Procedures & surgery prices at The Queen's Medical Center

Honolulu, HI · every code in this section with a posted price and a Medicare benchmark.

1747 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $1,242.50–$1,335.60 $1,775–$1,908 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,133.60 $3,048 2.0×
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $3,208.80–$3,668 $4,584–$5,240 varies
Ablate Pulm Tumor Perq Crybl (32994) $8,638.70 $12,341 0.7×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $11,576.60 $16,538 0.6×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $13,174 $18,820 1.5×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $3,613.40 $5,162 1.9×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 3 matching MRF lines		 $3,208.80–$5,807.20 $4,584–$8,296 varies
Acne surgery (10040) $303.10 $433 1.3×
Adding Walker Previously Applied Cast (29440) $394.10 $563 2.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $12,285.70 $17,551 2.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,897.60 $5,568 1.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $4,010.30 $5,729 1.6×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $4,337.90 $6,197 1.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,867.20 $4,096 1.2×
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines		 $1,280.30–$1,376.20 $1,829–$1,966 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $6,331.50 $9,045 1.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $4,796.40–$11,864.29 $6,852–$16,948.98 varies
Amputation foot transmetarsal (28805) $10,917.20 $15,596 2.8×
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $9,209.90–$10,988.60 $13,157–$15,698 varies
Amputation toe interphalangeal joint (28825)
range across 6 matching MRF lines		 $5,552.40–$11,104.80 $7,932–$15,864 varies
Amputation toe metatarsophalangeal joint (28820)
range across 5 matching MRF lines		 $2,409.88–$7,171.50 $3,442.68–$10,245 varies
Ankle Arthroscopy/Surgery (29892) $16,501.10 $23,573 1.9×
Anoscopy Ablation Lesion (46615) $5,688.90 $8,127 1.7×
Anoscopy Control Bleeding (46614) $2,083.90 $2,977 1.5×
Anoscopy diagnostic (46600) $236.60 $338 1.5×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $2,303.70 $3,291 1.6×
Anoscopy W/Rmvl Foreign Body (46608) $2,083.90 $2,977 1.9×
Anoscopy; with biopsy, single or multiple (46606) $2,217.25 $3,167.50 1.6×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $5,998.30 $8,569 1.8×
Apheresis Platelets (36513) $4,053 $5,790 7.8×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $338.10 $483 1.8×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $527.10 $753 2.7×
Application cast elbow finger short arm (29075) $564.20 $806 1.7×
Application Finger Splint Dynamic (29131) $246.40 $352 3.5×
Application finger splint static (29130) $324.80 $464 2.1×
Application Hip Spica Cast 1 Leg (29305) $688.10 $983 2.1×
Application long arm splint shoulder hand (29105) $471.10 $673 2.5×
Application Long Leg Cast Brace (29358) $589.40 $842 1.8×
Application Long Leg Cast Walker/Ambulatory Type (29355) $688.10 $983 2.1×
Application Long Leg Splint (29505) $571.90 $817 3.0×
Application of cylinder cast (thigh to ankle) (29365) $688.10 $983 2.1×
Application of long leg cast (29345) $688.10 $983 2.1×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $772.80–$811.30 $1,104–$1,159 varies
Application Short Arm Splint Dynamic (29126) $234.50 $335 1.5×
Application short arm splint forearm-hand static (29125) $198.10 $283 1.3×
Application short leg splint calf foot (29515) $506.10 $723 2.6×
Application uniplane external fixation system (20690) $7,129.50 $10,185 0.8×
Apply hand/wrist cast (29085) $797.30 $1,139 4.2×
Apply long arm cast (29065) $498.40 $712 1.5×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $322.70–$645.40 $461–$922 varies
Apply Short Leg Cast (29405) $845.60 $1,208 2.6×
Apply short leg cast (29425) $688.10 $983 2.1×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $5,373.20 $7,676 0.9×
Arterial puncture (36600) $287 $410 1.8×
Arteriovenous Anastomosis Open Direct (36821)
range across 3 matching MRF lines		 $6,470.80–$15,794.80 $9,244–$22,564 varies
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $11,911.20 $17,016 1.8×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
range across 2 matching MRF lines		 $22,264.20–$27,370.01 $31,806–$39,100.01 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 3 matching MRF lines		 $14,996.80–$28,277.90 $21,424–$40,397 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $688.10–$1,376.20 $983–$1,966 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,845.20 $2,636 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $478.80–$1,559.60 $684–$2,228 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $1,085–$2,170 $1,550–$3,100 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $703.50–$1,407 $1,005–$2,010 varies
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $11,744.25–$23,487.10 $16,777.50–$33,553 varies
Arthrodesis great toe interphalangeal joint (28755)
range across 4 matching MRF lines		 $9,356.20–$12,862.50 $13,366–$18,375 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 4 matching MRF lines		 $10,863.30–$17,875.90 $15,519–$25,537 varies
Arthrodesis Posterior/Posterolateral Lumbar (22612)
unusually low: confirm this is the full procedure		 $7,964.84 $11,378.34 0.4×
Arthrodesis sacroiliac joint percutaneous (27279) $12,742.80 $18,204 0.6×
Arthrodesis subtalar (28725) $14,746.90 $21,067 1.0×
Arthrodesis triple (28715)
range across 2 matching MRF lines		 $27,384–$33,915.70 $39,120–$48,451 varies
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $4,298.70 $6,141 0.1×
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines		 $24,521–$26,023.20 $35,030–$37,176 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 5 matching MRF lines		 $18,755.80–$26,775 $26,794–$38,250 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $35,170.80 $50,244 2.3×
Arthroplasty interphalangeal joint each (26535) $17,411.10 $24,873 4.5×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $12,868.10–$14,371 $18,383–$20,530 varies
Arthroplasty Patella W/Prosthesis (27438) $16,877 $24,110 1.1×
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 3 matching MRF lines		 $5,082.93–$6,434.05 $7,261.33–$9,191.50 varies
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,595.62 $5,136.60 0.9×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $20,008.80 $28,584 5.2×
Arthroscopy Elbow Surgical Debridement Limited (29837) $6,559.35 $9,370.50 1.7×
Arthroscopy hip w/femoroplasty (29914)
range across 3 matching MRF lines		 $18,588.15–$30,535.40 $26,554.50–$43,622 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $8,732.50–$11,865 $12,475–$16,950 varies
Arthroscopy knee synovectomy limited spx (29875) $6,227.20 $8,896 1.6×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $12,736.50 $18,195 3.3×
Arthroscopy shoulder distal claviculectomy (29824) $17,843 $25,490 4.6×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 3 matching MRF lines		 $4,707.04–$8,689.45 $6,724.34–$12,413.50 varies
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $24,159.10 $34,513 2.8×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $6,559.35 $9,370.50 1.7×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
range across 2 matching MRF lines		 $21,513.80–$21,889 $30,734–$31,270 varies
Arthroscopy, knee, surgical; with lateral release (29873) $2,284.58 $3,263.68 0.6×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $8,250.90 $11,787 2.1×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $5,250–$17,708.60 $7,500–$25,298 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 3 matching MRF lines		 $3,091.73–$6,082.30 $4,416.75–$8,689 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines		 $4,205.83–$14,997.50 $6,008.33–$21,425 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 3 matching MRF lines		 $5,723.90–$15,248.10 $8,177–$21,783 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $23,893.10–$25,272.10 $34,133–$36,103 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $7,981.05 $11,401.50 2.1×
Arthrotomy W/Meniscus Repair Knee (27403) $8,376.20 $11,966 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 6 matching MRF lines		 $15,374.10–$31,014.90 $21,963–$44,307 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 5 matching MRF lines		 $11,363.80–$24,144.40 $16,234–$34,492 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $5,375.30–$15,122.80 $7,679–$21,604 varies
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $8,607.90 $12,297 2.2×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $3,802.75–$9,610.30 $5,432.50–$13,729 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $10,988.60–$19,133.10 $15,698–$27,333 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $9,986.20–$12,993.40 $14,266–$18,562 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $14,752.50 $21,075 3.8×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $3,786.30 $5,409 2.0×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $4,567.50 $6,525 1.2×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $10,987.20 $15,696 2.8×
Artificial insemination intra-uterine (58322) $360.50 $515 1.5×
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines		 $1,886.50–$6,189.40 $2,695–$8,842 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $2,027.90–$3,656.80 $2,897–$5,224 varies
Aspirate/Inj Ganglion Cyst (20612) $791 $1,130 2.2×
Aspiration & Injection Treatment Bone Cyst (20615) $1,734.60 $2,478 2.1×
Aspiration and/or injection thyroid cyst (60300) $2,485 $3,550 3.0×
Aspiration bladder insert suprapubic catheter (51102)
range across 5 matching MRF lines		 $3,328.50–$6,088.60 $4,755–$8,698 varies
Aspiration Bladder Needle (51100) $1,029.70 $1,471 3.5×
Aspiration bladder trocar/intracatheter (51101) $1,619.80 $2,314 1.6×
Av fistula revision (36833)
