Procedures & surgery prices at Summa Health System
Akron, OH · every code in this section with a posted price and a Medicare benchmark.
1289 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $3,226.25 | $3,226.25 | 3.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $3,193.25 | $3,193.25 | 3.7× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $15,233.25 | $15,233.25 | 1.5× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) range across 2 matching MRF lines |
$18,126.50–$36,253 | $18,126.50–$36,253 | varies |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) range across 2 matching MRF lines |
$9,049.75–$18,099.50 | $9,049.75–$18,099.50 | varies |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $3,216.25 | $3,216.25 | 1.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $6,416.75 | $6,416.75 | 1.9× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $3,216.25 | $3,216.25 | 1.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$3,216.25–$8,093.50 | $3,216.25–$8,093.50 | varies |
| Amniocentesis diagnostic (59000) | $789.50 | $789.50 | 0.9× |
| Amniocentesis therapeutic (59001) | $1,716.25 | $1,716.25 | 6.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $12,225 | $12,225 | 3.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $12,292 | $12,292 | 4.0× |
| Amputation metatarsal with toe single (28810) | $14,263.25 | $14,263.25 | 4.6× |
| Amputation toe interphalangeal joint (28825) | $9,497.25 | $9,497.25 | 3.1× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$5,177–$8,723 | $5,177–$8,723 | varies |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) | $4,213 | $4,213 | 4.8× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) | $4,213 | $4,213 | 1.6× |
| Anoscopy Ablation Lesion (46615) | $9,328 | $9,328 | 3.6× |
| Anoscopy Control Bleeding (46614) | $5,315.50 | $5,315.50 | 4.7× |
| Anoscopy diagnostic (46600) range across 5 matching MRF lines |
$339.50–$404.25 | $339.50–$404.25 | varies |
| Anoscopy remove lesion (46610) | $5,022 | $5,022 | 1.9× |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,977.75 | $1,977.75 | 2.2× |
| Anoscopy; with biopsy, single or multiple (46606) | $5,647 | $5,647 | 5.0× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $3,546.75 | $3,546.75 | 3.1× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $4,583 | $4,583 | 1.7× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $7,296 | $7,296 | 1.5× |
| Apheresis Platelets (36513) | $10,923.25 | $10,923.25 | 26.2× |
| Application cast elbow finger short arm (29075) range across 8 matching MRF lines |
$481.50–$2,029 | $481.50–$2,029 | varies |
| Application Finger Splint Dynamic (29131) | $483 | $483 | 8.7× |
| Application finger splint static (29130) | $440.50 | $440.50 | 3.5× |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$655.25–$1,310.50 | $655.25–$1,310.50 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$800–$1,600 | $800–$1,600 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$573–$1,146 | $573–$1,146 | varies |
| Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
$1,161.25–$2,322.50 | $1,161.25–$2,322.50 | varies |
| Application of long leg cast (29345) range across 4 matching MRF lines |
$800–$1,600 | $800–$1,600 | varies |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$908.25–$1,816.50 | $908.25–$1,816.50 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$1,029.50–$2,059 | $1,029.50–$2,059 | varies |
| Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines |
$878.25–$1,756.50 | $878.25–$1,756.50 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$620.50–$1,241 | $620.50–$1,241 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$611.25–$1,222.50 | $611.25–$1,222.50 | varies |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$800–$1,600 | $800–$1,600 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$739.75–$1,479.50 | $739.75–$1,479.50 | varies |
| Apply Short Leg Cast (29405) range across 6 matching MRF lines |
$669.25–$1,719 | $669.25–$1,719 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$706.75–$1,413.50 | $706.75–$1,413.50 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$194.25–$215.75 | $194.25–$215.75 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$1,122.75–$2,329 | $1,122.75–$2,329 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
$1,286–$2,572 | $1,286–$2,572 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$110.25–$3,620 | $110.25–$3,620 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 5 matching MRF lines |
$1,367.50–$2,735 | $1,367.50–$2,735 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$496.25–$2,356.50 | $496.25–$2,356.50 | varies |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$3,787.25–$7,574.50 | $3,787.25–$7,574.50 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 5 matching MRF lines |
$1,372.25–$2,744.50 | $1,372.25–$2,744.50 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $865.25 | $865.25 | 3.0× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $2,069.75 | $2,069.75 | 3.1× |
| Aspiration and/or injection thyroid cyst (60300) | $1,197 | $1,197 | 1.8× |
| Aspiration bladder insert suprapubic catheter (51102) | $10,205.50 | $10,205.50 | 5.2× |
| Aspiration Bladder Needle (51100) | $518.75 | $518.75 | 2.2× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) | $8,772.25 | $8,772.25 | 4.0× |
| Avulsion nail plate partial/complete simple 1 (11730) | $639 | $639 | 3.4× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $6,614 | $6,614 | 1.1× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $8,310.50 | $8,310.50 | 0.8× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) | $6,614 | $6,614 | 1.1× |
| Biopsy Abdominal Mass (49180) | $4,106.25 | $4,106.25 | 2.6× |
| Biopsy bone trocar/needle deep (20225) | $4,793 | $4,793 | 3.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,178.25 | $2,178.25 | 1.4× |
| Biopsy muscle percutaneous needle (20206) | $3,325.50 | $3,325.50 | 2.1× |
| Biopsy Muscle Superficial (20200) | $10,644 | $10,644 | 6.8× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) | $4,571.50 | $4,571.50 | 1.5× |
| Biopsy of conjunctiva (68100) range across 2 matching MRF lines |
$4,225.25–$8,450.50 | $4,225.25–$8,450.50 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $4,307.50 | $4,307.50 | 2.8× |
| Biopsy of palate, uvula (42100) | $302.25 | $302.25 | 0.2× |
| Biopsy of penis (54100) | $2,322 | $2,322 | 1.5× |
| Biopsy of rectum (45100) | $10,078.75 | $10,078.75 | 3.8× |
| Biopsy Oropharynx (42800) | $328.75 | $328.75 | 0.2× |
| Biopsy Pleura Percutaneous Needle (32400) | $5,326.50 | $5,326.50 | 3.4× |
| Biopsy Salivary Gland Needle (42400) | $1,795.50 | $1,795.50 | 2.7× |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$2,322–$4,520.75 | $2,322–$4,520.75 | varies |
| Biopsy Testis Incisional Separate Procedure (54505) | $5,426.50 | $5,426.50 | 1.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$169.75–$3,139.75 | $169.75–$3,139.75 | varies |
| Biopsy/removal lymph nodes (38510) | $5,042.25 | $5,042.25 | 1.4× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$178.25–$1,944.50 | $178.25–$1,944.50 | varies |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$169.75–$991.75 | $169.75–$991.75 | varies |
| Bladder Scan (51798) | $388.50 | $388.50 | 7.0× |
| Blepharoplasty upper eyelid (15822) | $3,216.25 | $3,216.25 | 1.6× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $3,216.25 | $3,216.25 | 1.6× |
| Blepharotomy drainage abscess eyelid (67700) range across 5 matching MRF lines |
$632.50–$2,302 | $632.50–$2,302 | varies |
| Blood Transfusion Service (36430) | $2,144.75 | $2,144.75 | 5.1× |
| Bone Marrow Biopsy (38221) range across 4 matching MRF lines |
$3,246.75–$6,493.50 | $3,246.75–$6,493.50 | varies |
| Bone Marrow; Aspiration Only (38220) range across 4 matching MRF lines |
$2,283.25–$4,566.50 | $2,283.25–$4,566.50 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $5,736.75 | $5,736.75 | 3.4× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $11,173.50 | $11,173.50 | 3.2× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $12,135.75 | $12,135.75 | 3.4× |
| Brnchsc Removal Bronchial Valve Initial (31648) | $13,626.75 | $13,626.75 | 3.9× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $8,727.50 | $8,727.50 | 2.5× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) | $4,516.50 | $4,516.50 | 2.7× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) | $9,175.75 | $9,175.75 | 2.6× |
| Bronchial Valve Init Insert (31647) | $10,524.25 | $10,524.25 | 1.6× |
| Bronchoscopy Balloon Occlusion (31634) | $5,185.50 | $5,185.50 | 0.8× |
| Bronchoscopy Clear Airways (31645) | $5,767.50 | $5,767.50 | 3.4× |
| Bronchoscopy Dilate W/Stent (31631) | $9,175.75 | $9,175.75 | 1.4× |
| Bronchoscopy Reclear Airway (31646) | $4,698.50 | $4,698.50 | 12.7× |
| Bronchoscopy W/Biopsy(S) (31625) | $6,674 | $6,674 | 4.0× |
| Bronchoscopy W/Excision Tumor (31640) | $8,495.50 | $8,495.50 | 2.4× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $6,040.50 | $6,040.50 | 0.9× |
| Bronchoscopy W/Removal Foreign Body (31635) | $6,241 | $6,241 | 3.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $6,701.50 | $6,701.50 | 1.9× |
| Bronchoscopy/Needle Bx Each (31629) | $5,293.50 | $5,293.50 | 1.5× |
| Bx breast 1st lesion mr imag (19085) | $7,525.50 | $7,525.50 | 4.8× |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$7,250–$14,500 | $7,250–$14,500 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$5,949–$11,898 | $5,949–$11,898 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $2,567.25 | $2,567.25 | 1.6× |
| Bx Cervix (57500) range across 3 matching MRF lines |
$330.75–$2,778.25 | $330.75–$2,778.25 | varies |
| Bx prostate strtctc saturation sampling img gid (55706) | $5,426.50 | $5,426.50 | 1.6× |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$5,042.25–$7,961.25 | $5,042.25–$7,961.25 | varies |
| Canthotomy Separate Procedure (67715) | $834.25 | $834.25 | 0.4× |
| Carpal Tunnel Surgery (64721) | $3,032.25 | $3,032.25 | 1.6× |
| Cataract surgery complex (66982) | $3,980.75 | $3,980.75 | 1.8× |
| Catheter aspiration nasotracheal spx (31720) | $551.50 | $551.50 | 2.7× |
| Cessj Therapy Cath Removal (37214) | $16,379.25 | $16,379.25 | 5.5× |
| Change Cystostomy Tube Complicated (51710) | $3,317.75 | $3,317.75 | 5.0× |
| Change Cystostomy Tube Simple (51705) | $1,263.75 | $1,263.75 | 5.3× |
| Change of Windpipe Airway (31502) | $3,779.75 | $3,779.75 | 16.9× |
| Change ureter stent percut (50382) range across 2 matching MRF lines |
$7,187.25–$14,374.50 | $7,187.25–$14,374.50 | varies |
| Chemical Cautery Tissue (17250) | $977 | $977 | 5.1× |
| Chemical Pleurodesis (32560) | $1,417 | $1,417 | 2.4× |
| Chemodenerv Eccrine Glands (64650) | $634.50 | $634.50 | 2.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$1,036–$2,072 | $1,036–$2,072 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$5,481.70–$6,121.81 | $5,481.70–$6,121.81 | varies |
| Chg onc prst8 ca alys all PSA structural isoforms (0359U) | $1,050 | $1,050 | 1.4× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $4,721.25 | $4,721.25 | 2.4× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $8,131.25 | $8,131.25 | 2.4× |
| Ciliary body destruction; cryotherapy Facility (66720) | $7,798.50 | $7,798.50 | 3.5× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) range across 2 matching MRF lines |
$5,588.50–$11,177 | $5,588.50–$11,177 | varies |
| Circumcision 28 days or older (54161) | $3,146.75 | $3,146.75 | 1.6× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$623.75–$3,146.75 | $623.75–$3,146.75 | varies |
| Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
$1,514.50–$3,029 | $1,514.50–$3,029 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$4,374.50–$8,749 | $4,374.50–$8,749 | varies |
| Clear outer ear canal (69200) range across 6 matching MRF lines |
$485–$1,135 | $485–$1,135 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $3,129 | $3,129 | 2.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$907.75–$1,815.50 | $907.75–$1,815.50 | varies |
| Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed Treatment Sternum Fracture (21820) | $1,611.25 | $1,611.25 | 6.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$1,177.75–$2,355.50 | $1,177.75–$2,355.50 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$882.75–$1,765.50 | $882.75–$1,765.50 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,379.25–$2,758.50 | $1,379.25–$2,758.50 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$1,101.25–$2,202.50 | $1,101.25–$2,202.50 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
$4,117–$8,234 | $4,117–$8,234 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$1,058.75–$2,117.50 | $1,058.75–$2,117.50 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$1,150–$2,300 | $1,150–$2,300 | varies |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) range across 2 matching MRF lines |
$3,876.75–$7,753.50 | $3,876.75–$7,753.50 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 2 matching MRF lines |
$4,117–$8,234 | $4,117–$8,234 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,082.25 | $1,082.25 | 4.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$4,117–$8,234 | $4,117–$8,234 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $3,027.75 | $3,027.75 | 2.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $4,571.50 | $4,571.50 | 1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$991–$1,982 | $991–$1,982 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$1,096.75–$2,193.50 | $1,096.75–$2,193.50 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$1,059.75–$2,119.50 | $1,059.75–$2,119.50 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$397–$794 | $397–$794 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$854–$1,708 | $854–$1,708 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 2 matching MRF lines |
