endoscopy (50553)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Knee arthroscopy/drainage (29871) $2,825.40 $4,709 0.9×
Knee Arthroscopy/Surgery (29885)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Knee Arthroscopy/Surgery (29874) $2,825.40 $4,709 0.9×
Knee Arthroscopy/Surgery (29850) $3,721.20 $6,202 2.3×
Labyrinthectomy; with mastoidectomy Facility (69910) $3,376.80 $5,628 0.6×
Lam facetec & foramot lumbar (63047)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $3,721.20 $6,202 0.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) $3,721.20 $6,202 0.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Laminotomy Single Lumbar (63042) $3,721.20 $6,202 0.5×
Lap insert tunnel ip cath (49324) $3,874.20 $6,457 0.6×
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure		 $4,618.80 $7,698 0.4×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $4,618.80 $7,698 0.4×
Lap replace gastr adj device (43773)
likely a partial charge, not the full procedure		 $666 $1,110 0.1×
Lap revision perm ip cath (49325)
unusually low: confirm this is the full procedure		 $2,263.80 $3,773 0.4×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $3,721.20 $6,202 0.3×
Laparoscopic myomectomy (58545) $3,679.20 $6,132 0.6×
Laparoscopy aspiration (49322)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.4×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.4×
Laparoscopy fulguration oviducts (58670) $3,376.80 $5,628 0.6×
Laparoscopy gastrostomy (43653) $3,376.80 $5,628 0.6×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $3,376.80 $5,628 0.6×
Laparoscopy surgical orchiectomy (54690) $3,376.80 $5,628 0.6×
Laparoscopy W/Lysis Of Adhesions (58660) $3,721.20 $6,202 0.6×
Laparoscopy w/rmvl adnexal structures (58661) $3,721.20 $6,202 0.6×
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371)
unusually low: confirm this is the full procedure		 $3,721.20 $6,202 0.3×
Laparoscopy, surgical, appendectomy (44970) $3,376.80 $5,628 0.6×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
unusually low: confirm this is the full procedure		 $4,483.20 $7,472 0.4×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure		 $4,618.80 $7,698 0.4×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
range across 2 matching MRF lines		 $679.20–$4,618.80 $1,132–$7,698 varies
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $666 $1,110 0.2×
Laparoscopy, surgical, splenectomy (38120)
unusually low: confirm this is the full procedure		 $3,720.60 $6,201 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $4,618.80 $7,698 0.8×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
unusually low: confirm this is the full procedure		 $3,721.20 $6,202 0.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $4,618.80 $7,698 0.8×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $4,618.80 $7,698 0.4×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
unusually low: confirm this is the full procedure		 $2,199 $3,665 0.4×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $3,721.20 $6,202 0.6×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $4,618.80 $7,698 0.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.4×
Laparoscopy, Tubal Block (58671) $3,721.20 $6,202 0.6×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.4×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,376.80 $5,628 0.6×
Laps Gastric Restrictive Px Remove Device & Port (43774) $666 $1,110 0.2×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $1,710.60 $2,851 0.3×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
unusually low: confirm this is the full procedure		 $3,721.20 $6,202 0.3×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $1,884 $3,140 0.5×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $1,884 $3,140 0.5×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $1,828.80–$1,865.40 $3,048–$3,109 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,884 $3,140 1.1×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $666 $1,110 3.3×
Laryngoscopy W/Biopsy (31535) $1,884 $3,140 0.5×
Laryngoscopy w/biopsy microscope/telescope (31536) $1,884 $3,140 0.5×
Laryngoscopy W/Foreign Body Removal (31530) $1,884 $3,140 1.1×
Larynscop w/tumr exc + scope (31541) $1,884 $3,140 0.5×
Laser Surgery of Cervix (57513) $1,273.80 $2,123 0.4×
Laser treatment of retina (67040) $3,376.80 $5,628 0.8×
Late closure of wound (13160) $1,273.80 $2,123 0.4×
Lateral retinacular release open (27425) $2,265 $3,775 0.7×
Lengthen metacarpal/finger (26568)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Lengthen radius or ulna (25391)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $1,273.80 $2,123 0.4×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Ligamentous Reconstruction Knee Extra-Articular (27427) $3,721.20 $6,202 0.5×
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Ligation of a-v fistula (37607) $2,265 $3,775 0.7×
Ligation of hemorrhoids (46946) $1,884 $3,140 0.7×
Ligation or biopsy temporal artery (37609) $1,275 $2,125 0.8×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $2,503.20 $4,172 0.8×
Litholapaxy comp/lg > 2.5 cm (52318) $1,884 $3,140 0.5×
Litholapaxy smpl/sm <2.5 cm (52317) $1,884 $3,140 0.5×
Lithotripsy, extracorporeal shock wave (50590) $4,711.20 $7,852 1.3×
Low Back Disk Surgery (63030)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.1×
Lysis Intranasal Synechia (30560) $666 $1,110 1.2×
Lysis of labial adhesions (56441) $1,273.80 $2,123 0.4×
Male sling procedure (53440)
unusually low: confirm this is the full procedure		 $4,618.80 $7,698 0.3×
Manipulation Elbow Under Anesthesia (24300) $1,273.80 $2,123 0.8×
Manipulation hip joint general anesthesia (27275) $1,273.80 $2,123 0.8×
Manipulation knee joint under general anesthesia (27570) $1,273.80 $2,123 0.8×
Manipulation wrist under anesthesia (25259) $1,884 $3,140 1.2×
Manipulation, finger joint, under anesthesia, each joint (26340) $666 $1,110 0.4×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,273.80 $2,123 0.8×
Marsupialization of bartholin's gland cyst (56440) $1,884 $3,140 0.6×
Mast mod rad (19307) $3,376.80 $5,628 0.5×
Mastectomy for gynecomastia (19300) $1,884 $3,140 0.5×
Mastectomy partial (19301) $1,884 $3,140 0.5×
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.4×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.4×
Mastoidectomy (69501) $3,376.80 $5,628 0.6×
Mastoidectomy; complete (69502)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Mastopexy (19316)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.3×
Maxillofacial fixation (21100) $3,376.80 $5,628 0.6×
Metatarsectomy (28140) $1,884 $3,140 0.6×
Middle ear expl thru postaur/ear canal inc (69440) $1,884 $3,140 0.6×
Middle ear surgery proc unlisted (69799) $1,035 $1,725 4.4×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) $3,376.80 $5,628 1.0×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) $3,376.80 $5,628 1.0×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $1,273.80 $2,123 0.6×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $1,273.80 $2,123 0.4×
Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) $3,721.20 $6,202 0.5×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $1,273.80 $2,123 0.4×
Muscle-skin graft trunk (15734) $1,273.80 $2,123 0.4×
Muscle/tendon transfer upper arm/elbow single (24301)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Myelography Lumbar Injection (62305)
range across 5 matching MRF lines		 $646.20–$2,511.60 $1,077–$4,186 varies
Myelography Lumbar Injection (62304)
range across 3 matching MRF lines		 $653.40–$2,511.60 $1,089–$4,186 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 3 matching MRF lines		 $640.80–$1,294.80 $1,068–$2,158 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,511.60 $4,186 3.2×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $2,503.20 $4,172 0.8×
Myringoplasty (69620) $1,884 $3,140 0.6×
N Block Inj Celiac Pelus (64530) $666 $1,110 0.7×
N Block Inj Ilio-Ing/Hypogi (64425) $666 $1,110 0.9×
N block inj intercost sng (64420) $666 $1,110 0.9×
N Block Inj Plantar Digit (64455) $666 $1,110 2.2×
N Block Inj Pudendal (64430) $666 $1,110 0.7×
N Block Lumbar/Thoracic (64520) $666 $1,110 0.7×
Nasal Endoscopy Dx (31231) $1,273.80 $2,123 6.4×
Nasal sinus therapy (30210) $692.40 $1,154 0.4×
Nasal surgery procedure (30999)
