Procedures & surgery prices at The Carle Foundation Hospital (Urbana, IL)

1088 codes. Prices are the hospital's own posted facility charges.

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Procedure	Posted cash	Posted gross	× Medicare
Abd paracentesis w/imaging (49083) range across 4 matching MRF lines	$1,565–$2,016	$1,565–$2,016	varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines	$1,344–$1,491	$1,344–$1,491	varies
Ablate inf turbinate submuc (30802)	$1,953	$1,953	1.2×
Ablate Pulm Tumor Perq Crybl (32994) range across 2 matching MRF lines	$15,761–$25,221	$15,761–$25,221	varies
Ablation 1/> liver tumor perq cryoablation (47383)	$17,262	$17,262	1.5×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) range across 3 matching MRF lines	$14,175–$15,068	$14,175–$15,068	varies
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)	$15,740	$15,740	2.0×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) range across 2 matching MRF lines	$7,098–$7,980	$7,098–$7,980	varies
Acne surgery (10040)	$410	$410	1.9×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)	$4,956	$4,956	2.2×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)	$5,324	$5,324	2.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)	$10,458	$10,458	2.8×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)	$7,140	$7,140	3.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)	$7,025	$7,025	3.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)	$3,560	$3,560	1.6×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)	$7,140	$7,140	3.2×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)	$7,140	$7,140	3.2×
Amniocentesis diagnostic (59000)	$2,520	$2,520	2.6×
Amniocentesis therapeutic (59001)	$788	$788	2.4×
Amputation foot transmetarsal (28805)	$5,187	$5,187	1.5×
Amputation toe interphalangeal joint (28825)	$9,219	$9,219	2.6×
Anal/Urinary Muscle Study (51784) range across 2 matching MRF lines	$446–$641	$446–$641	varies
Anoscopy diagnostic (46600)	$777	$777	5.4×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607)	$4,431	$4,431	3.5×
Anoscopy; with biopsy, single or multiple (46606)	$2,594	$2,594	2.0×
Apheresis Platelets (36513)	$4,169	$4,169	8.8×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)	$620	$620	3.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 2 matching MRF lines	$462–$725	$462–$725	varies
Application cast elbow finger short arm (29075)	$966	$966	3.2×
Application Finger Splint Dynamic (29131) range across 6 matching MRF lines	$457–$546	$457–$546	varies
Application finger splint static (29130) range across 7 matching MRF lines	$263–$394	$263–$394	varies
Application Halo Cranial Including Removal (20661)	$3,329	$3,329	1.9×
Application long arm splint shoulder hand (29105) range across 8 matching MRF lines	$499–$809	$499–$809	varies
Application Long Leg Cast Walker/Ambulatory Type (29355)	$861	$861	2.9×
Application Long Leg Splint (29505) range across 12 matching MRF lines	$509–$893	$509–$893	varies
Application of long leg cast (29345)	$1,040	$1,040	3.5×
Application of rigid total contact leg cast (29445)	$1,218	$1,218	4.1×
Application Short Arm Splint Dynamic (29126) range across 8 matching MRF lines	$483–$620	$483–$620	varies
Application short arm splint forearm-hand static (29125) range across 14 matching MRF lines	$441–$672	$441–$672	varies
Application short leg splint calf foot (29515) range across 12 matching MRF lines	$394–$893	$394–$893	varies
Apply hand/wrist cast (29085)	$704	$704	4.0×
Apply long arm cast (29065)	$1,197	$1,197	4.0×
Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines	$446–$704	$446–$704	varies
Apply Short Leg Cast (29405)	$1,197	$1,197	4.0×
Apply short leg cast (29425)	$1,197	$1,197	4.0×
Aqueous Shunt Extraocular Reservoir W/O Graft (66179)	$9,303	$9,303	1.6×
Arterial puncture (36600)	$488	$488	3.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines	$672–$1,050	$672–$1,050	varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)	$1,418	$1,418	1.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines	$1,187–$1,365	$1,187–$1,365	varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)	$1,512	$1,512	4.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)	$903	$903	2.7×
Arthrodesis great toe metatarsophalangeal joint (28750)	$15,637	$15,637	2.0×
Arthrodesis sacroiliac joint percutaneous (27279)	$42,746	$42,746	2.3×
Artificial insemination intra-uterine (58322)	$1,092	$1,092	5.0×
Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines	$2,688–$3,150	$2,688–$3,150	varies
Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines	$1,344–$2,289	$1,344–$2,289	varies
Aspirate/Inj Ganglion Cyst (20612)	$725	$725	2.2×
Aspiration & Injection Treatment Bone Cyst (20615)	$2,100	$2,100	2.8×
Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines	$2,783–$4,431	$2,783–$4,431	varies
Aspiration Bladder Needle (51100)	$788	$788	2.9×
Aspiration bladder trocar/intracatheter (51101)	$1,229	$1,229	1.3×
Aspiration/Release Vitreous Subretinal/Choroidal (67015)	$7,571	$7,571	3.1×
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines	$394–$651	$394–$651	varies
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)	$26,859	$26,859	2.4×
Biliary ndsc prq t-tube dilat strix w/stent (47556)	$22,788	$22,788	2.0×
Biliary ndsc prq t-tube w/bx single/multiple (47553)	$7,455	$7,455	1.1×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)	$3,927	$3,927	0.6×
Biopsy Abdominal Mass (49180) range across 3 matching MRF lines	$1,880–$3,812	$1,880–$3,812	varies
Biopsy bone open superficial (20240)	$4,704	$4,704	1.5×
Biopsy bone trocar/needle deep (20225) range across 3 matching MRF lines	$1,838–$3,108	$1,838–$3,108	varies
Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines	$2,660–$3,547	$2,660–$3,547	varies
Biopsy External Auditory Canal (69105)	$2,720	$2,720	1.6×
Biopsy external ear (69100)	$924	$924	3.6×
Biopsy muscle percutaneous needle (20206) range across 4 matching MRF lines	$1,922–$3,547	$1,922–$3,547	varies
Biopsy Muscle Superficial (20200)	$4,442	$4,442	2.5×
Biopsy nail unit (11755)	$956	$956	1.3×
Biopsy of conjunctiva (68100)	$3,780	$3,780	1.5×
Biopsy of floor of mouth (41108)	$2,741	$2,741	1.5×
Biopsy of lip (40490)	$924	$924	3.6×
Biopsy of liver, needle; percutaneous (47000) range across 3 matching MRF lines	$1,953–$3,476	$1,953–$3,476	varies
Biopsy of palate, uvula (42100)	$2,321	$2,321	1.4×
Biopsy of penis (54100)	$4,095	$4,095	2.3×
Biopsy Oropharynx (42800)	$4,778	$4,778	2.9×
Biopsy Pleura Percutaneous Needle (32400) range across 2 matching MRF lines	$2,660–$2,741	$2,660–$2,741	varies
Biopsy Prostate Any Approach Nonimaging-Guided (55705)	$6,068	$6,068	1.6×
Biopsy Salivary Gland Incisional (42405)	$4,778	$4,778	2.9×
Biopsy Salivary Gland Needle (42400) range across 3 matching MRF lines	$2,310–$2,531	$2,310–$2,531	varies
Biopsy Soft Tissue Back/Flank Superficial (21920)	$2,216	$2,216	1.3×
Biopsy soft tissue neck/thorax (21550) range across 3 matching MRF lines	$1,953–$2,195	$1,953–$2,195	varies
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041)	$4,820	$4,820	2.7×
Biopsy soft tissue thigh/knee area superficial (27323)	$3,129	$3,129	1.8×
Biopsy Spinal Cord Percutaneous Needle (62269)	$3,547	$3,547	2.0×
Biopsy Tongue Anterior Two-Thirds (41100)	$1,796	$1,796	3.1×
Biopsy Tongue Posterior One-Third (41105)	$4,778	$4,778	1.3×
Biopsy Vaginal Mucosa Extensive (57105)	$10,101	$10,101	2.9×
Biopsy Vaginal Mucosa Simple (57100)	$2,825	$2,825	2.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)	$2,027	$2,027	2.1×
Biopsy, vestibule of mouth (40808)	$1,386	$1,386	2.4×
Bladder instillation anticarcinogenic agent (51720)	$1,071	$1,071	1.4×
Bladder Irrigation (51700) range across 3 matching MRF lines	$567–$903	$567–$903	varies
Bladder Scan (51798)	$331	$331	5.2×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)	$4,883	$4,883	2.2×
Blepharotomy drainage abscess eyelid (67700)	$1,218	$1,218	3.6×
Blood Transfusion Service (36430)	$1,160	$1,160	2.5×
Bone Graft Any Donor Area Minor/Small (20900)	$8,327	$8,327	1.1×
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962)	$10,595	$10,595	1.4×
Bone Marrow Biopsy (38221) range across 3 matching MRF lines	$2,741–$3,547	$2,741–$3,547	varies
Bone Marrow; Aspiration Only (38220)	$2,741	$2,741	1.5×
Breast Reduction (19318)	$11,246	$11,246	1.6×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)	$4,704	$4,704	1.2×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)	$4,704	$4,704	1.2×
Bx breast 1st lesion mr imag (19085)	$4,715	$4,715	2.7×
Bx breast 1st lesion strtctc (19081)	$4,715	$4,715	2.7×
Bx breast 1st lesion us imag (19083)	$4,715	$4,715	2.7×
Bx breast needle core w/o imaging guidance spx (19100)	$2,741	$2,741	1.5×
Bx Cervix (57500)	$3,234	$3,234	3.3×
Bx/exc lymph node open superficial (38500)	$10,542	$10,542	2.5×
Canthoplasty (67950)	$9,755	$9,755	3.8×
Canthotomy Separate Procedure (67715)	$5,106	$5,106	2.0×
Cautery Cervix Cryocautery Initial/Repeat (57511)	$1,050	$1,050	3.2×
Cessj Therapy Cath Removal (37214) range across 2 matching MRF lines	$5,156–$5,775	$5,156–$5,775	varies
Change Cystostomy Tube Complicated (51710)	$2,100	$2,100	2.8×
Change Cystostomy Tube Simple (51705)	$945	$945	3.5×
Change of Windpipe Airway (31502)	$924	$924	3.6×
Change ureter stent percut (50382)	$4,767	$4,767	2.1×
Chemical Cautery Tissue (17250) range across 3 matching MRF lines	$404–$662	$404–$662	varies
Chemical exfoliation for acne (17360)	$620	$620	2.9×
Chemical peel, facial; epidermal (15788)	$2,195	$2,195	5.0×
Chemical Pleurodesis (32560)	$1,649	$1,649	2.5×
Chemodenerv 1 extrem 5/> mus (64644)	$2,531	$2,531	3.3×