$1,514.50–$3,029 | $1,514.50–$3,029 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$1,076.25–$2,152.50 | $1,076.25–$2,152.50 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $1,280.25 | $1,280.25 | 5.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$1,783.25–$3,566.50 | $1,783.25–$3,566.50 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$2,346.75–$4,693.50 | $2,346.75–$4,693.50 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$1,056.75–$2,113.50 | $1,056.75–$2,113.50 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$1,174.25–$2,348.50 | $1,174.25–$2,348.50 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $869.50 | $869.50 | 3.9× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $6,213.25 | $6,213.25 | 12.2× |
| Closure lacrimal punctum (68760) | $1,520.50 | $1,520.50 | 5.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$1,349.75–$2,699.50 | $1,349.75–$2,699.50 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$1,092.25–$2,184.50 | $1,092.25–$2,184.50 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$4,117–$8,234 | $4,117–$8,234 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$853–$1,706 | $853–$1,706 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$1,467–$2,934 | $1,467–$2,934 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 2 matching MRF lines |
$1,514.50–$3,029 | $1,514.50–$3,029 | varies |
| Clsr Lacrimal Punctum Plug Each (68761) | $913.25 | $913.25 | 3.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 2 matching MRF lines |
$261–$522 | $261–$522 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,527.50 | $1,527.50 | 1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $1,209.75 | $1,209.75 | 5.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
$3,444.50–$6,889 | $3,444.50–$6,889 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$1,063.25–$2,126.50 | $1,063.25–$2,126.50 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,280.25 | $1,280.25 | 5.5× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 2 matching MRF lines |
$1,174.25–$2,348.50 | $1,174.25–$2,348.50 | varies |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) range across 2 matching MRF lines |
$2,133.50–$4,267 | $2,133.50–$4,267 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,328 | $1,328 | 5.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$1,158.25–$2,316.50 | $1,158.25–$2,316.50 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,209.75 | $1,209.75 | 5.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $874 | $874 | 3.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$857.50–$1,715 | $857.50–$1,715 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,498–$2,996 | $1,498–$2,996 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$2,133.50–$4,267 | $2,133.50–$4,267 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$977–$1,954 | $977–$1,954 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$406.50–$813 | $406.50–$813 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$5,433.25–$10,866.50 | $5,433.25–$10,866.50 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$999.50–$1,999 | $999.50–$1,999 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$752–$1,504 | $752–$1,504 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $967 | $967 | 4.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $889.75 | $889.75 | 3.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$7,040.25–$14,080.50 | $7,040.25–$14,080.50 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$666.25–$1,332.50 | $666.25–$1,332.50 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$945.25–$1,890.50 | $945.25–$1,890.50 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 2 matching MRF lines |
$1,237.25–$2,474.50 | $1,237.25–$2,474.50 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$4,117–$8,234 | $4,117–$8,234 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$2,793–$5,586 | $2,793–$5,586 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$397–$794 | $397–$794 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$1,527.50–$3,055 | $1,527.50–$3,055 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$1,527.50–$3,055 | $1,527.50–$3,055 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$672–$1,344 | $672–$1,344 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 2 matching MRF lines |
$5,220.50–$10,441 | $5,220.50–$10,441 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $967 | $967 | 4.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) range across 2 matching MRF lines |
$1,735–$3,470 | $1,735–$3,470 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,132.75 | $1,132.75 | 4.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$2,772–$5,544 | $2,772–$5,544 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$548.50–$1,097 | $548.50–$1,097 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,280.25 | $1,280.25 | 5.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $1,052.50 | $1,052.50 | 4.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,465 | $1,465 | 6.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $962.25 | $962.25 | 4.1× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$1,643.50–$3,287 | $1,643.50–$3,287 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$5,230.75–$10,461.50 | $5,230.75–$10,461.50 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$1,086.50–$2,173 | $1,086.50–$2,173 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$4,927–$9,854 | $4,927–$9,854 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$1,527.50–$3,055 | $1,527.50–$3,055 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) range across 2 matching MRF lines |
$2,133.50–$4,267 | $2,133.50–$4,267 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$1,710.25–$3,420.50 | $1,710.25–$3,420.50 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 2 matching MRF lines |
$1,527.50–$3,055 | $1,527.50–$3,055 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$1,728.75–$3,457.50 | $1,728.75–$3,457.50 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$843.50–$1,687 | $843.50–$1,687 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$2,133.50–$4,267 | $2,133.50–$4,267 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 2 matching MRF lines |
$398.50–$797 | $398.50–$797 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$1,135.25–$2,270.50 | $1,135.25–$2,270.50 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$872.25–$1,744.50 | $872.25–$1,744.50 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,361.25–$2,722.50 | $1,361.25–$2,722.50 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$1,112.25–$2,224.50 | $1,112.25–$2,224.50 | varies |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $7,296 | $7,296 | 1.5× |
| Collect Blood From Catheter Venous Nos (36592) range across 5 matching MRF lines |
$56–$174.75 | $56–$174.75 | varies |
| Collection of venous blood by venipuncture (36415) range across 7 matching MRF lines |
$9.09–$53.75 | $9.09–$53.75 | varies |
| Colonoscopy Flexible With Decompression (45393) | $5,000.25 | $5,000.25 | 4.4× |
| Colonoscopy Stoma Ablation Lesion (44401) | $3,206 | $3,206 | 2.8× |
| Colonoscopy Stoma Control Bleeding (44391) | $6,350 | $6,350 | 5.6× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $8,212.25 | $8,212.25 | 7.3× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) | $3,206 | $3,206 | 2.8× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) | $6,350 | $6,350 | 7.2× |
| Colonoscopy Stoma W/Submucosal Injection (44404) | $3,206 | $3,206 | 2.8× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $6,635.75 | $6,635.75 | 5.9× |
| Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$1,604.50–$6,047.75 | $1,604.50–$6,047.75 | varies |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $3,864 | $3,864 | 3.4× |
| Colonoscopy w/ablation (45388) | $4,050.25 | $4,050.25 | 3.6× |
| Colonoscopy W/Band Ligation (45398) | $4,007.50 | $4,007.50 | 3.5× |
| Colonoscopy w/fb removal (45379) | $2,838 | $2,838 | 2.5× |
| Colonoscopy W/Resection (45390) range across 2 matching MRF lines |
$4,168–$4,583 | $4,168–$4,583 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$2,075–$2,728.50 | $2,075–$2,728.50 | varies |
| Colpocentesis (57020) | $2,751 | $2,751 | 0.6× |
| Colpocleisis (le fort type) (57120) | $7,296 | $7,296 | 1.5× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $7,864 | $7,864 | 2.6× |
| Colpopexy extraperitoneal (57282) | $10,232.75 | $10,232.75 | 1.5× |
| Colpopexy vaginal intraperitoneal approach (57283) | $10,232.75 | $10,232.75 | 1.5× |
| Colporrhaphy (57200) | $7,864 | $7,864 | 2.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $1,847 | $1,847 | 6.4× |
| Colposcopy Cervix Endocervical Curettage (57456) | $1,109.75 | $1,109.75 | 3.8× |
| Colposcopy cervix upper/adjacent vagina (57452) | $2,402.50 | $2,402.50 | 12.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$268.25–$1,124.50 | $268.25–$1,124.50 | varies |
| Colposcopy entire vagina w/cervix if present (57420) | $1,124.50 | $1,124.50 | 3.9× |
| Colposcopy Vulva W/Biopsy (56821) | $280 | $280 | 1.0× |
| Colpotomy; with exploration (57000) | $6,842.75 | $6,842.75 | 2.2× |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$2,075–$4,885.50 | $2,075–$4,885.50 | varies |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $2,880 | $2,880 | 2.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,824.25 | $2,824.25 | 2.5× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) | $4,309.25 | $4,309.25 | 3.8× |
| Combined anteroposterior colporrhaphy; (57260) | $7,296 | $7,296 | 1.5× |
| Complex drainage wound (10180) | $7,481 | $7,481 | 2.7× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $5,488.75 | $5,488.75 | 1.8× |
| Conization of cervix (57520) | $5,488.75 | $5,488.75 | 1.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$716–$1,432 | $716–$1,432 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$987.25–$1,974.50 | $987.25–$1,974.50 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $9,270.50 | $9,270.50 | 18.2× |
| Conversion ext bil drg cath (47535) | $3,852.75 | $3,852.75 | 1.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $4,119.25 | $4,119.25 | 2.3× |
| Convert Nephrostomy Catheter (50434) | $10,725.50 | $10,725.50 | 5.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $4,622.25 | $4,622.25 | 3.0× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) range across 2 matching MRF lines |
$391.25–$782.50 | $391.25–$782.50 | varies |
| Correction hammertoe (28285) | $5,177 | $5,177 | 1.7× |
| Correction of trichiasis; epilation, by forceps only (67820) range across 2 matching MRF lines |
$310.25–$620.50 | $310.25–$620.50 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $5,177 | $5,177 | 1.7× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $14,676.25 | $14,676.25 | 2.1× |
| Create Tear Sac-Nasal Fistula (68720) | $5,202.75 | $5,202.75 | 1.4× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) | $16,197.50 | $16,197.50 | 4.4× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $552 | $552 | 9.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $731 | $731 | 5.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $768.25 | $768.25 | 3.4× |
| Curette/treat cornea (65435) range across 2 matching MRF lines |
$3,254.50–$6,509 | $3,254.50–$6,509 | varies |
| Cysto Bladder W/Ureteral Catheterization (52005) | $3,146.75 | $3,146.75 | 1.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$3,146.75–$8,987.75 | $3,146.75–$8,987.75 | varies |
| Cysto w/complex removal stone & stent (52315) | $3,146.75 | $3,146.75 | 1.6× |
| Cysto w/destruction of lesions (52214) | $5,426.50 | $5,426.50 | 1.6× |
| Cysto w/insert ureteral stent (52332) range across 3 matching MRF lines |
$5,426.50–$18,604 | $5,426.50–$18,604 | varies |
| Cysto w/removal of lesions small (52224) | $5,426.50 | $5,426.50 | 1.6× |
| Cysto w/removal of tumors small (52234) | $5,426.50 | $5,426.50 | 1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$3,146.75–$7,331 | $3,146.75–$7,331 | varies |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $8,266.50 | $8,266.50 | 1.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $5,426.50 | $5,426.50 | 1.6× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 2 matching MRF lines |
$5,426.50–$9,353.25 | $5,426.50–$9,353.25 | varies |
| Cysto/uretero w/lithotripsy (52356) | $8,266.50 | $8,266.50 | 1.6× |
| Cystostomy Cystotomy W/Drainage (51040) | $3,146.75 | $3,146.75 | 1.6× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$1,035.75–$4,290.50 | $1,035.75–$4,290.50 | varies |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) | $5,426.50 | $5,426.50 | 1.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $3,146.75 | $3,146.75 | 1.6× |
| Cystourethroscopy tx female urethral syndrome (52285) range across 2 matching MRF lines |
$887.76–$1,035.75 | $887.76–$1,035.75 | varies |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $5,426.50 | $5,426.50 | 1.6× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $8,266.50 | $8,266.50 | 1.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $3,146.75 | $3,146.75 | 1.6× |