range across 2 matching MRF lines		 $1,275–$1,300.20 $2,125–$2,167 varies
Nasal/Orogastric W/Tube Plmt (43752) $679.20 $1,132 1.5×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $1,884 $3,140 0.5×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242)
likely a partial charge, not the full procedure		 $1,159.80 $1,933 0.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,884 $3,140 1.1×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $1,273.80 $2,123 0.7×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,273.80 $2,123 0.7×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $1,811.40 $3,019 0.3×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure		 $1,811.40 $3,019 0.3×
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $5,775.60 $9,626 3.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $666 $1,110 2.7×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $666 $1,110 0.7×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $666 $1,110 0.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $2,265 $3,775 1.4×
Neck spine disk surgery (63020) $3,721.20 $6,202 0.5×
Neck spine fusion (22600)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.2×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Needle Biopsy Pancreas (48102) $666 $1,110 0.4×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) $2,503.20 $4,172 0.7×
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Nerve graft arm/leg <4 cm (64892)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Nerve repair w/conduit each nerve (64910)
likely a partial charge, not the full procedure		 $2,265 $3,775 0.3×
Nerve Repair W/Nerve Allograft First Strand (64912)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) $1,273.80 $2,123 0.6×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,273.80 $2,123 0.6×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,273.80 $2,123 0.6×
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) $1,273.80 $2,123 0.6×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $1,273.80 $2,123 0.6×
Nipple Exploration (19110) $1,884 $3,140 0.5×
Nipple/areola reconstruction (19350) $1,884 $3,140 0.5×
Njx anes stellate ganglion crv sympathetic (64510) $793.20 $1,322 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $666 $1,110 2.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,503.20 $4,172 2.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $666 $1,110 0.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $666 $1,110 0.9×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $666 $1,110 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $666 $1,110 0.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $666 $1,110 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $729.60 $1,216 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $666 $1,110 0.7×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Occipital Nerve Block (64405) $666 $1,110 2.2×
Occlusion flp tube dev vag/suprapubic appr (58615) $1,710.60 $2,851 0.5×
Open biopsy/excision inguinofemoral nodes (38531) $4,250.40 $7,084 1.1×
Open bone biopsy (20251)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Open bone biopsy (20250) $1,884 $3,140 0.6×
Open Implantation Nea Peripheral Nerve (64575)
unusually low: confirm this is the full procedure		 $3,721.20 $6,202 0.3×
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure		 $1,390.20 $2,317 0.2×
Open Repair of Rotator Cuff Acute (23410) $3,721.20 $6,202 0.5×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Open treatment interphalangeal joint dislocation (28675) $3,376.80 $5,628 1.0×
Open Treatment Lunate Dislocation (25695)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment metacarpophalangeal dislocation (26715) $3,376.80 $5,628 1.0×
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $3,376.80 $5,628 0.6×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $3,376.80 $5,628 0.6×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.4×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Open treatment of nasal fracture; uncomplicated Facility (21325) $1,710.60 $2,851 0.5×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $1,884 $3,140 0.6×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $1,884 $3,140 0.6×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $3,376.80 $5,628 0.6×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Treatment of Ulnar Shaft Fracture (25545)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Open Treatment Radial Shaft Fracture (25515)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Treatment Tarsal Bone Dislocation (28555)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open tx acute shoulder dislocation (23660)
unusually low: confirm this is the full procedure		 $3,278.40 $5,464 0.4×
Open Tx Acute/Chronic Elbow Dislocation (24615)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,376.80 $5,628 1.0×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $3,376.80 $5,628 1.0×
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $3,376.80 $5,628 1.0×
Open Tx Depressed Malar Fracture (21360) $3,376.80 $5,628 0.6×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Tx Distal Phalangeal Fracture Each (26765) $3,376.80 $5,628 1.0×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $20,416.80 $34,028 1.6×
Open tx femoral supracondylar fracture w/o xtn (27511)
unusually low: confirm this is the full procedure		 $4,461 $7,435 0.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $3,376.80 $5,628 1.0×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open tx interphalangeal joint dislocation (26785) $3,376.80 $5,628 1.0×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $3,376.80 $5,628 0.6×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $3,376.80 $5,628 0.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,376.80 $5,628 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,376.80 $5,628 1.0×
Open Tx Radial Head/Neck Fracture (24665)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670)
unusually low: confirm this is the full procedure		 $3,278.40 $5,464 0.4×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $2,592.60 $4,321 0.8×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $3,376.80 $5,628 1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure		 $666 $1,110 0.1×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure		 $792.60 $1,321 0.1×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Orbital implant removal/revision (67560) $1,884 $3,140 0.5×
Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) $2,503.20 $4,172 0.6×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $1,884 $3,140 0.5×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $1,884 $3,140 0.8×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $1,884 $3,140 0.8×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) $2,503.20 $4,172 0.6×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) $2,503.20 $4,172 0.6×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) $2,503.20 $4,172 0.6×
Orchiectomy radical tumor inguinal approach (54530) $2,503.20 $4,172 0.7×
Orchiopexy Ingun/Scrot Appr (54640) $2,503.20 $4,172 0.7×
Ostc compl all metar heads w/prtl prox phalangc (28114) $1,884 $3,140 0.6×
Ostc prtl exostc/condylc metar head (28288) $2,503.20 $4,172 0.8×
Ostectomy calcaneus (28118) $1,884 $3,140 0.6×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,884 $3,140 0.6×
Ostectomy of sternum, partial Facility (21620) $1,884 $3,140 0.6×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,884 $3,140 0.6×
Ostectomy, complete excision; first metatarsal head (28111) $1,884 $3,140 0.6×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $2,503.20 $4,172 0.8×
Osteochondral allograft knee open (27415)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Osteochondral knee autograft (27416) $3,721.20 $6,202 0.5×
Osteochondral talus autogrft (28446)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Osteoplasty Radius/Ulna Shortening (25390)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Osteoplasty, facial bones; reduction (21209) $3,376.80 $5,628 0.6×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $2,503.20 $4,172 0.8×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Osteotomy Metacarpal Each (26565) $1,884 $3,140 0.6×