range across 3 matching MRF lines		 $12,973.10–$25,762.80 $18,533–$36,804 varies
Av Fistula Revision Open (36832)
range across 3 matching MRF lines		 $6,701.10–$9,172.10 $9,573–$13,103 varies
Av Fuse Uppr Arm Basilic (36819)
range across 3 matching MRF lines		 $9,366.70–$21,946.40 $13,381–$31,352 varies
Avulsion nail plate partial/complete simple 1 (11730) $578.20 $826 2.4×
Axillary lymphadenectomy; complete (38745) $14,630 $20,900 2.0×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $2,853.20–$3,067.40 $4,076–$4,382 varies
Biopsy bone open deep (20245) $5,600.70 $8,001 1.6×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $3,068.10–$3,298.40 $4,383–$4,712 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines		 $2,409.86–$3,066.70 $3,442.66–$4,381 varies
Biopsy external ear (69100) $518 $740 1.9×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $2,853.20–$3,067.40 $4,076–$4,382 varies
Biopsy Muscle Superficial (20200) $5,532.80 $7,904 2.8×
Biopsy Nasopharynx Visible Lesion Simple (42804) $5,596.50 $7,995 1.4×
Biopsy of breast; open, incisional (19101) $8,346.80 $11,924 1.8×
Biopsy of floor of mouth (41108) $3,449.60 $4,928 1.8×
Biopsy of lip (40490)
range across 2 matching MRF lines		 $481.60–$518 $688–$740 varies
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $2,317–$2,490.60 $3,310–$3,558 varies
Biopsy of palate, uvula (42100) $3,208.80 $4,584 1.8×
Biopsy of penis (54100) $2,313.50 $3,305 1.2×
Biopsy of upper nose/throat (42806) $5,596.50 $7,995 1.4×
Biopsy of urethra (53200) $4,249.70 $6,071 1.7×
Biopsy Oropharynx (42800) $5,596.50 $7,995 3.1×
Biopsy Salivary Gland Incisional (42405)
range across 2 matching MRF lines		 $3,119.20–$7,190.40 $4,456–$10,272 varies
Biopsy Salivary Gland Needle (42400) $1,455.30 $2,079 1.7×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $3,702.30–$4,559.10 $5,289–$6,513 varies
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $1,056.30–$1,221.50 $1,509–$1,745 varies
Biopsy Tongue Posterior One-Third (41105)
range across 2 matching MRF lines		 $2,748.90–$5,596.50 $3,927–$7,995 varies
Biopsy Vaginal Mucosa Extensive (57105) $3,334.80 $4,764 0.9×
Biopsy Vaginal Mucosa Simple (57100) $1,271.90 $1,817 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,341.20 $1,916 1.2×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $1,176–$1,264.20 $1,680–$1,806 varies
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $4,642.40–$6,955.20 $6,632–$9,936 varies
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $699.30–$1,398.60 $999–$1,998 varies
Bladder Irrigation (51700) $616.70 $881 2.1×
Bladder Scan (51798)
range across 2 matching MRF lines		 $98–$110.60 $140–$158 varies
Blepharotomy drainage abscess eyelid (67700) $796.60 $1,138 2.1×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $940.10–$1,062.60 $1,343–$1,518 varies
Blood/Lymph System Procedure (38999) $893.20 $1,276 1.7×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $2,814–$3,025.40 $4,020–$4,322 varies
Bone Marrow Harvest Autolog (38232) $5,682.25 $8,117.50 1.1×
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $3,342.33–$3,815 $4,774.75–$5,450 varies
Breast Reduction (19318)
range across 4 matching MRF lines		 $30,706.90–$39,545.10 $43,867–$56,493 varies
Brnchsc Brushing/Protected Brushings (31623) $2,938.60 $4,198 1.4×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $5,157.60 $7,368 1.2×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $7,783.30 $11,119 1.8×
Brnchsc Removal Bronchial Valve Initial (31648) $5,644.10 $8,063 1.3×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $6,853.70 $9,791 0.8×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $6,564.60 $9,378 1.5×
Bronchoscopy Bronch Stents (31636) $14,149.80 $20,214 1.7×
Bronchoscopy Dilate W/Stent (31631) $5,744.20 $8,206 0.7×
Bronchoscopy W/Biopsy(S) (31625) $1,755.13 $2,507.33 0.8×
Bronchoscopy W/Excision Tumor (31640) $1,940.23 $2,771.75 0.4×
Bronchoscopy/Needle Bx Each (31629)
range across 3 matching MRF lines		 $9,243.50–$12,631.50 $13,205–$18,045 varies
Bx breast 1st lesion mr imag (19085)
range across 4 matching MRF lines		 $1,334.55–$2,307.20 $1,906.50–$3,296 varies
Bx breast 1st lesion strtctc (19081)
range across 5 matching MRF lines		 $2,893.10–$5,786.20 $4,133–$8,266 varies
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines		 $2,229.50–$7,903 $3,185–$11,290 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $2,317–$2,490.60 $3,310–$3,558 varies
Bx Cervix (57500) $2,121 $3,030 1.9×
Bx prostate strtctc saturation sampling img gid (55706) $6,395.20 $9,136 1.5×
Bx/exc lymph node open deep axillary node (38525)
range across 5 matching MRF lines		 $5,617.50–$16,831.50 $8,025–$24,045 varies
Bx/exc lymph node open superficial (38500)
range across 3 matching MRF lines		 $6,283.20–$7,903.70 $8,976–$11,291 varies
Canthoplasty (67950) $6,408.50 $9,155 2.3×
Canthotomy Separate Procedure (67715) $2,684.50 $3,835 1.0×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $6,477.10 $9,253 1.7×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $6,352.50 $9,075 3.3×
Capsulotomy Posterior Capsular Release Knee (27435) $8,607.20 $12,296 2.2×
Carpal Tunnel Surgery (64721)
range across 6 matching MRF lines		 $4,723.60–$7,856.10 $6,748–$11,223 varies
Carpectomy All Bones Proximal Row (25215) $8,125.60 $11,608 2.1×
Cataract surgery complex (66982)
range across 3 matching MRF lines		 $5,133.80–$8,748.95 $7,334–$12,498.50 varies
Catheter aspiration nasotracheal spx (31720) $476.70 $681 1.8×
Cautery Cervix Electro/Thermal (57510) $5,691 $8,130 1.5×
Cerclage cervix pregnancy vaginal (59320)
range across 2 matching MRF lines		 $3,907.40–$4,200.70 $5,582–$6,001 varies
Cervical lymphadenectomy (complete) (38720) $12,234.60 $17,478 1.6×
Cessj Therapy Cath Removal (37214) $6,202 $8,860 1.7×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $1,031.80–$6,497.40 $1,474–$9,282 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $705.60–$758.80 $1,008–$1,084 varies
Change of Windpipe Airway (31502) $482.30 $689 1.7×
Change ureter stent percut (50382) $5,052.60 $7,218 2.0×
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines		 $324.10–$8,189.30 $463–$11,699 varies
Chemical Pleurodesis (32560) $1,563.10 $2,233 2.1×
Chemodenerv 1 extrem 5/> mus (64644) $1,600.90 $2,287 1.9×
Chemodenerv 1 extremity 1-4 (64642) $1,947.40 $2,782 2.3×
Chemodenerv Musc Migraine (64615) $660.80 $944 1.8×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $771.40–$1,365 $1,102–$1,950 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $654.50 $935 1.8×
Chemodenerv trunk musc 1-5 (64646) $1,947.40 $2,782 2.3×
Chemodenerv trunk musc 6/> (64647) $1,971.90 $2,817 2.4×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $1,262.80 $1,804 1.5×
Chemodenervation of internal anal sphincter (46505) $3,843.70 $5,491 2.7×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $660.80–$1,321.60 $944–$1,888 varies
Chest tube placement (32551)
range across 3 matching MRF lines		 $1,769.60–$7,078.40 $2,528–$10,112 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $6,829.90 $9,757 2.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,421.20 $6,316 1.0×
Chorionic Villus Sampling (59015)
range across 2 matching MRF lines		 $1,631–$1,712.90 $2,330–$2,447 varies
Circumcision 28 days or older (54161) $7,212.80 $10,304 2.9×
Circumcision Neonate (54160) $1,384.60 $1,978 1.7×
Circumcision w/clamp/oth dev w/block (54150) $3,586.80 $5,124 1.5×
Cl Tx Scapular Fx; W Manip (23575) $1,510.60 $2,158 0.8×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $2,392.60–$5,726 $3,418–$8,180 varies
Clear outer ear canal (69200) $289.10 $413 1.8×
Closed Rx Spontaneous Hip Disloc (27256) $622.30 $889 2.1×
Closed Treat Vert Body Fract (22310) $564.20 $806 1.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $965.30 $1,379 3.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,510.60 $2,158 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,092.70 $1,561 3.7×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $613.90 $877 2.1×
Closed Treatment Sesamoid Fracture (28530) $522.20 $746 1.8×
Closed Treatment Sternum Fracture (21820) $338.80 $484 1.2×
Closed Treatment Ulnar Styloid Fracture (25650) $676.90 $967 2.3×
Closed tx ankle dislocation w/o anesthesia (27840) $1,003.80 $1,434 3.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,592.50 $2,275 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $955.50 $1,365 3.3×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $2,198 $3,140 7.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $660.10 $943 2.3×
Closed tx carpal scaphoid fracture w/manj (25624) $2,280.60 $3,258 1.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $676.90 $967 2.3×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $653.80 $934 0.3×
Closed tx femoral fracture prox head w/o manj (27267) $2,963.10 $4,233 0.8×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,078.70 $1,541 3.7×
Closed tx knee dislocation w/o anesthesia (27550) $1,073.80 $1,534 3.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $4,045.30 $5,779 2.1×
Closed tx mandibular fracture w/manipulation (21451) $3,904.60 $5,578 2.1×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,199.10 $1,713 1.9×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $709.80–$765.10 $1,014–$1,093 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,512.60 $5,018 1.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $4,986.80 $7,124 2.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $3,040.80–$4,602.50 $4,344–$6,575 varies
Closed Tx Nasomaxillary Complex Fracture (21345) $3,208.80 $4,584 1.8×
Closed tx patellar dislocation w/anesthesia (27562) $21,932.40 $31,332 75.3×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $862.40–$905.80 $1,232–$1,294 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $765.10 $1,093 2.6×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $2,641.80–$2,774.10 $3,774–$3,963 varies
