Procedures & surgery prices at Texas Health Hospital Mansfield

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

1253 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,170.05 $2,170.05 2.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $5,559.08 $5,559.08 6.1×
Ablate inf turbinate submuc (30802) $6,732.51 $6,732.51 4.3×
Ablation 1/> liver tumor perq cryoablation (47383) $29,691.18 $29,691.18 2.8×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $23,658.23 $23,658.23 1.3×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $31,732.77 $31,732.77 4.4×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $6,846.33 $6,846.33 4.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $11,013.62 $11,013.62 5.3×
Allogeneic lymphocyte infusions (38242)
range across 2 matching MRF lines		 $2,122.83–$2,580.97 $2,122.83–$2,580.97 varies
Amputation follow-up surgery (27594) $18,499.81 $18,499.81 5.6×
Amputation toe interphalangeal joint (28825) $17,501.68 $17,501.68 5.3×
Amputation toe metatarsophalangeal joint (28820) $20,834.53 $20,834.53 6.3×
Anal/Urinary Muscle Study (51784) $1,311.08 $1,311.08 10.1×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $4,890.82 $4,890.82 5.2×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $14,602.88 $14,602.88 5.2×
Anoscopy diagnostic (46600) $726.86 $726.86 5.4×
Anoscopy remove lesion (46610) $16,162.01 $16,162.01 5.8×
Anoscopy W/Rmvl Foreign Body (46608) $9,526.51 $9,526.51 10.2×
Anoscopy; with biopsy, single or multiple (46606) $8,961.22 $8,961.22 7.5×
Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease (COVID-19)), includes… (0224U) $283.92 $283.92 5.5×
Apheresis Platelets (36513)
range across 2 matching MRF lines		 $2,069.16–$4,039.69 $2,069.16–$4,039.69 varies
Appl cranial tong/strtctc frame w/removal spx (20660) $8,627.31 $8,627.31 5.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $637.85 $637.85 3.9×
Application cast elbow finger short arm (29075) $1,548.60 $1,548.60 5.5×
Application Cast Finger (29086) $906.69 $906.69 5.6×
Application Cast Shoulder Spica (29055) $1,548.60 $1,548.60 5.5×
Application Finger Splint Dynamic (29131) $690.46 $690.46 11.7×
Application finger splint static (29130) $721.54 $721.54 5.4×
Application long arm splint shoulder hand (29105) $1,026.75 $1,026.75 6.3×
Application Long Leg Cast Walker/Ambulatory Type (29355) $1,548.60 $1,548.60 5.5×
Application Long Leg Splint (29505) $1,764.33 $1,764.33 10.8×
Application of long leg cast (29345) $2,046.84 $2,046.84 7.3×
Application of rigid total contact leg cast (29445) $846.41 $846.41 3.0×
Application Short Arm Splint Dynamic (29126) $782.11 $782.11 5.9×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $399.57–$827.54 $399.57–$827.54 varies
Application short leg splint calf foot (29515) $1,044.60 $1,044.60 6.4×
Apply hand/wrist cast (29085) $906.69 $906.69 5.6×
Apply long arm cast (29065) $1,125.73 $1,125.73 4.0×
Apply Multlay Comprs Lwr Leg (29581) $699.16 $699.16 4.3×
Apply Short Leg Cast (29405) $689.43 $689.43 2.5×
Apply short leg cast (29425) $1,756.47 $1,756.47 6.3×
Arterial puncture (36600) $481.66 $481.66 3.6×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $57,207.79 $57,207.79 4.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,959.85 $1,959.85 6.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,778.10 $1,778.10 2.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,959.85 $1,959.85 6.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,762.19 $1,762.19 5.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,242.32 $1,242.32 4.0×
Arthrodesis ankle open (27870) $47,477.40 $47,477.40 3.7×
Arthrodesis great toe interphalangeal joint (28755) $28,032.01 $28,032.01 3.8×
Arthrodesis great toe metatarsophalangeal joint (28750) $36,229.65 $36,229.65 5.0×
Arthrodesis Posterior/Posterolateral Thoracic (22610) $18,266.46 $18,266.46 1.0×
Arthrodesis subtalar (28725) $43,273.43 $43,273.43 3.4×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $24,020.72 $24,020.72 7.3×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $18,198.54 $18,198.54 5.5×
Arthroscopy Ankle Surgical Debridement Limited (29897) $22,464.66 $22,464.66 6.8×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $17,716.38 $17,716.38 5.4×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $22,972.81 $22,972.81 7.0×
Arthroscopy knee synovectomy limited spx (29875) $21,427.02 $21,427.02 6.5×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $22,972.81 $22,972.81 7.0×
Arthroscopy shoulder distal claviculectomy (29824) $22,126.25 $22,126.25 6.7×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $22,972.81 $22,972.81 7.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $22,972.81 $22,972.81 7.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $40,667.41 $40,667.41 5.6×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $26,803.85 $26,803.85 8.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $22,972.81 $22,972.81 7.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $35,789.82 $35,789.82 4.9×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $39,899.85 $39,899.85 5.5×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $20,790.76 $20,790.76 6.3×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $54,461.51 $54,461.51 4.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $46,294.07 $46,294.07 6.4×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $17,716.38 $17,716.38 5.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $16,720.23 $16,720.23 5.1×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $22,972.81 $22,972.81 7.0×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $20,479.04 $20,479.04 6.2×
Aspirate pleura w/ imaging (32555) $3,868.98 $3,868.98 6.1×
Aspirate Pleura W/O Imaging (32554) $1,132.50 $1,132.50 1.8×
Aspirate/Inj Ganglion Cyst (20612) $978.42 $978.42 3.2×
Aspiration and/or injection thyroid cyst (60300) $2,790.76 $2,790.76 3.9×
Aspiration bladder insert suprapubic catheter (51102) $12,055.22 $12,055.22 5.7×
Aspiration Bladder Needle (51100) $1,146.29 $1,146.29 4.6×
Aspiration bladder trocar/intracatheter (51101) $5,918.74 $5,918.74 6.9×
Avulsion nail plate partial/complete simple 1 (11730) $506.48 $506.48 2.5×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $17,730.45 $17,730.45 2.7×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $29,691.18 $29,691.18 2.8×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $27,690.22 $27,690.22 2.6×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $17,546.29 $17,546.29 2.7×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $13,343.13 $13,343.13 2.1×
Biopsy Abdominal Mass (49180) $2,132 $2,132 1.3×
Biopsy bone open deep (20245) $15,543.14 $15,543.14 5.3×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $10,263.21–$19,176.99 $10,263.21–$19,176.99 varies
Biopsy bone trocar/needle deep (20225) $3,472.64 $3,472.64 2.1×
Biopsy Bone Trocar/Needle Superficial (20220) $1,694.59 $1,694.59 1.0×
Biopsy External Auditory Canal (69105) $10,636.02 $10,636.02 6.8×
Biopsy external ear (69100) $643.72 $643.72 2.7×
Biopsy muscle percutaneous needle (20206) $2,898.89 $2,898.89 1.7×
Biopsy nail unit (11755) $3,886.84 $3,886.84 5.5×
Biopsy of liver, needle; percutaneous (47000) $3,502.02 $3,502.02 2.1×
Biopsy of palate, uvula (42100) $8,165.03 $8,165.03 5.2×
Biopsy of rectum (45100) $16,456.15 $16,456.15 5.9×
Biopsy Oropharynx (42800) $15,981.75 $15,981.75 10.3×
Biopsy Pleura Percutaneous Needle (32400) $2,205.94 $2,205.94 1.3×
Biopsy Salivary Gland Needle (42400) $998.37 $998.37 1.4×
Biopsy soft tissue back/flank deep (21925) $2,748.61 $2,748.61 1.7×
Biopsy Soft Tissue Back/Flank Superficial (21920) $8,607.60 $8,607.60 5.2×
Biopsy soft tissue neck/thorax (21550) $6,005.98 $6,005.98 3.6×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $2,460.57 $2,460.57 1.5×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $3,482.15 $3,482.15 2.1×
Biopsy Soft Tissue Shoulder Superficial (23065) $5,058.64 $5,058.64 3.0×
Biopsy soft tissue thigh/knee area superficial (27323) $4,449.49 $4,449.49 2.7×
Biopsy Spinal Cord Percutaneous Needle (62269) $8,656.53 $8,656.53 5.2×
Biopsy Tongue Anterior Two-Thirds (41100) $2,880.26 $2,880.26 5.3×
Biopsy Tongue Posterior One-Third (41105) $16,276.57 $16,276.57 4.9×
Biopsy Vaginal Mucosa Simple (57100) $6,836.75 $6,836.75 7.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $5,666.46 $5,666.46 6.1×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $2,880.26–$3,116.58 $2,880.26–$3,116.58 varies
Bladder instillation anticarcinogenic agent (51720) $1,228.64 $1,228.64 1.8×
Bladder Irrigation (51700) $1,226.28 $1,226.28 4.9×
Bladder Scan (51798) $426.85 $426.85 7.2×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $5,899.67 $5,899.67 3.8×
Blepharotomy drainage abscess eyelid (67700) $1,640.88 $1,640.88 5.1×
Blood Transfusion Service (36430) $2,783.11 $2,783.11 6.3×
Bone Marrow Biopsy (38221) $4,895.88 $4,895.88 3.0×
Bone marrow harvest allogen (38230) $1,849.76 $1,849.76 1.2×
Bone Marrow Harvest Autolog (38232) $47,265.31 $47,265.31 10.8×
Bone Marrow; Aspiration Only (38220) $4,895.88 $4,895.88 3.0×
Bronchoscopy W/Removal Foreign Body (31635) $18,011.91 $18,011.91 10.1×
Bx breast 1st lesion mr imag (19085) $5,175.68 $5,175.68 3.1×
Bx breast 1st lesion strtctc (19081) $5,175.80 $5,175.80 3.1×
Bx breast 1st lesion us imag (19083) $5,175.80 $5,175.80 3.1×
Bx Cervix (57500) $4,173.31 $4,173.31 4.5×
Bx prostate strtctc saturation sampling img gid (55706) $18,448.32 $18,448.32 5.2×
Bx/exc lymph node open deep axillary node (38525) $20,447.42 $20,447.42 5.2×
Bx/exc lymph node open superficial (38500) $19,494.91 $19,494.91 5.0×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $12,602.36 $12,602.36 7.8×
Car-t admn autologous (38228) $56.35 $56.35 0.2×
Carpal Tunnel Surgery (64721) $14,169.72 $14,169.72 7.2×
Cautery Cervix Cryocautery Initial/Repeat (57511) $1,806.22 $1,806.22 5.9×
Cessj Therapy Cath Removal (37214) $11,365.63 $11,365.63 3.6×
Change Cystostomy Tube Complicated (51710) $3,791.12 $3,791.12 5.4×
Change Cystostomy Tube Simple (51705) $881.06 $881.06 3.5×
Change of Windpipe Airway (31502) $1,336.80 $1,336.80 5.6×
Change ureter stent percut (50382) $8,307.04 $8,307.04 4.0×
Chemical Cautery Tissue (17250) $168.24 $168.24 0.8×
Chemical Pleurodesis (32560) $3,874.20 $3,874.20 6.1×
Chemodenerv 1 extrem 5/> mus (64644) $3,131.60 $3,131.60 4.4×
Chemodenerv 1 extremity 1-4 (64642) $5,573.77 $5,573.77 7.9×
Chemodenerv Musc Migraine (64615) $1,673.38 $1,673.38 5.4×
Chemodenerv musc neck dyston (64616) $1,399.79 $1,399.79 4.5×
Chemodenerv trunk musc 1-5 (64646) $5,573.77 $5,573.77 7.9×
Chemodenerv trunk musc 6/> (64647) $3,168.46 $3,168.46 4.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $342.50 $342.50 1.1×
Chest tube placement (32551) $1,444.53 $1,444.53 0.9×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $3,949.25 $3,949.25 1.9×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,028.18 $5,028.18 1.4×
Chorionic Villus Sampling (59015) $4,018.10 $4,018.10 4.3×
Circumcision 28 days or older (54161) $13,147.33 $13,147.33 6.3×
Circumcision Neonate (54160) $6,150.14 $6,150.14 8.8×
Circumcision w/clamp/oth dev w/block (54150) $10,263.24 $10,263.24 4.9×
Cl Tx Scapular Fx; W Manip (23575) $8,627.31 $8,627.31 5.3×
Cl Tx Tib Shft Fx W Manip (27752) $8,627.31 $8,627.31 5.3×