Chemodenerv 1 extremity 1-4 (64642)	$2,531	$2,531	3.3×
Chemodenerv Eccrine Glands (64650)	$935	$935	2.8×
Chemodenerv Musc Migraine (64615)	$1,355	$1,355	4.1×
Chemodenerv musc neck dyston (64616)	$1,355	$1,355	4.1×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611)	$945	$945	2.9×
Chemodenerv trunk musc 1-5 (64646)	$1,544	$1,544	2.0×
Chemodenerv trunk musc 6/> (64647)	$1,544	$1,544	2.0×
Chemodenervation eccrine glands oth area per day (64653)	$735	$735	2.2×
Chemodenervation Muscle Larynx Unilat W/Emg (64617)	$1,544	$1,544	2.0×
Chemodenervation of extraocular muscle (67345)	$1,386	$1,386	4.1×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines	$136.50–$1,743	$136.50–$1,743	varies
Chest tube placement (32551) range across 2 matching MRF lines	$1,880–$2,121	$1,880–$2,121	varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)	$2,552	$2,552	1.1×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) range across 2 matching MRF lines	$3,927–$6,279	$3,927–$6,279	varies
Chorionic Villus Sampling (59015)	$3,696	$3,696	3.7×
Ciliary body destruction; cryotherapy Facility (66720)	$4,662	$4,662	1.8×
Ciliary body dstrj cyclophotocoag transsceral (66710)	$6,951	$6,951	2.7×
Circumcision Neonate (54160)	$2,846	$2,846	3.8×
Circumcision w/clamp/oth dev w/block (54150)	$4,589	$4,589	2.0×
Clear outer ear canal (69200)	$672	$672	4.7×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)	$3,077	$3,077	11.6×
Closed Treatment Sesamoid Fracture (28530)	$977	$977	3.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)	$1,775	$1,775	6.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)	$1,544	$1,544	5.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)	$1,943	$1,943	7.4×
Closed Tx Mandibular Fracture W/O Manipulation (21450)	$3,623	$3,623	6.3×
Closed tx metatarsal fracture w/o manipulation (28470)	$1,449	$1,449	5.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)	$7,099	$7,099	2.0×
Closed tx radial head/neck fx w/o manipulation (24650)	$1,733	$1,733	6.6×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)	$1,365	$1,365	5.2×
Closed tx ulnar shaft fracture w/o manipulation (25530)	$1,407	$1,407	5.3×
Closure Lacrimal Fistula Spx (68770)	$3,266	$3,266	1.3×
Closure lacrimal punctum (68760)	$1,386	$1,386	4.1×
Clsd tx clavicular fracture w/o manipulation (23500)	$1,145	$1,145	4.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)	$966	$966	3.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)	$1,785	$1,785	6.8×
Clsr Lacrimal Punctum Plug Each (68761)	$1,218	$1,218	3.6×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)	$3,350	$3,350	12.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)	$3,503	$3,503	2.0×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)	$1,271	$1,271	4.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)	$3,024	$3,024	11.4×
Cltx dstl fibular fx lat malls w/o manj (27786)	$1,533	$1,533	5.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)	$777	$777	2.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)	$966	$966	3.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)	$1,523	$1,523	5.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)	$5,187	$5,187	3.0×
Cltx fx grt toe phlx/phlg w/o manj (28490)	$1,113	$1,113	4.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)	$966	$966	3.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)	$1,113	$1,113	4.2×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)	$1,491	$1,491	5.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)	$1,617	$1,617	5.4×
Cltx iphal jt dislc w/manj w/o anes (26770)	$1,103	$1,103	4.2×
Cltx metacarpal fx w/manipulation each bone (26605)	$1,785	$1,785	6.8×
Cltx metacarpal fx w/o manipulation each bone (26600)	$1,491	$1,491	5.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)	$1,523	$1,523	5.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)	$1,113	$1,113	4.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)	$1,113	$1,113	4.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)	$2,594	$2,594	1.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)	$1,838	$1,838	7.0×
Cltx tibial fx proximal w/o manipulation (27530)	$2,142	$2,142	8.1×
Cltx tibial shaft fx w/o manipulation (27750)	$1,880	$1,880	7.1×
Collect Blood From Catheter Venous Nos (36592)	$462	$462	3.2×
Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines	$48–$56	$48–$56	varies
Colonoscopy Flexible With Decompression (45393)	$5,744	$5,744	4.5×
Colonoscopy Stoma Ablation Lesion (44401)	$4,484	$4,484	3.5×
Colonoscopy stoma w/balloon dilation (44405)	$3,665	$3,665	2.9×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403)	$4,872	$4,872	3.8×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)	$13,029	$13,029	2.0×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406)	$4,484	$4,484	3.5×
Colonoscopy Stoma W/Submucosal Injection (44404)	$3,539	$3,539	2.8×
Colonoscopy Through Stoma With Decompression (44408)	$3,665	$3,665	3.7×
Colonoscopy w/ablation (45388)	$4,872	$4,872	3.8×
Colonoscopy W/Band Ligation (45398)	$7,172	$7,172	5.6×
Colonoscopy w/ndl aspir/bx (44407)	$4,484	$4,484	3.5×
Colonoscopy W/Resection (45390)	$7,277	$7,277	2.4×
Colonoscopy w/stent plcmt (45389)	$13,029	$13,029	2.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)	$1,386	$1,386	4.2×
Colposcopy Cervix Endocervical Curettage (57456)	$1,386	$1,386	4.2×
Colposcopy cervix upper/adjacent vagina (57452)	$861	$861	4.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)	$1,386	$1,386	4.2×
Colposcopy cervix vag eltrd conization cervix (57461)	$12,002	$12,002	3.5×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)	$10,059	$10,059	2.9×
Colposcopy entire vagina w/cervix if present (57420)	$1,386	$1,386	4.2×
Colposcopy of vulva (56820)	$767	$767	3.5×
Colposcopy Vulva W/Biopsy (56821)	$1,019	$1,019	3.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)	$2,027	$2,027	2.1×
Complex Cystometrogram (51726)	$1,218	$1,218	4.5×
Complex drainage wound (10180) range across 2 matching MRF lines	$5,828–$6,920	$5,828–$6,920	varies
Conization cervix w/wo d&c rpr eltrd exc (57522)	$12,002	$12,002	3.5×
Conization of cervix (57520)	$7,277	$7,277	2.1×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320)	$7,749	$7,749	3.0×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882)	$4,043	$4,043	1.6×
Control Nasal Hemorrhage Anterior Complex (30903)	$746	$746	5.2×
Control Nasal Hemorrhage Anterior Simple (30901)	$641	$641	4.5×
Conversion ext bil drg cath (47535)	$9,156	$9,156	2.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446)	$3,927	$3,927	1.9×
Convert Nephrostomy Catheter (50434)	$4,463	$4,463	2.0×
Cordocentesis (59012)	$819	$819	2.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)	$3,927	$3,927	2.2×
Cornea Scraping Diagnostic Smear &/Culture (65430)	$1,134	$1,134	2.4×
Correction hammertoe (28285)	$7,102	$7,102	2.0×
Correction of lid retraction (67911)	$9,755	$9,755	3.8×
Correction of trichiasis; epilation, by forceps only (67820)	$488	$488	3.4×
Create Eardrum Opening (69433)	$2,247	$2,247	3.9×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873)	$26,366	$26,366	2.6×
Cryotherapy Co2 Slush Liquid N2 Acne (17340)	$305	$305	4.8×
Csf shunt reprogram (62252)	$914	$914	2.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)	$1,344	$1,344	9.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)	$1,554	$1,554	6.1×
Curettage postpartum (59160)	$9,629	$9,629	2.8×
Curette/treat cornea (65435)	$1,785	$1,785	1.7×
Cysto Bladder W/Ureteral Catheterization (52005)	$4,284	$4,284	1.9×
Cysto calibration dilat urtl strix/stenosis (52281)	$3,623	$3,623	1.6×
Cysto w/destruction of lesions (52214)	$6,101	$6,101	1.6×
Cysto w/dilat rx balo cath urtl strix/sten male (52284)	$21,347	$21,347	3.7×
Cysto w/irrig & evac multple obstructing clots (52001)	$7,854	$7,854	2.1×
Cysto w/removal of lesions small (52224)	$6,479	$6,479	1.7×
Cysto w/removal of tumors small (52234)	$5,662	$5,662	1.5×
Cysto W/Simple Removal Stone & Stent (52310)	$4,148	$4,148	1.9×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)	$5,607	$5,607	1.0×
Cysto/uretero w/lithotripsy (52356)	$5,607	$5,607	1.0×
Cystometrogram W/Up (51727)	$2,027	$2,027	2.7×
Cystometrogram W/Vp (51728)	$1,680	$1,680	2.2×
Cystometrogram W/Vp&Up (51729)	$1,628	$1,628	2.2×
Cystourethroscopy (52000)	$1,785	$1,785	2.4×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)	$3,938	$3,938	1.0×
Cystourethroscopy with biopsy (52204)	$2,678	$2,678	1.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265)	$6,941	$6,941	3.1×
Cystourethroscopy, with internal urethrotomy; male Facility (52275)	$3,224	$3,224	1.4×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290)	$4,935	$4,935	2.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)	$1,340	$1,340	3.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines	$1,376–$2,132	$1,376–$2,132	varies
Debride nail 1-5 (11720)	$257	$257	4.1×
Debride nail 6 or more (11721)	$257	$257	4.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines	$2,993–$4,914	$2,993–$4,914	varies
Debridement Mastoidectomy Cavity Cmplx (69222)	$1,953	$1,953	3.4×
Debridement Mastoidectomy Cavity Simple (69220)	$809	$809	3.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines	$1,302–$1,418	$1,302–$1,418	varies
Declot vascular device (36593) range across 4 matching MRF lines	$1,113–$1,596	$1,113–$1,596	varies
Deep Muscle Biopsy (20205)	$5,492	$5,492	1.8×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630)	$4,158	$4,158	1.9×
Dermabrasion segmental face (15781)	$3,276	$3,276	4.3×
Dermabrasion superficial any site (15783)	$1,386	$1,386	3.2×
Destr penis lesion(s) (54065)	$2,993	$2,993	1.4×