Closed tx radial head/neck fx w/o manipulation (24650) $676.90 $967 2.3×
Closed tx radial shaft fracture w/manipulation (25505) $3,343.20 $4,776 1.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $653.10 $933 2.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,774.10 $3,963 1.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $617.40 $882 2.1×
Closed Tx Scapular Fracture W/O Manipulation (23570) $522.20 $746 1.8×
Closed tx septal&nose fx (21337) $4,071.90 $5,817 1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $748.30 $1,069 2.6×
Closed tx talotarsal joint dislc w/o anes (28570) $676.90 $967 2.3×
Closed Tx Talus Fracture W/Manipulation (28435) $2,394 $3,420 1.3×
Closed tx talus fracture w/o manipulation (28430) $544.60 $778 1.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $651 $930 2.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $429.10 $613 1.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,510.60 $2,158 0.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $492.80 $704 1.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $522.20 $746 1.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $954.80 $1,364 3.4×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,994.30 $2,849 3.1×
Clsd tx acromioclavicular dislc w/manipulation (23545) $678.30 $969 2.3×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $566.30 $809 1.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,338 $3,340 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $548.80 $784 1.9×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,293.60 $1,848 2.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $1,055.60 $1,508 3.6×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $3,030.30–$5,350.10 $4,329–$7,643 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $845.60 $1,208 2.9×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $4,045.30 $5,779 2.1×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $8,628.20 $12,326 2.6×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $764.40 $1,092 2.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 3 matching MRF lines		 $3,859.80–$4,848.90 $5,514–$6,927 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,641.80 $3,774 1.4×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $725.20 $1,036 2.5×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,586.20 $2,266 0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $709.80 $1,014 2.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $754.60 $1,078 2.6×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $954.10 $1,363 3.3×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,556.80 $2,224 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $1,063.30 $1,519 3.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $644 $920 2.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $840 $1,200 2.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $683.90 $977 2.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $899.50 $1,285 3.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $2,338–$6,352.50 $3,340–$9,075 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $3,786.30 $5,409 2.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,479.10 $2,113 0.8×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,106 $1,580 3.8×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,510.60 $2,158 0.8×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $497.70 $711 1.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,714.30 $2,449 0.9×
Cltx fx grt toe phlx/phlg w/manj (28495) $525.70 $751 1.8×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $522.20–$548.80 $746–$784 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $497.70–$840 $711–$1,200 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $562.80 $804 1.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,133.50 $5,905 2.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $469.70 $671 1.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $725.20 $1,036 2.5×
Cltx Greater Trochanteric Fx W/O Manj (27246) $865.90 $1,237 3.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $4,045.30 $5,779 2.1×
Cltx hip dislocation traumatic req anesthesia (27252) $3,343.20 $4,776 1.8×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $1,180.20–$19,187.70 $1,686–$27,411 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $667.10 $953 2.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,280.60 $3,258 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,394.70 $3,421 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $623.70 $891 2.1×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,510.60 $2,158 0.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $685.30 $979 2.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $521.50 $745 1.8×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,899.40 $4,142 1.5×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $693.70–$1,387.40 $991–$1,982 varies
Cltx Med Ankle Fx W/Mnpj (27762) $2,482.90 $3,547 1.3×
Cltx Medial Ankle Fx (27760) $676.20 $966 2.3×
Cltx metacarpal fx w/manipulation each bone (26605) $1,003.80 $1,434 3.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $845.60 $1,208 2.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,681.70 $3,831 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $888.30 $1,269 3.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $636.30 $909 2.2×
Cltx post hip arthrp dislc req anes (27266) $2,392.60 $3,418 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $702.10 $1,003 2.4×
Cltx prox fibula/shft fx w/manj (27781) $2,912.70 $4,161 1.5×
Cltx prox fibula/shft fx w/o manj (27780) $660.10 $943 2.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,816.10 $4,023 1.5×
Cltx prox tibfib jt dislc w/o anes (27830) $751.80 $1,074 2.6×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $912.80 $1,304 3.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,003.80 $1,434 3.4×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,479.10 $2,113 0.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $3,343.20 $4,776 1.8×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,280.60 $3,258 1.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,641.80 $3,774 1.4×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $755.30 $1,079 2.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,479.10 $2,113 0.8×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $726.60 $1,038 2.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $525.70 $751 1.8×
Cltx tibial fx proximal w/o manipulation (27530) $822.50 $1,175 2.8×
Cltx tibial shaft fx w/o manipulation (27750) $553 $790 1.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,048.60 $1,498 3.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,167.90 $3,097 1.1×
Cltx trimalleolar ankle fx w/o manipulation (27816) $725.20 $1,036 2.5×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $2,993.20 $4,276 0.8×
Collect Blood From Catheter Venous Nos (36592) $280 $400 1.8×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $13.30–$30.80 $19–$44 varies
Colonoscopy Stoma Ablation Lesion (44401) $1,779.40 $2,542 1.3×
Colonoscopy Stoma Control Bleeding (44391) $1,655.50 $2,365 1.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $6,221.60 $8,888 4.4×
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $1,353.80–$4,361 $1,934–$6,230 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $834.96–$2,105.38 $1,192.80–$3,007.68 varies
Colonoscopy W/Band Ligation (45398) $2,180.50 $3,115 1.5×
Colonoscopy W/Resection (45390)
range across 7 matching MRF lines		 $1,608.84–$9,852.50 $2,298.34–$14,075 varies
Colonoscopy w/submucosal inj (45381)
range across 3 matching MRF lines		 $1,453.66–$5,477.50 $2,076.66–$7,825 varies
Colpocentesis (57020) $5,691 $8,130 1.0×
Colpopexy extraperitoneal (57282) $10,756.90 $15,367 1.2×
Colpopexy vaginal intraperitoneal approach (57283)
range across 2 matching MRF lines		 $10,120.60–$10,262 $14,458–$14,660 varies
Colporrhaphy (57200)
range across 2 matching MRF lines		 $4,466.70–$4,615.80 $6,381–$6,594 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $597.10 $853 1.7×
Colposcopy Cervix Endocervical Curettage (57456) $597.10 $853 1.7×
Colposcopy cervix upper/adjacent vagina (57452) $360.50 $515 1.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $627.20 $896 1.7×
Colposcopy cervix vag eltrd conization cervix (57461) $3,689 $5,270 1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,438.40 $4,912 0.9×
Colposcopy entire vagina w/cervix if present (57420) $597.10 $853 1.7×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 6 matching MRF lines		 $2,291.56–$6,129.20 $3,273.66–$8,756 varies
Complex drainage wound (10180)
range across 2 matching MRF lines		 $4,516.40–$6,148.10 $6,452–$8,783 varies
Composite Skin Graft (15760) $4,092.20 $5,846 1.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,263.40 $4,662 0.9×
Conization of cervix (57520) $5,527.20 $7,896 1.4×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $4,494.70 $6,421 1.6×
Conjunctivorhinostomy Insj Tube/Stent (68750)
range across 2 matching MRF lines		 $4,415.60–$5,212.20 $6,308–$7,446 varies
Conjunctivorhinostomy W/O Tube (68745) $5,371.80 $7,674 1.2×
Constj tracheoesophgl fstl&insj sp prosth (31611) $4,602.50 $6,575 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $501.90 $717 3.2×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $450.10–$3,340.40 $643–$4,772 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $1,221.50–$7,347.20 $1,745–$10,496 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 2 matching MRF lines		 $9,691.85–$37,599.10 $13,845.50–$53,713 varies
Conversion ext bil drg cath (47535) $5,735.10 $8,193 1.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446)
range across 2 matching MRF lines		 $2,701.30–$2,903.60 $3,859–$4,148 varies
Convert Nephrostomy Catheter (50434) $5,737.20 $8,196 2.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $3,549–$3,815 $5,070–$5,450 varies