| Cystourethroscopy with biopsy (52204) | $3,146.75 | $3,146.75 | 1.6× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) | $755 | $755 | 0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $1,245.50 | $1,245.50 | 3.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $7,386.50 | $7,386.50 | 2.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $5,430.25 | $5,430.25 | 8.1× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $8,300 | $8,300 | 4.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$1,770.75–$2,780 | $1,770.75–$2,780 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$370–$416 | $370–$416 | varies |
| Debride nail 6 or more (11721) | $448.75 | $448.75 | 8.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$4,521.25–$7,096.75 | $4,521.25–$7,096.75 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $2,134 | $2,134 | 5.5× |
| Declot vascular device (36593) range across 3 matching MRF lines |
$61–$1,311.50 | $61–$1,311.50 | varies |
| Deep Muscle Biopsy (20205) range across 2 matching MRF lines |
$3,940.25–$9,258.50 | $3,940.25–$9,258.50 | varies |
| Delivery of placenta (59414) | $6,599.50 | $6,599.50 | 2.2× |
| Destr penis lesion(s) (54065) | $3,216.25 | $3,216.25 | 1.6× |
| Destr W Neurolytic; Celiac Plexus (64680) | $4,280.50 | $4,280.50 | 5.1× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$3,032.25–$11,556.50 | $3,032.25–$11,556.50 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$3,032.25–$12,462.50 | $3,032.25–$12,462.50 | varies |
| Destruc retinal lesn,photocoag (67210) range across 2 matching MRF lines |
$4,156.75–$8,313.50 | $4,156.75–$8,313.50 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
$440.50–$758.50 | $440.50–$758.50 | varies |
| Destruction Benign Lesions 15/> (17111) | $690.75 | $690.75 | 3.6× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $3,718 | $3,718 | 3.3× |
| Destruction Lesions Vulva Simple (56501) | $8,420.25 | $8,420.25 | 4.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $6,620.75 | $6,620.75 | 3.6× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) | $3,170 | $3,170 | 3.4× |
| Destruction premalignant lesion 1st (17000) | $556 | $556 | 2.9× |
| Destruction Vaginal Lesions Simple (57061) | $6,487.50 | $6,487.50 | 2.1× |
| Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$487.75–$3,986.50 | $487.75–$3,986.50 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $432.50 | $432.50 | 2.3× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $537.75 | $537.75 | 4.4× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $451.25 | $451.25 | 3.6× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) range across 3 matching MRF lines |
$458.50–$560.25 | $458.50–$560.25 | varies |
| Dilat Xst Trc New Access Rcs (50437) | $11,103 | $11,103 | 3.3× |
| Dilate Esophagus 1/Mult Pass (43450) | $4,188.25 | $4,188.25 | 4.9× |
| Dilate Urethra Stricture (53600) range across 3 matching MRF lines |
$564.25–$1,451.75 | $564.25–$1,451.75 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $5,488.75 | $5,488.75 | 1.8× |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $3,052.25 | $3,052.25 | 6.0× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) | $1,284.75 | $1,284.75 | 3.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) | $2,596.75 | $2,596.75 | 1.5× |
| Drain Cerebro Spinal Fluid (62272) | $2,391 | $2,391 | 3.6× |
| Drain Hand Tendon Sheath (26020) | $11,476.50 | $11,476.50 | 3.7× |
| Drain/inj small joint/bursa w/us (20604) | $867.75 | $867.75 | 3.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $2,605 | $2,605 | 5.1× |
| Drainage external auditory canal abscess (69020) range across 4 matching MRF lines |
$1,465.75–$2,931.50 | $1,465.75–$2,931.50 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) range across 4 matching MRF lines |
$4,485–$8,970 | $4,485–$8,970 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 4 matching MRF lines |
$1,187.25–$2,374.50 | $1,187.25–$2,374.50 | varies |
| Drainage Finger Abscess Complicated (26011) | $2,360.75 | $2,360.75 | 1.5× |
| Drainage Mouth Roof Lesion (42000) | $869.50 | $869.50 | 3.9× |
| Drainage of eye (65800) range across 3 matching MRF lines |
$7,072.75–$14,145.50 | $7,072.75–$14,145.50 | varies |
| Drainage of finger abscess simple (26010) | $923 | $923 | 4.9× |
| Drainage of gum lesion (41800) | $1,881.50 | $1,881.50 | 14.9× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,955.75–$5,913 | $1,955.75–$5,913 | varies |
| Drainage of hydrocele (55000) range across 3 matching MRF lines |
$212–$5,295.50 | $212–$5,295.50 | varies |
| Drainage of nose lesion (30000) | $1,279 | $1,279 | 5.7× |
| Drainage of rectal abscess (45005) | $2,252.25 | $2,252.25 | 2.0× |
| Drainage of scrotal wall abscess (55100) | $3,177.25 | $3,177.25 | 2.0× |
| Drainage of scrotum (54700) range across 4 matching MRF lines |
$4,120.50–$8,241 | $4,120.50–$8,241 | varies |
| Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
$49–$286.25 | $49–$286.25 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $2,676.25 | $2,676.25 | 5.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,037.75 | $1,037.75 | 1.5× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $1,037.75 | $1,037.75 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $1,163.75 | $1,163.75 | 3.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $1,057.25 | $1,057.25 | 5.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$384.50–$859.75 | $384.50–$859.75 | varies |
| Dstrj Extensive Retinopathy (67227) | $6,024.50 | $6,024.50 | 1.6× |
| Dstrj lesion anus simple surg excision (46922) range across 2 matching MRF lines |
$4,583–$8,347.75 | $4,583–$8,347.75 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $206 | $206 | 1.1× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $298 | $298 | 0.2× |
| Dstrj lesion penis simple laser (54057) | $3,216.25 | $3,216.25 | 1.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $6,357.75 | $6,357.75 | 7.6× |
| Dx Bone Marrow Bx & Aspir (38222) range across 4 matching MRF lines |
$5,014.50–$10,029 | $5,014.50–$10,029 | varies |
| Dx Bronchoscope/Lavage (31624) | $6,674 | $6,674 | 4.0× |
| Dx Bronchoscope/Wash (31622) | $7,574 | $7,574 | 4.5× |
| Dx gastr intub w/asp specs (43755) | $2,180.25 | $2,180.25 | 17.9× |
| Dx Laryngoscopy Excl Nb (31525) | $8,414.25 | $8,414.25 | 5.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,187.75 | $2,187.75 | 3.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $5,100.25 | $5,100.25 | 2.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$2,833–$4,890.50 | $2,833–$4,890.50 | varies |
| Egd cautery tumor polyp (43250) | $2,500 | $2,500 | 1.4× |
| Egd control bleeding any (43255) | $3,179.25 | $3,179.25 | 1.8× |
| Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
$2,833–$3,266 | $2,833–$3,266 | varies |
| Egd endo mucosal resection (43254) | $5,264.25 | $5,264.25 | 2.9× |
| Egd Endoscopic Stent Place (43266) | $5,203.25 | $5,203.25 | 0.9× |
| Egd Flexible Foreign Body Removal (43247) range across 3 matching MRF lines |
$1,650.25–$3,644 | $1,650.25–$3,644 | varies |
| Egd guide wire insertion (43248) | $5,170.50 | $5,170.50 | 6.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $3,916.25 | $3,916.25 | 2.2× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $5,234.25 | $5,234.25 | 2.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $5,027.50 | $5,027.50 | 2.8× |
| Egd lesion ablation (43270) | $3,901.25 | $3,901.25 | 2.1× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$2,833–$6,492 | $2,833–$6,492 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$2,833–$2,912.50 | $2,833–$2,912.50 | varies |
| Egd Tube/Cath Insertion (43241) | $4,592.75 | $4,592.75 | 2.5× |
| Egd us exam duodenum/jejunum (43259) | $5,155.50 | $5,155.50 | 2.8× |
| Egd Varices Ligation (43244) | $3,504 | $3,504 | 1.9× |
| Egd W/Thrml Txmnt Gerd (43257) | $6,387.25 | $6,387.25 | 1.8× |
| Egd W/Transmural Drain Cyst (43240) | $3,916.25 | $3,916.25 | 0.7× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $985.75 | $985.75 | 3.4× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $667 | $667 | 2.3× |
| Electrolysis Epilation Each 30 Minutes (17380) | $76 | $76 | 0.1× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $7,296 | $7,296 | 1.5× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$169.75–$775 | $169.75–$775 | varies |
| Endoscopic injection/implant (51715) | $7,533 | $7,533 | 2.3× |
| Endoscopic us exam esoph (43237) | $3,344.75 | $3,344.75 | 1.8× |
| Endoscopy Upper Small Intestine (44360) | $5,761.75 | $5,761.75 | 3.2× |
| Endoscopy upper small intestine w/biopsy (44361) | $7,137.50 | $7,137.50 | 3.9× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $31,482.75 | $31,482.75 | 2.9× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | $4,735.75 | $4,735.75 | 2.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $5,894.75 | $5,894.75 | 3.2× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) | $5,179.75 | $5,179.75 | 2.9× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $10,584.50 | $10,584.50 | 5.8× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) | $4,935 | $4,935 | 2.7× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) | $4,735.75 | $4,735.75 | 2.6× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) | $5,235.50 | $5,235.50 | 2.9× |
| Enucleation Eye Implt Musc X Attached Implt (65103) | $5,202.75 | $5,202.75 | 1.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $14,915.25 | $14,915.25 | 7.6× |
| Epididymectomy unilateral (54860) | $5,426.50 | $5,426.50 | 1.6× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $14,915.25 | $14,915.25 | 7.6× |
| Epidural Blood Patch (62273) | $4,992 | $4,992 | 7.5× |
| Epidural lysis mult sessions (62263) | $6,085.50 | $6,085.50 | 7.3× |
| Episiotomy or vaginal repair (59300) range across 2 matching MRF lines |
$392.25–$11,084.50 | $392.25–$11,084.50 | varies |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $8,217.75 | $8,217.75 | 1.4× |
| Ercp duct stent placement (43274) | $8,164.75 | $8,164.75 | 1.4× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $8,766 | $8,766 | 2.4× |
| Ercp ea duct/ampulla dilate (43277) | $7,416.25 | $7,416.25 | 2.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $7,130.25 | $7,130.25 | 2.0× |
| Ercp remove forgn body duct (43275) | $6,964.25 | $6,964.25 | 3.8× |
| Ercp Stent Exchange W/Dilate (43276) | $8,295.75 | $8,295.75 | 1.4× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) | $12,655 | $12,655 | 3.5× |
| Ercp W/Biopsy Single/Multiple (43261) | $6,323.25 | $6,323.25 | 1.7× |
| Ercp w/pressure measurement sphincter of oddi (43263) | $8,563.50 | $8,563.50 | 4.7× |
| Ercp,Sphincterotomy (43262) | $8,484 | $8,484 | 2.3× |
| Escharotomy; initial incision (16035) | $820.75 | $820.75 | 2.1× |
| Esoph Scope W/Submucous Inj (43201) | $5,281.50 | $5,281.50 | 2.9× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $3,420.25 | $3,420.25 | 4.0× |
| Esophagoscop Mucosal Resect (43211) | $4,197 | $4,197 | 2.3× |
| Esophagoscop Stent Placement (43212) | $6,740.50 | $6,740.50 | 1.2× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) range across 2 matching MRF lines |
$2,833–$4,715 | $2,833–$4,715 | varies |
| Esophagoscopy Flex Transoral Injection Varices (43204) | $5,281.50 | $5,281.50 | 2.9× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) | $10,198.25 | $10,198.25 | 2.8× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) | $4,573 | $4,573 | 2.5× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $8,782 | $8,782 | 4.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $5,428 | $5,428 | 6.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) | $4,197 | $4,197 | 2.3× |
| Esophagoscopy Flexible W/Bleeding Control (43227) | $5,281.50 | $5,281.50 | 2.9× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) | $6,513.75 | $6,513.75 | 3.6× |
| Esophagoscopy Retro Balloon (43213) | $2,833 | $2,833 | 1.6× |
| Esophagoscopy Rigid Balloon (43195) | $6,580.75 | $6,580.75 | 1.8× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $4,663 | $4,663 | 2.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $5,197.75 | $5,197.75 | 2.9× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) | $4,573 | $4,573 | 2.5× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) | $5,015.25 | $5,015.25 | 2.8× |
| Evacuation of subungual hematoma (11740) | $264.25 | $264.25 | 2.1× |
| Exc abdl tum deep 5 cm/> (22901) range across 2 matching MRF lines |
$3,940.25–$10,766 | $3,940.25–$10,766 | varies |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$2,322–$5,050.50 | $2,322–$5,050.50 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$298–$4,979.25 | $298–$4,979.25 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 4 matching MRF lines |
$410.25–$8,980.25 | $410.25–$8,980.25 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $2,322 | $2,322 | 1.5× |
| Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$3,940.25–$16,418.50 | $3,940.25–$16,418.50 | varies |
| Exc back tum deep < 5 cm (21932) range across 2 matching MRF lines |
$3,940.25–$7,917.25 | $3,940.25–$7,917.25 | varies |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) | $9,564 | $9,564 | 1.7× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) | $4,571.50 | $4,571.50 | 1.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $4,065.75 | $4,065.75 | 6.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $5,479.50 | $5,479.50 | 8.2× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $7,798 | $7,798 | 5.0× |