Clear outer ear canal (69200) $751.29 $751.29 5.6×
Closed Rx Metacarpal Fx,Percut (26608) $19,973.02 $19,973.02 6.1×
Closed Rx Spontaneous Hip Disloc (27256) $1,320.65 $1,320.65 5.3×
Closed rx talotarsal disloc,anesth (28575) $16,720.23 $16,720.23 5.1×
Closed Treat Vert Body Fract (22310) $1,320.65 $1,320.65 5.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,814.51 $1,814.51 7.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $8,627.31 $8,627.31 5.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,320.65 $1,320.65 5.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $1,320.65 $1,320.65 5.3×
Closed Treatment Sesamoid Fracture (28530) $1,320.65 $1,320.65 5.3×
Closed Treatment Sternum Fracture (21820) $1,320.65 $1,320.65 5.3×
Closed Treatment Ulnar Styloid Fracture (25650) $1,320.65 $1,320.65 5.3×
Closed tx ankle dislocation w/o anesthesia (27840) $1,814.51 $1,814.51 7.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $8,627.31 $8,627.31 5.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,320.65 $1,320.65 5.3×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,320.65 $1,320.65 5.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $1,320.65 $1,320.65 5.3×
Closed tx carpal scaphoid fracture w/manj (25624) $8,627.31 $8,627.31 5.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,361.97 $1,361.97 5.5×
Closed Tx Craniofacial Separation (21431) $9,519.20 $9,519.20 1.6×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $7,991.21 $7,991.21 4.9×
Closed tx femoral fracture prox head w/o manj (27267) $16,720.23 $16,720.23 5.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,320.65 $1,320.65 5.3×
Closed tx fx orbit except blowout w/manipulation (21401) $8,243.52 $8,243.52 5.3×
Closed Tx Knee Dislocation W/Anesthesia (27552) $9,459.60 $9,459.60 5.9×
Closed tx knee dislocation w/o anesthesia (27550) $3,295.91 $3,295.91 13.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $8,627.31 $8,627.31 5.3×
Closed tx mandibular fracture w/manipulation (21451) $15,981.75 $15,981.75 10.3×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $2,880.26 $2,880.26 5.3×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $30,179.24 $30,179.24 5.1×
Closed tx metatarsal fracture w/o manipulation (28470) $1,320.65 $1,320.65 5.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $8,627.31 $8,627.31 5.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $8,243.52 $8,243.52 5.3×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $16,435.01 $16,435.01 4.9×
Closed Tx Nasomaxillary Complex Fracture (21345) $8,243.52 $8,243.52 5.3×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $16,435.01 $16,435.01 4.9×
Closed tx patellar dislocation w/anesthesia (27562) $1,814.51 $1,814.51 7.3×
Closed tx patellar dislocation w/o anesthesia (27560) $1,814.51 $1,814.51 7.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $1,392.30 $1,392.30 5.6×
Closed tx radial head/neck fx w/manipulation (24655) $8,546.69 $8,546.69 5.3×
Closed tx radial head/neck fx w/o manipulation (24650) $1,320.65 $1,320.65 5.3×
Closed tx radial shaft fracture w/manipulation (25505) $8,627.31 $8,627.31 5.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $1,320.65 $1,320.65 5.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $8,627.31 $8,627.31 5.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,449.91 $1,449.91 5.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $1,320.65 $1,320.65 5.3×
Closed tx septal&nose fx (21337) $16,435.01 $16,435.01 4.9×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $1,320.65 $1,320.65 5.3×
Closed tx talotarsal joint dislc w/o anes (28570) $1,824.10 $1,824.10 7.4×
Closed Tx Talus Fracture W/Manipulation (28435) $8,627.31 $8,627.31 5.3×
Closed tx talus fracture w/o manipulation (28430) $1,320.65 $1,320.65 5.3×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $1,320.65 $1,320.65 5.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $1,824.10 $1,824.10 7.4×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $8,243.52 $8,243.52 5.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $3,493.81 $3,493.81 14.1×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $8,627.31 $8,627.31 5.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,320.65 $1,320.65 5.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $1,320.65 $1,320.65 5.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $1,324.69 $1,324.69 5.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $2,880.26 $2,880.26 5.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $2,256.73 $2,256.73 9.1×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $2,256.73 $2,256.73 9.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $8,627.31 $8,627.31 5.3×
Clsd tx clavicular fracture w/o manipulation (23500) $1,308.80 $1,308.80 5.3×
Clsd tx fx orbit except blowout w/o manipulation (21400) $2,880.26 $2,880.26 5.3×
Clsd Tx Pelvic Ring Fx (27198) $1,320.65 $1,320.65 5.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $2,207.18 $2,207.18 8.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $10,650.84 $10,650.84 6.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $2,256.73 $2,256.73 9.1×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $8,627.31 $8,627.31 5.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,365.94 $1,365.94 5.5×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $14,251.16 $14,251.16 8.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $8,546.69 $8,546.69 5.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,320.65 $1,320.65 5.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $8,627.31 $8,627.31 5.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $1,348.71 $1,348.71 5.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,320.65 $1,320.65 5.3×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $8,627.31 $8,627.31 5.3×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $1,320.65 $1,320.65 5.3×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $8,627.31 $8,627.31 5.3×
Cltx dstl fibular fx lat malls w/manj (27788) $2,613.05 $2,613.05 10.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,320.65 $1,320.65 5.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,417.66 $1,417.66 5.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,417.66 $1,417.66 5.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $1,417.66–$2,613.05 $1,417.66–$2,613.05 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $8,546.69 $8,546.69 5.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $8,627.31 $8,627.31 5.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,320.65 $1,320.65 5.3×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $6,752.82 $6,752.82 4.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,528.54 $1,528.54 6.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $10,864.60 $10,864.60 6.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $1,320.65 $1,320.65 5.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $1,320.65 $1,320.65 5.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,051.63 $1,051.63 4.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $1,308.80 $1,308.80 5.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $756.74 $756.74 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,320.65 $1,320.65 5.3×
Cltx greater humeral tuberosity fx w/o manj (23620) $1,320.65 $1,320.65 5.3×
Cltx Greater Trochanteric Fx W/O Manj (27246) $1,320.65 $1,320.65 5.3×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $8,627.31 $8,627.31 5.3×
Cltx hip dislocation traumatic req anesthesia (27252) $8,546.69 $8,546.69 5.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $2,256.73 $2,256.73 9.1×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $1,320.65 $1,320.65 5.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $8,627.31 $8,627.31 5.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $8,627.31 $8,627.31 5.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $1,320.65 $1,320.65 5.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $8,627.31 $8,627.31 5.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,548.60 $1,548.60 5.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,924.32 $1,924.32 7.8×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $8,940.22 $8,940.22 5.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,816.37 $1,816.37 6.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,651.70 $1,651.70 6.7×
Cltx Med Ankle Fx W/Mnpj (27762) $8,627.31 $8,627.31 5.3×
Cltx Medial Ankle Fx (27760) $1,320.65 $1,320.65 5.3×
Cltx metacarpal fx w/manipulation each bone (26605) $1,417.66 $1,417.66 5.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $1,417.66 $1,417.66 5.7×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $8,627.31 $8,627.31 5.3×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $8,627.31 $8,627.31 5.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,705.16 $1,705.16 6.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $1,320.65 $1,320.65 5.3×
Cltx post hip arthrp dislc req anes (27266) $8,723.57 $8,723.57 5.4×
Cltx post hip arthrp dislc w/o anes (27265) $2,256.73 $2,256.73 9.1×
Cltx prox fibula/shft fx w/manj (27781) $9,514.76 $9,514.76 5.9×
Cltx prox fibula/shft fx w/o manj (27780) $1,320.65 $1,320.65 5.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $8,627.31 $8,627.31 5.3×
Cltx prox tibfib jt dislc req anes (27831) $31,980.12 $31,980.12 9.7×
Cltx prox tibfib jt dislc w/o anes (27830) $1,320.65 $1,320.65 5.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,320.65 $1,320.65 5.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,814.51 $1,814.51 7.3×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $8,627.31 $8,627.31 5.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $8,546.69 $8,546.69 5.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $8,627.31 $8,627.31 5.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $8,627.31 $8,627.31 5.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,320.65 $1,320.65 5.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $8,627.31 $8,627.31 5.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,320.65 $1,320.65 5.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $16,720.23 $16,720.23 5.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $1,320.65 $1,320.65 5.3×
Cltx tibial fx proximal w/o manipulation (27530) $1,320.65 $1,320.65 5.3×
Cltx tibial shaft fx w/o manipulation (27750) $1,366.45 $1,366.45 5.5×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,814.51 $1,814.51 7.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $8,627.31 $8,627.31 5.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,320.65 $1,320.65 5.3×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $16,720.23 $16,720.23 5.1×
Collect Blood From Catheter Venous Nos (36592) $411.82 $411.82 3.1×
Collection of venous blood by venipuncture (36415) $64.18 $64.18 6.9×
Colonoscopy w/ablation (45388) $8,621.61 $8,621.61 7.2×
Colonoscopy w/submucosal inj (45381) $8,895.96 $8,895.96 7.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,984.68 $1,984.68 6.5×
Colposcopy Cervix Endocervical Curettage (57456) $2,114.55 $2,114.55 6.9×
Colposcopy cervix upper/adjacent vagina (57452) $2,152.71 $2,152.71 10.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $3,572.10 $3,572.10 11.7×
Colposcopy cervix vag eltrd conization cervix (57461) $16,095.68 $16,095.68 4.9×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $16,095.68 $16,095.68 4.9×