Correction hammertoe (28285)
range across 5 matching MRF lines		 $3,185.70–$16,000.60 $4,551–$22,858 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $10,111.50–$14,886.90 $14,445–$21,267 varies
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 4 matching MRF lines		 $3,752.70–$20,262.20 $5,361–$28,946 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 3 matching MRF lines		 $3,185.70–$12,866.70 $4,551–$18,381 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $4,429.25–$8,732.50 $6,327.50–$12,475 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 3 matching MRF lines		 $10,487.40–$12,866.70 $14,982–$18,381 varies
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912)
range across 3 matching MRF lines		 $4,759.30–$7,287.70 $6,799–$10,411 varies
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $1,221.50–$2,443 $1,745–$3,490 varies
Create Tear Sac-Nasal Fistula (68720) $4,174.80 $5,964 0.9×
Cricopharyngeal myotomy (43030) $10,091.20 $14,416 1.4×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
range across 4 matching MRF lines		 $6,248.90–$18,946.20 $8,927–$27,066 varies
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $19,594.40 $27,992 1.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $422.80 $604 2.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $400.40–$1,993.60 $572–$2,848 varies
Curettage postpartum (59160)
range across 2 matching MRF lines		 $2,724.40–$4,466.70 $3,892–$6,381 varies
Curette/treat cornea (65435) $5,443.90 $7,777 4.6×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 3 matching MRF lines		 $3,280.20–$8,234.10 $4,686–$11,763 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $3,259.20–$4,861.50 $4,656–$6,945 varies
Cysto w/destruction of lesions (52214) $5,782 $8,260 1.4×
Cysto w/insert ureteral stent (52332)
range across 4 matching MRF lines		 $3,840.20–$5,986.40 $5,486–$8,552 varies
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $3,329.20–$3,891.30 $4,756–$5,559 varies
Cysto w/removal of lesions small (52224) $5,475.40 $7,822 1.3×
Cysto w/removal of tumors small (52234)
range across 2 matching MRF lines		 $5,271–$6,293 $7,530–$8,990 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $3,022.60–$3,089.80 $4,318–$4,414 varies
Cysto w/ureter stricture tx (52341) $5,066.60 $7,238 1.2×
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 3 matching MRF lines		 $5,679.80–$11,096.40 $8,114–$15,852 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 4 matching MRF lines		 $3,635.80–$5,270.30 $5,194–$7,529 varies
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 2 matching MRF lines		 $7,754.60–$13,445.60 $11,078–$19,208 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 2 matching MRF lines		 $5,781.30–$7,416.50 $8,259–$10,595 varies
Cysto/uretero w/lithotripsy (52356)
range across 6 matching MRF lines		 $4,862.20–$15,183.70 $6,946–$21,691 varies
Cystostomy Cystotomy W/Drainage (51040)
range across 2 matching MRF lines		 $2,604–$5,883.50 $3,720–$8,405 varies
Cystouretero w/excise tumor (52355) $7,926.80 $11,324 1.3×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $3,022.60–$3,469.20 $4,318–$4,956 varies
Cystourethroscopy inj chemodenervation bladder (52287) $3,329.20 $4,756 1.3×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $5,782 $8,260 1.4×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
range across 2 matching MRF lines		 $5,679.80–$7,008.40 $8,114–$10,012 varies
Cystourethroscopy w/dil bladder general anesth (52260) $4,820.20 $6,886 2.0×
Cystourethroscopy w/rmvl ureteral calculus (52320) — $1.01 —
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $3,840.20–$5,373.20 $5,486–$7,676 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $4,066.30 $5,809 1.6×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $4,066.30 $5,809 1.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $871.50 $1,245 1.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $4,176.20 $5,966 1.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $2,738.40 $3,912 3.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $3,003.70 $4,291 3.6×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 6 matching MRF lines		 $1,043.70–$6,979 $1,491–$9,970 varies
Debride nail 1-5 (11720) $168 $240 2.4×
Debride nail 6 or more (11721) $249.90 $357 3.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 5 matching MRF lines		 $2,502.50–$9,471.70 $3,575–$13,531 varies
Debridement Mastoidectomy Cavity Simple (69220) $443.10 $633 1.9×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $548.80–$10,621.10 $784–$15,173 varies
Declot vascular device (36593)
range across 3 matching MRF lines		 $842.10–$1,810.20 $1,203–$2,586 varies
Decompression of tibia nerve (28035) $3,931.90 $5,617 1.7×
Deep Muscle Biopsy (20205)
range across 2 matching MRF lines		 $6,001.80–$7,315 $8,574–$10,450 varies
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $3,404.10 $4,863 1.4×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $8,386.70 $11,981 3.4×
Delivery of placenta (59414) $6,394.50 $9,135 1.7×
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines		 $3,511.20–$3,774.40 $5,016–$5,392 varies
Destroy cerv/thor facet jnt (64633)
range across 5 matching MRF lines		 $333.73–$3,541.30 $476.75–$5,059 varies
Destroy lumb/sac facet jnt (64635)
range across 6 matching MRF lines		 $410.68–$4,721.50 $586.68–$6,745 varies
Destruct B9 Lesion 1-14 (17110) $380.10 $543 1.6×
Destruction Benign Lesions 15/> (17111) $380.10 $543 1.6×
Destruction by neurolytic agent, intercostal nerve (64620) $2,214.10 $3,163 2.1×
Destruction Internal Hemorrhoid Thermal Energy (46930)
range across 3 matching MRF lines		 $1,854.65–$3,018.40 $2,649.50–$4,312 varies
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $442.40 $632 1.9×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 5 matching MRF lines		 $991.20–$4,050.90 $1,416–$5,787 varies
Destruction of rectal tumor transanal approach (45190) $6,095.60 $8,708 1.9×
Destruction of skin lesions (17106) $1,092 $1,560 2.3×
Destruction Premalignant Lesion 15/> (17004) $731.50 $1,045 1.5×
Destruction premalignant lesion 1st (17000) $380.10 $543 1.6×
Diagnostic anoscopy (46601) $828.10 $1,183 1.6×
Diagnostic sigmoidoscopy (45330)
range across 4 matching MRF lines		 $1,259.30–$5,345.20 $1,799–$7,636 varies
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $4,838.05 $6,911.50 3.4×
Dilat Xst Trc New Access Rcs (50437) $6,472.20 $9,246 1.6×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $2,968–$4,825.10 $4,240–$6,893 varies
Dilate Urethra Stricture (53620) $1,691.90 $2,417 2.1×
Dilate Urethra Stricture (53600) $660.10 $943 2.2×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $1,992.20–$6,921.60 $2,846–$9,888 varies
Dilation Esophagus Guide Wire (43453) $3,927 $5,610 1.7×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011)
range across 2 matching MRF lines		 $6,095.60–$7,221.20 $8,708–$10,316 varies
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $3,416 $4,880 1.6×
Dissection, deep jugular node(s) Facility (38542)
range across 3 matching MRF lines		 $9,700.38–$28,523.60 $13,857.68–$40,748 varies
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $14,396.90 $20,567 2.1×
Drain Cerebro Spinal Fluid (62272) $931.70 $1,331 1.1×
Drain Hand Tendon Sheath (26020) $4,567.50 $6,525 1.2×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,221.50 $1,745 1.9×
Drainage external auditory canal abscess (69020) $1,453.20 $2,076 1.7×
Drainage external ear abscess/hematoma cmplx (69005) $3,536.40 $5,052 1.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,768.20 $2,526 2.1×
Drainage Finger Abscess Complicated (26011) $2,668.40 $3,812 1.4×
Drainage Mouth Roof Lesion (42000) $1,234.80 $1,764 4.4×
Drainage of eye (65800) $2,366.70 $3,381 0.9×
Drainage of finger abscess simple (26010) $672.70 $961 2.8×
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $280.70–$685.30 $401–$979 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $2,375.10–$15,624.70 $3,393–$22,321 varies
Drainage of hydrocele (55000) $1,538.60 $2,198 1.8×
Drainage of mouth lesion (41017) $5,596.50 $7,995 1.4×
Drainage of nose lesion (30000) $600.60 $858 2.1×
Drainage of rectal abscess (45005) $4,485.60 $6,408 3.2×
Drainage of scrotal wall abscess (55100) $3,245.90 $4,637 1.7×
Drainage of scrotum (54700) $8,074.50 $11,535 3.3×
Draw Blood Off Venous Device (36591) $182 $260 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $2,160.90 $3,087 3.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,229.90 $1,757 1.5×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $2,668.40 $3,812 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $903.70 $1,291 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $704.20 $1,006 3.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $605.50–$607.60 $865–$868 varies
Dstrj les/scar vestibule mouth physical meths (40820) $4,933.60 $7,048 1.3×
Dstrj Lesion Anus Extensive (46924)
range across 2 matching MRF lines		 $4,876.20–$5,738.60 $6,966–$8,198 varies
Dstrj Lesion Anus Simple Chemical (46900) $815.50 $1,165 1.7×
Dstrj lesion anus simple cryosurgery (46916) $412.30 $589 1.7×
Dstrj lesion anus simple surg excision (46922) $5,688.90 $8,127 1.7×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,217.25 $3,167.50 0.9×
Dstrj Lesion Choroid Photodynamic Therapy (67221) $5,099.50 $7,285 7.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 7 matching MRF lines		 $804.65–$1,824.20 $1,149.50–$2,606 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $2,059.40 $2,942 2.0×
Duodenal intubat w/imag guided multiple specimen (43757) $2,130.10 $3,043 2.0×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $5,976.60–$6,424.60 $8,538–$9,178 varies
Dx Bronchoscope/Lavage (31624)
range across 5 matching MRF lines		 $1,618.75–$6,564.60 $2,312.50–$9,378 varies
Dx Bronchoscope/Wash (31622)