| Exc Face Les Sbq 2 Cm/> (21012) range across 2 matching MRF lines |
$2,322–$8,574 | $2,322–$8,574 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $2,985 | $2,985 | 4.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$370–$4,845.50 | $370–$4,845.50 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 4 matching MRF lines |
$404–$3,218.50 | $404–$3,218.50 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 4 matching MRF lines |
$446.50–$5,871.75 | $446.50–$5,871.75 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
$2,322–$4,745.25 | $2,322–$4,745.25 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) | $2,322 | $2,322 | 1.5× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $10,060 | $10,060 | 3.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$281–$1,578.75 | $281–$1,578.75 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$334–$3,644.50 | $334–$3,644.50 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$371.25–$3,980.50 | $371.25–$3,980.50 | varies |
| Exc hydrocele sprmatic cord uni spx (55500) | $5,426.50 | $5,426.50 | 1.6× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 2 matching MRF lines |
$628.75–$2,847.75 | $628.75–$2,847.75 | varies |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $4,571.50 | $4,571.50 | 1.5× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) range across 2 matching MRF lines |
$3,940.25–$24,616 | $3,940.25–$24,616 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$1,111.25–$5,074.50 | $1,111.25–$5,074.50 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$2,322–$7,861.75 | $2,322–$7,861.75 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$3,940.25–$6,412.75 | $3,940.25–$6,412.75 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$2,322–$9,308.50 | $2,322–$9,308.50 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 3 matching MRF lines |
$3,940.25–$8,238.25 | $3,940.25–$8,238.25 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $4,963 | $4,963 | 3.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $8,037.25 | $8,037.25 | 2.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $8,546.75 | $8,546.75 | 5.5× |
| Exc thigh/knee les sc 3 cm/> (27337) | $3,940.25 | $3,940.25 | 1.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $4,793.75 | $4,793.75 | 4.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 4 matching MRF lines |
$342.50–$2,617.75 | $342.50–$2,617.75 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$374.25–$3,155 | $374.25–$3,155 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$2,322–$4,401.25 | $2,322–$4,401.25 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$3,940.25–$11,505.50 | $3,940.25–$11,505.50 | varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) range across 2 matching MRF lines |
$3,940.25–$11,859 | $3,940.25–$11,859 | varies |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $1,029.75 | $1,029.75 | 0.7× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) range across 2 matching MRF lines |
$3,940.25–$19,775 | $3,940.25–$19,775 | varies |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $10,842.50 | $10,842.50 | 3.9× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $3,940.25 | $3,940.25 | 1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $3,940.25 | $3,940.25 | 1.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $3,940.25 | $3,940.25 | 1.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$2,322–$5,748.50 | $2,322–$5,748.50 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$2,322–$6,138 | $2,322–$6,138 | varies |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $3,940.25 | $3,940.25 | 1.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) range across 2 matching MRF lines |
$3,940.25–$8,525.50 | $3,940.25–$8,525.50 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$2,322–$4,927.25 | $2,322–$4,927.25 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $3,940.25 | $3,940.25 | 1.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$3,940.25–$11,939.75 | $3,940.25–$11,939.75 | varies |
| Exc/fulguration urethral caruncle (53265) | $3,146.75 | $3,146.75 | 1.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $7,132.40 | $7,132.40 | 2.1× |
| Exchange Intraocular Lens (66986) | $3,980.75 | $3,980.75 | 1.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$3,667.75–$7,335.50 | $3,667.75–$7,335.50 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $5,707.35 | $5,707.35 | 3.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $3,310.25 | $3,310.25 | 4.9× |
| Excision Chalazion Multiple Same Lid (67801) | $1,647.75 | $1,647.75 | 1.7× |
| Excision Chalazion Single (67800) range across 2 matching MRF lines |
$248.25–$1,120.75 | $248.25–$1,120.75 | varies |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $3,940.25 | $3,940.25 | 1.4× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $3,940.25 | $3,940.25 | 1.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $6,802.50 | $6,802.50 | 2.5× |
| Excision inferior turbinate partial/complete (30130) | $4,571.50 | $4,571.50 | 1.5× |
| Excision lesion mouth roof (42104) | $486.75 | $486.75 | 0.2× |
| Excision Lesion Tongue W/O Closure (41110) | $534.50 | $534.50 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,987.75 | $1,987.75 | 3.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $3,110.75 | $3,110.75 | 4.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 3 matching MRF lines |
$512.25–$2,726.82 | $512.25–$2,726.82 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $4,075.50 | $4,075.50 | 6.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $4,430.75 | $4,430.75 | 6.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $6,509 | $6,509 | 4.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $8,475.25 | $8,475.25 | 3.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $4,782.25 | $4,782.25 | 3.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $2,069.75 | $2,069.75 | 3.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $2,019.25 | $2,019.25 | 3.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $6,181.75 | $6,181.75 | 4.0× |
| Excision Nasal Polyp Extensive (30115) | $4,571.50 | $4,571.50 | 1.5× |
| Excision nasal polyp(s) simple (30110) | $581 | $581 | 0.4× |
| Excision of chalazion; multiple, different lids (67805) | $1,775.25 | $1,775.25 | 5.9× |
| Excision of hydrocele; bilateral (55041) | $5,524.50 | $5,524.50 | 1.6× |
| Excision of hydrocele; unilateral (55040) | $5,524.50 | $5,524.50 | 1.6× |
| Excision of pilonidal cyst or sinus; simple (11770) | $3,940.25 | $3,940.25 | 1.4× |
| Excision of single external papilla or tag, anus (46220) | $2,075 | $2,075 | 1.8× |
| Excision of submandibular (submaxillary) gland (42440) | $9,564 | $9,564 | 1.7× |
| Excision of tonsil tags (42860) | $4,571.50 | $4,571.50 | 1.5× |
| Excision of vaginal cyst or tumor (57135) | $5,488.75 | $5,488.75 | 1.8× |
| Excision or fulguration; Skene's glands Facility (53270) | $5,426.50 | $5,426.50 | 1.6× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $3,940.25 | $3,940.25 | 1.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $3,940.25 | $3,940.25 | 1.4× |
| Excision spermatocele w/wo epididymectomy (54840) | $3,146.75 | $3,146.75 | 1.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$2,322–$9,925 | $2,322–$9,925 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$2,322–$5,988.25 | $2,322–$5,988.25 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$2,322–$7,810.25 | $2,322–$7,810.25 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $3,940.25 | $3,940.25 | 1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $825 | $825 | 0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$3,940.25–$6,867.75 | $3,940.25–$6,867.75 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $3,940.25 | $3,940.25 | 1.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 2 matching MRF lines |
$2,322–$5,050.50 | $2,322–$5,050.50 | varies |
| Excision/destruction intranasal lesion int appr (30117) | $4,571.50 | $4,571.50 | 1.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $7,135.75 | $7,135.75 | 3.7× |
| Expl po hemrrg thrombosis/infctj xtr (35860) | $6,408 | $6,408 | 2.1× |
| Explo/Drain Breast Abscess (19020) | $3,919 | $3,919 | 2.5× |
| Exploration maxillary sinus (31020) | $4,571.50 | $4,571.50 | 1.5× |
| Exploration of knee joint (27310) range across 2 matching MRF lines |
$11,075.75–$22,151.50 | $11,075.75–$22,151.50 | varies |
| Exploration penetrating wound spx chest (20101) | $7,135.75 | $7,135.75 | 3.7× |
| Exploration penetrating wound spx extremity (20103) | $3,931.75 | $3,931.75 | 2.5× |
| Exploration Penetrating Wound Spx Neck (20100) | $2,081.75 | $2,081.75 | 4.1× |
| Explore epididymis (54865) | $5,426.50 | $5,426.50 | 1.6× |
| External cephalic version (59412) | $10,086.75 | $10,086.75 | 3.3× |
| Fasciotomy, foot and/or toe (28008) | $15,419.50 | $15,419.50 | 5.0× |
| Fetal Contraction Stress Test (59020) | $789.50 | $789.50 | 4.1× |
| Fetal non-stress test (59025) | $786 | $786 | 4.1× |
| Fetal Scalp Blood Sampling (59030) | $811.75 | $811.75 | 2.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $3,646.75 | $3,646.75 | 5.4× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $1,402.25 | $1,402.25 | 2.1× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$692–$2,522.50 | $692–$2,522.50 | varies |
| Fluid Pressure Muscle (20950) | $1,286.50 | $1,286.50 | 1.9× |
| Fluoro exam of g/colon tube (49465) | $897.75 | $897.75 | 4.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,402.25 | $1,402.25 | 2.1× |
| Fna bx w/us gdn 1st les (10005) | $2,160 | $2,160 | 3.2× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) | $2,826.25 | $2,826.25 | 3.2× |
| Foreskin manipulation (54450) | $1,300 | $1,300 | 5.5× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $4,571.50 | $4,571.50 | 1.5× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) | $154 | $154 | 4.2× |
| Guide Cathet Fluid Drainage (10030) | $5,358 | $5,358 | 8.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $4,583 | $4,583 | 1.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $4,583 | $4,583 | 1.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) range across 2 matching MRF lines |
$4,583–$7,862 | $4,583–$7,862 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $2,170.50 | $2,170.50 | 2.5× |
| Hysteroscopy Biopsy (58558) | $5,488.75 | $5,488.75 | 1.8× |
| Hysteroscopy Dx Sep Proc (58555) | $5,488.75 | $5,488.75 | 1.8× |
| Hysteroscopy Endometrial Ablation (58563) | $7,296 | $7,296 | 1.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $5,488.75 | $5,488.75 | 1.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $7,296 | $7,296 | 1.5× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $5,807.25 | $5,807.25 | 1.9× |
| I&d abscess peritonsillar (42700) | $679 | $679 | 3.0× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$264–$1,186.75 | $264–$1,186.75 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $10,488.75 | $10,488.75 | 3.8× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $17,721 | $17,721 | 5.7× |
| I&d perianal abscess superficial (46050) | $3,346.25 | $3,346.25 | 3.8× |
| I&d pilonidal cyst complicated (10081) | $2,511.25 | $2,511.25 | 3.7× |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$584.50–$1,344 | $584.50–$1,344 | varies |
| Icd Pocket Revision (33223) | $26,779.50 | $26,779.50 | 13.7× |
| Ileoscopy Stoma W/Balloon Dilation (44381) range across 2 matching MRF lines |
$2,833–$7,195.75 | $2,833–$7,195.75 | varies |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $4,443.75 | $4,443.75 | 5.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $4,404.75 | $4,404.75 | 5.1× |
| Image Cath Fluid Colxn Visc (49405) | $6,644 | $6,644 | 4.3× |
| Image Cath Fluid Peri/Retro (49406) | $6,130.75 | $6,130.75 | 3.9× |
| Image Cath Fluid Trns/Vgnl (49407) | $5,354.25 | $5,354.25 | 3.4× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$13,266–$16,667.50 | $13,266–$16,667.50 | varies |
| Implant Neuroelectrodes (64561) | $17,105.25 | $17,105.25 | 2.8× |
| Implant Periph/Gastric Neurostim/Receiver (64590) range across 2 matching MRF lines |
$12,259–$64,491 | $12,259–$64,491 | varies |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $19,734.75 | $19,734.75 | 2.4× |
| Incise external hemorrhoid (46083) | $798 | $798 | 3.4× |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$2,748.25–$4,857.75 | $2,748.25–$4,857.75 | varies |
| Incise/Drain Conjunctiva (68020) range across 4 matching MRF lines |
$1,093–$2,186 | $1,093–$2,186 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$1,371.75–$2,239.50 | $1,371.75–$2,239.50 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$2,322–$5,449.50 | $2,322–$5,449.50 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $1,738.25 | $1,738.25 | 4.5× |
| Incision and drainage of bartholin's gland abscess (56420) | $1,404.25 | $1,404.25 | 7.3× |
| Incision and drainage of the tear gland (68400) range across 6 matching MRF lines |
$1,098–$5,595.50 | $1,098–$5,595.50 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$277.75–$1,360.75 | $277.75–$1,360.75 | varies |
| Incision Drainage Lacrimal Sac (68420) range across 2 matching MRF lines |
$7,656.75–$15,313.50 | $7,656.75–$15,313.50 | varies |
| Incision of eardrum (69421) | $4,571.50 | $4,571.50 | 1.5× |