Destr W Neurolytic; Celiac Plexus (64680)	$2,741	$2,741	2.9×
Destroy cerv/thor facet jnt (64633)	$8,673	$8,673	4.1×
Destroy lumb/sac facet jnt (64635)	$8,673	$8,673	4.1×
Destruc retinal lesn,photocoag (67210)	$5,492	$5,492	9.3×
Destruct B9 Lesion 1-14 (17110)	$851	$851	4.0×
Destruction Benign Lesions 15/> (17111)	$809	$809	3.8×
Destruction by neurolytic agent; plantar common digital nerve (64632)	$1,187	$1,187	3.6×
Destruction by neurolytic agent; pudendal nerve (64630)	$3,948	$3,948	4.2×
Destruction Internal Hemorrhoid Thermal Energy (46930)	$2,581	$2,581	2.0×
Destruction Lesions Vulva Extensive (56515)	$8,201	$8,201	3.7×
Destruction Lesions Vulva Simple (56501)	$8,201	$8,201	3.7×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)	$1,376	$1,376	6.4×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)	$1,418	$1,418	6.6×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283)	$1,271	$1,271	2.9×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284)	$1,365	$1,365	1.7×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286)	$1,565	$1,565	2.0×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261)	$809	$809	3.8×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)	$809	$809	3.8×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)	$914	$914	4.3×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264)	$1,418	$1,418	3.3×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266)	$1,418	$1,418	3.3×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)	$809	$809	3.8×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)	$809	$809	3.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271)	$809	$809	3.8×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272)	$861	$861	4.0×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273)	$1,040	$1,040	2.4×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274)	$1,208	$1,208	2.8×
Destruction malignant lesion t/a/l 0.5 cm/< (17260)	$672	$672	3.1×
Destruction neurolytic agt genicular nerve w/img (64624)	$6,048	$6,048	2.9×
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450)	$4,830	$4,830	14.2×
Destruction of lesion of lid margin (up to 1 cm) (67850)	$1,197	$1,197	1.1×
Destruction of lesion, conjunctiva (68135)	$5,106	$5,106	2.0×
Destruction of skin lesions (17106)	$1,638	$1,638	3.8×
Destruction Premalignant Lesion 15/> (17004)	$1,418	$1,418	3.3×
Destruction premalignant lesion 1st (17000)	$693	$693	3.2×
Destruction Vaginal Lesions Simple (57061)	$4,704	$4,704	1.4×
Diagnostic anoscopy (46601)	$2,174	$2,174	4.5×
Diagnostic sigmoidoscopy (45330)	$2,289	$2,289	2.3×
Diaphragm or cervical cap fitting with instructions (57170)	$221	$221	1.0×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661)	$578	$578	4.1×
Dilat Urethral Strix Dilator Male Sbsq (53601) range across 2 matching MRF lines	$536–$641	$536–$641	varies
Dilat Xst Trc New Access Rcs (50437)	$9,870	$9,870	2.6×
Dilate Urethra Stricture (53600)	$924	$924	3.5×
Dilation Cervical Canal (57800)	$7,392	$7,392	2.1×
Dilation Esophagus Guide Wire (43453)	$4,053	$4,053	2.0×
Dilation Lacrimal Punctum W/WO Irrgation (68801)	$956	$956	2.0×
Dilation Salivary Duct (42650)	$1,722	$1,722	1.0×
Division of symblepharon (68340)	$5,597	$5,597	2.2×
Drain Cerebro Spinal Fluid (62272)	$2,552	$2,552	3.4×
Drain/inj small joint/bursa w/us (20604)	$1,134	$1,134	3.4×
Drainage Abscess/Hematoma Nasal Septum (30020)	$1,953	$1,953	3.4×
Drainage external auditory canal abscess (69020)	$1,292	$1,292	1.7×
Drainage External Ear Abscess/Hematoma Simple (69000)	$1,470	$1,470	1.9×
Drainage Finger Abscess Complicated (26011)	$2,930	$2,930	1.7×
Drainage Mouth Roof Lesion (42000)	$263	$263	1.0×
Drainage of eye (65800)	$4,032	$4,032	1.6×
Drainage of finger abscess simple (26010)	$977	$977	4.5×
Drainage of gum lesion (41800)	$945	$945	6.6×
Drainage of hematoma/fluid (10140) range across 4 matching MRF lines	$2,573–$5,208	$2,573–$5,208	varies
Drainage of nose lesion (30000)	$599	$599	2.4×
Drainage of scrotal wall abscess (55100)	$4,326	$4,326	2.4×
Drainage of scrotum (54700)	$7,791	$7,791	3.5×
Drainage of skene's gland abscess or cyst (53060)	$3,528	$3,528	1.6×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800)	$3,896	$3,896	1.1×
Draw Blood Off Venous Device (36591)	$462	$462	3.2×
Dressing Change Under Anesthesia (15852)	$977	$977	1.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)	$788	$788	1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 5 matching MRF lines	$1,050–$1,113	$1,050–$1,113	varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 5 matching MRF lines	$683–$809	$683–$809	varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 5 matching MRF lines	$425–$725	$425–$725	varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107)	$2,657	$2,657	3.4×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108)	$6,689	$6,689	3.0×
Dstrj Extensive Retinopathy (67227)	$4,379	$4,379	1.0×
Dstrj les/scar vestibule mouth physical meths (40820)	$7,099	$7,099	2.0×
Dstrj Lesion Anus Simple Chemical (46900)	$924	$924	2.1×
Dstrj lesion anus simple surg excision (46922)	$4,746	$4,746	1.6×
Dstrj lesion choroid pc 1/> sess (67220)	$5,072	$5,072	8.6×
Dstrj Lesion Choroid Photodynamic Therapy (67221)	$3,045	$3,045	5.2×
Dstrj Lesion Penis Simple Chemical (54050)	$1,418	$1,418	3.3×
Dstrj Lesion Penis Simple Cryosurgery (54056)	$945	$945	4.4×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276)	$1,418	$1,418	3.3×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610)	$4,904	$4,904	2.3×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)	$3,591	$3,591	3.8×
Dx Bone Marrow Bx & Aspir (38222) range across 4 matching MRF lines	$4,221–$6,264	$4,221–$6,264	varies
Dx lmbr spi pnxr w/fluor/CT (62328)	$2,940	$2,940	3.9×
Egd Flexible Foreign Body Removal (43247)	$2,216	$2,216	2.3×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)	$22,788	$22,788	2.0×
Egd remove lesion snare (43251)	$3,371	$3,371	1.6×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)	$1,376	$1,376	4.2×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines	$956–$1,218	$956–$1,218	varies
Electro-Uroflowmetry First (51741)	$641	$641	2.8×
Embedded ip cath exit-site (49436)	$5,198	$5,198	2.5×
Endocervical curettage (57505)	$3,234	$3,234	3.3×
Endometrial Biopsy (58100)	$861	$861	4.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623)	$13,524	$13,524	1.1×
Endoven abltj incmptnt vein mchnchem 1st vein (36473)	$9,618	$9,618	2.8×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) range across 3 matching MRF lines	$9,534–$15,215	$9,534–$15,215	varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 3 matching MRF lines	$15,897–$20,822	$15,897–$20,822	varies
Endoven ther chem adhes 1st (36482)	$11,832	$11,832	2.0×
Epidural Blood Patch (62273)	$3,077	$3,077	4.1×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)	$8,180	$8,180	1.3×
Evacuation of subungual hematoma (11740)	$546	$546	3.8×
Exc arm/elbow les sc < 3 cm (24075)	$6,048	$6,048	3.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)	$1,250	$1,250	1.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)	$5,187	$5,187	2.9×
Exc Back Les Sc < 3 Cm (21930)	$6,048	$6,048	3.4×
Exc Back Tum Deep 5 Cm/> (21933)	$6,521	$6,521	2.1×
Exc back tum deep < 5 cm (21932)	$8,978	$8,978	2.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)	$1,985	$1,985	2.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)	$2,394	$2,394	3.2×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)	$6,048	$6,048	3.4×
Exc Face Les Sbq 2 Cm/> (21012)	$5,376	$5,376	3.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)	$1,974	$1,974	2.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)	$2,415	$2,415	3.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)	$3,098	$3,098	4.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)	$4,064	$4,064	2.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)	$4,715	$4,715	2.7×
Exc Fibrous Tuberosities Dentoalveolar Struxs (41822)	$1,649	$1,649	1.0×
Exc Forearm Les Sc 3 Cm/> (25071)	$3,791	$3,791	2.1×
Exc Forearm Tum Deep 3 Cm/> (25073)	$4,778	$4,778	1.5×
Exc Frenum Labial/Buccal (40819)	$2,993	$2,993	1.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)	$3,245	$3,245	1.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)	$3,098	$3,098	4.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)	$4,872	$4,872	2.8×
Exc Hand Les Sc < 1.5 Cm (26115)	$3,696	$3,696	2.1×
Exc hand tum deep < 1.5 cm (26116)	$4,085	$4,085	2.3×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)	$2,594	$2,594	2.4×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106)	$7,099	$7,099	2.0×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)	$4,778	$4,778	1.3×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)	$7,099	$7,099	2.0×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826)	$5,996	$5,996	1.7×
Exc Shoulder Tum Deep 5 Cm/> (23073)	$10,458	$10,458	3.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)	$3,098	$3,098	4.1×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)	$6,048	$6,048	3.4×
Exc Skin Benig >4 Cm Remaindr Body (11426)	$7,550	$7,550	2.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)	$6,941	$6,941	3.9×
Exc Skin Benig >4cm Face,Facial (11446)	$7,959	$7,959	2.6×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)	$3,371	$3,371	1.9×
Exc Skin Malig >4 Cm Remaindr Body (11626)	$10,206	$10,206	3.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)	$6,468	$6,468	3.7×