range across 4 matching MRF lines		 $3,023.30–$4,687.90 $4,319–$6,697 varies
Dx duod intub w/asp spec (43756) $2,130.10 $3,043 2.0×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $2,129.86–$3,192.70 $3,042.66–$4,561 varies
Dx laryngoscopy w/oper scope (31526) $3,818.50 $5,455 1.8×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $1,575.70–$1,694 $2,251–$2,420 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $2,758 $3,940 1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 4 matching MRF lines		 $2,758–$5,907.30 $3,940–$8,439 varies
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines		 $2,758–$3,429.30 $3,940–$4,899 varies
Egd control bleeding any (43255)
range across 3 matching MRF lines		 $2,565.50–$4,732 $3,665–$6,760 varies
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $2,565.50–$4,640.30 $3,665–$6,629 varies
Egd endo mucosal resection (43254) $4,825.80 $6,894 2.1×
Egd Endoscopic Stent Place (43266)
range across 2 matching MRF lines		 $8,465.80–$16,265.90 $12,094–$23,237 varies
Egd Flexible Foreign Body Removal (43247)
range across 3 matching MRF lines		 $1,143.80–$5,063.80 $1,634–$7,234 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $1,392.30–$4,919.60 $1,989–$7,028 varies
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $2,758 $3,940 1.2×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242)
range across 4 matching MRF lines		 $2,394.08–$8,084.30 $3,420.11–$11,549 varies
Egd intrmural us needle aspirate/biopsy esophags (43238)
range across 3 matching MRF lines		 $2,758–$8,177.40 $3,940–$11,682 varies
Egd lesion ablation (43270)
range across 2 matching MRF lines		 $2,565.50–$5,198.90 $3,665–$7,427 varies
Egd Optical Endomicroscopy (43252) $5,309.50 $7,585 2.3×
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines		 $2,758–$4,125.80 $3,940–$5,894 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $2,758–$3,429.30 $3,940–$4,899 varies
Egd Tube/Cath Insertion (43241) $2,758 $3,940 1.2×
Egd us exam duodenum/jejunum (43259)
range across 3 matching MRF lines		 $2,565.50–$7,339.50 $3,665–$10,485 varies
Egd us transmural injxn/mark (43253)
range across 2 matching MRF lines		 $1,738.80–$5,198.90 $2,484–$7,427 varies
Egd Varices Ligation (43244)
range across 2 matching MRF lines		 $2,758–$2,871.40 $3,940–$4,102 varies
Egd W/Transmural Drain Cyst (43240) $5,309.50 $7,585 0.7×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $618.10 $883 1.7×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,001.70 $1,431 2.8×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367)
range across 2 matching MRF lines		 $622.30–$733.60 $889–$1,048 varies
Electro-Uroflowmetry First (51741) $473.90 $677 1.9×
Emblc/thrmbc ax brach innominate subcla art (34101) $13,342.70 $19,061 2.0×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $12,055.40 $17,222 1.8×
Endocervical curettage (57505) $1,341.20 $1,916 1.2×
Endometrial Biopsy (58100) $562.10 $803 2.4×
Endoscopic injection/implant (51715)
range across 2 matching MRF lines		 $3,689–$5,447.40 $5,270–$7,782 varies
Endoscopic plantar fasciotomy (29893)
range across 3 matching MRF lines		 $3,931.90–$7,730.80 $5,617–$11,044 varies
Endoscopic us exam esoph (43237)
range across 3 matching MRF lines		 $2,758–$5,849.90 $3,940–$8,357 varies
Endoscopy Upper Small Intestine (44360)
range across 2 matching MRF lines		 $4,245.50–$12,553.80 $6,065–$17,934 varies
Endoscopy upper small intestine w/biopsy (44361) $4,564 $6,520 2.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623)
range across 2 matching MRF lines		 $12,791.80–$13,751.50 $18,274–$19,645 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $5,376.70–$14,697.20 $7,681–$20,996 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $10,934.70–$14,796.60 $15,621–$21,138 varies
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $7,991.20 $11,416 3.5×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $2,778.30 $3,969 1.2×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $4,564 $6,520 2.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $7,340.20 $10,486 3.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $4,245.50 $6,065 1.9×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $4,245.50 $6,065 1.9×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $2,237.90–$2,405.90 $3,197–$3,437 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $3,605.70–$6,394.50 $5,151–$9,135 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
range across 2 matching MRF lines		 $7,875–$11,529 $11,250–$16,470 varies
Ercp duct stent placement (43274)
range across 2 matching MRF lines		 $5,384.40–$8,465.80 $7,692–$12,094 varies
Ercp Dx Collection Specimen Brushing/Washing (43260)
range across 2 matching MRF lines		 $4,939.20–$8,549.80 $7,056–$12,214 varies
Ercp ea duct/ampulla dilate (43277) $5,309.50 $7,585 1.2×
Ercp remove calculi/debris biliary/pancreas duct (43264)
range across 2 matching MRF lines		 $5,309.50–$7,525.70 $7,585–$10,751 varies
Ercp remove forgn body duct (43275) $4,939.20 $7,056 2.2×
Ercp Stent Exchange W/Dilate (43276)
range across 3 matching MRF lines		 $7,152.60–$7,875 $10,218–$11,250 varies
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $5,309.50 $7,585 1.2×
Ercp W/Biopsy Single/Multiple (43261)
range across 2 matching MRF lines		 $5,309.50–$10,689.70 $7,585–$15,271 varies
Ercp,Sphincterotomy (43262)
range across 3 matching MRF lines		 $5,309.50–$9,760.80 $7,585–$13,944 varies
Escharotomy; initial incision (16035) $871.50 $1,245 1.8×
Esoph Scope W/Submucous Inj (43201) $2,758 $3,940 1.2×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines		 $1,392.30–$3,716.65 $1,989–$5,309.50 varies
Esophagosc Dilate Balloon 30 (43214) $2,758 $3,940 1.2×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220)
range across 2 matching MRF lines		 $2,758–$4,312.70 $3,940–$6,161 varies
Esophagoscopy Flex Transoral Injection Varices (43204) $2,758 $3,940 1.2×
Esophagoscopy Flex Transoral Lesion Ablation (43229)
range across 2 matching MRF lines		 $4,454.10–$5,309.50 $6,363–$7,585 varies
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $2,758 $3,940 1.2×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,758 $3,940 1.2×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,698.90 $2,427 1.6×
Esophagoscopy Flexible Transnasal With Biopsy (43198)
range across 2 matching MRF lines		 $1,944.60–$5,907.30 $2,778–$8,439 varies
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $1,392.30–$5,105.80 $1,989–$7,294 varies
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $2,758 $3,940 1.2×
Esophagoscopy Flexible W/Bleeding Control (43227) $2,758 $3,940 1.2×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $2,565.50 $3,665 1.1×
Esophagoscopy Rigid Balloon (43195) $5,151.30 $7,359 1.1×
Esophagoscopy rigid trnso dx (43191) $2,778.30 $3,969 1.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $2,758–$2,778.30 $3,940–$3,969 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $2,758–$10,150.70 $3,940–$14,501 varies
Esophagoscp Rig Trnso Biopsy (43193) $4,860.10 $6,943 2.1×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205)
range across 2 matching MRF lines		 $2,758–$2,778.30 $3,940–$3,969 varies
Evacuation of subungual hematoma (11740) $193.90 $277 1.2×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113)
range across 3 matching MRF lines		 $6,853.70–$9,510.90 $9,791–$13,587 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $5,726 $8,180 2.9×
Exc abdl tum deep 5 cm/> (22901) $5,140.10 $7,343 1.5×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $8,365.70–$16,475.90 $11,951–$23,537 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $1,167.60–$1,271.90 $1,668–$1,817 varies
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines		 $4,938.50–$8,159.20 $7,055–$11,656 varies
Exc back tum deep < 5 cm (21932)
range across 2 matching MRF lines		 $5,721.10–$6,283.20 $8,173–$8,976 varies
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
range across 3 matching MRF lines		 $6,608–$11,095.70 $9,440–$15,851 varies
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810)
range across 2 matching MRF lines		 $4,860.80–$6,098.40 $6,944–$8,712 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 4 matching MRF lines		 $7,690.20–$15,569.40 $10,986–$22,242 varies
Exc Chalazion Anes Req Hospization Single/Mult (67808) $3,980.20 $5,686 1.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $8,288 $11,840 9.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $2,894.50 $4,135 1.5×
Exc Face Les Sbq 2 Cm/> (21012) $18,195.80 $25,994 9.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $1,453.20–$5,807.20 $2,076–$8,296 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $1,453.20–$2,107 $2,076–$3,010 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $1,439.20–$5,163.20 $2,056–$7,376 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $6,095.60 $8,708 3.1×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $3,476.90 $4,967 1.8×
Exc Forearm Les Sc 3 Cm/> (25071) $8,157.80 $11,654 4.2×
Exc Forearm Tum Deep 3 Cm/> (25073) $6,470.80 $9,244 1.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,811.60–$3,361.40 $2,588–$4,802 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $3,846.50–$6,957.30 $5,495–$9,939 varies
Exc hand tum deep < 1.5 cm (26116)
range across 2 matching MRF lines		 $6,687.80–$9,860.90 $9,554–$14,087 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $3,549.70 $5,071 3.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $6,554.10–$7,981.40 $9,363–$11,402 varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $5,576.20 $7,966 1.4×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $5,296.20 $7,566 1.4×
Exc Rct Tum Not Incl Muscularis Propria (45171) $5,345.20 $7,636 1.6×
Exc Shoulder Tum Deep 5 Cm/> (23073) $10,785.60 $15,408 3.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $2,215.50–$5,532.80 $3,165–$7,904 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $4,278.40 $6,112 2.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $2,975.70–$8,253 $4,251–$11,790 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $4,819.50 $6,885 2.5×