Colposcopy entire vagina w/cervix if present (57420) $1,528.65 $1,528.65 5.0×
Colposcopy of vulva (56820) $1,859.17 $1,859.17 9.2×
Colposcopy Vulva W/Biopsy (56821) $3,085 $3,085 10.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $4,018.10 $4,018.10 4.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $8,895.96 $8,895.96 7.4×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $8,895.96 $8,895.96 7.4×
Complex Cystometrogram (51726) $1,161.93 $1,161.93 4.6×
Complex drainage wound (10180) $17,676.03 $17,676.03 6.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $18,087.25 $18,087.25 5.6×
Conization of cervix (57520) $18,570.84 $18,570.84 5.7×
Control Nasal Hemorrhage Anterior Complex (30903) $890.27 $890.27 6.7×
Control Nasal Hemorrhage Anterior Simple (30901) $922.72 $922.72 6.9×
Conversion ext bil drg cath (47535) $12,296.01 $12,296.01 3.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $6,807.17 $6,807.17 3.5×
Convert Nephrostomy Catheter (50434) $5,417.70 $5,417.70 2.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,194.24 $2,194.24 1.3×
Correction hammertoe (28285) $19,505.45 $19,505.45 5.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $21,549.78 $21,549.78 6.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $31,712.89 $31,712.89 2.5×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $29,996.28 $29,996.28 4.1×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $21,549.78 $21,549.78 6.6×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $31,370.27 $31,370.27 4.3×
Create Eardrum Opening (69433) $2,375.01 $2,375.01 4.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $889.19 $889.19 6.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,336.80 $1,336.80 5.6×
Cysto Bladder W/Ureteral Catheterization (52005) $10,263.24 $10,263.24 4.9×
Cysto calibration dilat urtl strix/stenosis (52281) $10,263.24 $10,263.24 4.9×
Cysto w/complex removal stone & stent (52315) $13,059.18 $13,059.18 6.2×
Cysto w/irrig & evac multple obstructing clots (52001) $17,729.13 $17,729.13 5.0×
Cysto W/Simple Removal Stone & Stent (52310) $10,606.65 $10,606.65 5.1×
Cystometrogram W/Up (51727) $3,623.55 $3,623.55 5.2×
Cystometrogram W/Vp (51728) $3,696.58 $3,696.58 5.3×
Cystometrogram W/Vp&Up (51729) $3,836.42 $3,836.42 5.5×
Cystourethroscopy (52000) $3,623.55 $3,623.55 5.2×
Cystourethroscopy with biopsy (52204) $13,259.81 $13,259.81 6.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $2,167.91 $2,167.91 5.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $13,727.14 $13,727.14 4.7×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $21,284.82 $21,284.82 10.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,279.47 $1,279.47 1.7×
Debride nail 1-5 (11720) $462.40 $462.40 7.8×
Debride nail 6 or more (11721) $509.52 $509.52 8.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,944.13 $3,944.13 2.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,336.28 $1,336.28 3.3×
Declot vascular device (36593) $991.93 $991.93 3.0×
Decompress Spinal Cord Lmbr (63056) $41,668.27 $41,668.27 5.7×
Decompression of tibia nerve (28035) $14,931.95 $14,931.95 7.6×
Delivery of placenta (59414) $6,260.09 $6,260.09 1.9×
Destr W Neurolytic; Celiac Plexus (64680) $7,796.99 $7,796.99 8.8×
Destroy cerv/thor facet jnt (64633) $3,761.89 $3,761.89 1.9×
Destroy lumb/sac facet jnt (64635) $6,491.02 $6,491.02 3.3×
Destruct B9 Lesion 1-14 (17110) $1,110.31 $1,110.31 5.5×
Destruction Benign Lesions 15/> (17111) $1,110.31 $1,110.31 5.5×
Destruction by neurolytic agent, intercostal nerve (64620) $7,796.99 $7,796.99 8.8×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $11,008.52 $11,008.52 5.6×
Destruction Lesions Vulva Extensive (56515) $10,469.89 $10,469.89 5.1×
Destruction Lesions Vulva Simple (56501) $11,013.62 $11,013.62 5.3×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $1,239.85 $1,239.85 6.2×
Destruction neurolytic agt genicular nerve w/img (64624) $6,772.45 $6,772.45 3.5×
Destruction of skin lesions (17106) $2,211.02 $2,211.02 5.4×
Destruction Premalignant Lesion 15/> (17004) $2,190.98 $2,190.98 5.4×
Destruction premalignant lesion 1st (17000) $1,112.09 $1,112.09 5.5×
Diagnostic sigmoidoscopy (45330) $4,890.82 $4,890.82 5.2×
Diaphragm or cervical cap fitting with instructions (57170) $1,088.90 $1,088.90 5.4×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $759.92 $759.92 5.9×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $542.76 $542.76 4.1×
Dilat Urethral Strix Dilator Male Sbsq (53601) $542.76 $542.76 4.1×
Dilat Xst Trc New Access Rcs (50437) $20,984.37 $20,984.37 5.9×
Dilate Esophagus 1/Mult Pass (43450) $8,421.06 $8,421.06 9.2×
Dilate Urethra Stricture (53600) $928.03 $928.03 3.7×
Dilation & curettage dx&/ther nonobstetric (58120) $17,731.06 $17,731.06 5.5×
Drain Cerebro Spinal Fluid (62272) $3,170.09 $3,170.09 4.5×
Drain Spinal Cord Cyst (62268) $2,720.56 $2,720.56 3.1×
Drain/inj small joint/bursa w/us (20604) $978.42 $978.42 3.2×
Drainage Abscess/Hematoma Nasal Septum (30020) $2,880.26 $2,880.26 5.3×
Drainage external auditory canal abscess (69020) $3,803.02 $3,803.02 5.3×
Drainage external ear abscess/hematoma cmplx (69005) $8,688.98 $8,688.98 5.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $693.77 $693.77 1.0×
Drainage Finger Abscess Complicated (26011) $8,688.98 $8,688.98 5.2×
Drainage Mouth Roof Lesion (42000) $1,509.85 $1,509.85 6.3×
Drainage of finger abscess simple (26010) $1,271.09 $1,271.09 6.3×
Drainage of gum lesion (41800) $977.77 $977.77 7.3×
Drainage of hematoma/fluid (10140) $3,411.44 $3,411.44 2.1×
Drainage of hydrocele (55000) $5,274.54 $5,274.54 7.4×
Drainage of nose lesion (30000) $1,336.80 $1,336.80 5.6×
Drainage of rectal abscess (45020) $14,461.39 $14,461.39 5.2×
Drainage of rectal abscess (45005) $6,421.63 $6,421.63 5.3×
Drainage of scrotal wall abscess (55100) $9,846.83 $9,846.83 5.9×
Drainage of scrotum (54700) $10,263.24 $10,263.24 4.9×
Draw Blood Off Venous Device (36591) $261.45 $261.45 2.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $2,880.26 $2,880.26 5.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $3,766.77 $3,766.77 5.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $571.84 $571.84 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $676.25 $676.25 3.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $513.01 $513.01 2.5×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $3,297.53 $3,297.53 4.4×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $7,084.27 $7,084.27 3.4×
Dstrj Lesion Anus Simple Chemical (46900) $2,211.02 $2,211.02 5.4×
Dstrj lesion anus simple cryosurgery (46916) $1,120.75 $1,120.75 5.6×
Dstrj lesion anus simple surg excision (46922) $16,178.23 $16,178.23 5.8×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $11,013.62 $11,013.62 5.3×
Dstrj Lesion Penis Simple Chemical (54050) $2,211.02 $2,211.02 5.4×
Dstrj Lesion Penis Simple Cryosurgery (54056) $1,120.75 $1,120.75 5.6×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $7,084.27 $7,084.27 3.4×
Dstrj lesion penis simple laser (54057) $7,084.27 $7,084.27 3.4×
Dstrj lesion penis simple surg excision (54060) $7,084.27 $7,084.27 3.4×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $14,903.22 $14,903.22 7.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,706.83 $1,706.83 1.9×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $4,971.89 $4,971.89 5.6×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $3,184.23 $3,184.23 3.6×
Dx Bone Marrow Bx & Aspir (38222) $4,895.88 $4,895.88 1.7×
Dx Bronchoscope/Lavage (31624) $9,857.87 $9,857.87 5.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,715.13 $1,715.13 2.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $8,408.35 $8,408.35 4.4×
Egd control bleeding any (43255) $10,733.58 $10,733.58 5.6×
Egd dilation gastric/duodenal stricture (43245) $10,733.58 $10,733.58 5.6×
Egd Flexible Foreign Body Removal (43247) $4,516.96 $4,516.96 5.0×
Egd place gastrostomy tube (43246) $9,744.95 $9,744.95 5.1×
Egd remove lesion snare (43251) $10,733.58 $10,733.58 5.6×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $986.27 $986.27 3.2×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,447.31 $1,447.31 4.7×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $1,005.66 $1,005.66 3.3×
Electro-Uroflowmetry First (51741) $890.65 $890.65 4.1×
Endocervical curettage (57505) $4,018.10 $4,018.10 4.3×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $23,837.29 $23,837.29 4.7×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $1,376.61–$2,152.71 $1,376.61–$2,152.71 varies
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) $23,837.29 $23,837.29 4.7×
Endoscopic plantar fasciotomy (29893) $23,033.66 $23,033.66 7.0×
Endoscopy Upper Small Intestine (44360) $9,293.52 $9,293.52 4.8×
Endoscopy upper small intestine w/biopsy (44361) $10,935.35 $10,935.35 5.7×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $35,769.83 $35,769.83 3.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $16,751.98 $16,751.98 5.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $16,564.50 $16,564.50 5.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $17,786.16 $17,786.16 9.2×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $9,785.08 $9,785.08 4.7×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $10,399.36 $10,399.36 5.0×
Epidural Blood Patch (62273) $1,128.12 $1,128.12 1.6×
Epidural lysis mult sessions (62263) $4,972.43 $4,972.43 5.6×
Escharotomy; initial incision (16035) $2,211.02 $2,211.02 5.4×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines		 $8,408.35–$8,421.06 $8,408.35–$8,421.06 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $9,147.36 $9,147.36 4.7×
Evacuation of subungual hematoma (11740) $401.66 $401.66 3.0×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $16,939.05 $16,939.05 10.2×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $16,939.05 $16,939.05 10.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $3,773.28 $3,773.28 5.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,144.94 $4,144.94 2.5×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $18,708.99 $18,708.99 5.6×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $20,964.11 $20,964.11 5.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,806.19 $1,806.19 2.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,806.19 $1,806.19 2.5×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $11,220.47 $11,220.47 6.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,806.19 $1,806.19 2.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $7,381.31 $7,381.31 10.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,806.19 $1,806.19 2.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $4,144.94 $4,144.94 2.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $4,144.94 $4,144.94 2.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $9,242.76 $9,242.76 5.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $3,773.28 $3,773.28 5.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $10,483.90 $10,483.90 6.3×
Exc hand tum deep < 1.5 cm (26116) $14,207.84 $14,207.84 8.6×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $14,781.83 $14,781.83 9.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $17,454.95 $17,454.95 5.2×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $19,291.51 $19,291.51 5.8×