| Incision of eardrum (69420) | $407 | $407 | 1.8× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$2,075–$6,567.75 | $2,075–$6,567.75 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 4 matching MRF lines |
$6,737–$13,474 | $6,737–$13,474 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) | $2,473.75 | $2,473.75 | 8.2× |
| Incisional biopsy skin single lesion (11106) | $6,272.50 | $6,272.50 | 9.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $504.75 | $504.75 | 2.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 5 matching MRF lines |
$1,566.75–$7,938.50 | $1,566.75–$7,938.50 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $1,258 | $1,258 | 6.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 2 matching MRF lines |
$17,936.47–$35,873 | $17,936.47–$35,873 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 5 matching MRF lines |
$1,566.75–$5,917.75 | $1,566.75–$5,917.75 | varies |
| Inject Intravitreal Pharmcologic (67028) range across 6 matching MRF lines |
$2,400.25–$4,880 | $2,400.25–$4,880 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$564.25–$790.50 | $564.25–$790.50 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 5 matching MRF lines |
$9,108.25–$18,216.50 | $9,108.25–$18,216.50 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 2 matching MRF lines |
$15,453.75–$30,907.50 | $15,453.75–$30,907.50 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,218.75–$4,790 | $1,218.75–$4,790 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 5 matching MRF lines |
$1,566.75–$6,151 | $1,566.75–$6,151 | varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) range across 2 matching MRF lines |
$1,851.50–$3,702.75 | $1,851.50–$3,702.75 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $8,206.25 | $8,206.25 | 12.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 5 matching MRF lines |
$1,410.25–$16,065 | $1,410.25–$16,065 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 2 matching MRF lines |
$7,472.50–$14,945 | $7,472.50–$14,945 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $3,270.50 | $3,270.50 | 3.9× |
| Injection anesthetic agent suprascapular nerve (64418) range across 5 matching MRF lines |
$2,291.50–$4,697.58 | $2,291.50–$4,697.58 | varies |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$2,939.25–$5,878.50 | $2,939.25–$5,878.50 | varies |
| Injection Into Brain Canal (61055) | $2,595.25 | $2,595.25 | 8.9× |
| Injection into spinal artery (62294) | $3,577 | $3,577 | 4.3× |
| Injection medication/other subst tenon capsule (67515) range across 2 matching MRF lines |
$3,619–$7,238 | $3,619–$7,238 | varies |
| Injection single tendon origin/insertion (20551) | $846 | $846 | 2.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$89–$1,282.25 | $89–$1,282.25 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$104–$2,059.75 | $104–$2,059.75 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$1,428.25–$2,856.50 | $1,428.25–$2,856.50 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 5 matching MRF lines |
$10,260.25–$20,520.50 | $10,260.25–$20,520.50 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 5 matching MRF lines |
$13,650–$27,300 | $13,650–$27,300 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$5,387–$6,471.01 | $5,387–$6,471.01 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $394.25 | $394.25 | 2.1× |
| Injx anterior chamber eye air/liquid spx (66020) range across 2 matching MRF lines |
$4,070–$8,140 | $4,070–$8,140 | varies |
| Injx Anterior Chamber Eye Medication Spx (66030) range across 2 matching MRF lines |
$3,411.50–$6,823 | $3,411.50–$6,823 | varies |
| Ins cath ren art 1st bilat (36252) | $10,788.25 | $10,788.25 | 3.6× |
| Ins cath ren art 1st unilat (36251) | $11,265 | $11,265 | 3.8× |
| Ins cath ren art 2nd+ bilat (36254) | $14,964.25 | $14,964.25 | 5.0× |
| Ins cath ren art 2nd+ unilat (36253) | $14,609 | $14,609 | 2.8× |
| Ins endovas vena cava filtr (37191) | $14,199 | $14,199 | 2.7× |
| Ins Vag Brachytx Device (57156) | $1,452.75 | $1,452.75 | 5.0× |
| Ins/Rep Subq Defibrillator (33270) | $54,886.75 | $54,886.75 | 1.8× |
| Insert 1 Electrode Pm-Defib (33216) | $16,728 | $16,728 | 2.1× |
| Insert and remove bone pin (20650) | $8,858.75 | $8,858.75 | 2.9× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) | $9,807 | $9,807 | 2.5× |
| Insert Bladder Cath Complex (51703) | $670.75 | $670.75 | 5.5× |
| Insert cath pleura w/ image (32557) | $6,054.25 | $6,054.25 | 4.1× |
| Insert cath pleura w/o image (32556) | $3,644.25 | $3,644.25 | 2.0× |
| Insert cervical dilator (59200) | $1,196.50 | $1,196.50 | 4.2× |
| Insert Drug Implant Device (11981) | $786 | $786 | 6.2× |
| Insert Gastrostomy Tube Percutaneous (49440) | $6,270.25 | $6,270.25 | 3.5× |
| Insert Heart Pm Atrial (33206) | $23,152.25 | $23,152.25 | 2.3× |
| Insert Heart Pm Ventricular (33207) | $23,152.25 | $23,152.25 | 2.3× |
| Insert hepatic shunt (tips) (37182) | $20,504 | $20,504 | 1.2× |
| Insert Nasal Septal Button (30220) | $2,155 | $2,155 | 1.5× |
| Insert non-tunnel cv cath (36556) | $6,229.75 | $6,229.75 | 2.1× |
| Insert Pacing Lead & Connect (33224) | $22,816 | $22,816 | 2.3× |
| Insert pessary/other device (57160) | $572.25 | $572.25 | 3.0× |
| Insert pulse gen dual leads (33213) | $23,100.75 | $23,100.75 | 2.3× |
| Insert pulse gen mult leads (33221) | $25,692.25 | $25,692.25 | 1.4× |
| Insert Pulse Gen Sngl Lead (33212) | $21,170 | $21,170 | 2.7× |
| Insert spine infusion device (62360) | $36,009.50 | $36,009.50 | 2.1× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$285.75–$575.50 | $285.75–$575.50 | varies |
| Insert tun ip cath perc (49418) | $10,827.50 | $10,827.50 | 3.2× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$5,208.25–$12,107 | $5,208.25–$12,107 | varies |
| Insert tunneled cv cath (36563) | $12,593.75 | $12,593.75 | 2.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$356.50–$403.25 | $356.50–$403.25 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $7,040.25 | $7,040.25 | 2.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,079 | $4,079 | 2.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $16,255 | $16,255 | 2.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $19,160 | $19,160 | 5.7× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $11,481 | $11,481 | 1.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $6,166.50 | $6,166.50 | 2.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $9,905.50 | $9,905.50 | 3.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $5,009.75 | $5,009.75 | 3.4× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $15,949.25 | $15,949.25 | 5.3× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $23,700 | $23,700 | 4.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $7,466.10 | $7,466.10 | 2.5× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $52,282.75 | $52,282.75 | 1.8× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$19,786–$86,158.50 | $19,786–$86,158.50 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $11,630.75 | $11,630.75 | 1.5× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $7,557.25 | $7,557.25 | 1.0× |
| Insrt heart pm atrial & vent (33208) | $22,739 | $22,739 | 2.3× |
| Insrt Pulse Gen W/Dual Leads (33230) | $84,921.75 | $84,921.75 | 4.0× |
| Insrt Pulse Gen W/Mult Leads (33231) | $84,921.75 | $84,921.75 | 2.9× |
| Insrt Pulse Gen W/Singl Lead (33240) | $55,117.75 | $55,117.75 | 2.6× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) range across 2 matching MRF lines |
$5,970.25–$11,940 | $5,970.25–$11,940 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $4,583 | $4,583 | 1.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $4,196.75 | $4,196.75 | 3.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $2,463.75 | $2,463.75 | 6.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $2,463.75 | $2,463.75 | 6.4× |
| Intranasal Biopsy (30100) | $327.75 | $327.75 | 0.2× |
| Intraoral i&d tongue/floor lingual (41000) | $6,213.25 | $6,213.25 | 12.2× |
| Intro cath dialysis circuit (36901) | $11,967 | $11,967 | 8.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $35,694.50 | $35,694.50 | 3.3× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $25,340.50 | $25,340.50 | 4.7× |
| Intubation endotracheal emergency procedure (31500) | $2,004 | $2,004 | 8.9× |
| Iridoplasty photocoagulation 1/> sessions (66762) range across 2 matching MRF lines |
$5,437.75–$10,875.50 | $5,437.75–$10,875.50 | varies |
| Iridotomy/irridectomy laser surg per session (66761) range across 2 matching MRF lines |
$3,139.50–$6,279 | $3,139.50–$6,279 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $872.50 | $872.50 | 3.7× |
| Laparo-vag hyst incl t/o (58552) | $16,050.50 | $16,050.50 | 1.6× |
| Laparoscopy aspiration (49322) | $9,377 | $9,377 | 1.6× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $9,377 | $9,377 | 1.6× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $16,050.50 | $16,050.50 | 1.6× |
| Laparoscopy w/rmvl adnexal structures (58661) | $9,377 | $9,377 | 1.6× |
| Laparoscopy, surgical, appendectomy (44970) | $12,936.25 | $12,936.25 | 2.3× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) | $16,050.50 | $16,050.50 | 1.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) | $16,050.50 | $16,050.50 | 1.6× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $9,377 | $9,377 | 1.6× |
| Laparoscopy, Tubal Block (58671) | $9,377 | $9,377 | 1.6× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) | $9,377 | $9,377 | 1.6× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $16,050.50 | $16,050.50 | 1.6× |
| Laryngoscopy diagnostic (31505) range across 3 matching MRF lines |
$647.75–$1,081.50 | $647.75–$1,081.50 | varies |
| Laryngoscopy flexible diagnostic (31575) | $764.25 | $764.25 | 4.0× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) | $9,824.50 | $9,824.50 | 2.8× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $3,248 | $3,248 | 1.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $9,824.50 | $9,824.50 | 26.6× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $5,279 | $5,279 | 1.5× |
| Laryngoscopy W/Foreign Body Removal (31530) | $10,737.50 | $10,737.50 | 6.4× |
| Larynscop w/tumr exc + scope (31541) | $5,279 | $5,279 | 1.5× |
| Laser Surgery,Sever Vitreous Strands (67031) range across 2 matching MRF lines |
$2,630.50–$5,261 | $2,630.50–$5,261 | varies |
| Late closure of wound (13160) | $18,276 | $18,276 | 5.5× |
| Ligation of hemorrhoids (46946) | $4,583 | $4,583 | 1.7× |
| Ligation or biopsy temporal artery (37609) range across 4 matching MRF lines |
$2,322–$19,150.50 | $2,322–$19,150.50 | varies |
| Lip Surgery Procedure (40799) | $11,339 | $11,339 | 50.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $5,426.50 | $5,426.50 | 1.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $5,426.50 | $5,426.50 | 1.6× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) range across 2 matching MRF lines |
$1,915.75–$2,128.50 | $1,915.75–$2,128.50 | varies |
| Lyse chest fibrin init day (32561) | $4,047.75 | $4,047.75 | 6.8× |
| Lyse Chest Fibrin Subq Day (32562) | $3,180.50 | $3,180.50 | 5.4× |
| Maternity Care Procedure (59899) | $630 | $630 | 3.3× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $7,503.75 | $7,503.75 | 5.0× |
| Mech remov tunneled cv cath (36595) | $7,503.75 | $7,503.75 | 2.5× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) range across 2 matching MRF lines |
$5,694.75–$11,389.50 | $5,694.75–$11,389.50 | varies |
| Myelography Lumbar Injection (62305) | $5,410.50 | $5,410.50 | 7.3× |
| Myelography Lumbar Injection (62304) | $5,410.50 | $5,410.50 | 7.3× |
| Myelography via lumbar injection rs&i cervical (62302) | $5,410.50 | $5,410.50 | 7.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $4,088.75 | $4,088.75 | 5.5× |
| Myringoplasty (69620) | $4,571.50 | $4,571.50 | 1.5× |
| N Block Inj Celiac Pelus (64530) | $4,405 | $4,405 | 5.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 4 matching MRF lines |
$1,208.50–$2,417.75 | $1,208.50–$2,417.75 | varies |
| N block inj intercost sng (64420) range across 6 matching MRF lines |
$1,218.75–$5,417 | $1,218.75–$5,417 | varies |
| N Block Inj Paracervical (64435) | $1,448.75 | $1,448.75 | 2.2× |
| N Block Inj Plantar Digit (64455) | $945.50 | $945.50 | 3.3× |
| N Block Inj Pudendal (64430) range across 5 matching MRF lines |
$1,566.75–$10,504.75 | $1,566.75–$10,504.75 | varies |
| N Block Lumbar/Thoracic (64520) range across 3 matching MRF lines |
$1,566.75–$3,369 | $1,566.75–$3,369 | varies |
| Nasal Endoscopy Dx (31231) | $740.75 | $740.75 | 3.9× |
| Nasal surgery procedure (30999) | $7,969.50 | $7,969.50 | 35.6× |
| Nasal/Orogastric W/Tube Plmt (43752) | $861.50 | $861.50 | 2.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) range across 2 matching MRF lines |
$5,279–$7,774.02 | $5,279–$7,774.02 | varies |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) | $7,952.50 | $7,952.50 | 1.2× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) | $13,416.50 | $13,416.50 | 2.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $2,596.75 | $2,596.75 | 1.5× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) | $2,596.75 | $2,596.75 | 1.5× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $2,596.75 | $2,596.75 | 1.5× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) | $7,952.50 | $7,952.50 | 1.2× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) | $7,952.50 | $7,952.50 | 1.2× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) | $7,952.50 | $7,952.50 | 1.2× |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) | $3,823.50 | $3,823.50 | 2.3× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) | $7,952.50 | $7,952.50 | 1.2× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) | $7,952.50 | $7,952.50 | 1.2× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $7,952.50 | $7,952.50 | 1.2× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $6,087.75 | $6,087.75 | 6.9× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $3,867 | $3,867 | 4.4× |