Exc thigh/knee les sc 3 cm/> (27337)
range across 3 matching MRF lines		 $3,157.48–$9,172.10 $4,510.68–$13,103 varies
Exc thigh/knee tum dep 5cm/> (27339) $9,753.80 $13,934 2.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $5,452.30–$7,502.60 $7,789–$10,718 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,167.60 $1,668 2.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,167.60 $1,668 1.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $3,521.70–$8,815.80 $5,031–$12,594 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $7,502.60 $10,718 2.2×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $9,750.30 $13,929 2.8×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)
range across 2 matching MRF lines		 $7,596.40–$9,193.10 $10,852–$13,133 varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $5,600.70 $8,001 2.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $6,752.20 $9,646 2.0×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $10,111.50–$10,973.20 $14,445–$15,676 varies
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $4,219.60 $6,028 1.2×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $8,970.50 $12,815 2.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $5,720.40 $8,172 2.9×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $12,241.60 $17,488 3.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $7,091.70 $10,131 3.6×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $8,218 $11,740 4.2×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $7,918.40 $11,312 2.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $6,095.60 $8,708 3.1×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $16,625.70 $23,751 4.8×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $6,853.70 $9,791 2.0×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $9,860.90 $14,087 2.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $8,628.20–$9,284.10 $12,326–$13,263 varies
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $11,403 $16,290 2.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $7,981.40 $11,402 4.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 3 matching MRF lines		 $3,933.30–$7,865.90 $5,619–$11,237 varies
Exchange Intraocular Lens (66986) $8,085.70 $11,551 3.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 4 matching MRF lines		 $5,009.90–$10,019.80 $7,157–$14,314 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 2 matching MRF lines		 $2,020.90–$2,172.80 $2,887–$3,104 varies
Excis Mouth Mucosa/Sub,No Repair (40810)
range across 2 matching MRF lines		 $4,933.60–$6,727.70 $7,048–$9,611 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $7,974.40 $11,392 4.4×
Excis uppr jaw cyst w/repair (21049) $4,603.20 $6,576 0.7×
Excise Neurofibroma Extensive (64792) $14,997.50 $21,425 3.7×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961)
range across 3 matching MRF lines		 $2,340.80–$17,144.40 $3,344–$24,492 varies
Excision & Repair Eyelid One-Fourth Lid Margin (67966)
range across 2 matching MRF lines		 $2,072.94–$5,005.70 $2,961.34–$7,151 varies
Excision Aural Polyp (69540) $3,208.80 $4,584 1.8×
Excision Bone Mandible (21025) $20,220.90 $28,887 2.9×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $11,095.70 $15,851 1.6×
Excision exostosis(es), external auditory canal Facility (69140)
range across 2 matching MRF lines		 $11,095.70–$21,022.40 $15,851–$30,032 varies
Excision External Ear Partial Simple Repair (69110)
range across 2 matching MRF lines		 $5,078.50–$5,964.70 $7,255–$8,521 varies
Excision external ear; complete amputation Facility (69120) $11,095.70 $15,851 1.6×
Excision Infected Graft Extremity (35903)
range across 2 matching MRF lines		 $4,501–$5,532.80 $6,430–$7,904 varies
Excision inferior turbinate partial/complete (30130)
range across 4 matching MRF lines		 $2,903.60–$5,596.50 $4,148–$7,995 varies
Excision Lesion Conjunctiva </1 Cm (68110)
range across 2 matching MRF lines		 $2,088.10–$6,906.90 $2,983–$9,867 varies
Excision lesion meniscus/capsule knee (27347) $9,485 $13,550 2.5×
Excision lesion mouth roof (42104) $2,676.80 $3,824 0.7×
Excision Lesion Tongue W/O Closure (41110) $4,071.90 $5,817 1.0×
Excision Lingual Frenum Frenectomy (41115) $3,208.80 $4,584 1.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $731.50 $1,045 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $4,782.40 $6,832 5.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $4,424 $6,320 5.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $11,143.30 $15,919 5.7×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $1,304.80–$5,964.70 $1,864–$8,521 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $4,501 $6,430 2.3×
Excision malignant tumor mandible (21044) $6,605.90 $9,437 0.9×
Excision Maxillary Torus Palatinus (21032) $11,619.30 $16,599 3.0×
Excision Multiple External Papillae/Tags Anus (46230)
range across 2 matching MRF lines		 $4,875.50–$6,354.60 $6,965–$9,078 varies
Excision Nasal Polyp Extensive (30115) $5,596.50 $7,995 1.4×
Excision nasal polyp(s) simple (30110)
range across 2 matching MRF lines		 $1,993.60–$3,208.80 $2,848–$4,584 varies
Excision of bartholin's gland or cyst (56740) $7,939.40 $11,342 2.1×
Excision of extraparenchymal lesion of testis (54512)
range across 2 matching MRF lines		 $3,730.30–$5,777.10 $5,329–$8,253 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $5,726–$7,981.40 $8,180–$11,402 varies
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
range across 3 matching MRF lines		 $5,660.20–$15,635.20 $8,086–$22,336 varies
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425)
range across 2 matching MRF lines		 $7,268.80–$10,402.70 $10,384–$14,861 varies
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $13,741.70 $19,631 2.0×
Excision of pilonidal cyst or sinus; simple (11770) $5,623.10 $8,033 1.6×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $2,723–$6,939.80 $3,890–$9,914 varies
Excision of sublingual gland (42450) $12,868.80 $18,384 1.8×
Excision of submandibular (submaxillary) gland (42440)
range across 2 matching MRF lines		 $10,392.90–$10,757.60 $14,847–$15,368 varies
Excision of vaginal cyst or tumor (57135) $3,829.70 $5,471 1.0×
Excision of vaginal septum (57130) $3,435.95 $4,908.50 0.9×
Excision Pilonidal Cyst/Sinus Complicated (11772) $12,286.40 $17,552 3.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $9,566.20 $13,666 2.8×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $24,376.10 $34,823 3.1×
Excision soft tissue lesion, external auditory canal (69145)
range across 3 matching MRF lines		 $5,964.70–$17,236.10 $8,521–$24,623 varies
Excision spermatocele w/wo epididymectomy (54840) $13,038.20 $18,626 5.3×
Excision Thyroglossal Duct Cyst/Sinus (60280) $13,596.80 $19,424 1.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 3 matching MRF lines		 $4,569.36–$9,378.60 $6,527.66–$13,398 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 3 matching MRF lines		 $5,851.30–$5,937.40 $8,359–$8,482 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 3 matching MRF lines		 $4,594.80–$6,752.20 $6,564–$9,646 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $4,407.20–$5,532.80 $6,296–$7,904 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $4,217.85–$8,106.70 $6,025.50–$11,581 varies
Excision, lesion of palate, uvula; with local flap closure Facility (42107) $3,662.40 $5,232 0.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $5,908 $8,440 1.7×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $9,301.60 $13,288 4.8×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $6,853.70 $9,791 2.0×
Excision/curettage cyst/tumor phalanx finger (26210) $9,735.60 $13,908 5.1×
Excision/destruction intranasal lesion int appr (30117)
range across 3 matching MRF lines		 $4,060–$5,596.50 $5,800–$7,995 varies
Excision/destruction lesion pharynx any method (42808)
range across 2 matching MRF lines		 $5,596.50–$6,826.40 $7,995–$9,752 varies
Excision/surgical planing skin nose rhinophyma (30120)
range across 2 matching MRF lines		 $5,596.50–$7,845.60 $7,995–$11,208 varies
Excision/Transposition Pterygium W/Grafg (65426)
range across 2 matching MRF lines		 $8,724.80–$9,203.60 $12,464–$13,148 varies
Excision/Transposition Pterygium W/O Graft (65420) $957.60 $1,368 0.3×
Expl penetrating wound spx abdomen/flank/back (20102) $4,554.90 $6,507 1.9×
Explo/Drain Breast Abscess (19020) $5,041.40 $7,202 2.6×
Exploration penetrating wound spx chest (20101) $4,789.40 $6,842 2.0×
Exploration penetrating wound spx extremity (20103) $3,329.90 $4,757 1.7×
Exploration Penetrating Wound Spx Neck (20100) $2,094.40 $2,992 3.3×
Explore inner ear (69805) $11,424 $16,320 1.6×
Extensive ear canal surgery (69150)
unusually low: confirm this is the full procedure		 $2,125.20 $3,036 0.3×
External cephalic version (59412) $3,927 $5,610 1.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $6,477.80 $9,254 1.7×
Fasciotomy Plantar Fascia Radical Spx (28062) $7,104.30 $10,149 1.8×
Fasciotomy, foot and/or toe (28008) $4,473 $6,390 1.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $13,619.20–$18,526.20 $19,456–$26,466 varies
Fetal Contraction Stress Test (59020) $277.90 $397 1.2×
Fetal non-stress test (59025) $338.80 $484 1.4×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $3,285.10 $4,693 3.9×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $2,501.80 $3,574 3.0×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $676.20–$726.60 $966–$1,038 varies
Fixation contralateral testis separate procedure (54620) $7,315 $10,450 1.8×
Flap; neurovascular pedicle (15750) $4,641 $6,630 1.1×
Fluid Pressure Muscle (20950) $1,171.10 $1,673 1.4×
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $522.90–$562.10 $747–$803 varies
Fna Bx W/Fluor Gdn 1St Les (10007) $2,129.40 $3,042 2.5×