Exc thigh/knee les sc 3 cm/> (27337)	$7,088	$7,088	2.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320)	$3,486	$3,486	2.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)	$1,617	$1,617	3.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)	$1,785	$1,785	2.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)	$6,227	$6,227	3.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)	$5,628	$5,628	1.8×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)	$4,022	$4,022	2.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)	$3,371	$3,371	1.1×
Exc tumor soft tiss shoulder subfasc <5cm (23076)	$3,822	$3,822	1.2×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)	$8,411	$8,411	2.7×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076)	$4,358	$4,358	1.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900)	$3,329	$3,329	1.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902)	$4,452	$4,452	2.5×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045)	$6,264	$6,264	2.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)	$5,565	$5,565	3.1×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619)	$3,959	$3,959	1.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618)	$4,589	$4,589	2.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)	$5,061	$5,061	2.9×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048)	$5,345	$5,345	1.7×
Exc tumor soft tissue pelvis & hip subq <3cm (27047)	$5,849	$5,849	1.9×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)	$6,264	$6,264	2.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)	$5,891	$5,891	1.9×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)	$7,802	$7,802	2.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)	$4,463	$4,463	2.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)	$4,526	$4,526	2.2×
Excis Mouth Mucosa/Sub,No Repair (40810)	$7,099	$7,099	2.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)	$2,993	$2,993	1.8×
Excise mandible lesion (21040)	$4,137	$4,137	1.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)	$2,699	$2,699	3.6×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961)	$6,836	$6,836	2.7×
Excision & Repair Eyelid One-Fourth Lid Margin (67966)	$8,579	$8,579	3.4×
Excision Chalazion Multiple Same Lid (67801)	$2,121	$2,121	2.0×
Excision Chalazion Single (67800)	$1,386	$1,386	4.1×
Excision Chest Wall Tumor Including Ribs (21601)	$6,783	$6,783	2.2×
Excision Excessive Skin & Subq Tissue Other Area (15839)	$8,894	$8,894	2.9×
Excision exostosis(es), external auditory canal Facility (69140)	$10,542	$10,542	1.7×
Excision Lacrimal Sac (68520)	$5,870	$5,870	1.4×
Excision Lesion Conjunctiva </1 Cm (68110)	$3,780	$3,780	1.5×
Excision lesion conjunctiva > 1 cm (68115)	$3,829	$3,829	1.5×
Excision Lesion Cornea Xcp Pterygium (65400)	$3,570	$3,570	3.3×
Excision lesion mouth roof (42104)	$4,778	$4,778	1.3×
Excision Lesion Tongue W/O Closure (41110)	$7,099	$7,099	2.0×
Excision Lingual Frenum Frenectomy (41115)	$1,701	$1,701	1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)	$2,720	$2,720	3.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)	$2,699	$2,699	3.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)	$1,785	$1,785	4.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)	$3,098	$3,098	4.1×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)	$1,922	$1,922	2.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)	$3,371	$3,371	1.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)	$6,017	$6,017	1.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)	$2,783	$2,783	1.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)	$2,699	$2,699	3.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)	$2,699	$2,699	3.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)	$4,095	$4,095	2.3×
Excision Maxillary Torus Palatinus (21032)	$7,099	$7,099	2.0×
Excision Multiple External Papillae/Tags Anus (46230)	$4,746	$4,746	1.6×
Excision Nasal Polyp Extensive (30115)	$5,660	$5,660	1.6×
Excision nasal polyp(s) simple (30110)	$2,447	$2,447	1.5×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)	$12,949	$12,949	2.0×
Excision of chalazion; multiple, different lids (67805)	$1,386	$1,386	4.1×
Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy Facility (21603)	$10,143	$10,143	1.3×
Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy Facility (21602)	$9,135	$9,135	1.2×
Excision of osseous tuberosities, dentoalveolar structures (41823)	$12,949	$12,949	2.0×
Excision of single external papilla or tag, anus (46220)	$1,817	$1,817	1.4×
Excision of vaginal cyst or tumor (57135)	$10,353	$10,353	3.0×
Excision Torus Mandibularis (21031)	$7,099	$7,099	2.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931)	$6,941	$6,941	3.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)	$3,486	$3,486	2.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)	$6,132	$6,132	3.5×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)	$3,906	$3,906	2.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)	$4,704	$4,704	1.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)	$4,116	$4,116	2.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)	$4,085	$4,085	2.3×
Excision/destruction lesion pharynx any method (42808)	$9,933	$9,933	2.8×
Excision/Transposition Pterygium W/O Graft (65420)	$2,804	$2,804	1.1×
Explo/Drain Breast Abscess (19020)	$6,195	$6,195	3.5×
External cephalic version (59412)	$8,736	$8,736	2.5×
Fasciectomy Plantar Fascia Partial Spx (28060)	$8,285	$8,285	2.4×
Fasciotomy palmar percutaneous (26040)	$4,620	$4,620	2.7×
Fasciotomy, foot and/or toe (28008)	$4,841	$4,841	1.4×
Fetal Contraction Stress Test (59020)	$394	$394	1.8×
Fetal non-stress test (59025) range across 2 matching MRF lines	$651–$861	$651–$861	varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) range across 2 matching MRF lines	$1,019–$1,540	$1,019–$1,540	varies
Fine needle aspiration bx w/mr gdn 1st lesion (10011)	$1,540	$1,540	2.0×
Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines	$515–$945	$515–$945	varies
Fluid Pressure Muscle (20950)	$1,292	$1,292	1.7×
Fluoro exam of g/colon tube (49465) range across 2 matching MRF lines	$620–$693	$620–$693	varies
Fna Bx W/Fluor Gdn 1St Les (10007)	$1,540	$1,540	2.0×
Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines	$1,155–$1,540	$1,155–$1,540	varies
Foreskin manipulation (54450)	$714	$714	2.7×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576)	$7,728	$7,728	3.5×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)	$7,140	$7,140	3.2×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)	$8,201	$8,201	3.7×
Gene analysis for detection of infectious agent and drug resistance gene (0112U)	$1,496	$1,496	4.2×
Graft Bone Nasal/Maxillary/Malar Areas (21210)	$10,479	$10,479	1.7×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215)	$11,697	$11,697	1.8×
Grafting of autologous fat by lipo 25 cc or less (15773)	$5,702	$5,702	2.6×
Grafting of autologous fat by lipo 50 cc or less (15771)	$10,427	$10,427	2.7×
Grafting of autologous soft tiss by direct exc (15769)	$10,427	$10,427	2.7×
Guide Cathet Fluid Drainage (10030) range across 4 matching MRF lines	$777–$1,911	$777–$1,911	varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)	$2,247	$2,247	2.3×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948)	$4,127	$4,127	1.4×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565)	$13,388	$13,388	2.5×
Hysteroscopy Biopsy (58558)	$12,600	$12,600	3.6×
Hysteroscopy Dx Sep Proc (58555)	$12,600	$12,600	3.6×
Hysteroscopy Endometrial Ablation (58563)	$11,498	$11,498	2.1×
Hysteroscopy Removal Impacted Foreign Body (58562)	$12,149	$12,149	3.5×
I&d abscess peritonsillar (42700) range across 2 matching MRF lines	$1,113–$1,155	$1,113–$1,155	varies
I&d abscess simple (10060) range across 3 matching MRF lines	$725–$914	$725–$914	varies
I&D Deep Absc/Hematoma Neck/Chest (21501)	$4,699	$4,699	1.5×
I&d perianal abscess superficial (46050)	$3,612	$3,612	3.6×
I&d pilonidal cyst complicated (10081)	$3,098	$3,098	4.1×
I&d pilonidal cyst simple (10080)	$1,197	$1,197	1.6×
I&d vaginal hematoma obstetrical/postpartum (57022)	$5,040	$5,040	1.6×
Icd Pocket Revision (33223)	$4,694	$4,694	2.1×
Ileoscopy Stoma W/Balloon Dilation (44381)	$3,360	$3,360	1.6×
Image Cath Fluid Colxn Visc (49405)	$4,305	$4,305	2.4×
Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines	$4,599–$8,075	$4,599–$8,075	varies
Image Cath Fluid Trns/Vgnl (49407)	$3,045	$3,045	1.7×
Implant neuroelectrodes (63650)	$18,197	$18,197	2.7×
Implant Neuroelectrodes (64561)	$12,485	$12,485	1.8×
Implantation intrastromal corneal ring segments (65785)	$7,571	$7,571	1.7×
Incise external hemorrhoid (46083)	$1,218	$1,218	4.5×
Incise finger tendon sheath (26055)	$4,778	$4,778	2.8×
Incise/Drain Conjunctiva (68020)	$1,785	$1,785	1.7×
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines	$830–$1,281	$830–$1,281	varies
Incision & drainage leg/ankle abscess/hematoma (27603)	$12,023	$12,023	3.9×
Incision & removal foreign body subq tiss compl (10121)	$4,715	$4,715	2.7×
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines	$998–$1,533	$998–$1,533	varies
Incision and drainage of bartholin's gland abscess (56420)	$861	$861	4.0×
Incision and drainage of the tear gland (68400)	$1,491	$1,491	1.4×
Incision and drainage of vulva or perineal abscess (56405)	$1,218	$1,218	3.7×
Incision Drainage Lacrimal Sac (68420)	$5,106	$5,106	2.0×
Incision extensor tendon sheath wrist (25000)	$6,090	$6,090	3.5×
Incision of eardrum (69420)	$1,218	$1,218	4.8×
Incision of labial frenum (frenotomy) (40806)	$1,071	$1,071	1.9×
Incision of lingual frenum (frenotomy) (41010)	$6,489	$6,489	3.9×
Incision of rectal abscess (46040)	$4,557	$4,557	3.6×
Incisional biopsy eyelid skin & lid margin (67810)	$1,218	$1,218	3.6×
Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines	$704–$1,340	$704–$1,340	varies
Initial Tx 1st Degree Burn Local Tx (16000)	$352	$352	1.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)	$2,531	$2,531	2.7×
Inj W/Fluor Eval Cv Device (36598)	$473	$473	2.1×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)	$1,533	$1,533	1.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines	$3,266–$4,116	$3,266–$4,116	varies
Inject Intravitreal Pharmcologic (67028)	$1,722	$1,722	4.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)	$777	$777	2.4×
Injection aa&/strd genicular nrv branches w/img (64454)	$4,148	$4,148	5.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines	$3,108–$4,116	$3,108–$4,116	varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)	$4,043	$4,043	5.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)	$2,478	$2,478	3.3×
Injection anesthetic agent suprascapular nerve (64418)	$1,516	$1,516	2.0×
Injection for identification of sentinel node (38792)	$1,680	$1,680	3.9×
Injection Into Brain Canal (61055)	$2,688	$2,688	8.2×
Injection medication/other subst tenon capsule (67515)	$1,197	$1,197	3.5×
Injection procedure for peyronie disease (54200)	$1,071	$1,071	4.0×
Injection single tendon origin/insertion (20551)	$746	$746	2.3×
Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines	$515–$830	$515–$830	varies
Injection single/mlt trigger point 3/> muscles (20553)	$819	$819	2.5×
Injection Sinus Tract Therapeutic Separate Proc (20500)	$3,402	$3,402	2.0×
Injection therapeutic carpal tunnel (20526)	$924	$924	2.8×
Injection, anesthetic agent; femoral nerve, single (64447)	$1,649	$1,649	2.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines	$1,292–$2,058	$1,292–$2,058	varies
Injection, Intralesional; More Than 7 Lesions (11901)	$662	$662	3.1×
Injection, intralesional; up to and including 7 lesions (11900)	$651	$651	3.0×
Injx anterior chamber eye air/liquid spx (66020)	$4,032	$4,032	1.6×
Injx Anterior Chamber Eye Medication Spx (66030)	$4,032	$4,032	1.6×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282)	$2,426	$2,426	2.6×
Ins cath ren art 1st bilat (36252) range across 2 matching MRF lines	$7,182–$7,686	$7,182–$7,686	varies
Ins cath ren art 1st unilat (36251)	$7,592	$7,592	2.2×
Ins cath ren art 2nd+ bilat (36254)	$8,883	$8,883	2.6×
Ins cath ren art 2nd+ unilat (36253)	$11,529	$11,529	1.9×
Ins endovas vena cava filtr (37191)	$11,330	$11,330	1.9×
Ins Vag Brachytx Device (57156)	$1,187	$1,187	3.6×
Ins/Rep Subq Defibrillator (33270)	$80,105	$80,105	2.4×
Insert 1 Electrode Pm-Defib (33216)	$9,534	$9,534	1.1×
Insert and remove bone pin (20650)	$7,102	$7,102	2.0×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183)	$4,662	$4,662	1.1×
Insert Bladder Cath Complex (51703)	$336	$336	2.4×
Insert cath pleura w/ image (32557) range across 2 matching MRF lines	$2,982–$4,116	$2,982–$4,116	varies
Insert cath pleura w/o image (32556)	$4,152	$4,152	2.0×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442)	$2,814	$2,814	2.2×
Insert cervical dilator (59200)	$651	$651	2.0×
Insert Drug Implant Device (11981)	$578	$578	4.1×
Insert Gastrostomy Tube Percutaneous (49440) range across 2 matching MRF lines	$3,927–$4,494	$3,927–$4,494	varies
Insert Heart Pm Atrial (33206)	$21,084	$21,084	1.9×
Insert Heart Pm Ventricular (33207)	$22,313	$22,313	2.0×
Insert hepatic shunt (tips) (37182) range across 3 matching MRF lines	$11,445–$11,781	$11,445–$11,781	varies
Insert non-tunnel cv cath (36556)	$4,001	$4,001	1.2×
Insert Pacing Lead & Connect (33224)	$22,512	$22,512	2.0×
Insert pessary/other device (57160)	$767	$767	3.5×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)	$2,174	$2,174	1.3×
Insert pulse gen dual leads (33213)	$13,818	$13,818	1.2×
Insert pulse gen mult leads (33221)	$36,320	$36,320	1.8×
Insert Pulse Gen Sngl Lead (33212)	$10,826	$10,826	1.2×
Insert Temp Bladder Cath (51702) range across 4 matching MRF lines	$231–$425	$231–$425	varies
Insert tun ip cath perc (49418)	$7,802	$7,802	2.0×
Insert tunneled cv cath (36561)	$6,962	$6,962	2.1×
Insert tunneled cv cath (36563)	$7,959	$7,959	1.3×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)	$11,832	$11,832	2.0×
Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines	$210–$362	$210–$362	varies
Insertion indwelling tunneled pleural catheter (32550)	$7,802	$7,802	2.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines	$2,646–$4,116	$2,646–$4,116	varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines	$11,414–$12,821	$11,414–$12,821	varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421)	$6,027	$6,027	1.6×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)	$11,130	$11,130	1.9×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)	$8,169	$8,169	1.5×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)	$15,687	$15,687	1.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)	$4,116	$4,116	1.2×
Insj Picc Rs&I <5 Yr (36572)	$1,523	$1,523	2.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571)	$3,749	$3,749	1.1×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570)	$4,190	$4,190	1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)	$4,085	$4,085	2.4×
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841)	$5,106	$5,106	2.0×
Insj Subq Impltbl Dfb Elctrd (33271)	$36,498	$36,498	4.1×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565)	$5,145	$5,145	1.5×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)	$15,026	$15,026	2.5×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560)	$5,985	$5,985	1.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines	$3,728–$3,749	$3,728–$3,749	varies
Insj/Rplcmt Defib W/Lead(S) (33249)	$76,808	$76,808	2.3×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)	$36,582	$36,582	1.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines	$9,303–$15,120	$9,303–$15,120	varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)	$9,461	$9,461	1.1×
Insrt heart pm atrial & vent (33208)	$25,662	$25,662	2.3×
Insrt Pulse Gen W/Dual Leads (33230)	$49,592	$49,592	2.1×
Insrt Pulse Gen W/Mult Leads (33231)	$41,276	$41,276	1.2×
Insrt Pulse Gen W/Singl Lead (33240)	$30,996	$30,996	1.3×
Instlj ther agent renal pelvis&/ureter via tub (50391)	$1,302	$1,302	4.9×
Int hrhc by ligation single hroid w/o img gdn (46945)	$6,003	$6,003	2.0×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411)	$4,158	$4,158	2.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)	$2,604	$2,604	6.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056)	$3,339	$3,339	7.7×
Intranasal Biopsy (30100)	$2,321	$2,321	1.4×
Intro cath dialysis circuit (36901)	$4,116	$4,116	2.4×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)	$33,632	$33,632	2.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)	$16,685	$16,685	2.7×
Intro Gastrointestinal Tube (44500)	$1,575	$1,575	1.6×
Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines	$1,176–$1,722	$1,176–$1,722	varies
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625)	$3,791	$3,791	1.5×
Iridoplasty photocoagulation 1/> sessions (66762)	$7,319	$7,319	12.4×
Iridotomy/irridectomy laser surg per session (66761)	$3,591	$3,591	6.1×
Irrigation maxillary sinus (31000)	$693	$693	2.7×
Irrigation of corpora cavernosa for priapism (54220)	$1,932	$1,932	7.2×
Labyrinthotomy Transcanal (69801)	$3,318	$3,318	2.0×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572)	$9,902	$9,902	2.5×
Laryngoscopy flexible diagnostic (31575)	$1,250	$1,250	5.8×
Laryngoscopy Flexible Therapeutic Injection Uni (31573)	$5,177	$5,177	2.7×
Laryngoscopy Flexible W/Biopsy(Ies) (31576)	$2,247	$2,247	1.2×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574)	$5,177	$5,177	2.7×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)	$2,468	$2,468	5.9×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 5 matching MRF lines	$1,533–$2,195	$1,533–$2,195	varies
Laser Surgery,Sever Vitreous Strands (67031)	$4,043	$4,043	6.9×
Late closure of wound (13160)	$3,833	$3,833	1.0×
Ligation of hemorrhoids (46946)	$6,003	$6,003	2.0×
Ligation or biopsy temporal artery (37609)	$2,615	$2,615	1.5×
Lyse chest fibrin init day (32561)	$966	$966	1.4×
Lyse Chest Fibrin Subq Day (32562)	$1,764	$1,764	2.6×
Lysis of labial adhesions (56441)	$7,781	$7,781	2.2×
Lysis/excision penile postcircumcision adhesions (54162)	$2,405	$2,405	1.1×
Manometric stds thru tube/ndwellg urtrl cath (50396)	$2,069	$2,069	2.8×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596)	$1,922	$1,922	1.1×
Mech remov tunneled cv cath (36595)	$3,560	$3,560	1.1×
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401)	$13,230	$13,230	2.0×
Mediastinoscpy w/lmph nod bx (39402)	$13,230	$13,230	2.0×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730)	$7,245	$7,245	1.9×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311)	$2,195	$2,195	2.8×
Mohs trunk/arm/leg 1st stage 5 blocks (17313)	$2,195	$2,195	2.8×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600)	$3,780	$3,780	1.5×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733)	$7,466	$7,466	2.0×
Myelography Lumbar Injection (62305) range across 2 matching MRF lines	$2,961–$4,704	$2,961–$4,704	varies
Myelography Lumbar Injection (62304) range across 2 matching MRF lines	$2,825–$4,526	$2,825–$4,526	varies
Myelography via lumbar injection rs&i cervical (62302) range across 2 matching MRF lines	$2,877–$4,599	$2,877–$4,599	varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303)	$2,814	$2,814	3.3×
Myringoplasty (69620)	$11,477	$11,477	3.2×
N Block Inj Celiac Pelus (64530)	$1,733	$1,733	1.8×
N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines	$1,460–$2,331	$1,460–$2,331	varies