Osteotomy Phalanx Finger Each (26567) $1,884 $3,140 0.6×
Osteotomy radius distal third (25350)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Osteotomy Radius Middle/Proximal Third (25355) $3,376.80 $5,628 1.0×
Osteotomy talus (28302)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Osteotomy Tibia (27705)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Osteotomy Ulna (25360)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Palatopharyngoplasty (42145)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $1,884 $3,140 0.8×
Parathyroidectomy or exploration of parathyroid(s); (60500)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.5×
Part exc bone femur prox tibia (27360) $1,884 $3,140 0.6×
Part remv talus or calcaneus (28120) $1,884 $3,140 0.6×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Partial Excision Bone Humerus (24140) $1,884 $3,140 0.6×
Partial excision bone metacarpal (26230) $1,273.80 $2,123 0.4×
Partial excision bone olecranon process (24147) $1,884 $3,140 0.6×
Partial Excision Bone Radius (25151) $1,884 $3,140 0.6×
Partial Excision Bone Ulna (25150) $1,884 $3,140 0.6×
Partial Excision Distal Phalanx Finger (26236) $1,273.80 $2,123 0.8×
Partial excision of lip (40520) $1,273.80 $2,123 0.4×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100)
unusually low: confirm this is the full procedure		 $3,577.20 $5,962 0.5×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,273.80 $2,123 0.8×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $1,884 $3,140 0.6×
Partial hymenectomy or revision of hymenal ring (56700) $1,884 $3,140 0.6×
Partial removal of fibula (27641) $1,884 $3,140 0.6×
Partial removal of nose (30150)
likely a partial charge, not the full procedure		 $1,197.60 $1,996 0.2×
Partial removal of penis (54120) $2,503.20 $4,172 0.7×
Partial removal of scapula (23190) $1,884 $3,140 0.6×
Partial removal of thyroid (60220) $3,376.80 $5,628 0.6×
Partial removal of tibia (27640) $3,376.80 $5,628 1.0×
Partial removal of toe (28160) $1,884 $3,140 0.6×
Partial removal of tongue (41120)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Partial thyroid excision (60212) $3,376.80 $5,628 0.6×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $3,376.80 $5,628 0.6×
Partical Excision Bone Phalanx Toe (28124) $1,884 $3,140 0.6×
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Penis plastic surgery (54360) $2,503.20 $4,172 0.7×
Perc Cryo Ablate Renal Tum (50593)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.3×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $3,376.80 $5,628 1.0×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $3,376.80 $5,628 2.1×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $3,376.80 $5,628 1.0×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $3,376.80 $5,628 2.1×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $3,376.80 $5,628 1.0×
Peri-Implant Capsulectomy Breast Complete (19371) $2,503.20 $4,172 0.6×
Perineoplasty rpr perineum nonobstetrical spx (56810) $1,884 $3,140 0.6×
Perq Cervicothoracic Inject (22510) $1,710.60 $2,851 0.5×
Perq dev breast 1st us imag (19285) $666 $1,110 0.9×
Perq Lumbosacral Injection (22511) $1,884 $3,140 0.6×
Perq skel fixj distal radial fx/epiphysl sep (25606) $3,376.80 $5,628 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Perq Vertebral Augmentation (22513)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Phalangectomy toe each toe (28150) $1,884 $3,140 0.6×
Pin Finger Dislocation (26776) $3,376.80 $5,628 1.0×
Pin hand dislocation (26676) $3,376.80 $5,628 1.0×
Pin knuckle dislocation (26706) $666 $1,110 0.2×
Place Duod/Jej Tube Perc (49441) $1,884 $3,140 1.0×
Place Rt Device/Marker Pros (55876) $3,317.40 $5,529 2.4×
Placement of seton (46020) $1,884 $3,140 0.7×
Plastic Repair Canaliculi (68700) $1,884 $3,140 0.8×
Plastic Repair Introitus (56800) $1,884 $3,140 0.6×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $1,884 $3,140 0.8×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $1,884 $3,140 0.8×
Probing nasolacrimal duct (68810) $1,273.80 $2,123 4.0×
Proctopexy Perineal Approach (45541) $1,884 $3,140 0.7×
Proctoplasty Stenosis (45500) $1,884 $3,140 0.7×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $666 $1,110 0.7×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $666 $1,110 0.2×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $666 $1,110 0.6×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $666 $1,110 0.6×
Proctosgmdsc rigid w/dilation (45303) $666 $1,110 0.6×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $666 $1,110 0.6×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
likely a partial charge, not the full procedure		 $666 $1,110 0.1×
Prostatotomy external drg abscess simple (55720) $1,884 $3,140 0.5×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure		 $2,654.40 $4,424 0.4×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,273.80 $2,123 1.4×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $3,376.80 $5,628 1.0×
Prq skel fixj femoral fx prox end neck (27235)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $3,376.80 $5,628 1.0×
Prq skel fixj metar fx w/manj (28476) $3,376.80 $5,628 1.0×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $3,376.80 $5,628 1.0×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $3,376.80 $5,628 1.0×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $3,376.80 $5,628 1.0×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,884 $3,140 0.6×
Pterygomaxillary fossa surgery, any approach Facility (31040)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,299 $2,165 3.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $666 $1,110 0.9×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $1,884 $3,140 1.2×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $1,884 $3,140 0.6×
Rad resect elbow caps/sr bone w rels (24149)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Rad resect hand tumor 3 cm/> (26118) $3,861 $6,435 1.3×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $2,263.80 $3,773 0.8×
Rad resect tumor soft tissue hand/finger <3cm (26117) $1,884 $3,140 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $1,884 $3,140 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) $1,884 $3,140 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $1,884 $3,140 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $1,884 $3,140 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $1,884 $3,140 0.6×
Radical resection of tumor, distal phalanx of finger Facility (26262) $1,828.80 $3,048 1.1×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $1,273.80 $2,123 0.4×
Radical resection of tumor, shaft or distal humerus Facility (24150) $3,721.20 $6,202 0.5×
Radical resection of tumor; talus or calcaneus Facility (27647) $3,376.80 $5,628 1.0×
Radical styloidectomy separate procedure (25230) $1,884 $3,140 0.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $7,645.80 $12,743 3.9×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,884 $3,140 0.6×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $1,273.80 $2,123 0.4×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $1,884 $3,140 0.6×
Rcnstj Dislocating Patella (27420)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $1,884 $3,140 0.8×
Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) $1,884 $3,140 0.8×
Rcnstj Eyelid Full Thickness Second Stage (67975) $1,884 $3,140 0.8×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $3,376.80 $5,628 0.6×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,884 $3,140 0.5×
Re-explore parathyroids (60502)
unusually low: confirm this is the full procedure		 $2,717.40 $4,529 0.5×
Realignment extensor tendon hand each tendon (26437) $1,273.80 $2,123 0.4×
Realignment of knee (27455) $4,618.80 $7,698 0.6×
Reconstruct elbow joint (24360)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Reconstruct elbow lat ligmnt (24344)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Reconstruct elbow med ligmnt (24346)
likely a partial charge, not the full procedure		 $2,825.40 $4,709 0.2×
Reconstruct finger joint (26545) $1,884 $3,140 0.6×
Reconstruct Finger Joint (26548) $1,884 $3,140 0.6×
Reconstruct ulna/radioulnar (25337)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Reconstruct upper jaw bone (21206) $3,376.80 $5,628 0.6×