Fna bx w/us gdn 1st les (10005)
range across 7 matching MRF lines		 $2,425.50–$11,724.30 $3,465–$16,749 varies
Forehead flap w/vasc pedicle (15731) $4,568.89 $6,526.99 1.1×
Foreskin manipulation (54450) $765.10 $1,093 2.6×
Fracture Nasal Inferior Turbinate Therapeutic (30930)
range across 3 matching MRF lines		 $2,458.40–$8,803.20 $3,512–$12,576 varies
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,008.53 $2,869.33 0.8×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576)
range across 2 matching MRF lines		 $1,103.90–$4,351.20 $1,577–$6,216 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $10,168.20 $14,526 4.2×
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $10,110.80–$14,370.30 $14,444–$20,529 varies
Fusion of knuckle (26850) $26,774.30 $38,249 3.1×
Gastrocnemius recession (27687) $10,986.50 $15,695 2.8×
Gi malabs eval aat calprotectin pncrtc elastase (0430U) $214.90 $307 3.5×
Goniotomy (65820)
range across 2 matching MRF lines		 $2,323.06–$4,893.70 $3,318.66–$6,991 varies
Graft Ear Crtlg Autogenous Nose/Ear (21235)
range across 3 matching MRF lines		 $6,252.40–$11,095.70 $8,932–$15,851 varies
Grafting of autologous fat by lipo 50 cc or less (15771) $5,293.16 $7,561.66 1.3×
Grafting of autologous soft tiss by direct exc (15769) $8,836.80 $12,624 2.1×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $1,734.60–$1,821.40 $2,478–$2,602 varies
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
range across 2 matching MRF lines		 $4,930.45–$8,300.60 $7,043.50–$11,858 varies
Head Surgery Procedure (21499) $11,413.03 $16,304.33 40.8×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $6,939.80–$7,408.80 $9,914–$10,584 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $6,752.20 $9,646 2.1×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257)
range across 2 matching MRF lines		 $5,240.90–$7,784 $7,487–$11,120 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,070.60 $2,958 1.9×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $9,472.40 $13,532 2.9×
Hemorrhoidopexy by stapling (46947) $4,938.50 $7,055 1.5×
Hip arthro acetabuloplasty (29915) $18,588.15 $26,554.50 2.2×
Hip arthro w/labral repair (29916)
range across 2 matching MRF lines		 $11,383.40–$12,949.65 $16,262–$18,499.50 varies
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $3,264.80–$5,032.30 $4,664–$7,189 varies
Hysteroscopy Dx Sep Proc (58555) $5,103 $7,290 1.3×
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $5,061.35–$9,923.90 $7,230.50–$14,177 varies
Hysteroscopy Lysis Intrauterine Adhesions (58559)
unusually low: confirm this is the full procedure		 $2,127.30 $3,039 0.4×
Hysteroscopy Removal Impacted Foreign Body (58562) $4,113.20 $5,876 1.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
unusually low: confirm this is the full procedure		 $2,127.30 $3,039 0.4×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $5,596.50 $7,995 1.4×
I&d abscess peritonsillar (42700) $1,161.30 $1,659 4.2×
I&d abscess simple (10060)
range across 5 matching MRF lines		 $307.30–$4,132.10 $439–$5,903 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $5,041.40–$11,865.70 $7,202–$16,951 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $4,316.90 $6,167 1.3×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $7,137.20 $10,196 1.8×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $6,393.80 $9,134 1.9×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $2,074.80–$9,776.90 $2,964–$13,967 varies
I&d pilonidal cyst complicated (10081) $3,245.90 $4,637 3.9×
I&d pilonidal cyst simple (10080) $1,229.90 $1,757 1.5×
I&d thyroglossal duct cyst infected (60000) $3,208.80 $4,584 1.8×
I&d upper arm/elbow deep abscess/hematoma (23930) $5,041.40 $7,202 1.5×
I&d vaginal hematoma obstetrical/postpartum (57022) $5,931.10 $8,473 1.7×
Icd Pocket Revision (33223) $2,956.10 $4,223 1.2×
Ileoscopy Stoma W/Balloon Dilation (44381) $4,564 $6,520 2.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $3,243.80 $4,634 3.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $2,142.70 $3,061 2.0×
Image Cath Fluid Colxn Visc (49405)
range across 3 matching MRF lines		 $634.90–$3,291.40 $907–$4,702 varies
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $2,786–$2,995.30 $3,980–$4,279 varies
Image Cath Fluid Trns/Vgnl (49407) $3,619 $5,170 1.9×
Implant cochlear device (69930)
range across 2 matching MRF lines		 $13,087.20–$17,528 $18,696–$25,040 varies
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $1,986.60–$12,434.10 $2,838–$17,763 varies
Implant Neuroelectrodes (64561) $5,456.50 $7,795 0.7×
Implant Periph/Gastric Neurostim/Receiver (64590)
unusually low: confirm this is the full procedure		 $7,576.80 $10,824 0.3×
Implant Spine Infusion Pump (62362)
range across 2 matching MRF lines		 $2,706.90–$42,625.80 $3,867–$60,894 varies
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $15,337 $21,910 1.5×
Incise external hemorrhoid (46083) $680.40 $972 2.3×
Incise finger tendon sheath (26055)
range across 6 matching MRF lines		 $2,361.80–$16,501.10 $3,374–$23,573 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $686–$1,372 $980–$1,960 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $4,772.60 $6,818 1.4×
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines		 $4,641–$7,856.10 $6,630–$11,223 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $888.30–$6,352.50 $1,269–$9,075 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $567–$595.70 $810–$851 varies
Incision and drainage of vulva or perineal abscess (56405) $938.70 $1,341 2.6×
Incision Drainage Lacrimal Sac (68420) $2,869.30 $4,099 1.0×
Incision extensor tendon sheath wrist (25000) $3,971.80 $5,674 2.1×
Incision of eardrum (69421) $2,882.13 $4,117.33 0.7×
Incision of eardrum (69420) $1,120 $1,600 4.0×
Incision of iris (66500) $2,675.63 $3,822.33 1.0×
Incision of labial frenum (frenotomy) (40806) $1,221.50 $1,745 1.9×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $4,876.20–$6,169.10 $6,966–$8,813 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,731.10 $2,473 0.9×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $954.10–$5,367.43 $1,363–$7,667.75 varies
Induced abortion dilation and curettage (59840)
range across 2 matching MRF lines		 $2,911.30–$7,481.60 $4,159–$10,688 varies
Induced abortion, by dilation and evacuation (59841)
range across 3 matching MRF lines		 $5,173.70–$6,465.20 $7,391–$9,236 varies
Initial Tx 1st Degree Burn Local Tx (16000) $389.20 $556 1.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $956.20–$1,702.40 $1,366–$2,432 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $326.20–$350.70 $466–$501 varies
Inject Intravitreal Pharmcologic (67028) $2,340.80 $3,344 6.0×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 7 matching MRF lines		 $330.63–$1,953 $472.33–$2,790 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $864.50 $1,235 0.8×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $974.40 $1,392 0.9×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines		 $957.60–$1,344 $1,368–$1,920 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $275.98–$2,284.10 $394.25–$3,263 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $1,029.70–$4,999.40 $1,471–$7,142 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $703.50–$1,029.70 $1,005–$1,471 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 3 matching MRF lines		 $478.80–$2,214.10 $684–$3,163 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 4 matching MRF lines		 $1,589–$7,451.33 $2,270–$10,644.75 varies
Injection enzyme palmar fascial cord (20527) $620.90 $887 1.7×
Injection for identification of sentinel node (38792) $894.60 $1,278 1.9×
Injection into disk lesion (62292) $4,721.50 $6,745 2.0×
Injection single tendon origin/insertion (20551)
range across 4 matching MRF lines		 $703.50–$1,407 $1,005–$2,010 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $478.80–$961.10 $684–$1,373 varies
Injection single/mlt trigger point 3/> muscles (20553) $933.80 $1,334 2.6×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $651–$1,302 $930–$1,860 varies
Injection Turbinate Therapeutic (30200) $1,221.50 $1,745 1.9×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $1,093.40–$5,250 $1,562–$7,500 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $1,367.10–$3,342.33 $1,953–$4,774.75 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 6 matching MRF lines		 $530.25–$3,342.33 $757.50–$4,774.75 varies
Injection, anesthetic agent; vagus nerve (64408) $532.70 $761 1.5×
Injection, intralesional; up to and including 7 lesions (11900) $303.10 $433 1.3×
Injx anterior chamber eye air/liquid spx (66020) $3,697.40 $5,282 1.4×
Ins cath ren art 1st bilat (36252) $3,152.80 $4,504 0.8×
Ins cath ren art 1st unilat (36251) $3,152.80 $4,504 0.8×
Ins cath ren art 2nd+ unilat (36253) $4,684.40 $6,692 0.7×
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $5,151.30–$5,537.70 $7,359–$7,911 varies
Ins Vag Brachytx Device (57156)
range across 2 matching MRF lines		 $1,460.20–$4,501 $2,086–$6,430 varies
Ins/Rep Subq Defibrillator (33270)
range across 2 matching MRF lines		 $8,866.20–$9,531.20 $12,666–$13,616 varies
Insert 1 Electrode Pm-Defib (33216)
range across 2 matching MRF lines		 $4,568.90–$10,964.10 $6,527–$15,663 varies
Insert and remove bone pin (20650) $7,677.60 $10,968 2.0×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $625.10–$6,701.80 $893–$9,574 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $3,770.90–$4,594.80 $5,387–$6,564 varies
Insert cath pleura w/o image (32556) $2,643.20 $3,776 1.2×
Insert cervical dilator (59200) $626.50 $895 1.7×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $238.70–$3,187.80 $341–$4,554 varies
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $2,701.30–$2,903.60 $3,859–$4,148 varies
Insert Heart Pm Atrial (33206)
range across 2 matching MRF lines		 $4,661.30–$23,471 $6,659–$33,530 varies