N block inj intercost sng (64420)	$1,890	$1,890	2.5×
N Block Inj Paracervical (64435)	$2,079	$2,079	2.7×
N Block Inj Plantar Digit (64455)	$830	$830	2.5×
N Block Inj Pudendal (64430) range across 2 matching MRF lines	$1,985–$3,906	$1,985–$3,906	varies
N Block Lumbar/Thoracic (64520)	$4,116	$4,116	4.3×
Nasal Endoscopy Dx (31231)	$1,523	$1,523	7.1×
Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines	$620–$935	$620–$935	varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)	$6,689	$6,689	3.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)	$4,326	$4,326	2.3×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)	$15,153	$15,153	2.0×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)	$15,153	$15,153	2.0×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)	$15,153	$15,153	2.0×
Nasal/sinus ndsc total with sphenoidotomy (31257)	$15,153	$15,153	2.0×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785)	$1,071	$1,071	4.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385)	$1,470	$1,470	1.5×
Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines	$3,213–$3,547	$3,213–$3,547	varies
Needle Biopsy Pancreas (48102) range across 2 matching MRF lines	$2,660–$3,547	$2,660–$3,547	varies
Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines	$25–$389	$25–$389	varies
Needle insertion w/o injection 3 or more muscles (20561) range across 2 matching MRF lines	$50–$357	$50–$357	varies
Neuroeltrd Stim Post Tibial (64566)	$1,187	$1,187	3.6×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U)	$1,953	$1,953	2.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines	$1,964–$2,058	$1,964–$2,058	varies
Nipple/areola reconstruction (19350)	$16,086	$16,086	3.8×
Njx anes stellate ganglion crv sympathetic (64510)	$4,116	$4,116	4.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)	$1,355	$1,355	4.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)	$6,279	$6,279	1.6×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)	$9,156	$9,156	2.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines	$2,940–$3,077	$2,940–$3,077	varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325)	$4,295	$4,295	4.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines	$3,360–$3,518	$3,360–$3,518	varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)	$3,182	$3,182	4.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)	$2,625	$2,625	2.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)	$3,959	$3,959	4.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)	$3,150	$3,150	4.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)	$2,321	$2,321	2.4×
Njx Noncmpnd Sclrsnt 1 Vein (36465)	$4,004	$4,004	1.8×
Njx Noncmpnd Sclrsnt Mlt Vn (36466)	$4,004	$4,004	1.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines	$1,880–$2,195	$1,880–$2,195	varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)	$1,880	$1,880	2.5×
Njx Sclrsnt 1 Incmptnt Vein (36470) range across 3 matching MRF lines	$1,176–$1,859	$1,176–$1,859	varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 3 matching MRF lines	$1,649–$2,625	$1,649–$2,625	varies
Njx Sclrsnt Spider Veins (36468) range across 2 matching MRF lines	$998–$1,344	$998–$1,344	varies
Obstructive material removal from gi tube (49460)	$1,575	$1,575	1.6×
Occipital Nerve Block (64405)	$1,355	$1,355	4.1×
Open biopsy/excision inguinofemoral nodes (38531)	$6,689	$6,689	1.6×
Open bone biopsy (20250)	$6,836	$6,836	1.9×
Open Implantation Nea Sacral Nerve (64581)	$17,157	$17,157	2.5×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812)	$10,185	$10,185	1.3×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811)	$8,589	$8,589	1.1×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813)	$13,692	$13,692	7.9×
Open/Perq Place Stent 1St (37236) range across 3 matching MRF lines	$31,626–$33,936	$31,626–$33,936	varies
Open/Perq Place Stent Same (37238) range across 2 matching MRF lines	$31,626–$33,936	$31,626–$33,936	varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)	$7,102	$7,102	2.0×
Partical Excision Bone Phalanx Toe (28124)	$7,102	$7,102	2.0×
Penile Injection (54235)	$1,071	$1,071	4.0×
Perc Cryo Ablate Renal Tum (50593)	$23,184	$23,184	2.0×
Perc Rf Ablate Renal Tumor (50592)	$11,445	$11,445	1.8×
Percut Ablate Liver Rf (47382) range across 2 matching MRF lines	$10,227–$16,380	$10,227–$16,380	varies
Percut Cath Occlusn Non Cns Lesn (61626) range across 2 matching MRF lines	$12,653–$21,158	$12,653–$21,158	varies
Percut Drain/Inject Renal Cyst (50390)	$1,796	$1,796	2.4×
Percut Mech Thrombectomy, Venous, Repeat (37188) range across 2 matching MRF lines	$9,944–$10,059	$9,944–$10,059	varies
Pericardiocentesis W/Imaging (33016)	$3,822	$3,822	2.3×
Perineoplasty rpr perineum nonobstetrical spx (56810)	$5,471	$5,471	1.6×
Peritoneal Lavage (49084) range across 3 matching MRF lines	$1,659–$1,775	$1,659–$1,775	varies
Perm Occlusion/Embolization,Percut,Cns (61624)	$18,302	$18,302	0.9×
Perq Cervicothoracic Inject (22510) range across 2 matching MRF lines	$8,705–$10,227	$8,705–$10,227	varies
Perq dev breast 1st mr guide (19287)	$1,229	$1,229	1.6×
Perq dev breast 1st strtctc (19283)	$777	$777	1.0×
Perq dev breast 1st us imag (19285)	$1,229	$1,229	1.6×
Perq device breast 1st imag (19281)	$2,660	$2,660	1.5×
Perq dilation xst trc endourologic px w/img (50436) range across 2 matching MRF lines	$4,988–$5,859	$4,988–$5,859	varies
Perq Lumbosacral Injection (22511) range across 2 matching MRF lines	$7,907–$9,125	$7,907–$9,125	varies
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)	$12,726	$12,726	1.3×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)	$14,480	$14,480	2.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 2 matching MRF lines	$2,877–$2,972	$2,877–$2,972	varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)	$33,632	$33,632	2.7×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)	$19,604	$19,604	3.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines	$19,383–$22,796	$19,383–$22,796	varies
Perq Vertebral Augmentation (22513) range across 2 matching MRF lines	$14,984–$17,126	$14,984–$17,126	varies
Phleb Veins - Extrem 20+ (37766)	$8,295	$8,295	2.5×
Place Amniotic Membra Ocular Surface W/O Sutures (65778)	$3,150	$3,150	2.9×
Place Cath Subclavian Art (36225) range across 3 matching MRF lines	$10,059–$12,789	$10,059–$12,789	varies
Place Cath Thoracic Aorta (36221) range across 2 matching MRF lines	$6,962–$7,182	$6,962–$7,182	varies
Place Cath Vertebral Art (36226) range across 2 matching MRF lines	$12,002–$14,123	$12,002–$14,123	varies
Place Duod/Jej Tube Perc (49441)	$3,927	$3,927	1.9×
Place Rt Device/Marker Pros (55876)	$4,043	$4,043	2.7×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)	$9,156	$9,156	1.3×
Plmt Bile Duct Stent Prq Existing Access (47538)	$14,690	$14,690	2.3×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)	$17,262	$17,262	2.7×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540)	$17,262	$17,262	2.7×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)	$6,069	$6,069	2.7×
Plmt Nephroureteral Catheter (50433)	$7,571	$7,571	2.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)	$7,571	$7,571	2.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)	$5,660	$5,660	1.5×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)	$7,392	$7,392	2.0×
Prim art mech thrombectomy (37184) range across 2 matching MRF lines	$29,478–$39,305	$29,478–$39,305	varies
Probe lacrimal canaliculi w/wo irrigation (68840)	$851	$851	2.5×
Probing nasolacrimal duct (68810)	$1,302	$1,302	3.8×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)	$1,523	$1,523	1.5×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305)	$2,121	$2,121	1.7×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)	$4,725	$4,725	8.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267)	$2,657	$2,657	3.5×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)	$27,563	$27,563	4.0×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264)	$2,793	$2,793	2.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)	$7,802	$7,802	2.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)	$7,802	$7,802	2.0×
Pseudoaneurysm Injection Trt (36002) range across 2 matching MRF lines	$966–$1,554	$966–$1,554	varies
Punch biopsy skin single lesion (11104) range across 2 matching MRF lines	$662–$875	$662–$875	varies
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines	$861–$1,418	$861–$1,418	varies
Puncture Aspiration Cyst Breast (19000)	$2,688	$2,688	3.5×
Puncture shunt tube/reservoir aspiration/inj px (61070)	$1,523	$1,523	2.0×
Pvb thoracic cont infusion (64463)	$1,533	$1,533	2.0×
Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines	$1,911–$1,974	$1,911–$1,974	varies
Rad resect tumor soft tissue hand/finger <3cm (26117)	$7,781	$7,781	2.5×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904)	$6,920	$6,920	2.2×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015)	$4,956	$4,956	1.6×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046)	$8,789	$8,789	2.8×
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077)	$8,778	$8,778	2.8×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557)	$6,636	$6,636	2.1×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077)	$7,119	$7,119	2.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)	$7,844	$7,844	3.7×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)	$8,925	$8,925	1.4×
Redo Endovas Vena Cava Filtr (37192)	$11,109	$11,109	3.3×
Release encircling material (67115)	$4,662	$4,662	1.1×
Relocation Pocket Pacemaker (33222)	$4,284	$4,284	1.9×