Reconstruct wrist joint (25445) $3,721.20 $6,202 0.5×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) $3,376.80 $5,628 0.6×
Reconstruction Nail Bed W/Graft (11762) $1,611 $2,685 0.8×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Reconstruction of dislocating patella; with patellectomy Facility (27424)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $3,376.80 $5,628 0.6×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) $1,884 $3,140 0.5×
Reconstruction of jaw (21249) $3,376.80 $5,628 0.6×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $1,884 $3,140 0.6×
Reconstruction of throat (42950)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Reconstruction Tongue Fold (41520) $666 $1,110 0.2×
Reduction of rectal prolapse (45900) $666 $1,110 0.7×
Reduction Overcorrection Ptosis (67909) $1,884 $3,140 0.8×
Reinforce clavicle (23490)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Reinforce humerus (24498)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Reinforce tibia (27745)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Reinsert spinal fixation (22849)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Release facial nerve (69720) $3,376.80 $5,628 0.6×
Release foot/toe nerve (64726) $1,275 $2,125 0.6×
Release Intrinsic Muscles Hand Each Muscle (26593) $1,273.80 $2,123 0.4×
Release of big toe (28240) $1,884 $3,140 0.6×
Release of shoulder ligament (23415)
unusually low: confirm this is the full procedure		 $3,215.40 $5,359 0.4×
Release or recession, hamstring, proximal Facility (27097) $1,884 $3,140 0.6×
Release Thenar Muscle (26508) $1,273.80 $2,123 0.4×
Relieve Pressure on Nerve(S) (64722) $1,273.80 $2,123 0.6×
Removal Anal Seton Other Marker (46030) $666 $1,110 0.6×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Removal Foreign Body Deep Thigh/Knee (27372) $1,884 $3,140 0.6×
Removal Foreign Body Foot Complicated (28193) $666 $1,110 0.4×
Removal foreign body foot deep (28192) $1,273.80 $2,123 0.8×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $640.80–$679.20 $1,068–$1,132 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $1,819.80 $3,033 0.6×
Removal Foreign Body Scrotum (55120) $1,884 $3,140 0.9×
Removal foreign body upper arm/elbow deep (24201) $1,273.80 $2,123 0.4×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,273.80 $2,123 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $1,884 $3,140 31.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $1,884–$1,921.80 $3,140–$3,203 varies
Removal Implant Deep (20680) $1,884 $3,140 0.6×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $1,273.80–$1,299 $2,123–$2,165 varies
Removal intact breast implant (19328) $2,503.20 $4,172 0.6×
Removal of adenoids (42835) $1,884 $3,140 0.6×
Removal of adenoids (42831) $1,884 $3,140 0.6×
Removal of adenoids (42830) $1,884 $3,140 0.6×
Removal of adenoids (42836) $1,828.80 $3,048 0.5×
Removal of anal fissure (46200) $1,884 $3,140 0.7×
Removal of ankle implant (27704) $1,884 $3,140 0.6×
Removal of anterior instrumentation (22855)
likely a partial charge, not the full procedure		 $1,710.60 $2,851 0.2×
Removal of bone lesion (23140) $1,884 $3,140 0.6×
Removal of calcium deposits (23000) $1,273.80 $2,123 0.4×
Removal of cervix (57530)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Removal of esophageal sphincter augmentation device (43285) $3,376.80 $5,628 0.6×
Removal of eye (65110) $2,503.20 $4,172 0.6×
Removal of foot joint lining (28072) $2,503.20 $4,172 0.8×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $1,237.20–$1,261.80 $2,062–$2,103 varies
Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) $1,884 $3,140 0.8×
Removal of heel spur (28119) $1,884 $3,140 0.6×
Removal of implant from finger or hand (26320) $1,273.80 $2,123 0.8×
Removal of intranasal lesion (30118) $1,884 $3,140 0.6×
Removal of iris (66635) $1,884 $3,140 0.8×
Removal of iris (66630) $1,884 $3,140 0.8×
Removal of jaw joint (21050) $3,376.80 $5,628 0.6×
Removal of lens material (66852) $2,503.20 $4,172 0.6×
Removal of mammary implant material (19330) $2,503.20 $4,172 0.6×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Removal of nose (30160) $3,376.80 $5,628 0.6×
Removal of nose lesion (30124) $666 $1,110 0.4×
Removal of ocular implant (65175) $1,884 $3,140 0.5×
Removal of posterior segmental instrumentation Facility (22852) $3,721.20 $6,202 0.5×
Removal of residual cervix (57550)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Removal of sesamoid bone (28315) $1,884 $3,140 0.6×
Removal of sperm cord lesion (55520) $1,884 $3,140 0.5×
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Removal of testis (54520) $1,884 $3,140 0.5×
Removal of Thiersch wire or suture, anal canal Facility (46754) $1,884 $3,140 0.7×
Removal of thyroid (60271) $3,376.80 $5,628 0.6×
Removal of tonsils (42825)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Removal of tonsils (42826) $1,884 $3,140 0.6×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864)
unusually low: confirm this is the full procedure		 $3,577.20 $5,962 0.5×
Removal of tunneled intraperitoneal catheter (49422) $1,710.60 $2,851 0.5×
Removal of wrist bone (25210) $1,884 $3,140 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Removal Submand Stone,Complicated (42335) $1,275 $2,125 0.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $666 $1,110 0.3×
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $1,884–$1,921.80 $3,140–$3,203 varies
Removal tong/halo applied by another individual (20665) $793.20 $1,322 1.8×
Removal, under anesthesia, of external fixation system (20694) $1,710.60 $2,851 1.1×
Remove & graft wrist lesion (25136)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Remove Ankle Joint Lining (27626) $1,884 $3,140 0.6×
Remove armpit lymph nodes (38740) $10,018.80 $16,698 1.6×
Remove coronoid process (21070) $3,376.80 $5,628 0.6×
Remove drug implant device (11982) $1,884 $3,140 4.2×
Remove ear lesion (69552) $3,376.80 $5,628 0.6×
Remove ear lesion (69550) $3,376.80 $5,628 0.6×
Remove elbow joint implant (24160) $1,884 $3,140 0.6×
Remove Elbow Joint Lining (24102) $1,884 $3,140 0.6×
Remove elbow lesion (24120) $1,884 $3,140 0.6×
Remove eye lesion (66130) $1,884 $3,140 0.8×
Remove eye/attach implant (65105) $2,503.20 $4,172 0.6×
Remove femur lesion/graft (27356)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.1×
Remove finger bone (26185) $1,237.20 $2,062 0.8×
Remove Forearm Foreign Body (25248) $1,884 $3,140 1.2×
Remove foreign body from eye (65235) $1,273.80 $2,123 0.5×
Remove foreign body from eye (65205) $666 $1,110 5.0×
Remove groin lymph nodes (38760) $6,484.80 $10,808 1.0×
Remove Hand Bone Lesion (26200) $1,273.80 $2,123 0.8×
Remove humerus lesion (24110) $1,884 $3,140 0.6×
Remove inner ear (69905) $3,376.80 $5,628 0.6×
Remove Intrauterine Device (58301) $666 $1,110 2.2×
Remove iris and lesion (66600) $1,884 $3,140 0.5×
Remove knee joint lining (27334) $1,884 $3,140 0.6×
Remove lamina/facets lumbar (63012)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Remove Lower Leg Bone Lesion (27635) $1,884 $3,140 0.6×
Remove mastoid structures (69505) $3,376.80 $5,628 0.6×
Remove palate/lesion (42120) $3,317.40 $5,529 0.6×
Remove part lumbar vertebra (22102) $3,721.20 $6,202 0.5×
Remove Peritoneal Foreign Body (49402) $1,273.80 $2,123 0.4×
Remove radius head implant (24164) $1,884 $3,140 0.6×
Remove Shoulder Foreign Body (23330) $666 $1,110 0.4×
Remove shoulder joint lining (23105)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Remove Skin Nerve Lesion (64774) $1,273.80 $2,123 0.6×
Remove spine eltrd plate (63662) $1,884 $3,140 0.5×
Remove spine fixation device (22850) $3,721.20 $6,202 0.5×
Remove spine lamina 1/2 lmbr (63005) $3,721.20 $6,202 0.5×
Remove Tendon Sheath Lesion (26160) $1,273.80 $2,123 0.8×
Remove thyroid lesion (60200) $3,376.80 $5,628 0.6×
Remove tissue expander (11971) $1,884 $3,140 0.6×
Remove vc lesion w/scope (31545) $1,884 $3,140 0.5×
Remove wrist joint cartilage (25107) $1,884 $3,140 0.6×
Remove/graft bone lesion (24125) $1,884 $3,140 0.6×
Remove/graft finger lesion (26215) $1,273.80 $2,123 0.4×
Remove/graft foot lesion (28102)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Remove/graft foot lesion (28107)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Remove/graft forearm lesion (25126) $1,884 $3,140 0.6×