| Needle Biopsy Lymph Nodes (38505) | $2,870.75 | $2,870.75 | 1.8× |
| Needle Biopsy Pancreas (48102) | $7,196.75 | $7,196.75 | 4.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $120.75 | $120.75 | 4.4× |
| Needle insertion w/o injection 3 or more muscles (20561) | $221 | $221 | 8.1× |
| Neurofilament light chain ultrsens ia serum/csf (0443U) | $1,940 | $1,940 | 16.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 3 matching MRF lines |
$416.78–$2,198.50 | $416.78–$2,198.50 | varies |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$3,625.50–$7,251 | $3,625.50–$7,251 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$2,063.75–$4,127.50 | $2,063.75–$4,127.50 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,460.25 | $4,460.25 | 1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $13,703 | $13,703 | 4.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 6 matching MRF lines |
$1,566.75–$7,705.50 | $1,566.75–$7,705.50 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $4,280.50 | $4,280.50 | 5.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,218.75–$3,800 | $1,218.75–$3,800 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $3,218.75 | $3,218.75 | 4.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $4,280.50 | $4,280.50 | 5.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,218.75–$2,688 | $1,218.75–$2,688 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines |
$3,203.75–$6,407.50 | $3,203.75–$6,407.50 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $6,741.25 | $6,741.25 | 10.2× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $7,952.50 | $7,952.50 | 1.2× |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$2,319.50–$4,639 | $2,319.50–$4,639 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $5,042.25 | $5,042.25 | 1.4× |
| Open Implantation Nea Sacral Nerve (64581) | $17,945.50 | $17,945.50 | 3.0× |
| Open treatment interphalangeal joint dislocation (28675) | $24,504.50 | $24,504.50 | 7.9× |
| Open treatment metacarpophalangeal dislocation (26715) | $5,894.75 | $5,894.75 | 1.9× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $6,348.50 | $6,348.50 | 2.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $14,709.75 | $14,709.75 | 4.8× |
| Open/Perq Place Stent 1St (37236) range across 4 matching MRF lines |
$20,217–$40,434 | $20,217–$40,434 | varies |
| Open/Perq Place Stent Same (37238) | $22,438.25 | $22,438.25 | 2.1× |
| Orchiectomy radical tumor inguinal approach (54530) | $5,524.50 | $5,524.50 | 1.6× |
| Ostectomy calcaneus (28118) | $12,291.75 | $12,291.75 | 4.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) | $11,509.50 | $11,509.50 | 1.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $5,177 | $5,177 | 1.7× |
| Palatopharyngoplasty (42145) | $9,564 | $9,564 | 1.7× |
| Partial Excision Distal Phalanx Finger (26236) | $3,882.50 | $3,882.50 | 2.6× |
| Partial excision of lip (40520) | $4,571.50 | $4,571.50 | 1.5× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) | $5,801.25 | $5,801.25 | 3.8× |
| Partial hymenectomy or revision of hymenal ring (56700) | $5,488.75 | $5,488.75 | 1.8× |
| Partial removal of toe (28160) | $5,177 | $5,177 | 1.7× |
| Partical Excision Bone Phalanx Toe (28124) | $2,215 | $2,215 | 0.7× |
| Pelvic examination under anesthesia (other than local) (57410) | $5,488.75 | $5,488.75 | 1.8× |
| Penile Injection (54235) | $1,280.25 | $1,280.25 | 5.4× |
| Perc Cryo Ablate Renal Tum (50593) range across 2 matching MRF lines |
$19,316.75–$38,633.50 | $19,316.75–$38,633.50 | varies |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $3,083.25 | $3,083.25 | 2.4× |
| Perc Rf Ablate Renal Tumor (50592) range across 2 matching MRF lines |
$16,650.50–$33,301 | $16,650.50–$33,301 | varies |
| Percut Ablate Liver Rf (47382) | $17,722 | $17,722 | 3.1× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $18,594 | $18,594 | 1.7× |
| Percut Drain/Inject Renal Cyst (50390) | $3,418.50 | $3,418.50 | 5.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) range across 2 matching MRF lines |
$14,939.75–$29,879.50 | $14,939.75–$29,879.50 | varies |
| Pericardiocentesis W/Imaging (33016) | $3,770.75 | $3,770.75 | 2.5× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $10,772.50 | $10,772.50 | 0.6× |
| Perq Cervicothoracic Inject (22510) | $17,222.25 | $17,222.25 | 5.6× |
| Perq dev breast 1st mr guide (19287) | $2,604.25 | $2,604.25 | 3.9× |
| Perq dev breast 1st strtctc (19283) range across 2 matching MRF lines |
$6,247.75–$12,495.50 | $6,247.75–$12,495.50 | varies |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$5,885.25–$11,770.50 | $5,885.25–$11,770.50 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$7,019–$14,038 | $7,019–$14,038 | varies |
| Perq dilation xst trc endourologic px w/img (50436) | $6,600.25 | $6,600.25 | 2.0× |
| Perq Lumbosacral Injection (22511) | $11,461.25 | $11,461.25 | 3.7× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) range across 2 matching MRF lines |
$32,393–$64,786 | $32,393–$64,786 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $3,228.75 | $3,228.75 | 4.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $36,728 | $36,728 | 3.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $14,819.75 | $14,819.75 | 2.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $20,554.50 | $20,554.50 | 3.0× |
| Perq Vertebral Augmentation (22513) | $18,483.75 | $18,483.75 | 2.7× |
| Place Cath Subclavian Art (36225) range across 4 matching MRF lines |
$27,233.25–$54,466.50 | $27,233.25–$54,466.50 | varies |
| Place Cath Thoracic Aorta (36221) | $20,533.50 | $20,533.50 | 6.9× |
| Place Cath Vertebral Art (36226) range across 4 matching MRF lines |
$29,815.84–$59,632 | $29,815.84–$59,632 | varies |
| Place Duod/Jej Tube Perc (49441) | $3,946.75 | $3,946.75 | 2.2× |
| Place Rt Device/Marker Pros (55876) | $3,154 | $3,154 | 2.4× |
| Placement of needle for intraosseous infusion (36680) | $683.50 | $683.50 | 1.6× |
| Placement of seton (46020) | $4,583 | $4,583 | 1.7× |
| Plastic Repair Of Urethrocele (57230) | $5,488.75 | $5,488.75 | 1.8× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $11,531.75 | $11,531.75 | 1.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $9,677 | $9,677 | 1.7× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $21,813.50 | $21,813.50 | 3.8× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $21,813.50 | $21,813.50 | 3.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$11,564.15–$23,128.30 | $11,564.15–$23,128.30 | varies |
| Plmt Nephroureteral Catheter (50433) | $6,680.25 | $6,680.25 | 2.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 2 matching MRF lines |
$7,581–$15,162 | $7,581–$15,162 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 2 matching MRF lines |
$7,581–$15,162 | $7,581–$15,162 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 2 matching MRF lines |
$7,581–$15,162 | $7,581–$15,162 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $7,296 | $7,296 | 1.5× |
| Prim art mech thrombectomy (37184) range across 4 matching MRF lines |
$17,045.88–$34,091.75 | $17,045.88–$34,091.75 | varies |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) range across 3 matching MRF lines |
$3,363.50–$11,368 | $3,363.50–$11,368 | varies |
| Probing nasolacrimal duct (68810) range across 2 matching MRF lines |
$1,152–$2,304 | $1,152–$2,304 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $2,479 | $2,479 | 2.8× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $6,509.75 | $6,509.75 | 2.5× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) | $5,609.75 | $5,609.75 | 2.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) range across 4 matching MRF lines |
$2,699–$3,166 | $2,699–$3,166 | varies |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) range across 2 matching MRF lines |
$2,712.50–$5,425 | $2,712.50–$5,425 | varies |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $2,893.75 | $2,893.75 | 4.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $16,033.50 | $16,033.50 | 2.7× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $4,221 | $4,221 | 5.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,560.50 | $5,560.50 | 1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $9,863.25 | $9,863.25 | 2.9× |
| Prq skel fixj femoral fx prox end neck (27235) | $22,023.75 | $22,023.75 | 3.2× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) range across 2 matching MRF lines |
$21,874.25–$43,748.50 | $21,874.25–$43,748.50 | varies |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 3 matching MRF lines |
$5,177–$6,802.50 | $5,177–$6,802.50 | varies |
| Pseudoaneurysm Injection Trt (36002) | $1,180.25 | $1,180.25 | 2.0× |
| Punch biopsy skin single lesion (11104) | $556 | $556 | 1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,309.25 | $1,309.25 | 3.4× |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$683.25–$1,368.75 | $683.25–$1,368.75 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $2,897.50 | $2,897.50 | 4.3× |
| Pvb thoracic cont infusion (64463) | $1,448.75 | $1,448.75 | 2.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 4 matching MRF lines |
$3,039.50–$6,079 | $3,039.50–$6,079 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$3,032.25–$6,568 | $3,032.25–$6,568 | varies |
| Rbc DNA gntyp 12 bld grp gen (0282U) | $766.93 | $766.93 | 1.1× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $10,814 | $10,814 | 3.2× |
| Reconstruction Nail Bed W/Graft (11762) | $5,220 | $5,220 | 2.7× |
| Relocation Pocket Pacemaker (33222) | $10,959.25 | $10,959.25 | 5.6× |
| Rem Endovas Vena Cava Filter (37193) | $12,324.50 | $12,324.50 | 4.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $2,552.75 | $2,552.75 | 3.0× |
| Removal Embedded Foreign Body Eyelid (67938) | $3,092.75 | $3,092.75 | 10.3× |
| Removal foreign body foot deep (28192) | $6,966.50 | $6,966.50 | 4.5× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$1,208.25–$2,181 | $1,208.25–$2,181 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $3,034.25 | $3,034.25 | 1.9× |
| Removal Foreign Body Scrotum (55120) | $4,477.50 | $4,477.50 | 2.3× |
| Removal foreign body upper arm/elbow deep (24201) | $6,966.50 | $6,966.50 | 2.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $4,571.50 | $4,571.50 | 1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$444.50–$889 | $444.50–$889 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$228–$1,011.50 | $228–$1,011.50 | varies |
| Removal Implant Deep (20680) | $3,940.25 | $3,940.25 | 1.4× |
| Removal Implant Superficial Separate Procedure (20670) | $7,881.25 | $7,881.25 | 5.0× |
| Removal implantable contraceptive capsules (11976) | $1,392.25 | $1,392.25 | 2.1× |
| Removal of adenoids (42831) | $4,571.50 | $4,571.50 | 1.5× |
| Removal of foreign body from pharynx (42809) | $720.25 | $720.25 | 1.7× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$595–$2,531.75 | $595–$2,531.75 | varies |
| Removal of sperm cord lesion (55520) | $5,426.50 | $5,426.50 | 1.6× |
| Removal of testis (54520) | $5,426.50 | $5,426.50 | 1.6× |
| Removal of tonsils (42826) | $4,571.50 | $4,571.50 | 1.5× |
| Removal of tunneled intraperitoneal catheter (49422) | $9,333.25 | $9,333.25 | 3.1× |
| Removal Pacemaker Electrode (33235) | $16,880 | $16,880 | 4.8× |
| Removal peritoneal-venous shunt (49429) | $7,046.25 | $7,046.25 | 2.4× |
| Removal ppm generator only (33233) | $19,925.75 | $19,925.75 | 2.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$440.50–$1,600 | $440.50–$1,600 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $10,265.75 | $10,265.75 | 15.3× |
| Removal sweat gland lesion (11450) | $3,940.25 | $3,940.25 | 1.4× |
| Remove Brain Cavity Fluid (61020) | $5,899.50 | $5,899.50 | 7.1× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$969.75–$2,002.50 | $969.75–$2,002.50 | varies |
| Remove Elctrd Transvenously (33244) | $20,427 | $20,427 | 5.8× |
| Remove Forearm Foreign Body (25248) | $5,453 | $5,453 | 3.6× |
| Remove foreign body from eye (65235) range across 2 matching MRF lines |
$4,451–$8,902 | $4,451–$8,902 | varies |
| Remove foreign body from eye (65205) range across 6 matching MRF lines |
$578.50–$2,550.50 | $578.50–$2,550.50 | varies |
| Remove groin lymph nodes (38760) | $8,793.75 | $8,793.75 | 1.4× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $7,979.75 | $7,979.75 | 4.0× |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$190.75–$516.75 | $190.75–$516.75 | varies |
| Remove intrvas foreign body (37197) | $7,356.25 | $7,356.25 | 2.5× |
| Remove lung catheter (32552) | $2,464.50 | $2,464.50 | 4.2× |
| Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
$285.75–$979.25 | $285.75–$979.25 | varies |
| Remove Peritoneal Foreign Body (49402) | $10,952.25 | $10,952.25 | 3.2× |
| Remove Pulse Generator (33241) | $21,024.75 | $21,024.75 | 5.9× |
| Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
$2,898.25–$5,796.50 | $2,898.25–$5,796.50 | varies |