Exc neuroma hand/foot xcp digital nerve (64782) $14,931.95 $14,931.95 7.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $7,381.31 $7,381.31 10.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $16,939.05 $16,939.05 10.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $14,741.68 $14,741.68 5.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $9,771.17 $9,771.17 5.9×
Exc Skin Benig >4cm Face,Facial (11446) $6,947.11 $6,947.11 2.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $4,144.94 $4,144.94 2.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $15,454.45 $15,454.45 5.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $10,427.65 $10,427.65 6.3×
Exc tendon shth lesion leg/ankle (27630) $18,821.15 $18,821.15 5.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $6,421.63 $6,421.63 5.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,170.66 $1,170.66 2.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $2,237.83 $2,237.83 3.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $8,688.98 $8,688.98 5.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $20,515.68 $20,515.68 7.0×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $20,845.78 $20,845.78 7.1×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $12,807.30 $12,807.30 4.4×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $13,796.85 $13,796.85 3.8×
Exchange Intraocular Lens (66986) $19,192.06 $19,192.06 8.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $4,730.27 $4,730.27 2.3×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $4,524.24 $4,524.24 2.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $13,143.60 $13,143.60 8.4×
Excise Wrist Tendon Sheath (25118) $16,839.37 $16,839.37 10.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $6,766.49 $6,766.49 9.5×
Excision Chalazion Single (67800) $3,218.56 $3,218.56 10.1×
Excision Excessive Skin & Subq Tissue Other Area (15839) $16,116.35 $16,116.35 5.5×
Excision H/P/P/U Complex Repair (11471) $6,947.11 $6,947.11 2.4×
Excision H/P/P/U Simple/Intermediate Repair (11470) $6,947.11 $6,947.11 2.4×
Excision Hidradenitis Axillary Complex Repair (11451) $6,947.11 $6,947.11 2.4×
Excision Hidradenitis Inguinal Complex Repair (11463) $6,947.11 $6,947.11 2.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $6,947.11 $6,947.11 2.4×
Excision inferior turbinate partial/complete (30130) $13,610.77 $13,610.77 4.1×
Excision lesion meniscus/capsule knee (27347) $8,211.77 $8,211.77 2.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $3,773.28 $3,773.28 5.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $3,773.28 $3,773.28 5.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $5,016.81 $5,016.81 12.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $6,275.44 $6,275.44 8.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,806.19 $1,806.19 2.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $16,939.05 $16,939.05 10.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $6,947.11 $6,947.11 2.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $4,144.94 $4,144.94 2.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $3,773.28 $3,773.28 5.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $7,381.31 $7,381.31 10.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $11,122.04 $11,122.04 6.7×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $14,851.72 $14,851.72 9.2×
Excision olecranon bursa (24105) $19,114.73 $19,114.73 5.8×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $18,821.15 $18,821.15 5.7×
Excision Pilonidal Cyst/Sinus Complicated (11772) $28,390.66 $28,390.66 9.7×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $37,455.28 $37,455.28 5.6×
Excision soft tissue lesion, external auditory canal (69145) $14,967.19 $14,967.19 5.1×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $20,845.78 $20,845.78 7.1×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $14,207.84 $14,207.84 8.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $17,727.26 $17,727.26 6.1×
Excision, interdigital (morton) neuroma, single, each (28080) $14,781.83 $14,781.83 9.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $10,946.28 $10,946.28 6.6×
Excision/curettage cyst/tumor phalanx finger (26210) $12,134.72 $12,134.72 7.5×
Excision/destruction intranasal lesion int appr (30117) $16,973.10 $16,973.10 5.1×
Excision/Transposition Pterygium W/Grafg (65426) $17,950.42 $17,950.42 7.5×
Explo/Drain Breast Abscess (19020) $8,688.98 $8,688.98 5.2×
Exploration maxillary sinus (31020) $18,708.99 $18,708.99 5.6×
Exploration penetrating wound spx extremity (20103) $7,196.97 $7,196.97 4.3×
External cephalic version (59412) $2,005.39 $2,005.39 0.6×
Fasciotomy, foot and/or toe (28008) $22,724.07 $22,724.07 6.9×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $1,447.70–$2,152.71 $1,447.70–$2,152.71 varies
Fetal non-stress test (59025) $447.62 $447.62 2.2×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $3,374.77 $3,374.77 4.7×
Fine needle aspiration without imaging guidance (10021) $2,321.88 $2,321.88 5.7×
Fluoro exam of g/colon tube (49465) $977.96 $977.96 4.1×
Fna Bx W/Fluor Gdn 1St Les (10007) $3,374.77 $3,374.77 4.7×
Fna bx w/us gdn 1st les (10005) $3,374.77 $3,374.77 4.7×
Foreskin manipulation (54450) $1,161.93 $1,161.93 4.6×
Frenulotomy of penis (54164) $10,263.24 $10,263.24 4.9×
Fusion Finger Joint (26860) $20,480.11 $20,480.11 6.2×
Fusion of foot bones (28740) $36,229.65 $36,229.65 5.0×
Fusion of knuckle (26850) $29,961.06 $29,961.06 4.1×
Gastrocnemius recession (27687) $22,972.81 $22,972.81 7.0×
Guide Cathet Fluid Drainage (10030) $4,021.92 $4,021.92 5.7×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $36,169.87 $36,169.87 5.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $5,353.74 $5,353.74 5.7×
Hysteroscopy Biopsy (58558) $19,293.44 $19,293.44 5.9×
Hysteroscopy Endometrial Ablation (58563) $25,948.57 $25,948.57 5.2×
I&d abscess peritonsillar (42700) $1,615.31 $1,615.31 6.8×
I&d abscess simple (10060) $1,164.08 $1,164.08 5.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $17,727.26 $17,727.26 6.1×
I&D Deep Absc/Hematoma Neck/Chest (21501) $17,651.47 $17,651.47 6.0×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $16,720.23 $16,720.23 5.1×
I&d forearm/wrist bursa (25031) $8,627.31 $8,627.31 5.3×
I&D Mouth/Tong Intra,Masticator (41009) $2,880.26 $2,880.26 5.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $20,632.24 $20,632.24 6.3×
I&d perianal abscess superficial (46050) $4,921.10 $4,921.10 5.3×
I&d pilonidal cyst complicated (10081) $3,803.02 $3,803.02 5.3×
I&d pilonidal cyst simple (10080) $3,816.54 $3,816.54 5.4×
I&d shoulder deep abscess/hematoma (23030) $24,073.17 $24,073.17 8.3×
I&d upper arm/elbow deep abscess/hematoma (23930) $14,586.47 $14,586.47 5.0×
Icd Pocket Revision (33223)
range across 2 matching MRF lines		 $6,063.15–$11,013.62 $6,063.15–$11,013.62 varies
Image Cath Fluid Colxn Visc (49405) $3,590.97 $3,590.97 2.2×
Image Cath Fluid Peri/Retro (49406) $2,872.78 $2,872.78 1.7×
Image Cath Fluid Trns/Vgnl (49407) $3,590.97 $3,590.97 2.2×
Implant neuroelectrodes (63650) $5,394.68 $5,394.68 0.8×
Implant Neuroelectrodes (64561) $24,468.89 $24,468.89 3.8×
Implant Spine Infusion Pump (62362) $28,518.45 $28,518.45 1.6×
Incise external hemorrhoid (46083) $687.85 $687.85 2.7×
Incise finger tendon sheath (26055) $12,134.72 $12,134.72 7.5×
Incise/Drain Conjunctiva (68020) $2,817.83 $2,817.83 2.8×
Incision & drainage abscess complicated/multiple (10061) $1,218.50 $1,218.50 3.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $14,586.47 $14,586.47 5.0×
Incision & removal foreign body subq tiss compl (10121) $12,483.70 $12,483.70 7.5×
Incision & removal foreign body subq tiss simple (10120) $1,909.30 $1,909.30 4.7×
Incision and drainage of bartholin's gland abscess (56420) $2,257.44 $2,257.44 11.1×
Incision and drainage of vulva or perineal abscess (56405) $2,155.58 $2,155.58 7.0×
Incision bone cortex foot (28005) $18,821.15 $18,821.15 5.7×
Incision extensor tendon sheath wrist (25000) $14,851.72 $14,851.72 9.2×
Incision of eardrum (69421) $16,435.01 $16,435.01 4.9×
Incision of eardrum (69420) $1,071.31 $1,071.31 4.5×
Incision of Foot Tendon (28234) $7,197.46 $7,197.46 4.5×
Incision of lingual frenum (frenotomy) (41010) $9,071.82 $9,071.82 5.8×
Incision of rectal abscess (46040) $6,421.63 $6,421.63 5.3×
Incision of urethra (53020) $10,263.24 $10,263.24 4.9×
Incision&drainage bursa foot (28001) $8,688.98 $8,688.98 5.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $8,688.98 $8,688.98 5.2×
Incisional biopsy eyelid skin & lid margin (67810) $787.60 $787.60 2.5×
Incisional biopsy skin single lesion (11106) $1,749.13 $1,749.13 2.4×
Initial Tx 1st Degree Burn Local Tx (16000) $332.34 $332.34 1.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $4,518.81 $4,518.81 5.1×
Inj W/Fluor Eval Cv Device (36598) $1,179.03 $1,179.03 5.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $4,518.81 $4,518.81 5.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,399.79 $1,399.79 4.5×
Injection aa&/strd axillary nerve w/img gdn (64417) $5,444.80 $5,444.80 6.1×
Injection aa&/strd genicular nrv branches w/img (64454) $2,977.45 $2,977.45 4.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,107.76 $2,107.76 2.4×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $2,350 $2,350 2.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $3,354.09 $3,354.09 4.7×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $4,518.81 $4,518.81 6.4×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $2,350 $2,350 2.6×
Injection Anes Agent Sphenopalatine Ganglion (64505) $1,485.22 $1,485.22 4.8×
Injection Anes Superior Hypogastric Plexus (64517) $7,917.25 $7,917.25 8.9×
Injection anesthetic agent suprascapular nerve (64418) $3,434.54 $3,434.54 4.8×
Injection enzyme palmar fascial cord (20527) $978.42 $978.42 3.2×
Injection for identification of sentinel node (38792) $320.11 $320.11 0.8×
Injection Into Brain Canal (61055) $3,235.86 $3,235.86 10.5×
Injection procedure for peyronie disease (54200) $1,161.93 $1,161.93 4.6×
Injection single tendon origin/insertion (20551) $1,281.79 $1,281.79 4.2×
Injection single/mlt trigger point 1/2 muscles (20552) $966.60 $966.60 3.1×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $1,147.36–$1,163.80 $1,147.36–$1,163.80 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $15,964.21 $15,964.21 10.2×
Injection therapeutic carpal tunnel (20526) $1,933.51 $1,933.51 6.3×
Injection, anesthetic agent; brachial plexus, single (64415) $2,877.26 $2,877.26 3.2×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $2,356.27–$3,633.47 $2,356.27–$3,633.47 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $763.53 $763.53 1.1×
Injection, anesthetic agent; vagus nerve (64408) $978.42 $978.42 3.2×
Injection, intralesional; up to and including 7 lesions (11900) $531.63 $531.63 2.6×
Ins cath ren art 1st bilat (36252) $12,372.90 $12,372.90 3.9×
Ins cath ren art 1st unilat (36251) $12,372.90 $12,372.90 3.9×
Ins cath ren art 2nd+ bilat (36254) $27,662.85 $27,662.85 8.7×
Ins cath ren art 2nd+ unilat (36253) $17,479.22 $17,479.22 3.1×
Ins endovas vena cava filtr (37191) $23,362.09 $23,362.09 4.2×
Ins Vag Brachytx Device (57156) $3,664.79 $3,664.79 12.0×
Ins/Rep Subq Defibrillator (33270) $53,318.08 $53,318.08 1.7×
Insert 1 Electrode Pm-Defib (33216)