Remove/graft forearm lesion (25125) $1,884 $3,140 1.2×
Remove/graft leg bone lesion (27637)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Remv cartilage for graft nasal (20912) $1,273.80 $2,123 0.4×
Renal Biopsy Perq (50200) $666 $1,110 0.4×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
likely a partial charge, not the full procedure		 $666 $1,110 0.1×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) $666 $1,110 1.0×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) $666 $1,110 0.2×
Reopen fallopian tube (58350)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.5×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair arm/leg nerve (64857) $2,503.20 $4,172 0.7×
Repair Bladder-Vagina Lesion (57320)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Repair Blood Vessel Direct Hand Finger (35207) $3,376.80 $5,628 1.1×
Repair Blood Vessel Direct Upper Extremity (35206) $1,710.60 $2,851 0.5×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair defect w/autograft radius/ulna (25425)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair Ectropion Excision Tarsal Wedge (67916) $1,884 $3,140 0.8×
Repair Ectropion Extensive (67917) $1,884 $3,140 0.8×
Repair Ectropion Suture (67914) $1,884 $3,140 0.8×
Repair Elbow Perc (24357) $1,884 $3,140 0.6×
Repair Entropion Excision Tarsal Wedge (67923) $1,884 $3,140 0.8×
Repair Entropion Extensive (67924) $1,884 $3,140 0.8×
Repair Entropion Suture (67921) $1,884 $3,140 0.8×
Repair Extensor Tendon Finger W/Graft Each (26420) $1,884 $3,140 0.6×
Repair extensor tendon finger w/o graft each (26418) $1,273.80 $2,123 0.8×
Repair Extensor Tendon Hand W/Graft Each (26412) $1,884 $3,140 0.6×
Repair Finger Tendon (26433) $1,273.80 $2,123 0.4×
Repair Finger/Hand Tendon (26350) $1,884 $3,140 0.6×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,884 $3,140 0.6×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair Forearm Tendon Sheath (25275) $1,884 $3,140 0.6×
Repair forearm tendon/muscle (25265) $1,884 $3,140 0.6×
Repair Hallux Rigidus (28289) $2,265 $3,775 0.7×
Repair Hand Joint (26540) $1,273.80 $2,123 0.4×
Repair Hand Tendon (26410) $1,273.80 $2,123 0.8×
Repair humerus with graft (24435)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Repair inguinal hernia, sliding, any age (49525) $2,503.20 $4,172 0.7×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $2,503.20 $4,172 0.7×
Repair initial femoral hernia, any age; reducible (49550) $2,503.20 $4,172 0.7×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $2,503.20 $4,172 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $666 $1,110 1.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $666 $1,110 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $666 $1,110 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $666 $1,110 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $666 $1,110 1.6×
Repair intrinsic muscles hand each muscle (26591) $1,884 $3,140 0.6×
Repair iris ciliary body (66680) $1,884 $3,140 0.8×
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Repair nasal septal perforations (30630) $1,884 $3,140 0.6×
Repair Nasal Vestibular Stenosis (30465)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.5×
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Repair Nonunion Carpal Bone Each Bone (25431)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair Nonunion Hand (26546)
likely a partial charge, not the full procedure		 $1,811.40 $3,019 0.2×
Repair Nonunion/Malunion Tarsal Bones (28320)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.2×
Repair Nonunion/Malunion Tibia W/O Graft (27720)
likely a partial charge, not the full procedure		 $1,710.60 $2,851 0.2×
Repair of anal sphincter (46760) $1,884 $3,140 0.7×
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair of defect with autograft; radius AND ulna Facility (25426) $3,376.80 $5,628 1.0×
Repair of enterocele, vaginal approach (separate procedure) (57268)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $1,884 $3,140 0.6×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
likely a partial charge, not the full procedure		 $1,710.60 $2,851 0.2×
Repair of hammertoe (28286) $1,884 $3,140 0.6×
Repair of hydrocele (55060) $1,884 $3,140 0.5×
Repair of knee ligaments (27409)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair of leg nerve (64840)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Repair of metatarsals (28322)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Repair of nail bed (11760) $666 $1,110 0.9×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Repair of rectocele (45560) $1,884 $3,140 0.7×
Repair of rectum (45505) $1,884 $3,140 0.7×
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair of scleral staphyloma with graft Facility (66225)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Repair of shoulder (23420) $3,721.20 $6,202 0.5×
Repair of web finger (26562) $1,884 $3,140 0.6×
Repair of web finger (26560) $1,275 $2,125 0.8×
Repair of web finger (26561) $1,884 $3,140 0.6×
Repair oval window fistula (69666) $3,376.80 $5,628 1.0×
Repair penis post injury (54440) $2,503.20 $4,172 0.7×
Repair radius & ulna (25415)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Repair recurrent femoral hernia; reducible Facility (49555) $2,503.20 $4,172 0.7×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.3×
Repair Retinal Detachment Scleral Buckling (67107) $3,376.80 $5,628 0.8×
Repair Rotator Cuff Chronic (23412) $3,721.20 $6,202 0.5×
Repair round window fistula (69667) $3,376.80 $5,628 1.0×
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair shoulder capsule (23462) $3,721.20 $6,202 0.5×
Repair shoulder capsule (23466) $3,721.20 $6,202 0.5×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,884 $3,140 0.6×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Repair Toe Dislocation (28645) $3,376.80 $5,628 1.0×
Repair webbed toe(s) (28345) $2,503.20 $4,172 1.5×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $1,884 $3,140 0.6×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) $1,884 $3,140 0.6×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair/graft femur head/neck (27170)
unusually low: confirm this is the full procedure		 $3,247.20 $5,412 0.4×
Repair/Graft Wrist Bone (25440)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair/Revise Wrist Joint (25320)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repair/transpose nerve (64856)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.3×
Replace elbow joint (24363)
likely a partial charge, not the full procedure		 $4,618.80 $7,698 0.3×
Replace eye fluid (67025) $1,884 $3,140 0.8×
Replace g/c tube perc (49450) $1,884 $3,140 2.1×
Replace/Revise Brain Shunt (62230)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.4×
Replacement Tissue Expander W/Permanent Implant (11970)
likely a partial charge, not the full procedure		 $1,273.80 $2,123 0.2×
Repr elbow lat ligmnt w/tiss (24343) $1,710.60 $2,851 0.5×
Repr Elbw Med Ligmnt W/Tiss (24345)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Repr torn cruciate knee ligam (27407)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Rerepair ing hernia reduce (49520) $2,503.20 $4,172 0.7×
Resect back tum < 5 cm (21935) $1,884 $3,140 0.6×
Resect enlarged toe (28341) $1,884 $3,140 0.6×
Resect forarm/wrist tum 3cm> (25078) $1,884 $3,140 0.6×
Resect hip/pelv tum < 5 cm (27049) $1,884 $3,140 0.6×
Resect leg/ankle tum < 5 cm (27615) $3,215.40 $5,359 1.1×
Resect shoulder tumor < 5 cm (23077) $1,884 $3,140 0.6×
Resect thigh/knee tum < 5 cm (27329) $1,884 $3,140 0.6×
Resection of scrotum (55150) $1,884 $3,140 0.5×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $1,884 $3,140 0.6×
Resection, partial or complete, phalangeal base, each toe (28126) $1,710.60 $2,851 0.5×
Resection/transplantation long tendon biceps (23440) $3,721.20 $6,202 0.5×
Rev/rmv prph sac/gstr npg/r (64595) $2,304.60 $3,841 0.7×
Revis reconst shoulder joint (23473) $10,660.80 $17,768 0.8×
Revise eye (65091) $1,884 $3,140 0.5×
Revise eye with implant (65093) $2,503.20 $4,172 0.6×
Revise finger joint each (26140) $1,273.80 $2,123 0.8×
Revise Hand/Foot Nerve (64704) $1,273.80 $2,123 0.6×
Revise hernia & sperm veins (55540) $2,503.20 $4,172 0.7×