| Remove Shoulder Foreign Body (23330) | $3,771 | $3,771 | 2.4× |
| Remove tissue expander (11971) | $10,634.25 | $10,634.25 | 3.9× |
| Remove ureter stent percut (50384) range across 2 matching MRF lines |
$5,186.75–$10,373.50 | $5,186.75–$10,373.50 | varies |
| Remove&replace pm gen singl (33227) | $22,847.50 | $22,847.50 | 2.9× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$922–$2,811 | $922–$2,811 | varies |
| Remv&replc cvd gen dual lead (33263) | $57,266.75 | $57,266.75 | 2.7× |
| Remv&replc cvd gen mult lead (33264) | $65,507.75 | $65,507.75 | 2.2× |
| Remv&replc cvd gen sing lead (33262) | $55,272.75 | $55,272.75 | 2.6× |
| Remv&replc pm gen dual lead (33228) | $23,568.25 | $23,568.25 | 2.4× |
| Remv&replc pm gen mult leads (33229) | $25,692.25 | $25,692.25 | 1.4× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$4,875.25–$9,750.50 | $4,875.25–$9,750.50 | varies |
| Repair Blood Vessel Direct Hand Finger (35207) | $8,902 | $8,902 | 3.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $5,461.75 | $5,461.75 | 1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$1,076.25–$3,212 | $1,076.25–$3,212 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$1,076.25–$1,695.25 | $1,076.25–$1,695.25 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $2,150.25 | $2,150.25 | 5.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$1,076.25–$3,395 | $1,076.25–$3,395 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$1,076.25–$2,150.25 | $1,076.25–$2,150.25 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$1,076.25–$3,382.75 | $1,076.25–$3,382.75 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,483.25 | $1,483.25 | 2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$1,076.25–$3,029.25 | $1,076.25–$3,029.25 | varies |
| Repair detached retina (67105) range across 2 matching MRF lines |
$10,805.50–$21,611 | $10,805.50–$21,611 | varies |
| Repair Ectropion Extensive (67917) | $3,363.50 | $3,363.50 | 1.5× |
| Repair Ectropion Suture (67914) range across 2 matching MRF lines |
$4,942.25–$9,884.50 | $4,942.25–$9,884.50 | varies |
| Repair Ectropion Thermocauterization (67915) range across 2 matching MRF lines |
$5,662–$11,324 | $5,662–$11,324 | varies |
| Repair Elbow Perc (24357) | $8,765.50 | $8,765.50 | 2.8× |
| Repair Entropion Extensive (67924) | $3,363.50 | $3,363.50 | 1.5× |
| Repair Entropion Suture (67921) range across 3 matching MRF lines |
$3,363.50–$14,348 | $3,363.50–$14,348 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $9,088.25 | $9,088.25 | 6.0× |
| Repair Eyelid Wound (67935) | $4,322.25 | $4,322.25 | 1.9× |
| Repair Finger Tendon (26433) | $5,851 | $5,851 | 1.9× |
| Repair Finger/Hand Tendon (26350) | $12,969.75 | $12,969.75 | 4.2× |
| Repair Hallux Rigidus (28289) | $5,177 | $5,177 | 1.7× |
| Repair Hand Joint (26540) | $6,099 | $6,099 | 2.0× |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$2,748.25–$5,851 | $2,748.25–$5,851 | varies |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $5,524.50 | $5,524.50 | 1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $5,524.50 | $5,524.50 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$616–$847.50 | $616–$847.50 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$657.50–$934.75 | $657.50–$934.75 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $3,030 | $3,030 | 7.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $384 | $384 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $7,135.75 | $7,135.75 | 18.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $2,107.50 | $2,107.50 | 3.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $887.50 | $887.50 | 2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$651–$859.75 | $651–$859.75 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $2,676.25 | $2,676.25 | 3.8× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $7,135.75 | $7,135.75 | 3.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,384.25 | $1,384.25 | 3.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$591.75–$2,515.50 | $591.75–$2,515.50 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$666–$2,990.25 | $666–$2,990.25 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $6,176.25 | $6,176.25 | 8.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $3,251.75 | $3,251.75 | 8.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $7,135.75 | $7,135.75 | 3.7× |
| Repair intrinsic muscles hand each muscle (26591) | $9,949.25 | $9,949.25 | 3.2× |
| Repair Laceration Palate </2 Cm (42180) | $2,434.75 | $2,434.75 | 4.8× |
| Repair Laceration Palate >2 Cm/Complex (42182) | $10,899.25 | $10,899.25 | 1.9× |
| Repair Lead Pace-Defib One (33218) | $6,776 | $6,776 | 1.9× |
| Repair Nasal Vestibular Stenosis (30465) | $9,564 | $9,564 | 1.7× |
| Repair of entropion; thermocauterization (67922) range across 2 matching MRF lines |
$5,662–$11,324 | $5,662–$11,324 | varies |
| Repair of hydrocele (55060) | $5,426.50 | $5,426.50 | 1.6× |
| Repair of nail bed (11760) | $1,259.75 | $1,259.75 | 1.8× |
| Repair of rectocele (45560) | $4,583 | $4,583 | 1.7× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $5,544.75 | $5,544.75 | 1.8× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $12,716.50 | $12,716.50 | 1.9× |
| Repair tongue laceration (41252) | $2,015.25 | $2,015.25 | 9.0× |
| Repair tongue laceration (41250) | $869.50 | $869.50 | 2.1× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) | $12,969.75 | $12,969.75 | 4.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $3,566.75 | $3,566.75 | 4.2× |
| Replace eye fluid (67025) range across 2 matching MRF lines |
$10,465–$20,930 | $10,465–$20,930 | varies |
| Replace G-J Tube Perc (49452) | $3,899.75 | $3,899.75 | 4.5× |
| Replace g/c tube perc (49450) | $3,855.44 | $3,855.44 | 4.5× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $7,729 | $7,729 | 2.2× |
| Reposition Gastrostomy Tube (43761) | $1,659.75 | $1,659.75 | 7.0× |
| Reposition L Ventric Lead (33226) | $10,185.75 | $10,185.75 | 3.4× |
| Reposition Pacing-Defib Lead (33215) | $8,760.50 | $8,760.50 | 2.9× |
| Reposition Venous Catheter (36597) | $3,356.50 | $3,356.50 | 2.3× |
| Rerepair ing hernia reduce (49520) | $5,524.50 | $5,524.50 | 1.6× |
| Retrobulbar inject,alcohol (67505) range across 2 matching MRF lines |
$917–$1,834 | $917–$1,834 | varies |
| Retrobulbar injection (67500) range across 2 matching MRF lines |
$606.50–$1,213 | $606.50–$1,213 | varies |
| Rev/rmv prph sac/gstr npg/r (64595) | $8,122.25 | $8,122.25 | 2.5× |
| Revise Abdomen-Venous Shunt (49426) | $8,545.25 | $8,545.25 | 2.5× |
| Revise eyelashes (67825) range across 6 matching MRF lines |
$1,096.75–$7,934 | $1,096.75–$7,934 | varies |
| Revise Hand/Foot Nerve (64704) | $3,032.25 | $3,032.25 | 1.6× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) | $5,488.75 | $5,488.75 | 1.8× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $18,313.75 | $18,313.75 | 3.4× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $6,374 | $6,374 | 1.9× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $6,374 | $6,374 | 1.9× |
| Revj/rpr oprative wound anterior segment (66250) range across 2 matching MRF lines |
$7,915.75–$15,831.50 | $7,915.75–$15,831.50 | varies |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 2 matching MRF lines |
$4,957.25–$9,914.50 | $4,957.25–$9,914.50 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $3,971.50 | $3,971.50 | 4.6× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 2 matching MRF lines |
$2,322–$5,852.25 | $2,322–$5,852.25 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$451.50–$903 | $451.50–$903 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$703–$1,406 | $703–$1,406 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 4 matching MRF lines |
$775.75–$1,551.50 | $775.75–$1,551.50 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $3,860.75 | $3,860.75 | 3.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $5,755.50 | $5,755.50 | 2.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $6,966.50 | $6,966.50 | 2.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,972.50 | $1,972.50 | 1.3× |
| Rmvl of subq implantable defibrillator electrode (33272) | $19,552.25 | $19,552.25 | 5.5× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 2 matching MRF lines |
$3,032.25–$6,527.75 | $3,032.25–$6,527.75 | varies |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $12,129 | $12,129 | 3.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$2,073.25–$4,956.25 | $2,073.25–$4,956.25 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $4,730.50 | $4,730.50 | 8.0× |
| Rmvl/revj sling stress incontinence (57287) | $5,488.75 | $5,488.75 | 1.8× |
| Rplc Gtube No Revj Trc (43762) | $1,506.25 | $1,506.25 | 6.4× |
| Rplc gtube revj gstrst trc (43763) | $1,715 | $1,715 | 7.3× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $7,503.75 | $7,503.75 | 2.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $7,503.75 | $7,503.75 | 5.0× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $7,503.75 | $7,503.75 | 2.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $4,409 | $4,409 | 3.0× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) | $11,850.50 | $11,850.50 | 2.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $13,273 | $13,273 | 4.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $7,405.50 | $7,405.50 | 2.5× |
| Rplcmt/irrigation ventricular catheter (62225) | $28,315.50 | $28,315.50 | 8.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $9,377 | $9,377 | 1.6× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $5,524.50 | $5,524.50 | 1.6× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $10,396 | $10,396 | 1.7× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $10,396 | $10,396 | 1.7× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $10,396 | $10,396 | 1.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $9,377 | $9,377 | 1.6× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) | $3,363.50 | $3,363.50 | 1.5× |
| Rpr blood vessel direct lower extremity (35226) | $4,031.50 | $4,031.50 | 6.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $7,320.75 | $7,320.75 | 4.9× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) | $6,708.50 | $6,708.50 | 1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $1,342.25 | $1,342.25 | 7.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $2,041.25 | $2,041.25 | 2.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $6,061.75 | $6,061.75 | 27.1× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) range across 2 matching MRF lines |
$17,183.75–$34,367.50 | $17,183.75–$34,367.50 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $3,164.50 | $3,164.50 | 6.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,503 | $1,503 | 2.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $3,087.25 | $3,087.25 | 2.1× |
| Rpr Nsl Vlv Collapse W/Implt (30468) | $13,783.75 | $13,783.75 | 2.5× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) range across 2 matching MRF lines |
$4,727–$9,454 | $4,727–$9,454 | varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $10,917.75 | $10,917.75 | 3.5× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $10,917.75 | $10,917.75 | 3.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $3,905 | $3,905 | 6.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $17,891.25 | $17,891.25 | 5.8× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) | $6,648.50 | $6,648.50 | 2.1× |
| Sclerotx Fluid Collection (49185) | $3,779 | $3,779 | 2.4× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $4,571.50 | $4,571.50 | 1.5× |
| Severing Adhesions Anterior Segment Laser Spx (65860) range across 2 matching MRF lines |
$4,623–$9,246 | $4,623–$9,246 | varies |
| Severing tarsorrhaphy (67710) range across 2 matching MRF lines |
$3,890.25–$7,780.50 | $3,890.25–$7,780.50 | varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $12,302 | $12,302 | 14.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$2,075–$5,040.25 | $2,075–$5,040.25 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $442.25 | $442.25 | 1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $276 | $276 | 1.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $567.25 | $567.25 | 1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $518.50 | $518.50 | 2.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $231.50 | $231.50 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $291.50 | $291.50 | 1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $1,397.50 | $1,397.50 | 3.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $602 | $602 | 3.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $567.25 | $567.25 | 1.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 3 matching MRF lines |
$440.50–$440.75 | $440.50–$440.75 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $567.25 | $567.25 | 1.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $509.25 | $509.25 | 2.7× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) range across 2 matching MRF lines |
$474–$6,881.75 | $474–$6,881.75 | varies |
| Sigmoidoscopy & decompress (45337) | $4,982.75 | $4,982.75 | 5.7× |
| Sigmoidoscopy & Polypectomy (45333) | $5,195.50 | $5,195.50 | 5.9× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $4,167.25 | $4,167.25 | 3.7× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $6,781.75 | $6,781.75 | 6.0× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $9,252.50 | $9,252.50 | 8.2× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $5,810.75 | $5,810.75 | 5.1× |