Rem Endovas Vena Cava Filter (37193)	$14,763	$14,763	4.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537)	$2,016	$2,016	2.1×
Removal Embedded Foreign Body Eyelid (67938)	$1,071	$1,071	3.1×
Removal Foreign Body Foot Subcutaneous (28190)	$2,352	$2,352	3.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines	$2,741–$3,547	$2,741–$3,547	varies
Removal impacted cerumen irrigation/lvg unilat (69209)	$305	$305	4.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)	$257	$257	4.1×
Removal Implant Deep (20680)	$5,754	$5,754	1.8×
Removal Implant Superficial Separate Procedure (20670)	$2,027	$2,027	1.1×
Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines	$809–$1,281	$809–$1,281	varies
Removal of implanted material, anterior segment of eye (65920)	$5,712	$5,712	2.3×
Removal of kidney stone (50081)	$18,638	$18,638	1.8×
Removal of nail bed (11750) range across 2 matching MRF lines	$1,134–$1,638	$1,134–$1,638	varies
Removal of tunneled intraperitoneal catheter (49422) range across 2 matching MRF lines	$5,072–$6,962	$5,072–$6,962	varies
Removal Pacemaker Electrode (33235)	$7,487	$7,487	1.9×
Removal peritoneal-venous shunt (49429)	$5,985	$5,985	1.8×
Removal ppm generator only (33233)	$9,534	$9,534	1.1×
Removal shoulder foreign body deep subfascial/im (23333)	$6,264	$6,264	2.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200)	$609	$609	2.8×
Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines	$924–$935	$924–$935	varies
Removal Sutures/Staples Requiring Anesthesia (15851)	$3,003	$3,003	1.4×
Removal sweat gland lesion (11450)	$5,051	$5,051	1.6×
Removal tong/halo applied by another individual (20665)	$714	$714	1.5×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385)	$4,914	$4,914	2.2×
Remove cerclage suture (59871)	$9,198	$9,198	2.7×
Remove drug implant device (11982) range across 2 matching MRF lines	$693–$874	$693–$874	varies
Remove Elctrd Transvenously (33244)	$7,487	$7,487	1.9×
Remove foreign body from eye (65205)	$578	$578	4.1×
Remove Int Dwell Ureteral Stent Transurethral (50386)	$3,707	$3,707	1.7×
Remove Intrauterine Device (58301)	$1,250	$1,250	3.8×
Remove intrvas foreign body (37197) range across 2 matching MRF lines	$6,962–$7,476	$6,962–$7,476	varies
Remove lung catheter (32552)	$966	$966	1.4×
Remove Nasal Foreign Body (30300)	$578	$578	4.1×
Remove Pulse Generator (33241)	$7,487	$7,487	1.9×
Remove renal tube w/fluoro (50389)	$1,985	$1,985	2.7×
Remove ureter stent percut (50384)	$5,103	$5,103	2.3×
Remove&replace pm gen singl (33227)	$17,409	$17,409	2.0×
Remove/Insert Drug Implant (11983)	$1,869	$1,869	3.9×
Remv&replc cvd gen dual lead (33263)	$56,396	$56,396	2.4×
Remv&replc cvd gen mult lead (33264)	$41,528	$41,528	1.2×
Remv&replc cvd gen sing lead (33262)	$56,826	$56,826	2.4×
Remv&replc pm gen dual lead (33228)	$12,842	$12,842	1.1×
Remv&replc pm gen mult leads (33229)	$22,838	$22,838	1.1×
Renal Biopsy Perq (50200) range across 3 matching MRF lines	$2,216–$3,476	$2,216–$3,476	varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines	$2,321–$2,541	$2,321–$2,541	varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)	$3,413	$3,413	4.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)	$1,785	$1,785	4.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)	$2,678	$2,678	6.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)	$1,439	$1,439	3.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)	$2,195	$2,195	5.0×
Repair complex trunk 1.1-2.5 cm (13100)	$1,974	$1,974	2.5×
Repair complex trunk 2.6-7.5 cm (13101)	$2,195	$2,195	2.8×
Repair detached retina (67105)	$7,035	$7,035	11.9×
Repair Ectropion Suture (67914)	$9,744	$9,744	3.8×
Repair Elbow Perc (24357)	$12,821	$12,821	3.7×
Repair Entropion Suture (67921)	$7,319	$7,319	2.9×
Repair Eyelid Wound (67935)	$3,539	$3,539	1.4×
Repair incomplete circumcision (54163)	$2,615	$2,615	1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)	$1,638	$1,638	3.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)	$1,460	$1,460	3.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)	$1,596	$1,596	3.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)	$2,069	$2,069	4.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)	$3,381	$3,381	7.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)	$1,901	$1,901	2.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)	$1,638	$1,638	3.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)	$1,418	$1,418	3.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)	$2,384	$2,384	3.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)	$2,552	$2,552	1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)	$1,785	$1,785	4.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines	$998–$1,596	$998–$1,596	varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines	$1,082–$1,638	$1,082–$1,638	varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)	$2,195	$2,195	2.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)	$1,638	$1,638	3.8×
Repair intermediate s/a/t/e >30.0 cm (12037)	$3,455	$3,455	1.6×
Repair lead pace-defib dual (33220)	$8,526	$8,526	2.1×
Repair Lead Pace-Defib One (33218)	$6,836	$6,836	1.7×
Repair of urethra injury (53502)	$16,391	$16,391	4.3×
Repair Tooth Socket (41874)	$7,099	$7,099	2.0×
Replace duodenostomy/jejunostomy tube perq (49451) range across 2 matching MRF lines	$1,407–$2,300	$1,407–$2,300	varies
Replace eye fluid (67025)	$5,114	$5,114	2.1×
Replace G-J Tube Perc (49452)	$2,016	$2,016	2.1×
Replace g/c tube perc (49450)	$1,113	$1,113	1.1×
Reposition Gastrostomy Tube (43761)	$1,145	$1,145	4.3×
Reposition L Ventric Lead (33226)	$6,962	$6,962	2.1×
Reposition Pacing-Defib Lead (33215)	$6,962	$6,962	2.1×
Reposition Venous Catheter (36597) range across 2 matching MRF lines	$1,775–$3,077	$1,775–$3,077	varies
Repositioning Io Lens Prosthesis Req Inc Spx (66825)	$7,077	$7,077	2.9×
Resect back tum < 5 cm (21935)	$9,167	$9,167	2.9×
Resect hip/pelv tum < 5 cm (27049)	$4,830	$4,830	1.6×
Resect leg/ankle tum < 5 cm (27615)	$9,944	$9,944	3.2×
Resect shoulder tumor < 5 cm (23077)	$10,458	$10,458	3.4×
Retrobulbar inject,alcohol (67505)	$1,218	$1,218	3.6×
Retrobulbar injection (67500)	$1,218	$1,218	3.6×
Revise Abdomen-Venous Shunt (49426)	$8,463	$8,463	2.2×
Revise eyelashes (67825)	$1,386	$1,386	4.1×
Revision of eyelid (67880)	$5,628	$5,628	2.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)	$10,815	$10,815	1.6×
Revj Shunt Extraocular Reservoir W/O Graft (66184)	$6,783	$6,783	2.7×
Revj Transvns Intrahepatic Portosystemic Shunt (37183)	$12,422	$12,422	2.0×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)	$5,208	$5,208	1.4×
Revj/rpr oprative wound anterior segment (66250)	$8,432	$8,432	3.3×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)	$2,846	$2,846	1.3×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436)	$3,829	$3,829	1.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)	$956	$956	2.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)	$672	$672	4.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)	$882	$882	1.8×
Rmvl FB/Dacryolith Lacrimal Passages (68530)	$3,959	$3,959	11.6×
Rmvl implnt matl posterior segment extraocular (67120)	$4,925	$4,925	2.0×
Rmvl of subq implantable defibrillator electrode (33272)	$10,385	$10,385	2.6×
Rmvl spinal nstim eltrd prq array incl fluor (63661)	$7,329	$7,329	3.5×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)	$7,487	$7,487	1.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)	$1,859	$1,859	1.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 5 matching MRF lines	$1,565–$1,880	$1,565–$1,880	varies
Rmvl/rpr emgnt bone cndj dev temporal bone (69711)	$9,566	$9,566	2.7×
Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines	$1,071–$1,176	$1,071–$1,176	varies
Rplc gtube revj gstrst trc (43763)	$1,292	$1,292	4.8×
Rplcmt cath ctr vad subq port/pmp (36578)	$6,889	$6,889	2.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)	$4,116	$4,116	2.4×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585)	$3,707	$3,707	1.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)	$4,116	$4,116	2.4×
Rplcmt compl tun ctr vad w/subq pmp (36583)	$11,832	$11,832	2.0×
Rplcmt compl tun ctr vad w/subq port (36582)	$6,962	$6,962	2.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581)	$5,167	$5,167	1.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)	$1,922	$1,922	1.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)	$1,376	$1,376	6.4×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)	$2,468	$2,468	3.1×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286)	$6,143	$6,143	2.5×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270)	$6,783	$6,783	2.7×
Rpr Nsl Vlv Collapse W/Implt (30468)	$8,411	$8,411	1.3×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110)	$10,196	$10,196	4.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) range across 3 matching MRF lines	$1,523–$1,691	$1,523–$1,691	varies
Sclerotx Fluid Collection (49185) range across 2 matching MRF lines	$9,198–$10,343	$9,198–$10,343	varies
Severing tarsorrhaphy (67710)	$1,113	$1,113	1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335)	$3,654	$3,654	3.7×
Shave skin lesion 0.5 cm/< (11300)	$599	$599	1.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)	$704	$704	3.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)	$1,166	$1,166	2.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)	$609	$609	2.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)	$809	$809	3.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)	$809	$809	3.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)	$578	$578	1.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)	$819	$819	3.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)	$998	$998	2.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)	$809	$809	3.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)	$924	$924	2.1×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)	$809	$809	3.8×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)	$7,099	$7,099	2.0×