Revise knuckle joint (26530)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Revise lower leg tendon (27690)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Revise Lower Leg Tendons (27686) $1,884 $3,140 0.6×
Revise radius & ulna (25365)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.1×
Revise Spine Eltrd Plate (63664)
unusually low: confirm this is the full procedure		 $4,618.80 $7,698 0.4×
Revise ulnar nerve at wrist (64719) $1,273.80 $2,123 0.6×
Revise Wrist/Forearm Tendon (25280) $1,884 $3,140 0.6×
Revise/Implant Finger Joint (26536)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Revise/Repair Finger/Toe Nerve (64702) $1,273.80 $2,123 0.6×
Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) $3,376.80 $5,628 0.6×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Revision of eyelid (67880) $1,273.80 $2,123 0.5×
Revision of foot (28116) $1,884 $3,140 0.6×
Revision of foot and ankle (28262)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Revision of foot bones (28737)
likely a partial charge, not the full procedure		 $2,503.20 $4,172 0.2×
Revision of foot fascia (28250) $2,503.20 $4,172 0.8×
Revision of humerus (24400)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Revision of knee joint (27442)
likely a partial charge, not the full procedure		 $2,825.40 $4,709 0.2×
Revision of lower leg tendon (27685) $1,884 $3,140 0.6×
Revision of penis (54300) $2,503.20 $4,172 0.7×
Revision of reconstructed breast (19380) $3,376.80 $5,628 0.5×
Revision of scrotum (55180)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Revision of stapedectomy or stapedotomy Facility (69662) $3,376.80 $5,628 0.6×
Revision of toe (28312) $1,884 $3,140 0.6×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure		 $3,376.20 $5,627 0.3×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
unusually low: confirm this is the full procedure		 $4,004.40 $6,674 0.3×
Revision of urethra (53460) $1,884 $3,140 0.5×
Revision of wrist joint (25450) $3,376.80 $5,628 1.0×
Revision Peri-Implant Capsule Breast (19370) $2,503.20 $4,172 0.6×
Revj Arthrp W/Removal Implant Wrist Joint (25449)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,273.80 $2,123 0.4×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $1,273.80 $2,123 0.4×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $4,618.80 $7,698 0.7×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure		 $4,632.60 $7,721 0.4×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.1×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.1×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,376.80 $5,628 1.0×
Revj/rmvl neurostimulator pulse generator (61888)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $2,304.60 $3,841 0.7×
Revj/rpr oprative wound anterior segment (66250) $1,273.80 $2,123 0.5×
Rhinoplasty primary w/major septal repair (30420) $3,376.80 $5,628 0.6×
Rhinoplasty Secondary Intermediate Revision (30435) $3,376.80 $5,628 0.6×
Rhinoplasty Secondary Major Revision (30450) $3,376.80 $5,628 0.6×
Rhinoplasty Secondary Minor Revision (30430)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Rhinp Prim Complete Xtrnl Parts (30410)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.5×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.5×
Rhytidectomy Cheek Chin & Neck (15828) $1,273.80 $2,123 0.4×
Rhytidectomy Forehead (15824) $1,273.80 $2,123 0.6×
Rib cartilage graft (21230) $3,376.80 $5,628 0.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,884 $3,140 1.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $666 $1,110 1.5×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $1,273.80 $2,123 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,273.80 $2,123 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $666 $1,110 0.4×
Rmvl implnt matl posterior segment extraocular (67120) $1,884 $3,140 0.8×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $1,884 $3,140 0.8×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $1,273.80 $2,123 0.5×
Rmvl Lens Material Phacofragmentation Aspir (66850) $2,503.20 $4,172 1.1×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,503.20 $4,172 1.3×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,884 $3,140 1.0×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $2,503.20 $4,172 0.7×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $666 $1,110 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $666 $1,110 1.1×
Rmvl Vitreous Ant Appr Partial Removal (67005) $3,376.80 $5,628 1.5×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $3,376.80 $5,628 1.5×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $3,376.80 $5,628 1.0×
Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) $3,376.80 $5,628 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,731.40 $6,219 0.6×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,760.20 $6,267 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $3,760.20 $6,267 0.6×
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low: confirm this is the full procedure		 $2,324.40 $3,874 0.4×
Rpr aa hrn 1st 3-10 rdc (49593) $3,565.80 $5,943 0.5×
Rpr aa hrn 1st < 3 ncr/strn (49592) $5,158.80 $8,598 0.8×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $1,884 $3,140 0.5×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) $1,884 $3,140 0.8×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $1,884 $3,140 0.8×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $1,884 $3,140 0.8×
Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) $1,884 $3,140 0.5×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $1,884 $3,140 0.8×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $1,884 $3,140 0.6×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $1,884 $3,140 0.8×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.4×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $1,884 $3,140 0.5×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.4×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $6,039 $10,065 0.8×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $5,476.80 $9,128 0.9×
Rpr Nsl Vlv Collapse W/Implt (30468)
unusually low: confirm this is the full procedure		 $2,743.20 $4,572 0.5×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $3,376.80 $5,628 0.8×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $1,884 $3,140 0.8×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,884 $3,140 0.6×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,884 $3,140 0.6×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $1,884 $3,140 0.6×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $1,884 $3,140 0.5×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $1,884 $3,140 0.6×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $1,884 $3,140 0.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $1,884 $3,140 0.6×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $1,884 $3,140 0.6×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $1,884 $3,140 0.6×
Scleral reinforcement (separate procedure); without graft Facility (67250) $1,884 $3,140 0.8×
Scleral Reinforcement Spx W/Graft (67255) $3,376.80 $5,628 0.8×
Scrotal exploration (55110) $1,884 $3,140 0.5×
Scrotoplasty Simple (55175) $1,884 $3,140 0.5×
Secondary revision of orbitocraniofacial reconstruction Facility (21275) $3,376.80 $5,628 0.6×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $1,884 $3,140 0.6×
Sequestrectomy Olecranon Process (24138)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Sever cranial nerve (64771) $1,273.80 $2,123 0.6×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) $1,884 $3,140 0.8×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $1,884 $3,140 0.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $666 $1,110 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $666 $1,110 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $599.40 $999 3.0×
Shoulder arthroscopy (29820)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Shoulder arthroscopy diagnostic (29805) $2,825.40 $4,709 0.9×
Shoulder Arthroscopy/Surgery (29825) $3,376.80 $5,628 1.0×
Shoulder joint surgery (23101) $1,884 $3,140 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $666 $1,110 1.6×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,273.80 $2,123 0.4×
Sigmoidoscopy & decompress (45337) $666 $1,110 0.7×
Sigmoidoscopy & Polypectomy (45333) $666 $1,110 0.7×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $640.80 $1,068 0.5×