range across 2 matching MRF lines		 $13,118.77–$25,556.89 $13,118.77–$25,556.89 varies
Insert and remove bone pin (20650) $31,980.12 $31,980.12 9.7×
Insert Bladder Cath Complex (51703) $1,624.54 $1,624.54 12.6×
Insert cath pleura w/ image (32557) $3,830.52 $3,830.52 2.4×
Insert cath pleura w/o image (32556) $10,235.45 $10,235.45 5.3×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $6,963 $6,963 5.8×
Insert cervical dilator (59200) $565.02 $565.02 1.8×
Insert Drug Implant Device (11981) $1,289.72 $1,289.72 9.6×
Insert Gastrostomy Tube Percutaneous (49440) $6,807.17 $6,807.17 3.5×
Insert Heart Pm Atrial (33206) $53,317.96 $53,317.96 5.1×
Insert Heart Pm Ventricular (33207) $53,318.08 $53,318.08 5.1×
Insert hepatic shunt (tips) (37182) $24,631.61 $24,631.61 1.3×
Insert non-tunnel cv cath (36556) $3,040.48 $3,040.48 1.0×
Insert Pacing Lead & Connect (33224) $51,009.25 $51,009.25 4.9×
Insert pessary/other device (57160) $1,088.90 $1,088.90 5.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $7,388.14 $7,388.14 4.7×
Insert pulse gen dual leads (33213)
range across 2 matching MRF lines		 $39,560.75–$53,317.96 $39,560.75–$53,317.96 varies
Insert pulse gen mult leads (33221) $58,948.29 $58,948.29 3.0×
Insert Pulse Gen Sngl Lead (33212) $27,746.57 $27,746.57 3.3×
Insert Temp Bladder Cath (51702) $617.45 $617.45 4.6×
Insert tun ip cath perc (49418) $14,497.04 $14,497.04 4.0×
Insert tunneled cv cath (36561) $16,275.88 $16,275.88 5.1×
Insert tunneled cv cath (36563) $25,759.20 $25,759.20 4.6×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $26,035.39 $26,035.39 4.7×
Insert,Non-Indwelling Bladder Catheter (51701) $692.12 $692.12 5.2×
Insertion indwelling tunneled pleural catheter (32550) $14,607.16 $14,607.16 4.1×
Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) $26,035.39 $26,035.39 4.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $5,865.12 $5,865.12 3.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $13,985.67 $13,985.67 1.7×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $19,307.42 $19,307.42 5.4×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $29,433.49 $29,433.49 5.3×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $23,582.03 $23,582.03 4.7×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
range across 2 matching MRF lines		 $13,775.22–$27,440.84 $13,775.22–$27,440.84 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $15,205.47 $15,205.47 4.8×
Insj Picc Rs&I <5 Yr (36572) $2,826.52 $2,826.52 4.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $8,723.10 $8,723.10 2.8×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $15,205.47 $15,205.47 4.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $8,831.16 $8,831.16 5.6×
Insj Subq Impltbl Dfb Elctrd (33271) $29,072.88 $29,072.88 3.5×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $15,205.47 $15,205.47 4.8×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $26,035.39 $26,035.39 4.7×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $15,205.47 $15,205.47 4.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $13,195.21 $13,195.21 4.2×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $53,317.96–$53,318.08 $53,317.96–$53,318.08 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $109,057.73 $109,057.73 3.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $13,775.22–$29,072.88 $13,775.22–$29,072.88 varies
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $48,540.91–$53,318.08 $48,540.91–$53,318.08 varies
Insrt Pulse Gen W/Dual Leads (33230) $75,640.97 $75,640.97 3.4×
Insrt Pulse Gen W/Mult Leads (33231) $51,505.62 $51,505.62 1.6×
Insrt Pulse Gen W/Singl Lead (33240)
range across 2 matching MRF lines		 $53,317.96–$81,717.14 $53,317.96–$81,717.14 varies
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,111.72 $3,111.72 2.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $2,360.82 $2,360.82 5.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $2,211.02 $2,211.02 5.4×
Intranasal Biopsy (30100) $9,880.52 $9,880.52 6.3×
Intraoral i&d tongue/floor lingual (41000) $2,880.26 $2,880.26 5.3×
Intraoral i&d tongue/floor sublngl supfc (41005) $1,336.80 $1,336.80 5.6×
Intraoral i&d tongue/floor submental space (41007) $8,243.52 $8,243.52 5.3×
Intraoral i&d tongue/floor submndblr space (41008) $16,435.01 $16,435.01 4.9×
Intro cath dialysis circuit (36901) $4,646.36 $4,646.36 2.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $39,088.21 $39,088.21 3.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $34,102.35 $34,102.35 6.0×
Intro Gastrointestinal Tube (44500) $3,127.88 $3,127.88 3.4×
Intubation endotracheal emergency procedure (31500) $1,511.16 $1,511.16 6.4×
Irrigation of corpora cavernosa for priapism (54220) $1,291.63 $1,291.63 5.1×
Knee Arthroscopy/Surgery (29874) $20,790.76 $20,790.76 6.3×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $33,935.99 $33,935.99 4.7×
Laparo-vag hyst incl t/o (58552) $52,673.70 $52,673.70 4.9×
Laparoscopy fulguration oviducts (58670) $29,691.18 $29,691.18 4.9×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $54,271.22 $54,271.22 5.1×
Laparoscopy w/rmvl adnexal structures (58661) $36,351.80 $36,351.80 6.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $40,023.07 $40,023.07 6.6×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $35,223.41 $35,223.41 5.8×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $34,565.80 $34,565.80 5.7×
Laryngoscopy diagnostic (31505) $512.84 $512.84 2.6×
Laryngoscopy flexible diagnostic (31575) $141.21 $141.21 0.7×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $4,788.37 $4,788.37 12.2×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $2,073.75 $2,073.75 5.3×
Laryngoscopy Indirect W/Biopsy (31510) $8,890.22 $8,890.22 2.4×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $2,095.75 $2,095.75 10.5×
Laryngoscopy W/Foreign Body Removal (31530) $18,011.91 $18,011.91 10.1×
Laser Surgery Anal Lesions (46917) $14,614.78 $14,614.78 5.2×
Laser vaporization of prostate (52648) $29,083.19 $29,083.19 5.4×
Late closure of wound (13160) $11,013.62 $11,013.62 3.1×
Ligamentous reconstruction knee intra-articular (27428) $50,124.30 $50,124.30 3.9×
Ligation or biopsy temporal artery (37609) $14,054.31 $14,054.31 8.5×
Litholapaxy comp/lg > 2.5 cm (52318) $34,045 $34,045 9.6×
Lithotripsy, extracorporeal shock wave (50590) $27,956.29 $27,956.29 7.9×
Lyse chest fibrin init day (32561) $4,352.15 $4,352.15 6.9×
Lyse Chest Fibrin Subq Day (32562) $4,352.15 $4,352.15 6.9×
Lysis Intranasal Synechia (30560) $3,882.25 $3,882.25 7.2×
Lysis/excision penile postcircumcision adhesions (54162) $10,159.54 $10,159.54 4.8×
Manipulation knee joint under general anesthesia (27570) $11,055.50 $11,055.50 6.8×
Manipulation wrist under anesthesia (25259) $15,118.59 $15,118.59 9.4×
Manipulation, finger joint, under anesthesia, each joint (26340) $9,636.68 $9,636.68 6.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $11,577.91 $11,577.91 7.2×
Marsupialization of bartholin's gland cyst (56440) $16,095.68 $16,095.68 4.9×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $5,173.32 $5,173.32 3.3×
Mech remov tunneled cv cath (36595) $7,291.60 $7,291.60 2.3×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $3,297.53 $3,297.53 4.4×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $3,297.53 $3,297.53 4.4×
Mrgfus Stereotactic Ablation Target Intracranial (61715) $73,739.06 $73,739.06 6.6×
Myelography Lumbar Injection (62305) $5,029.11 $5,029.11 6.4×
Myelography Lumbar Injection (62304) $2,294.12 $2,294.12 2.9×
Myelography via lumbar injection rs&i cervical (62302) $1,647.25 $1,647.25 2.1×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $3,285.02 $3,285.02 4.2×
N Block Inj Celiac Pelus (64530) $4,518.81 $4,518.81 5.1×
N Block Inj Ilio-Ing/Hypogi (64425) $2,356.27 $2,356.27 3.3×
N block inj intercost sng (64420) $1,096.42 $1,096.42 1.5×
N Block Inj Paracervical (64435) $3,168.46 $3,168.46 4.5×
N Block Inj Plantar Digit (64455) $978.42 $978.42 3.2×
N Block Inj Pudendal (64430) $5,497.63 $5,497.63 6.2×
N Block Lumbar/Thoracic (64520) $4,292.83 $4,292.83 4.8×
Nasal Endoscopy Dx (31231) $1,688.38 $1,688.38 8.4×
Nasal surgery procedure (30999) $765.92 $765.92 3.2×
Nasal/Orogastric W/Tube Plmt (43752) $960.91 $960.91 2.1×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $24,555.22 $24,555.22 6.6×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $32,879.14 $32,879.14 4.6×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $10,650.68 $10,650.68 6.0×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $14,269.26 $14,269.26 8.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $9,239.19 $9,239.19 5.2×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $32,323.47 $32,323.47 4.6×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $60,100.33 $60,100.33 8.5×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $33,198.34 $33,198.34 4.7×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $30,796.38 $30,796.38 4.3×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $1,161.93 $1,161.93 4.6×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $16,839.37 $16,839.37 10.4×
Needle Biopsy Lymph Nodes (38505) $1,878.14 $1,878.14 1.1×
Needle Biopsy Pancreas (48102) $1,999.56 $1,999.56 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $286.62 $286.62 9.9×
Needle insertion w/o injection 3 or more muscles (20561) $313.66 $313.66 10.8×
Neuroeltrd Stim Post Tibial (64566) $2,128.85 $2,128.85 6.9×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $14,469.64 $14,469.64 7.4×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $13,426.44 $13,426.44 6.8×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $2,028.79 $2,028.79 12.9×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $2,004.45 $2,004.45 12.8×
Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) $1,183.32 $1,183.32 2.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 3 matching MRF lines		 $1,947.63–$2,495.70 $1,947.63–$2,495.70 varies
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U)
range across 3 matching MRF lines		 $2,110.43–$3,493.99 $2,110.43–$3,493.99 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $8,048.94 $8,048.94 3.8×
Njx anes stellate ganglion crv sympathetic (64510) $1,304.56 $1,304.56 1.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,399.79 $1,399.79 4.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $216.58 $216.58 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $10,468.01 $10,468.01 2.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $4,518.81 $4,518.81 5.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $5,352.84 $5,352.84 6.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,043.12 $3,043.12 4.3×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $3,280.41 $3,280.41 4.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $4,972.43 $4,972.43 5.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,219.48 $1,219.48 1.7×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $4,932.15 $4,932.15 2.4×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $4,932.15 $4,932.15 2.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $4,253.58 $4,253.58 6.1×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $4,253.58 $4,253.58 6.1×
Njx Sclrsnt 1 Incmptnt Vein (36470) $2,351.87 $2,351.87 5.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,907.98 $1,907.98 4.7×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $33,198.34 $33,198.34 4.7×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $33,198.34 $33,198.34 4.7×