Sigmoidoscopy & Polypectomy (45333)	$2,331	$2,331	2.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346)	$3,444	$3,444	2.7×
Sigmoidoscopy Flx With With Band Ligation(S) (45350)	$3,518	$3,518	2.7×
Sigmoidoscopy w/plcmt stent (45347)	$13,029	$13,029	2.0×
Sigmoidoscopy W/Resection (45349)	$3,539	$3,539	1.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)	$2,720	$2,720	2.7×
Simple Cystometrogram (51725)	$1,071	$1,071	4.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)	$1,838	$1,838	4.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines	$914–$977	$914–$977	varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines	$977–$1,166	$977–$1,166	varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)	$2,216	$2,216	5.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines	$1,071–$1,239	$1,071–$1,239	varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)	$3,287	$3,287	15.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)	$578	$578	2.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)	$1,470	$1,470	6.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines	$851–$977	$851–$977	varies
Skin Full Grft Face/Genit/Hf (15240)	$7,140	$7,140	3.2×
Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines	$3,150–$4,004	$3,150–$4,004	varies
Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines	$3,150–$4,004	$3,150–$4,004	varies
Skin sub grft t/arm/lg child (15273)	$5,492	$5,492	2.5×
Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines	$2,709–$4,326	$2,709–$4,326	varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines	$14,952–$17,577	$14,952–$17,577	varies
Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines	$10,857–$12,758	$10,857–$12,758	varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines	$20,801–$23,342	$20,801–$23,342	varies
Small bowel endoscopy (44384)	$3,665	$3,665	1.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)	$809	$809	3.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines	$1,218–$1,418	$1,218–$1,418	varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)	$1,386	$1,386	3.2×
Snip Incision Lacrimal Punctum (68440)	$1,218	$1,218	3.6×
Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines	$1,208–$2,090	$1,208–$2,090	varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) range across 2 matching MRF lines	$9,020–$14,417	$9,020–$14,417	varies
Strapping ankle (29540) range across 12 matching MRF lines	$215–$672	$215–$672	varies
Strapping elbow or wrist (29260) range across 12 matching MRF lines	$320–$651	$320–$651	varies
Strapping hand/finger (29280) range across 12 matching MRF lines	$320–$620	$320–$620	varies
Strapping Hip (29520) range across 3 matching MRF lines	$305–$320	$305–$320	varies
Strapping knee (29530) range across 3 matching MRF lines	$242–$373	$242–$373	varies
Strapping shoulder (29240) range across 3 matching MRF lines	$257–$273	$257–$273	varies
Strapping toes (29550) range across 4 matching MRF lines	$194–$305	$194–$305	varies
Strapping Unna Boot (29580)	$620	$620	3.6×
Subconjunctival injection (68200)	$578	$578	1.2×
Subcutaneous Hormone Pellet Implantation (11980)	$924	$924	1.9×
Subcutaneous Injection Filling Material 1 Cc/< (11950)	$714	$714	3.3×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951)	$914	$914	1.2×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)	$8,411	$8,411	1.3×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)	$8,411	$8,411	1.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)	$5,106	$5,106	2.0×
Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines	$404–$662	$404–$662	varies
Tattooing incl micropigmentation 6.0 cm/< (11920)	$1,985	$1,985	2.5×
Tattooing incl micropigmentation 6.1-20.0 cm (11921)	$3,570	$3,570	4.5×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) range across 2 matching MRF lines	$45,108–$71,348	$45,108–$71,348	varies
Tcat Insj/Rpl Perm Ldls Pm (33274) range across 2 matching MRF lines	$23,625–$37,800	$23,625–$37,800	varies
Tcat Rmvl Perm Ldls Pm (33275)	$4,095	$4,095	1.2×
Temporary Closure Eyelids Suture (67875)	$3,570	$3,570	3.3×
Tenotomy Adductor Hip Percutaneous Spx (27000)	$4,631	$4,631	2.7×
Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines	$4,809–$4,925	$4,809–$4,925	varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606)	$4,631	$4,631	1.3×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)	$6,867	$6,867	4.0×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306)	$8,169	$8,169	2.3×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307)	$7,235	$7,235	2.1×
Tenotomy shoulder area single tendon (23405)	$7,235	$7,235	0.9×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310)	$12,285	$12,285	3.5×
Ther Apheresis,Red Blood Cells (36512)	$6,930	$6,930	4.2×
Ther Spi Pnxr Csf Fluor/Ct (62329)	$3,654	$3,654	4.8×
Therapeutic Apheresis White Blood Cells (36511)	$4,169	$4,169	2.5×
Therapeutic plasma exchange (36514)	$6,930	$6,930	4.2×
Thrmbc/Nfs Dialysis Circuit (36906)	$50,957	$50,957	2.6×
Thromblytic art/ven therapy (37213) range across 2 matching MRF lines	$6,521–$7,308	$6,521–$7,308	varies
Thrombolytic Art Therapy (37211) range across 2 matching MRF lines	$7,791–$11,529	$7,791–$11,529	varies
Thrombolytic Therapy Stroke (37195)	$788	$788	2.2×
Thrombolytic Venous Therapy (37212) range across 2 matching MRF lines	$6,962–$7,791	$6,962–$7,791	varies
Thyroid biopsy (60100) range across 3 matching MRF lines	$1,334–$1,565	$1,334–$1,565	varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)	$7,140	$7,140	3.2×
Tnot elbow lateral/medial debride open tdn rpr (24359)	$4,914	$4,914	1.4×
Tprnl Plmt Biodegrdabl Matrl (55874)	$11,127	$11,127	1.9×
Trabeculoplasty by laser surgery (65855)	$3,854	$3,854	6.5×
Tracheobrnchsc Thru Est Trachs Inc (31615)	$2,090	$2,090	3.6×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070)	$546	$546	1.7×
Transcatheter biopsy (37200)	$6,017	$6,017	1.0×
Transfer of embryo (58974)	$1,906	$1,906	1.9×
Transrectal abltj mal prst8 tissue hifu w/us (55880)	$20,241	$20,241	2.0×
Treat Big Toe Fracture (28505)	$7,102	$7,102	2.0×
Treat Dental Ridge Fracture (21440)	$3,591	$3,591	1.0×
Treat humerus fracture (23600)	$1,838	$1,838	7.0×
Treat Knuckle Dislocation (26700)	$777	$777	2.9×
Treatment extensive retinopathy photocoagulation (67228)	$6,552	$6,552	11.1×
Treatment of retina (67141)	$3,854	$3,854	11.3×
Treatment of retinal lesion (67208)	$6,080	$6,080	17.9×
Trim skin lesion (11055) range across 2 matching MRF lines	$599–$620	$599–$620	varies
Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines	$630–$651	$630–$651	varies
Trim skin lesions over 4 (11057) range across 2 matching MRF lines	$368–$578	$368–$578	varies
Trimming Nondystrophic Nails Any Number (11719)	$257	$257	4.1×
Trluml Balo Angiop 1St Art (37246)	$16,685	$16,685	2.7×
Trluml Balo Angiop 1St Vein (37248)	$16,685	$16,685	2.7×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854)	$4,494	$4,494	1.2×
Tx Missed Abortion First Trimester Surgical (59820)	$13,356	$13,356	3.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines	$1,005–$1,340	$1,005–$1,340	varies
Tx superficial wound dehiscence w/packing (12021)	$672	$672	1.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)	$1,365	$1,365	5.2×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)	$28,163	$28,163	2.0×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)	$4,788	$4,788	2.9×
Unlisted Procedure Accessory Sinuses (31299)	$475	$475	1.9×
Unlisted Procedure Biliary Tract (47999) range across 5 matching MRF lines	$1,271–$7,518	$1,271–$7,518	varies
Unlisted Procedure Casting/Strapping (29799)	$210	$210	1.2×
Unlisted Procedure External Ear (69399)	$1,050	$1,050	4.1×
Unlisted procedure femur or knee (27599)	$630	$630	2.4×
Unlisted procedure foot or toes (28899)	$903	$903	3.4×
Unlisted procedure lungs and pleura (32999) range across 3 matching MRF lines	$840–$3,276	$840–$3,276	varies
Unlisted procedure nervous system (64999)	$6,920	$6,920	21.0×
Unlisted Procedure Vascular Surgery (37799) range across 3 matching MRF lines	$1,355–$14,952	$1,355–$14,952	varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 4 matching MRF lines	$2,300–$2,877	$2,300–$2,877	varies
Unlisted px female genital system nonobstetrical (58999)	$3,518	$3,518	16.2×
Upgrade of pacemaker system (33214)	$24,182	$24,182	2.2×
Urine Flow Measurement (51736)	$362	$362	2.5×
Vasc embolize/occlude artery (37242) range across 2 matching MRF lines	$30,660–$36,078	$30,660–$36,078	varies
Vasc Embolize/Occlude Bleed (37244)	$30,660	$30,660	2.5×
Vasc Embolize/Occlude Organ (37243)	$30,660	$30,660	2.5×
Vasc embolize/occlude venous (37241)	$40,488	$40,488	3.3×
Vasectomy uni/bi spx w/postop semen exams (55250)	$4,589	$4,589	2.0×
Venous Mech Thrombectomy (37187) range across 2 matching MRF lines	$12,422–$24,823	$12,422–$24,823	varies
Ventricular puncture previous burr hole w/inj (61026)	$1,523	$1,523	2.0×
Vulvectomy simple partial (56620)	$6,959	$6,959	2.0×
Wedge excision skin nail fold (11765)	$1,134	$1,134	2.6×
Wound Prep Trk/Arm/Leg (15002)	$2,300	$2,300	2.9×
Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987)	$8,915	$8,915	2.0×
Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988)	$7,802	$7,802	1.8×

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