Sigmoidoscopy flx tndsc balo dilat (45340) $666 $1,110 0.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $666 $1,110 0.6×
Sigmoidoscopy w/fb removal (45332) $666 $1,110 0.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $666 $1,110 0.7×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $666 $1,110 0.6×
Simple Cystometrogram (51725) $666 $1,110 2.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $666 $1,110 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $679.20 $1,132 3.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $593.40 $989 2.9×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $3,393.60 $5,656 0.6×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.5×
Sinusotomy, sphenoid, with or without biopsy; Facility (31050)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.5×
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.5×
Skin Full Grft Face/Genit/Hf (15240) $1,273.80 $2,123 0.6×
Skin graft, harvest cultured tissue (15040) $666 $1,110 0.3×
Skin Pedicle Flap Trunk (15570) $1,273.80 $2,123 0.6×
Skin sub graft face/nk/hf/g (15275) $1,273.80 $2,123 1.7×
Skin sub graft trnk/arm/leg (15271) $1,273.80 $2,123 1.7×
Skin Tissue Procedure (17999) $666 $1,110 3.3×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $2,825.40 $4,709 0.6×
Slitting of prepuce (54001) $1,884 $3,140 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $666 $1,110 1.6×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $1,884 $3,140 0.7×
Sphincterotomy anal division sphincter spx (46080) $1,884 $3,140 0.7×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $653.40–$679.20 $1,089–$1,132 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,273.80 $2,123 0.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,273.80 $2,123 0.6×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $3,376.80 $5,628 0.6×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $3,376.80 $5,628 0.6×
Strabismus Any Superior Oblique Muscle (67318) $1,884 $3,140 0.8×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $1,884 $3,140 0.8×
Strabismus Recession/Rescj 1 Ver Musc (67314) $1,884 $3,140 0.8×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $1,884 $3,140 0.5×
Strabismus Recession/Rescj 2/More Ver Musc (67316) $1,884 $3,140 0.8×
Strapping ankle (29540) $339 $565 2.1×
Strapping elbow or wrist (29260) $339 $565 5.7×
Strapping hand/finger (29280) $339 $565 5.7×
Strapping knee (29530) $339 $565 2.5×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $367.87 $613.12 0.5×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $1,884 $3,140 0.6×
Subtalar arthro w/deb (29906) $2,825.40 $4,709 0.9×
Subtalar arthro w/exc (29905)
unusually low: confirm this is the full procedure		 $2,825.40 $4,709 0.4×
Suction assisted lipectomy; head and neck (15876) $1,273.80 $2,123 0.4×
Suction assisted lipectomy; trunk (15877) $1,273.80 $2,123 0.4×
Suction assisted lipectomy; upper extremity (15878) $1,273.80 $2,123 0.6×
Suction Lipectomy Lwr Extrem (15879) $1,273.80 $2,123 0.4×
Suprahyoid lymphadenectomy (38700)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.2×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $3,766.80 $6,278 0.6×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $5,872.80 $9,788 1.0×
Surg Tx Anal Fistula 2nd Stage (46285) $1,884 $3,140 0.7×
Surg tx anal fistula subq (46270) $1,884 $3,140 0.7×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,884 $3,140 0.7×
Suture 1 nerve hand/foot common sensory nerve (64834) $2,503.20 $4,172 0.7×
Suture 1 Nerve Median Motor Thenar (64835) $2,503.20 $4,172 0.7×
Suture 1 Nerve Ulnar Motor (64836) $2,503.20 $4,172 0.7×
Suture digital nerve hand/foot 1 nerve (64831) $2,503.20 $4,172 1.3×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $1,884 $3,140 0.8×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Suture of sciatic nerve (64858) $2,503.20 $4,172 1.3×
Suture of; brachial plexus Facility (64861) $2,503.20 $4,172 1.3×
Suture of; lumbar plexus Facility (64862) $2,503.20 $4,172 0.7×
Suture/repair testicular injury (54670) $1,884 $3,140 0.5×
Sympathectomy cervical (64802) $1,273.80 $2,123 0.6×
Syndactylization toes (28280) $1,884 $3,140 0.6×
Synovectomy carpometacarpal joint (26130) $1,273.80 $2,123 0.4×
Synovectomy Tendon Sheath Foot Extensor (28088) $1,884 $3,140 0.6×
Synovectomy Tendon Sheath Foot Flexor (28086) $1,884 $3,140 0.6×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) $1,884 $3,140 0.6×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $1,884 $3,140 0.6×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.3×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,273.80 $2,123 0.8×
Talectomy (astragalectomy) Facility (28130)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Tendon lengthening upper arm/elbow ea tendon (24305) $1,710.60 $2,851 0.5×
Tendon shortening (26477) $1,273.80 $2,123 0.4×
Tendon transfer with graft (26492) $1,884 $3,140 0.6×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,376.80 $5,628 1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $3,376.80 $5,628 1.0×
Tenodesis distal joint each (26474) $1,273.80 $2,123 0.8×
Tenodesis long tendon biceps (23430) $3,721.20 $6,202 0.5×
Tenodesis proximal interphalangeal joint each (26471) $4,423.80 $7,373 1.3×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $1,884 $3,140 0.6×
Tenolysis extensor foot single tendon (28225) $1,884 $3,140 0.6×
Tenolysis Flexor Foot Multiple Tendons (28222) $1,884 $3,140 0.6×
Tenolysis flexor foot single tendon (28220) $1,884 $3,140 1.2×
Tenolysis flexor tendon palm&finger each tendo (26442) $1,884 $3,140 0.6×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,273.80 $2,123 0.8×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,884 $3,140 0.6×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $1,273.80 $2,123 0.4×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $1,884 $3,140 0.6×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $1,884 $3,140 0.6×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $1,884 $3,140 0.6×
Tenotomy Adductor Hip Percutaneous Spx (27000) $1,884 $3,140 1.2×
Tenotomy extensor hand/finger open each tendon (26460) $1,273.80 $2,123 0.8×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,273.80 $2,123 0.8×
Tenotomy Flexor Palm Open Each Tendon (26450) $1,610.40 $2,684 0.5×
Tenotomy Hip Abd/Ext Open (27006) $3,376.80 $5,628 1.0×
Tenotomy Percutaneous Single Each Digit (26060) $1,275 $2,125 0.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,710.60 $2,851 1.1×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $1,884 $3,140 0.6×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,884 $3,140 1.2×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $1,884 $3,140 0.6×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Tenotomy, hip flexor(s), open (27005) $3,376.80 $5,628 1.0×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $1,884 $3,140 0.6×
Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) $1,884 $3,140 0.6×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,710.60 $2,851 1.1×
Thumb fusion with graft (26842)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Thyroid biopsy (60100) $666 $1,110 0.9×
Thyroidectomy Post Prev Thyr Surg (60260) $3,376.80 $5,628 0.6×
Thyroidectomy, total or complete (60240) $3,376.80 $5,628 0.6×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $3,376.80 $5,628 0.6×
Tibial Arthroscopy/Surgery (29855) $3,721.20 $6,202 0.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,273.80 $2,123 0.6×
Tissue Expander Placement Breast Reconstruction (19357)
likely a partial charge, not the full procedure		 $3,721.20 $6,202 0.3×
Tnot elbow lateral/medial debride open (24358) $1,884 $3,140 0.6×
Tnot elbow lateral/medial debride open tdn rpr (24359) $1,884 $3,140 0.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,884 $3,140 0.6×
Tooth extraction (41899) $1,710.60 $2,851 7.2×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
likely a partial charge, not the full procedure		 $2,536.80 $4,228 0.1×
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure		 $4,618.80 $7,698 0.4×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $3,376.80 $5,628 0.6×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,884 $3,140 0.6×