Obstructive material removal from gi tube (49460) $5,327.52 $5,327.52 5.8×
Occipital Nerve Block (64405) $1,426.82 $1,426.82 4.6×
Open Repair of Rotator Cuff Acute (23410) $34,786.34 $34,786.34 4.8×
Open Treatment Bimalleolar Ankle Fracture (27814) $36,229.65 $36,229.65 5.0×
Open treatment calcaneal fracture (28415) $41,373.36 $41,373.36 5.7×
Open treatment fracture distal tibia only (27827) $43,273.43 $43,273.43 3.4×
Open Treatment Medial Malleolus Fracture (27766) $35,788.76 $35,788.76 4.9×
Open treatment metatarsal fracture each (28485) $36,229.65 $36,229.65 5.0×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $36,229.65 $36,229.65 5.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $37,858.41 $37,858.41 5.2×
Open Treatment of Ulnar Shaft Fracture (25545) $31,370.27 $31,370.27 4.3×
Open treatment of ulnar styloid fracture (25652) $36,909.67 $36,909.67 5.1×
Open Treatment Radial Shaft Fracture (25515) $32,586.14 $32,586.14 4.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $36,229.65 $36,229.65 5.0×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $16,556.20–$20,157.72 $16,556.20–$20,157.72 varies
Open Tx Distal Tibiofibular Joint Disruption (27829) $35,522.94 $35,522.94 4.9×
Open Tx Humeral Epicondylar Fracture (24575) $31,432.26 $31,432.26 2.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $31,262.32 $31,262.32 9.5×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $20,556.96 $20,556.96 6.3×
Open Tx Radial Head/Neck Fracture Prosth (24666) $31,432.26 $31,432.26 2.4×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $35,788.76 $35,788.76 4.9×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $36,229.65 $36,229.65 5.0×
Open/Perq Place Stent 1St (37236) $16,096.60 $16,096.60 1.4×
Open/Perq Place Stent Same (37238) $15,330.11 $15,330.11 1.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $40,089.87 $40,089.87 5.5×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $47,567.02 $47,567.02 6.5×
Ostc prtl exostc/condylc metar head (28288) $19,079.50 $19,079.50 5.8×
Ostectomy, complete excision; first metatarsal head (28111) $18,821.15 $18,821.15 5.7×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $19,032.53 $19,032.53 5.8×
Osteoplasty Radius/Ulna Shortening (25390) $33,889.60 $33,889.60 4.6×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $31,370.27 $31,370.27 4.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $19,031.46 $19,031.46 5.8×
Osteotomy calcaneus w/wo internal fixation (28300) $35,788.76 $35,788.76 4.9×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $36,229.65 $36,229.65 5.0×
Osteotomy Tibia (27705) $34,786.34 $34,786.34 4.8×
Part remv talus or calcaneus (28120) $20,382.96 $20,382.96 6.2×
Partical Excision Bone Phalanx Toe (28124) $16,556.20 $16,556.20 5.0×
Penile Injection (54235) $1,291.63 $1,291.63 5.1×
Perc Cryo Ablate Renal Tum (50593) $19,568.79 $19,568.79 1.8×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $3,830.52 $3,830.52 2.8×
Perc Rf Ablate Renal Tumor (50592) $21,917.03 $21,917.03 3.6×
Percut Ablate Liver Rf (47382) $36,408.43 $36,408.43 6.0×
Percut Cath Occlusn Non Cns Lesn (61626) $29,436.18 $29,436.18 2.5×
Percut Drain/Inject Renal Cyst (50390) $4,190.61 $4,190.61 5.9×
Percut Mech Thrombectomy, Venous, Repeat (37188) $20,193.37 $20,193.37 6.4×
Pericardiocentesis W/Imaging (33016) $1,724.60 $1,724.60 1.1×
Peritoneal Lavage (49084) $4,516.96 $4,516.96 5.0×
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure		 $7,728.77 $7,728.77 0.4×
Perq Cervicothoracic Inject (22510) $17,861.30 $17,861.30 5.4×
Perq dev breast 1st mr guide (19287) $2,539.95 $2,539.95 3.6×
Perq dev breast 1st strtctc (19283) $7,381.31 $7,381.31 10.4×
Perq dev breast 1st us imag (19285) $1,331 $1,331 1.9×
Perq device breast 1st imag (19281) $1,331 $1,331 0.8×
Perq dilation xst trc endourologic px w/img (50436) $17,953.63 $17,953.63 5.1×
Perq Lumbosacral Injection (22511) $41,333.44 $41,333.44 12.6×
Perq p-art revsc 1 nm nt uni (33900) $32,684.10 $32,684.10 2.8×
Perq p-art revsc st 1st abnor connj unilateral (33902) $39,727.91 $39,727.91 2.2×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $32,684.10 $32,684.10 2.8×
Perq p-art revsc st 1st nml native connj bi (33901) $32,684.10 $32,684.10 2.8×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $26,526.24 $26,526.24 4.4×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,811.92 $2,811.92 4.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $31,027.81 $31,027.81 2.7×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $18,676.78 $18,676.78 3.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $41,333.44 $41,333.44 5.7×
Perq Vertebral Augmentation (22513) $41,333.44 $41,333.44 5.7×
Phleb Veins - Extrem 20+ (37766) $15,205.47 $15,205.47 4.8×
Photopheresis extracorporeal (36522) $34,066.25 $34,066.25 7.8×
Place Cath Subclavian Art (36225) $6,327.66 $6,327.66 2.0×
Place Cath Thoracic Aorta (36221) $3,878.61 $3,878.61 1.2×
Place Cath Vertebral Art (36226) $16,755.39 $16,755.39 3.0×
Place Duod/Jej Tube Perc (49441) $6,807.17 $6,807.17 3.5×
Place Rt Device/Marker Pros (55876) $9,645.13 $9,645.13 6.9×
Placement Needle Pelvic Organ Radioelement Appl (55920) $27,702.27 $27,702.27 5.5×
Placement of needle for intraosseous infusion (36680) $881.07 $881.07 2.0×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $17,730.45 $17,730.45 2.7×
Plmt Bile Duct Stent Prq Existing Access (47538) $19,719.27 $19,719.27 3.2×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $34,463.32 $34,463.32 5.7×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $34,591.43 $34,591.43 5.7×
Plmt expandable cath brst following prtl mast (19296) $36,862.13 $36,862.13 4.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $4,287.02 $4,287.02 2.0×
Plmt Nephroureteral Catheter (50433) $15,560.55 $15,560.55 4.4×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $23,175.61 $23,175.61 6.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $23,175.61 $23,175.61 6.5×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $23,175.61 $23,175.61 6.5×
Prim art mech thrombectomy (37184) $39,743.66 $39,743.66 2.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $7,332.17 $7,332.17 7.8×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $14,602.88 $14,602.88 5.2×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $6,421.63 $6,421.63 5.3×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $6,421.63 $6,421.63 5.3×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $28,080.34 $28,080.34 10.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $6,421.63 $6,421.63 5.3×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,263.91 $1,263.91 1.8×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $23,999.85 $23,999.85 3.7×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $8,008.32 $8,008.32 9.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $22,488.55 $22,488.55 6.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $22,488.55 $22,488.55 6.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $13,661.80 $13,661.80 4.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $19,079.50 $19,079.50 5.8×
Pseudoaneurysm Injection Trt (36002) $861.67 $861.67 1.4×
Punch biopsy skin single lesion (11104) $735.39 $735.39 1.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $703.10 $703.10 1.7×
Puncture Aspiration Cyst Breast (19000) $915.39 $915.39 1.3×
Puncture shunt tube/reservoir aspiration/inj px (61070) $3,131.60 $3,131.60 4.4×
Pvb thoracic cont infusion (64463) $3,499.85 $3,499.85 4.9×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $3,499.85 $3,499.85 4.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $11,008.52 $11,008.52 5.6×
Rcnstj angular dfrm toe soft tiss px only (28313) $18,821.15 $18,821.15 5.7×
Relocation Pocket Pacemaker (33222)
range across 2 matching MRF lines		 $4,518.02–$11,013.62 $4,518.02–$11,013.62 varies
Rem Endovas Vena Cava Filter (37193) $11,990.92 $11,990.92 3.8×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $3,002.74 $3,002.74 3.3×
Removal Embedded Foreign Body Eyelid (67938) $951.20 $951.20 3.0×
Removal Foreign Body Foot Complicated (28193) $8,688.98 $8,688.98 5.2×
Removal foreign body foot deep (28192) $10,481.19 $10,481.19 6.3×
Removal Foreign Body Foot Subcutaneous (28190) $5,234.95 $5,234.95 7.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $9,324.42 $9,324.42 5.6×
Removal Foreign Body Pelvis/Hip Deep (27087) $16,720.23 $16,720.23 5.1×
Removal Foreign Body Scrotum (55120) $10,263.24 $10,263.24 4.9×
Removal foreign body upper arm/elbow deep (24201) $14,586.47 $14,586.47 5.0×
Removal foreign body, intranasal; requiring general anesthesia (30310) $16,435.01 $16,435.01 4.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $452.60 $452.60 7.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $332.34–$356 $332.34–$356 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $31,291.79 $31,291.79 9.6×
Removal Implant Deep (20680) $19,402.83 $19,402.83 6.6×
Removal of adenoids (42831) $16,435.01 $16,435.01 4.9×
Removal of adenoids (42830) $16,435.01 $16,435.01 4.9×
Removal of adenoids (42836) $19,181.91 $19,181.91 5.8×
Removal of foreign body from pharynx (42809) $949.45 $949.45 2.1×
Removal of heel spur (28119) $19,187.31 $19,187.31 5.8×
Removal of nail bed (11750) $1,387.54 $1,387.54 3.4×
Removal of sesamoid bone (28315) $19,188.38 $19,188.38 5.8×
Removal of tonsils (42826) $19,719.95 $19,719.95 5.9×
Removal of tunneled intraperitoneal catheter (49422) $10,768.28 $10,768.28 3.4×
Removal or bivalving full arm or full leg cast (29705) $1,548.60 $1,548.60 5.5×
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines		 $5,726.65–$26,420.24 $5,726.65–$26,420.24 varies
Removal peritoneal-venous shunt (49429) $15,205.47 $15,205.47 4.8×
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $5,551.15–$27,746.57 $5,551.15–$27,746.57 varies
Removal shoulder foreign body deep subfascial/im (23333) $14,586.47 $14,586.47 5.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $1,406.19 $1,406.19 7.0×
Removal subcutaneous cardiac rhythm monitor (33286) $2,244.70 $2,244.70 3.2×
Removal sweat gland lesion (11450) $6,947.11 $6,947.11 2.4×
Removal tong/halo applied by another individual (20665) $2,861.15 $2,861.15 6.4×
Removal, under anesthesia, of external fixation system (20694) $14,275.61 $14,275.61 8.8×
Removal/bivalving gauntlet boot/body cast (29700) $338.32 $338.32 1.2×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $10,263.24 $10,263.24 4.9×
Remove Ankle Joint Lining (27626) $22,653.61 $22,653.61 6.9×
Remove drug implant device (11982) $2,836.54 $2,836.54 6.3×
Remove Elctrd Transvenously (33244)
range across 2 matching MRF lines		 $9,457.06–$26,420.24 $9,457.06–$26,420.24 varies
Remove Forearm Foreign Body (25248) $16,839.37 $16,839.37 10.4×
Remove foreign body from eye (65235) $10,739.33 $10,739.33 4.6×
Remove foreign body from eye (65205) $759.98 $759.98 5.7×
Remove Int Dwell Ureteral Stent Transurethral (50386) $10,263.24 $10,263.24 4.9×
Remove Intrauterine Device (58301) $1,806.22 $1,806.22 5.9×
Remove intrvas foreign body (37197) $3,569.11 $3,569.11 1.1×
Remove lung catheter (32552) $3,628.22 $3,628.22 5.8×
Remove Nasal Foreign Body (30300) $778.33 $778.33 5.8×