| Sigmoidoscopy w/fb removal (45332) | $5,254.75 | $5,254.75 | 4.6× |
| Sigmoidoscopy W/Resection (45349) | $6,495.50 | $6,495.50 | 2.5× |
| Sigmoidoscopy W/Ultrasound (45341) | $5,215.25 | $5,215.25 | 5.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$1,604.50–$3,851.50 | $1,604.50–$3,851.50 | varies |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $5,522.75 | $5,522.75 | 4.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,880 | $1,880 | 4.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$431.50–$851.75 | $431.50–$851.75 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$877–$926 | $877–$926 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $2,068 | $2,068 | 5.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $921 | $921 | 4.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $2,274.75 | $2,274.75 | 12.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $899.25 | $899.25 | 4.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $2,068 | $2,068 | 10.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $1,020.25 | $1,020.25 | 5.4× |
| Skin Full Grft Face/Genit/Hf (15240) | $6,760.75 | $6,760.75 | 3.5× |
| Skin sub graft face/nk/hf/g (15275) | $5,162.50 | $5,162.50 | 7.4× |
| Skin sub graft trnk/arm/leg (15271) | $3,814.50 | $3,814.50 | 5.5× |
| Skin sub grft t/arm/lg child (15273) | $4,004 | $4,004 | 2.1× |
| Skin Tissue Procedure (17999) range across 5 matching MRF lines |
$10,444.75–$20,889.50 | $10,444.75–$20,889.50 | varies |
| Skn sub grft f/n/hf/g child (15277) | $4,004 | $4,004 | 2.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 4 matching MRF lines |
$33,912.19–$67,824.50 | $33,912.19–$67,824.50 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 4 matching MRF lines |
$18,971.50–$37,943 | $18,971.50–$37,943 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 4 matching MRF lines |
$32,304.25–$64,608.50 | $32,304.25–$64,608.50 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $9,463.50 | $9,463.50 | 2.0× |
| Slitting of prepuce (54001) | $3,146.75 | $3,146.75 | 1.6× |
| Small bowel endoscopy (44366) | $7,701.75 | $7,701.75 | 4.2× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) | $6,364.75 | $6,364.75 | 3.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $946 | $946 | 5.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $1,710 | $1,710 | 4.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,880 | $1,880 | 4.9× |
| Snip Incision Lacrimal Punctum (68440) | $4,023.50 | $4,023.50 | 13.4× |
| Sphincterotomy anal division sphincter spx (46080) | $4,583 | $4,583 | 1.7× |
| Spinal puncture lumbar diagnostic (62270) | $1,915.50 | $1,915.50 | 2.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $13,066.50 | $13,066.50 | 6.7× |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$420.25–$840.50 | $420.25–$840.50 | varies |
| Strapping hand/finger (29280) | $1,029.50 | $1,029.50 | 18.4× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$943.75–$1,887.50 | $943.75–$1,887.50 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$318.25–$636.50 | $318.25–$636.50 | varies |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$605.50–$1,211.04 | $605.50–$1,211.04 | varies |
| Subconjunctival injection (68200) range across 2 matching MRF lines |
$3,486.25–$6,972.50 | $3,486.25–$6,972.50 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$4,571.50–$6,494.10 | $4,571.50–$6,494.10 | varies |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) | $13,847.25 | $13,847.25 | 2.5× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) | $13,890.25 | $13,890.25 | 2.5× |
| Surg tx anal fistula subq (46270) | $4,583 | $4,583 | 1.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $4,583 | $4,583 | 1.7× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $10,354 | $10,354 | 4.6× |
| Suture of facial nerve; extracranial Facility (64864) | $14,686.75 | $14,686.75 | 1.8× |
| Tangential biopsy skin single lesion (11102) | $455.25 | $455.25 | 1.2× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $33,741.75 | $33,741.75 | 1.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $28,813 | $28,813 | 1.6× |
| Tcat Rmvl Perm Ldls Pm (33275) | $20,196.75 | $20,196.75 | 6.8× |
| Temporary Closure Eyelids Suture (67875) range across 2 matching MRF lines |
$7,171.25–$14,342.50 | $7,171.25–$14,342.50 | varies |
| Tenolysis flexor tendon palm/finger each tendon (26440) | $5,801.25 | $5,801.25 | 3.8× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) | $7,142.75 | $7,142.75 | 4.7× |
| Tenotomy extensor hand/finger open each tendon (26460) | $4,601.25 | $4,601.25 | 3.0× |
| Tenotomy Flexor Finger Open Each Tendon (26455) | $4,601.25 | $4,601.25 | 3.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $3,030.25 | $3,030.25 | 2.0× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $8,721.50 | $8,721.50 | 5.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $6,455.50 | $6,455.50 | 2.1× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) | $6,142.50 | $6,142.50 | 2.0× |
| Tenotomy shoulder area single tendon (23405) | $9,962 | $9,962 | 1.5× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,947.25 | $1,947.25 | 2.9× |
| Therapeutic Apheresis White Blood Cells (36511) | $4,513 | $4,513 | 3.1× |
| Therapeutic plasma exchange (36514) | $6,186.25 | $6,186.25 | 4.2× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $52,947.25 | $52,947.25 | 3.1× |
| Thromblytic art/ven therapy (37213) | $16,379.25 | $16,379.25 | 5.5× |
| Thrombolytic Art Therapy (37211) range across 3 matching MRF lines |
$15,385.75–$30,771.50 | $15,385.75–$30,771.50 | varies |
| Thrombolytic Therapy Stroke (37195) | $1,026.25 | $1,026.25 | 3.3× |
| Thrombolytic Venous Therapy (37212) range across 3 matching MRF lines |
$15,385.75–$30,771.50 | $15,385.75–$30,771.50 | varies |
| Thyroid biopsy (60100) | $2,211 | $2,211 | 3.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$3,216.25–$8,242.50 | $3,216.25–$8,242.50 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $4,571.50 | $4,571.50 | 1.5× |
| Tooth extraction (41899) | $11,098 | $11,098 | 49.5× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $12,797.75 | $12,797.75 | 2.5× |
| Trabeculoplasty by laser surgery (65855) range across 2 matching MRF lines |
$2,566.50–$5,133 | $2,566.50–$5,133 | varies |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $4,721 | $4,721 | 1.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $3,432.75 | $3,432.75 | 6.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $11,107.75 | $11,107.75 | 49.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $11,313.75 | $11,313.75 | 7.7× |
| Tracheostomy planned (31600) | $9,226.25 | $9,226.25 | 2.9× |
| Transcatheter biopsy (37200) | $8,026.50 | $8,026.50 | 1.5× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) range across 2 matching MRF lines |
$11,850.50–$23,701 | $11,850.50–$23,701 | varies |
| Transfusion Intrauterine Fetal (36460) | $3,991.25 | $3,991.25 | 9.6× |
| Transur electr resection of prostate (52601) | $8,266.50 | $8,266.50 | 1.6× |
| Treat Dental Ridge Fracture (21440) | $9,226.25 | $9,226.25 | 2.9× |
| Treat Hip Socket Fracture (27222) range across 2 matching MRF lines |
$21,874.25–$43,748.50 | $21,874.25–$43,748.50 | varies |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$914.50–$1,829 | $914.50–$1,829 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,527.50–$3,055 | $1,527.50–$3,055 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$1,021.75–$2,043.50 | $1,021.75–$2,043.50 | varies |
| Treat knee fracture (27532) | $3,117.75 | $3,117.75 | 1.0× |
| Treat Knee Fracture(S) (27538) range across 2 matching MRF lines |
$397–$794 | $397–$794 | varies |
| Treat Knuckle Dislocation (26700) | $1,305.50 | $1,305.50 | 5.6× |
| Treat Metatarsal Fracture (28475) | $1,280.25 | $1,280.25 | 5.5× |
| Treat Tail Bone Fracture (27200) | $267.50 | $267.50 | 1.1× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$1,280.25–$2,560.50 | $1,280.25–$2,560.50 | varies |
| Treat toe dislocation (28630) | $967 | $967 | 4.1× |
| Treat Vaginal Bleeding (57180) | $425 | $425 | 2.2× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$1,242–$2,484 | $1,242–$2,484 | varies |
| Treatment extensive retinopathy photocoagulation (67228) range across 2 matching MRF lines |
$7,676.25–$15,352.50 | $7,676.25–$15,352.50 | varies |
| Trim skin lesion (11055) | $529.25 | $529.25 | 2.8× |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$379.75–$565.25 | $379.75–$565.25 | varies |
| Trim skin lesions over 4 (11057) range across 3 matching MRF lines |
$401–$581.50 | $401–$581.50 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$194.75–$290.75 | $194.75–$290.75 | varies |
| Trluml Balo Angiop 1St Art (37246) | $22,474 | $22,474 | 4.2× |
| Trluml Balo Angiop 1St Vein (37248) | $18,784.50 | $18,784.50 | 3.5× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $4,583 | $4,583 | 1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $6,037.75 | $6,037.75 | 2.0× |
| Tx Missed Abortion First Trimester Surgical (59820) | $5,488.75 | $5,488.75 | 1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,517.50 | $1,517.50 | 2.2× |
| Tx superficial wound dehiscence w/packing (12021) | $1,495 | $1,495 | 3.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $1,280.25 | $1,280.25 | 0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $984.50 | $984.50 | 4.2× |
| Tympanolysis transcanal (69450) | $4,571.50 | $4,571.50 | 1.5× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$2,155–$4,625.64 | $2,155–$4,625.64 | varies |
| Unlisted Cardiac Surgery (33999) | $10,108.75 | $10,108.75 | 17.0× |
| Unlisted Procedure Accessory Sinuses (31299) | $515 | $515 | 2.3× |
| Unlisted procedure anus (46999) range across 2 matching MRF lines |
$2,021.50–$7,463.50 | $2,021.50–$7,463.50 | varies |
| Unlisted procedure colon (45399) | $7,145.25 | $7,145.25 | 8.1× |
| Unlisted Procedure Esophagus (43499) | $13,648.75 | $13,648.75 | 15.9× |
| Unlisted Procedure External Ear (69399) | $929.50 | $929.50 | 4.1× |
| Unlisted Procedure Hands/Fingers (26989) range across 2 matching MRF lines |
$3,875.75–$13,136.25 | $3,875.75–$13,136.25 | varies |
| Unlisted procedure humerus/elbow (24999) | $1,181.75 | $1,181.75 | 5.1× |
| Unlisted Procedure Intestine (44799) | $8,014 | $8,014 | 9.3× |
| Unlisted procedure lacrimal system (68899) | $2,161.25 | $2,161.25 | 7.2× |
| Unlisted Procedure Leg/Ankle (27899) | $759.75 | $759.75 | 3.3× |
| Unlisted procedure liver (47399) | $7,330.75 | $7,330.75 | 10.9× |
| Unlisted Procedure Male Genital System (55899) | $26,424 | $26,424 | 111.8× |
| Unlisted Procedure Muscskeletal System General (20999) | $2,857.25 | $2,857.25 | 12.2× |
| Unlisted procedure nervous system (64999) range across 6 matching MRF lines |
$730.25–$18,066.50 | $730.25–$18,066.50 | varies |
| Unlisted procedure pancreas (48999) | $4,088.25 | $4,088.25 | 6.1× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) range across 3 matching MRF lines |
$515–$6,876 | $515–$6,876 | varies |
| Unlisted Procedure Rectum (45999) | $2,691.50 | $2,691.50 | 3.1× |
| Unlisted procedure stomach (43999) | $11,218.25 | $11,218.25 | 13.1× |
| Unlisted Procedure Vascular Surgery (37799) range across 8 matching MRF lines |
$383–$9,278.50 | $383–$9,278.50 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $6,857.25 | $6,857.25 | 8.0× |
| Unlisted Procedure, Urinary System (53899) | $6,754.50 | $6,754.50 | 28.6× |
| Unlisted px female genital system nonobstetrical (58999) | $9,665.75 | $9,665.75 | 50.5× |
| Upgrade of pacemaker system (33214) | $23,152.25 | $23,152.25 | 2.3× |
| Urethrlys Transvag W/ Scope (53500) | $7,647.25 | $7,647.25 | 2.3× |
| Uvulectomy excision of uvula (42140) | $4,571.50 | $4,571.50 | 1.5× |
| Vaginal delivery only (59409) | $9,407.25 | $9,407.25 | 3.1× |
| Vaginectomy, partial removal of vaginal wall; (57106) | $7,049.75 | $7,049.75 | 2.3× |
| Vasc embolize/occlude artery (37242) | $30,692.50 | $30,692.50 | 1.8× |
| Vasc Embolize/Occlude Bleed (37244) | $23,216 | $23,216 | 2.1× |
| Vasc Embolize/Occlude Organ (37243) | $22,813.50 | $22,813.50 | 2.1× |
| Vasc embolize/occlude venous (37241) | $26,911.75 | $26,911.75 | 2.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $3,146.75 | $3,146.75 | 1.6× |
| Venous Mech Thrombectomy (37187) range across 3 matching MRF lines |
$14,939.75–$29,879.50 | $14,939.75–$29,879.50 | varies |
| Ventilating tube removal requiring general anesthesia (69424) | $302.25 | $302.25 | 0.1× |
| Vulvectomy simple partial (56620) | $5,488.75 | $5,488.75 | 1.8× |
| Wedge excision skin nail fold (11765) | $1,311.25 | $1,311.25 | 3.4× |
| Wedging of cast (29740) | $644 | $644 | 2.4× |
| Windowing of cast (29730) | $644 | $644 | 4.2× |
| Wound Prep F/N/Hf/G (15004) | $9,625.25 | $9,625.25 | 25.0× |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$3,216.25–$8,758.75 | $3,216.25–$8,758.75 | varies |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) | $12,325.25 | $12,325.25 | 2.4× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) | $12,335.75 | $12,335.75 | 2.5× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) | $8,712 | $8,712 | 1.7× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) | $8,712 | $8,712 | 5.8× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) | $992.75 | $992.75 | 1.9× |
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.