Transection/Avulsion Facial Nrv Different/Cmpl (64742) $1,275 $2,125 0.6×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $1,273.80 $2,123 0.6×
Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) $1,884 $3,140 0.6×
Transfer skin pedicle flap (15650) $1,273.80 $2,123 0.6×
Transfer/transplant tendon palmar w/o graft each (26485) $1,884 $3,140 0.6×
Transplant hand tendon (26480) $1,884 $3,140 0.6×
Transplant of thigh tendon (27396) $5,722.20 $9,537 0.8×
Transplant/graft hand tendon (26483) $1,884 $3,140 0.6×
Transur electr resection of prostate (52601) $3,376.80 $5,628 0.6×
Transurethral incision of prostate (52450) $1,884 $3,140 0.5×
Transurethral resection bladder neck (52500) $1,884 $3,140 0.5×
Treat ankle fracture (28445)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treat Big Toe Fracture (28505) $3,376.80 $5,628 1.0×
Treat dental ridge fracture (21445)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Treat dislocation/fracture (23670)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treat elbow fracture (24586)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Treat Elbow Fracture (24635)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treat elbow fracture (24587)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Treat Finger Fracture Each (26727) $3,376.80 $5,628 1.0×
Treat forearm bone lesion (25035)
likely a partial charge, not the full procedure		 $1,884 $3,140 0.3×
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treat Hand Bone Lesion (26034) $1,273.80 $2,123 0.8×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Treat Humerus Fracture (24505) $793.20 $1,322 0.5×
Treat humerus fracture (23616)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.2×
Treat humerus fracture (23600) $679.20 $1,132 2.7×
Treat knee fracture (27532) $793.20 $1,322 0.2×
Treat Knee Fracture(S) (27538) $792.60 $1,321 3.2×
Treat kneecap dislocation (27566)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treat lower leg bone lesion (27607) $1,884 $3,140 0.6×
Treat midfoot fracture (28456)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treat scapula fracture (23585)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treat Thumb Dislocation (26641) $792.60 $1,321 3.2×
Treat thumb fracture (26665) $3,376.80 $5,628 1.0×
Treat/graft heel fracture (28420)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,273.80 $2,123 0.8×
Treatment of ankle fracture (27823)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Treatment of foot infection (28003) $1,884 $3,140 0.6×
Treatment of nose fracture (21330)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Treatment of retina (67141) $666 $1,110 2.1×
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×
Trim skin lesion (11055) $666 $1,110 3.3×
Trimming Nondystrophic Nails Any Number (11719) $640.80 $1,068 10.8×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $666 $1,110 1.5×
Trnsplj autologous hematopoietic cells per donor (38241) $666 $1,110 0.4×
Trurl rescj postop bladder neck contracture (52640) $1,884 $3,140 0.5×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,884 $3,140 0.7×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Tx open tendon flexor toe 1 tendon spx (28232) $1,710.60 $2,851 1.1×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,710.60 $2,851 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $3,376.20 $5,627 13.6×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $3,376.80 $5,628 0.3×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,884 $3,140 1.2×
Tympanoplasty (69631) $3,376.80 $5,628 0.6×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $3,376.80 $5,628 0.6×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $3,376.80 $5,628 0.6×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $3,376.80 $5,628 0.6×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $3,376.80 $5,628 0.6×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $3,376.80 $5,628 0.6×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $3,376.80 $5,628 0.6×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $3,376.80 $5,628 0.6×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $3,376.80 $5,628 0.6×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $3,376.80 $5,628 0.6×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $3,376.80 $5,628 0.6×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $3,376.80 $5,628 0.6×
Tympanostomy general anesthesia (69436) $1,273.80 $2,123 0.8×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,884 $3,140 0.5×
Unlisted laparoscopic procedure liver (47379) $3,196.80 $5,328 0.5×
Unlisted laparoscopy procedure stomach (43659) $3,376.80 $5,628 0.6×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.4×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.4×
Unlisted laparoscopy procedure, lymphatic system (38589)
likely a partial charge, not the full procedure		 $1,811.40 $3,019 0.3×
Unlisted laparoscopy procedure, spermatic cord (55559) $3,593.40 $5,989 0.6×
Unlisted laparoscopy procedure, uterus (58578)
unusually low: confirm this is the full procedure		 $2,265 $3,775 0.4×
Unlisted Procedure Accessory Sinuses (31299) $3,721.20 $6,202 15.6×
Unlisted procedure anus (46999) $666 $1,110 0.7×
Unlisted procedure arthroscopy (29999) $2,503.20 $4,172 10.1×
Unlisted procedure breast (19499) $1,710.60 $2,851 0.4×
Unlisted Procedure External Ear (69399) $666 $1,110 2.8×
Unlisted procedure femur or knee (27599) $1,884 $3,140 7.6×
Unlisted procedure foot or toes (28899) $666 $1,110 2.7×
Unlisted procedure forearm or wrist (25999) $666 $1,110 2.7×
Unlisted Procedure Hands/Fingers (26989) $666 $1,110 2.7×
Unlisted procedure humerus/elbow (24999) $1,884 $3,140 7.6×
Unlisted Procedure Intestine (44799) $666 $1,110 0.7×
Unlisted Procedure Leg/Ankle (27899) $1,884 $3,140 7.6×
Unlisted Procedure Muscskeletal System General (20999) $1,710.60 $2,851 6.9×
Unlisted procedure nervous system (64999) $1,710.60 $2,851 5.5×
Unlisted Procedure Palate Uvula (42299) $1,273.80 $2,123 5.4×
Unlisted procedure pelvis/hip joint (27299) $666 $1,110 2.7×
Unlisted procedure shoulder (23929) $1,884 $3,140 7.6×
Unlisted procedure spine (22899) $3,721.20 $6,202 15.0×
Unlisted procedure stomach (43999) $640.80 $1,068 0.7×
Unlisted Procedure Vascular Surgery (37799) $2,262.60 $3,771 3.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $666 $1,110 0.7×
Unlisted px female genital system nonobstetrical (58999) $2,425.80 $4,043 11.9×
Unlisted Px Salivary Glands/Ducts (42699) $1,275 $2,125 5.4×
Ureter endoscopy (50970) $666 $1,110 0.2×
Ureter endoscopy & biopsy (50955)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $666 $1,110 0.2×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976)
unusually low: confirm this is the full procedure		 $1,884 $3,140 0.3×
Urethromeatoplasty W/Mucosal Advancement (53450) $2,503.20 $4,172 0.7×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Urethroplasty, reconstruction of female urethra Facility (53430)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Uvulectomy excision of uvula (42140) $666 $1,110 0.2×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $2,812.20 $4,687 0.6×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,884 $3,140 0.9×
Vasovasostomy vasovasorrhaphy (55400) $1,884 $3,140 0.5×
Ventilating tube removal requiring general anesthesia (69424) $666 $1,110 0.2×
Vestibular nerve section, translabyrinthine approach Facility (69915) $3,376.80 $5,628 1.0×
Vitrectomy mechanical pars plana (67036) $3,376.80 $5,628 0.8×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $3,376.80 $5,628 0.8×
Vulvectomy simple partial (56620) $2,503.20 $4,172 0.8×
Vulvectomy simple; complete (56625) $2,503.20 $4,172 0.8×
Vulvectomy, radical, partial; Facility (56630)
unusually low: confirm this is the full procedure		 $2,503.20 $4,172 0.5×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $666–$679.20 $1,110–$1,132 varies
Wedging of clubfoot cast (29750) $331.80 $553 1.2×
Wound Prep F/N/Hf/G (15004) $666 $1,110 1.6×
Wound Prep Trk/Arm/Leg (15002) $666 $1,110 0.9×
Wrist arthroscopy (29840) $2,825.40 $4,709 0.9×
Wrist arthroscopy with partial removal of joint lining (29844) $3,376.80 $5,628 1.0×
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure		 $3,376.80 $5,628 0.5×

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.