Remove Peritoneal Foreign Body (49402) $19,391.40 $19,391.40 5.4×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $6,670.41–$28,362.94 $6,670.41–$28,362.94 varies
Remove renal tube w/fluoro (50389) $4,388.13 $4,388.13 6.3×
Remove Shoulder Foreign Body (23330) $3,803.02 $3,803.02 2.3×
Remove spine eltrd plate (63662) $17,677.32 $17,677.32 5.0×
Remove Tendon Sheath Lesion (26160) $12,602.36 $12,602.36 7.8×
Remove ureter stent percut (50384) $6,757.10 $6,757.10 3.2×
Remove&replace pm gen singl (33227)
range across 2 matching MRF lines		 $29,072.88–$39,109.74 $29,072.88–$39,109.74 varies
Remove/Insert Drug Implant (11983) $1,519.27 $1,519.27 3.4×
Remv&replc cvd gen dual lead (33263)
range across 2 matching MRF lines		 $14,389.03–$79,079.20 $14,389.03–$79,079.20 varies
Remv&replc cvd gen mult lead (33264)
range across 2 matching MRF lines		 $14,389.09–$81,185.25 $14,389.09–$81,185.25 varies
Remv&replc cvd gen sing lead (33262)
range across 2 matching MRF lines		 $14,389.09–$86,807.02 $14,389.09–$86,807.02 varies
Remv&replc pm gen dual lead (33228) $42,859.72 $42,859.72 4.1×
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $42,859.72–$70,080.76 $42,859.72–$70,080.76 varies
Renal Biopsy Perq (50200) $2,066.46 $2,066.46 1.2×
Repair Achilles Tendon (27650) $33,134.85 $33,134.85 4.5×
Repair Collat Ankle Ligmnt,Secondary (27698) $31,497.25 $31,497.25 4.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $3,485.42 $3,485.42 4.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $3,485.42 $3,485.42 4.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $2,719.07 $2,719.07 6.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,397.32 $2,397.32 5.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $3,562.63 $3,562.63 8.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $3,485.42 $3,485.42 8.5×
Repair complex trunk 1.1-2.5 cm (13100) $6,478.98 $6,478.98 8.7×
Repair complex trunk 2.6-7.5 cm (13101) $4,930.74 $4,930.74 6.6×
Repair Elbow Perc (24357) $7,803.12 $7,803.12 2.4×
Repair extensor tendon finger w/o graft each (26418) $3,659.74 $3,659.74 2.3×
Repair Eyelid Wound (67935) $5,653.20 $5,653.20 2.4×
Repair Finger/Hand Tendon (26350) $19,187.31 $19,187.31 5.8×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $18,824.35 $18,824.35 5.7×
Repair Foot Dislocation (28615) $35,788.76 $35,788.76 4.9×
Repair Hallux Rigidus (28289) $19,079.50 $19,079.50 5.8×
Repair Hand Joint (26540) $18,617.25 $18,617.25 5.7×
Repair incomplete circumcision (54163) $10,360.04 $10,360.04 4.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $2,394.57 $2,394.57 5.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $2,211.02 $2,211.02 5.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $2,211.02 $2,211.02 5.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $2,211.02 $2,211.02 5.4×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $2,211.02 $2,211.02 5.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $3,297.53 $3,297.53 4.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $2,360.39 $2,360.39 5.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $2,194.80 $2,194.80 5.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $3,272.65 $3,272.65 4.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $7,084.27 $7,084.27 3.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $2,211.02 $2,211.02 5.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $5,804.01 $5,804.01 14.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $2,210.48–$2,531.71 $2,210.48–$2,531.71 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $3,673.38 $3,673.38 4.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $2,211.02 $2,211.02 5.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $9,054.07 $9,054.07 4.4×
Repair Laceration Palate </2 Cm (42180) $2,880.26 $2,880.26 5.3×
Repair Laceration Palate >2 Cm/Complex (42182) $30,179.24 $30,179.24 5.1×
Repair lead pace-defib dual (33220)
range across 2 matching MRF lines		 $17,306.50–$26,420.24 $17,306.50–$26,420.24 varies
Repair Lead Pace-Defib One (33218)
range across 2 matching MRF lines		 $12,494.28–$26,420.24 $12,494.28–$26,420.24 varies
Repair of biceps tendon (24340) $35,198.42 $35,198.42 4.8×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $22,653.61 $22,653.61 6.9×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $35,788.76 $35,788.76 4.9×
Repair of metatarsals (28322) $35,788.76 $35,788.76 4.9×
Repair of nail bed (11760) $726.86 $726.86 1.0×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $33,709.94 $33,709.94 4.6×
Repair of Ruptured Tendon (24342) $35,767.68 $35,767.68 4.9×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $56,300.11 $56,300.11 7.7×
Repair tongue laceration (41252) $2,545 $2,545 10.7×
Repair tongue laceration (41250) $1,134.49 $1,134.49 2.5×
Repair, congenital arteriovenous fistula; extremities Facility (35184) $16,212.44 $16,212.44 5.1×
Repair, primary, disrupted ligament, ankle; collateral (27695) $31,816.44 $31,816.44 4.4×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $34,144.75 $34,144.75 4.7×
Repair/graft achilles tendon (27652) $39,438.67 $39,438.67 5.4×
Repair/Revise Wrist Joint (25320) $33,134.85 $33,134.85 4.5×
Replace duodenostomy/jejunostomy tube perq (49451) $4,478.10 $4,478.10 4.9×
Replace G-J Tube Perc (49452) $4,478.10 $4,478.10 4.9×
Replace g/c tube perc (49450) $4,478.10 $4,478.10 4.9×
Repos Previously Implanted Subq Implantable Dfb (33273) $26,420.24 $26,420.24 7.0×
Reposition Gastrostomy Tube (43761) $2,125.27 $2,125.27 8.5×
Reposition L Ventric Lead (33226)
range across 2 matching MRF lines		 $13,272.90–$17,899.75 $13,272.90–$17,899.75 varies
Reposition Pacing-Defib Lead (33215)
range across 2 matching MRF lines		 $13,118.77–$26,420.24 $13,118.77–$26,420.24 varies
Reposition Venous Catheter (36597) $8,430.07 $8,430.07 5.3×
Revise Spine Eltrd Plate (63664) $42,927.25 $42,927.25 3.8×
Revise ulnar nerve at wrist (64719) $14,169.72 $14,169.72 7.2×
Revision of big toe (28310) $27,876.15 $27,876.15 3.8×
Revision of foot fascia (28250) $21,875.38 $21,875.38 6.7×
Revision of lower leg tendon (27685) $18,080.34 $18,080.34 5.5×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $23,999.85 $23,999.85 3.7×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $20,526.84 $20,526.84 3.6×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $19,092.05 $19,092.05 5.4×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $4,572.94 $4,572.94 2.2×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $8,243.52 $8,243.52 5.3×
Rmvl embedded fb vestibule mouth comp (40805) $2,880.26 $2,880.26 5.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $4,516.96 $4,516.96 5.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $14,269.26 $14,269.26 8.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,527.93 $1,527.93 3.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $919.47 $919.47 6.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $1,519.27 $1,519.27 3.4×
Rmvl fecal impaction/fb spx under anes (45915) $12,533.08 $12,533.08 10.4×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $2,368.62 $2,368.62 1.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $15,835.72 $15,835.72 5.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $14,586.47 $14,586.47 5.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $8,688.98 $8,688.98 5.2×
Rmvl of subq implantable defibrillator electrode (33272) $26,420.24 $26,420.24 7.0×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $12,897.54 $12,897.54 6.6×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $811.52 $811.52 0.4×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $27,485.79 $27,485.79 8.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)
range across 2 matching MRF lines		 $5,726.41–$26,420.24 $5,726.41–$26,420.24 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $6,088.99 $6,088.99 3.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $3,692.40 $3,692.40 5.9×
Rmvl Vitreous Ant Appr Partial Removal (67005) $14,281.97 $14,281.97 6.2×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $1,548.60 $1,548.60 5.5×
Rplc Gtube No Revj Trc (43762) $1,143.26 $1,143.26 4.6×
Rplcmt cath ctr vad subq port/pmp (36578) $16,699.84 $16,699.84 5.3×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $8,950.19 $8,950.19 5.7×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $17,370.83 $17,370.83 5.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $8,469.13 $8,469.13 5.4×
Rplcmt compl tun ctr vad w/subq pmp (36583) $28,524.72 $28,524.72 5.1×
Rplcmt compl tun ctr vad w/subq port (36582) $11,111.11 $11,111.11 3.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,198.87 $2,198.87 0.7×
Rpr blood vessel direct lower extremity (35226) $3,097.53 $3,097.53 4.4×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $8,122.48 $8,122.48 5.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,482 $1,482 7.4×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $3,297.53 $3,297.53 4.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $1,336.80 $1,336.80 5.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,880.26 $2,880.26 5.3×
Rpr Lip Full Thickness Vermilion Only (40650) $3,911.17 $3,911.17 7.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $6,846.33 $6,846.33 4.4×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $31,732.77 $31,732.77 4.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $19,032.53 $19,032.53 5.8×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $11,280.47 $11,280.47 3.4×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $31,980.12 $31,980.12 9.7×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $2,772.47 $2,772.47 4.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $8,211.77 $8,211.77 2.5×
Sclerotx Fluid Collection (49185) $3,289.57 $3,289.57 2.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $16,276.57 $16,276.57 4.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $6,945.66 $6,945.66 5.8×
Shave skin lesion 0.5 cm/< (11300) $2,211.02 $2,211.02 5.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $1,189.68 $1,189.68 5.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $2,211.02 $2,211.02 5.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $1,139.50 $1,139.50 5.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $1,214.22 $1,214.22 6.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $1,154.44 $1,154.44 5.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $1,069.68 $1,069.68 2.6×
Shoulder arthroscopy diagnostic (29805) $18,198.54 $18,198.54 5.5×
Shoulder Arthroscopy/Surgery (29825) $31,262.32 $31,262.32 9.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $1,155.51 $1,155.51 5.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $2,211.02 $2,211.02 5.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $1,206.75 $1,206.75 6.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $1,069.68 $1,069.68 2.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $1,281.48 $1,281.48 6.4×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $16,276.57 $16,276.57 4.9×
Sigmoidoscopy & Polypectomy (45333) $4,890.82 $4,890.82 5.2×
Sigmoidoscopy w/fb removal (45332) $12,533.08 $12,533.08 10.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $6,284.63 $6,284.63 6.7×
Simple Cystometrogram (51725) $1,161.93 $1,161.93 4.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $2,211.02 $2,211.02 5.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $1,120.75 $1,120.75 5.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $1,281.36 $1,281.36 6.4×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $2,211.02 $2,211.02 5.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,338.15 $1,338.15 6.6×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,120.75 $1,120.75 5.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $1,044.87 $1,044.87 5.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,120.75 $1,120.75 5.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $1,120.75 $1,120.75 5.6×
Skin Full Grft Face/Genit/Hf (15240) $11,013.62 $11,013.62 5.3×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $1,580.98–$3,667.46 $1,580.98–$3,667.46 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $1,580.98–$3,667.46 $1,580.98–$3,667.46 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $3,667.46–$17,401.77 $3,667.46–$17,401.77 varies
Skin Tissue Procedure (17999) $915.41 $915.41 4.5×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $6,192.16–$7,101.04 $6,192.16–$7,101.04 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $9,197.58 $9,197.58 1.6×
Slctv cath carotid/innom art angio xtrcranl art (36222) $9,490.83 $9,490.83 3.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $24,107.01 $24,107.01 4.3×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $32,382.77 $32,382.77 6.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $908.98 $908.98 4.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $2,229.95 $2,229.95 5.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $2,215.89 $2,215.89 5.4×
Spinal puncture lumbar diagnostic (62270) $3,131.60 $3,131.60 4.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $11,013.62 $11,013.62 5.3×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $15,205.47–$22,466.15 $15,205.47–$22,466.15 varies
Strapping ankle (29540)
range across 3 matching MRF lines		 $898.32–$937.02 $898.32–$937.02 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $317.74–$400.35 $317.74–$400.35 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $400.35–$492.03 $400.35–$492.03 varies
Strapping Hip (29520)
range across 2 matching MRF lines		 $171.13–$1,289.72 $171.13–$1,289.72 varies
Strapping knee (29530)
range across 3 matching MRF lines		 $333.11–$709.95 $333.11–$709.95 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $345.83–$1,289.72 $345.83–$1,289.72 varies
Strapping thorax (29200) $998.40 $998.40 6.1×
Strapping toes (29550)
range across 3 matching MRF lines		 $492.03–$520.46 $492.03–$520.46 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $530.94–$1,042.70 $530.94–$1,042.70 varies
Subcutaneous Hormone Pellet Implantation (11980) $1,519.27 $1,519.27 3.4×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $536.92 $536.92 2.7×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $1,585.38 $1,585.38 2.1×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $1,585.38 $1,585.38 2.1×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $1,585.38 $1,585.38 2.1×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $13,610.77 $13,610.77 4.1×
Surg Implnt Neuroelect,Epidural (63655) $25,280.14 $25,280.14 1.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $5,653.20 $5,653.20 2.4×
Suture digital nerve hand/foot 1 nerve (64831) $5,091.57 $5,091.57 2.6×
Svnt sarscov2 elisa plsm srm (0226U) $965.33 $965.33 22.8×
Syndactylization toes (28280) $18,821.15 $18,821.15 5.7×
T-cell depletion of harvest (38210) $4,636.03 $4,636.03 10.5×
Tangential biopsy skin single lesion (11102) $735.39 $735.39 1.8×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $78,959.02 $78,959.02 2.7×
Tcat Insj/Rpl Perm Ldls Pm (33274) $80,748.25 $80,748.25 4.2×
Tcat Rmvl Perm Ldls Pm (33275) $26,420.24 $26,420.24 8.3×
Tenodesis long tendon biceps (23430) $35,196.27 $35,196.27 4.8×
Tenolysis flexor tendon palm/finger each tendon (26440) $12,602.36 $12,602.36 7.8×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $16,720.23 $16,720.23 5.1×
Tenotomy Percutaneous Toe Single Tendon (28010) $8,546.69 $8,546.69 5.3×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $7,197.46 $7,197.46 4.5×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $13,826.68 $13,826.68 4.2×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $13,826.68 $13,826.68 4.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $8,546.69 $8,546.69 5.3×
Thaw preserved stem cells (38208)
range across 5 matching MRF lines		 $2,733–$4,039.69 $2,733–$4,039.69 varies
Ther Apheresis,Red Blood Cells (36512) $2,458.89 $2,458.89 1.6×
Ther Spi Pnxr Csf Fluor/Ct (62329) $2,568.18 $2,568.18 3.6×
Therapeutic Apheresis White Blood Cells (36511)
range across 2 matching MRF lines		 $2,624.23–$5,678.40 $2,624.23–$5,678.40 varies
Therapeutic plasma exchange (36514)
range across 2 matching MRF lines		 $2,861.30–$13,034.06 $2,861.30–$13,034.06 varies
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $14,921.93 $14,921.93 2.7×
Thrmbc/Nfs Dialysis Circuit (36906) $75,917.16 $75,917.16 4.1×
Thromblytic art/ven therapy (37213) $11,365.26 $11,365.26 3.6×
Thrombolytic Art Therapy (37211) $11,064.59 $11,064.59 2.0×
Thrombolytic Therapy Stroke (37195) $28.90 $28.90 0.1×
Thrombolytic Venous Therapy (37212) $11,004.47 $11,004.47 3.5×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $20,753.32 $20,753.32 6.2×
Tooth extraction (41899) $1,336.80 $1,336.80 5.6×
Tprnl Plmt Biodegrdabl Matrl (55874) $29,040.45 $29,040.45 5.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,071.31 $1,071.31 4.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $8,243.52 $8,243.52 5.3×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $3,572.10 $3,572.10 11.7×
Transcatheter biopsy (37200) $4,814.04 $4,814.04 0.9×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $13,385.74 $13,385.74 4.1×
Transfusion Intrauterine Fetal (36460) $4,039.69 $4,039.69 9.1×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $31,370.27 $31,370.27 4.3×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $28,509.88 $28,509.88 5.3×
Transplant hand tendon (26480) $20,480.11 $20,480.11 6.2×
Treat ankle fracture (28445) $35,788.76 $35,788.76 4.9×
Treat Dental Ridge Fracture (21440) $16,435.01 $16,435.01 4.9×
Treat Finger Fracture Each (26727) $21,781.44 $21,781.44 6.6×
Treat fracture radius/ulna (25575) $36,229.65 $36,229.65 5.0×
Treat Fx Rad Extra-Articul (25607) $45,728.55 $45,728.55 6.3×
Treat Hand Bone Lesion (26034) $7,197.46 $7,197.46 4.5×
Treat Hip Socket Fracture (27222) $8,167.53 $8,167.53 33.0×
Treat humerus fracture (24500) $1,436.51 $1,436.51 5.8×
Treat Humerus Fracture (24505) $8,546.69 $8,546.69 5.3×
Treat humerus fracture (23600) $1,320.65 $1,320.65 5.3×
Treat knee fracture (27532) $16,720.23 $16,720.23 5.1×
Treat Knee Fracture(S) (27538) $1,824.10 $1,824.10 7.4×
Treat Knuckle Dislocation (26700) $1,651.70 $1,651.70 6.7×
Treat metacarpal fracture (26607) $13,661.80 $13,661.80 4.2×
Treat Metatarsal Fracture (28475) $1,417.66 $1,417.66 5.7×
Treat Tail Bone Fracture (27200) $1,320.65 $1,320.65 5.3×
Treat Thumb Dislocation (26641) $1,320.65 $1,320.65 5.3×
Treat Thumb Fracture (26645) $8,627.31 $8,627.31 5.3×
Treat toe dislocation (28630) $2,524.04 $2,524.04 10.2×
Treat Vaginal Bleeding (57180) $654.33 $654.33 3.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $9,006.95 $9,006.95 5.6×
Treatment closed elbow dislocation w/o anes (24600) $1,814.51 $1,814.51 7.3×
Trim skin lesion (11055) $318.12 $318.12 1.6×
Trim skin lesions 2 to 4 (11056) $375.90 $375.90 1.9×
Trim skin lesions over 4 (11057) $503.74 $503.74 2.5×
Trimming Nondystrophic Nails Any Number (11719) $354.15 $354.15 6.0×
Trluml Balo Angiop 1St Art (37246) $7,494.43 $7,494.43 1.3×
Trluml Balo Angiop 1St Vein (37248) $9,917.74 $9,917.74 1.7×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207)
range across 2 matching MRF lines		 $4,039.69–$4,263.51 $4,039.69–$4,263.51 varies
Trnspl Prepj Hematop Progen Concentration Plsm (38215)
range across 2 matching MRF lines		 $4,636.03–$19,686.72 $4,636.03–$19,686.72 varies
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $2,159.54 $2,159.54 4.9×
Trnspl Prepj Hematop Progen Pltlt Deplj (38213) $4,636.03 $4,636.03 10.5×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212)
range across 3 matching MRF lines		 $2,389.72–$4,039.69 $2,389.72–$4,039.69 varies
Trnspl prepj hematop progen tum cell deplj (38211) $4,636.03 $4,636.03 10.5×
Trnsplj allogeneic hematopoietic cells per donor (38240) $184,137.41 $184,137.41 2.9×
Trnsplj autologous hematopoietic cells per donor (38241) $2,122.83 $2,122.83 1.4×
Trnsplj Hematopoietic Cell Boost (38243) $2,122.83 $2,122.83 1.4×
Tx Gastro Intub W/Asp (43753) $1,663.95 $1,663.95 7.7×
Tx open tendon flexor toe 1 tendon spx (28232) $8,627.31 $8,627.31 5.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $8,546.69 $8,546.69 5.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $3,841.84 $3,841.84 5.2×
Tx superficial wound dehiscence w/packing (12021) $4,371.49 $4,371.49 10.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $8,627.31 $8,627.31 5.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $1,320.65 $1,320.65 5.3×
Tympanostomy general anesthesia (69436) $12,886.18 $12,886.18 8.3×
Unlisted Cardiac Surgery (33999) $6,507.96 $6,507.96 10.3×
Unlisted procedure breast (19499) $19,238.58 $19,238.58 4.9×
Unlisted Procedure Casting/Strapping (29799) $906.69 $906.69 5.6×
Unlisted Procedure Endocrine System (60699) $9,897.02 $9,897.02 1.6×
Unlisted procedure foot or toes (28899) $4,937.65 $4,937.65 19.9×
Unlisted procedure humerus/elbow (24999) $1,417.66 $1,417.66 5.7×
Unlisted procedure lungs and pleura (32999) $1,592.50 $1,592.50 2.5×
Unlisted procedure nervous system (64999) $1,399.79 $1,399.79 4.5×
Unlisted procedure pelvis/hip joint (27299) $2,613.05 $2,613.05 10.5×
Unlisted Procedure Vascular Surgery (37799) $6,507.96 $6,507.96 10.3×
Unlisted Procedure, Urinary System (53899) $1,879.11 $1,879.11 7.5×
Upgrade of pacemaker system (33214)
range across 2 matching MRF lines		 $26,916.86–$30,861.36 $26,916.86–$30,861.36 varies
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $6,964.76–$7,559.96 $6,964.76–$7,559.96 varies
Vasc embolize/occlude artery (37242) $32,469.82 $32,469.82 1.8×
Vasc Embolize/Occlude Bleed (37244) $32,469.82 $32,469.82 2.8×
Vasc Embolize/Occlude Organ (37243)
likely a partial charge, not the full procedure		 $1,154.09 $1,154.09 0.1×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure		 $3,651.47 $3,651.47 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250) $10,159.54 $10,159.54 4.8×
Venous Mech Thrombectomy (37187) $39,743.66 $39,743.66 3.4×
Wash harvest stem cells (38209)
range across 2 matching MRF lines		 $2,779.35–$2,830.72 $2,779.35–$2,830.72 varies
Wedge excision skin nail fold (11765) $661.10 $661.10 1.6×
Wedging of cast (29740) $1,548.60 $1,548.60 5.5×
Windowing of cast (29730) $906.69 $906.69 5.6×
Wound Prep F/N/Hf/G (15004) $1,633.59 $1,633.59 4.0×
Wound Prep Trk/Arm/Leg (15002) $1,712.80 $1,712.80 2.3×
Wrist arthroscopy with partial removal of joint lining (29844) $20,790.76 $20,790.76 6.3×
Xfer Single Deep Low Leg Tendon (27691) $34,786.34 $34,786.34 4.8×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $26,035.39 $26,035.39 4.7×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $13,366.20 $13,366.20 8.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.