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $5,080.60–$17,147.90 $7,258–$24,497 varies
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure		 $10,122 $14,460 0.5×
Insert multi-comp penis pros (54405) $12,395.60 $17,708 0.5×
Insert Nasal Septal Button (30220) $3,208.80 $4,584 1.8×
Insert non-tunnel cv cath (36556)
range across 5 matching MRF lines		 $2,580.20–$6,248.90 $3,686–$8,927 varies
Insert Pacing Lead & Connect (33224)
range across 2 matching MRF lines		 $7,296.80–$7,844.20 $10,424–$11,206 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,632 $3,760 1.4×
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure		 $2,249.10 $3,213 0.2×
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure		 $2,361.10 $3,373 0.1×
Insert Pulse Gen Sngl Lead (33212)
likely a partial charge, not the full procedure		 $2,136.40 $3,052 0.2×
Insert Temp Bladder Cath (51702) $207.90 $297 1.3×
Insert tun ip cath perc (49418) $7,382.20 $10,546 1.7×
Insert tunneled cv cath (36561)
range across 8 matching MRF lines		 $4,313.40–$18,617.20 $6,162–$26,596 varies
Insert tunneled cv cath (36563) $6,566 $9,380 1.0×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $7,903.70 $11,291 1.2×
Insert Uro/Ves Nck Sphincter (53445) $12,395.60 $17,708 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $214.20 $306 1.4×
Insertion indwelling tunneled pleural catheter (32550)
range across 5 matching MRF lines		 $2,812.60–$11,583.60 $4,018–$16,548 varies
Insertion of cannula (36800) $5,677.70 $8,111 0.9×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) $4,800.60 $6,858 1.3×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $4,087.30–$4,393.90 $5,839–$6,277 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 4 matching MRF lines		 $3,981.60–$7,428.40 $5,688–$10,612 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $6,658.40 $9,512 1.6×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
range across 2 matching MRF lines		 $5,618.90–$15,943.91 $8,027–$22,777.01 varies
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $9,289.70 $13,271 1.0×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $5,357.10 $7,653 2.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,011.40 $4,302 0.8×
Insj Picc Rs&I <5 Yr (36572) $2,735.60 $3,908 3.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $5,851.30 $8,359 1.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,980.30–$2,128.70 $2,829–$3,041 varies
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
range across 2 matching MRF lines		 $2,569–$30,820.30 $3,670–$44,029 varies
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $5,534.20 $7,906 1.5×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $7,913.50 $11,305 1.2×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $7,373.80 $10,534 2.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 4 matching MRF lines		 $3,375.40–$5,448.10 $4,822–$7,783 varies
Insj/rplcmt breast implant sep day mastectomy (19342)
range across 2 matching MRF lines		 $8,747.90–$12,675.60 $12,497–$18,108 varies
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886)
range across 2 matching MRF lines		 $11,391.10–$11,525.50 $16,273–$16,465 varies
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $7,249.90–$11,901.40 $10,357–$17,002 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $1,746.50–$79,216.90 $2,495–$113,167 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $2,837.80 $4,054 0.3×
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $6,201.30–$6,666.10 $8,859–$9,523 varies
Insrt Pulse Gen W/Dual Leads (33230)
likely a partial charge, not the full procedure		 $4,945.50 $7,065 0.2×
Insrt Pulse Gen W/Mult Leads (33231)
likely a partial charge, not the full procedure		 $5,194 $7,420 0.1×
Insrt Pulse Gen W/Singl Lead (33240)
likely a partial charge, not the full procedure		 $4,699.10 $6,713 0.2×
Insrt/Redo Neurostim 1 Array (61885)
likely a partial charge, not the full procedure		 $8,031.10 $11,473 0.2×
Int hrhc by ligation single hroid w/o img gdn (46945)
range across 3 matching MRF lines		 $4,547.20–$9,172.10 $6,496–$13,103 varies
Interdental Wiring Other Than Fracture (21497) $1,994.30 $2,849 1.1×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $4,274.90 $6,107 2.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,992.20 $2,846 4.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,928.50 $2,755 4.0×
Intranasal Biopsy (30100) $3,208.80 $4,584 1.8×
Intraoral i&d tongue/floor lingual (41000) $2,310 $3,300 3.6×
Intraoral i&d tongue/floor sublngl supfc (41005) $1,120 $1,600 4.0×
Intro cath dialysis circuit (36901)
range across 4 matching MRF lines		 $1,648.50–$27,797 $2,355–$39,710 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 5 matching MRF lines		 $8,269.10–$20,185.20 $11,813–$28,836 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 9 matching MRF lines		 $7,328.30–$27,797 $10,469–$39,710 varies
Intro Gastrointestinal Tube (44500) $1,522.50 $2,175 1.4×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $354.20–$380.80 $506–$544 varies
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines		 $2,500.40–$4,176.20 $3,572–$5,966 varies
Irrigation of corpora cavernosa for priapism (54220) $824.60 $1,178 2.8×
Island pedicle flap graft (15740)
range across 2 matching MRF lines		 $1,304.80–$3,477.60 $1,864–$4,968 varies
Keratoplasty (corneal transplant); endothelial (65756) $9,682.40 $13,832 2.0×
Keratoplasty Penetrating Pseudophakia (65755) $9,363.20 $13,376 1.9×
Lam facetec & foramot lumbar (63047)
range across 3 matching MRF lines		 $7,964.83–$18,650.11 $11,378.33–$26,643.01 varies
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $41,645.11 $59,493.01 4.9×
Laminotomy Single Lumbar (63042) $28,326.90 $40,467 3.3×
Lap insert tunnel ip cath (49324) $5,251.40 $7,502 0.7×
Lap paraesoph her rpr w/mesh (43282)
likely a partial charge, not the full procedure		 $2,812.60 $4,018 0.2×
Lap paraesophag hern repair (43281) $15,944.60 $22,778 1.3×
Lap revision perm ip cath (49325) $9,680.30 $13,829 1.4×
Laparo-vag hyst incl t/o (58552) $10,193.40 $14,562 0.8×
Laparoscopic myomectomy (58545) $11,068.40 $15,812 1.5×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 8 matching MRF lines		 $11,536–$23,039.10 $16,480–$32,913 varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
range across 2 matching MRF lines		 $15,544.20–$20,394.50 $22,206–$29,135 varies
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $9,370.90–$16,690.80 $13,387–$23,844 varies
Laparoscopy w/rmvl adnexal structures (58661)
range across 5 matching MRF lines		 $4,778.55–$11,324.60 $6,826.50–$16,178 varies
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $6,001.80–$8,815.80 $8,574–$12,594 varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
range across 2 matching MRF lines		 $21,269.50–$34,480.60 $30,385–$49,258 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 3 matching MRF lines		 $8,440.60–$11,911.20 $12,058–$17,016 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 5 matching MRF lines		 $5,626.60–$43,145.90 $8,038–$61,637 varies
Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Facility (43648) $16,125.90 $23,037 1.3×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $4,811.80 $6,874 0.7×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) — $1.01 —
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $18,365.20 $26,236 1.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $7,152.60 $10,218 1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $5,090.40–$12,635 $7,272–$18,050 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $11,324.60–$19,425.70 $16,178–$27,751 varies
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
range across 2 matching MRF lines		 $10,859.45–$27,444.20 $15,513.50–$39,206 varies
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571)
range across 2 matching MRF lines		 $4,603.20–$5,879.30 $6,576–$8,399 varies
Laryngoplasty Medialization Unliateral (31591)
range across 2 matching MRF lines		 $11,776.80–$13,160 $16,824–$18,800 varies
Laryngoscope Injection Vocal Cord Therapeutic (31570) $12,212.90 $17,447 2.8×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $476–$553 $680–$790 varies
Laryngoscopy flexible ablatj destj lesion(s) uni (31572)
range across 4 matching MRF lines		 $2,329.60–$3,192 $3,328–$4,560 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $375.90–$14,980 $537–$21,400 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $7,430.50 $10,615 1.7×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $3,133.20 $4,476 1.5×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $3,712.80 $5,304 1.8×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $3,133.20 $4,476 1.5×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,299.20 $1,856 2.8×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $353.50 $505 1.5×
Laryngoscopy W/Biopsy (31535)
range across 3 matching MRF lines		 $2,676.10–$16,944.90 $3,823–$24,207 varies
Laryngoscopy w/biopsy microscope/telescope (31536)
range across 2 matching MRF lines		 $3,203.20–$4,569.60 $4,576–$6,528 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 4 matching MRF lines		 $2,408–$3,696 $3,440–$5,280 varies
Larynscop w/tumr exc + scope (31541)
range across 2 matching MRF lines		 $6,242.60–$8,863.40 $8,918–$12,662 varies
Laser Surgery Anal Lesions (46917) $5,743.50 $8,205 1.8×
Laser treatment of retina (67040)
range across 3 matching MRF lines		 $2,642.26–$5,453 $3,774.66–$7,790 varies
Laser vaporization of prostate (52648)
range across 2 matching MRF lines		 $6,701.80–$11,607.40 $9,574–$16,582 varies
Late closure of wound (13160)
range across 3 matching MRF lines		 $2,899.40–$16,634.10 $4,142–$23,763 varies
Ligamentous Reconstruction Knee Extra-Articular (27427) $27,024.90 $38,607 3.2×
Ligate/strip long leg vein (37722)
range across 2 matching MRF lines		 $12,502–$27,868.40 $17,860–$39,812 varies
Ligation Internal/Common Carotid Artery (37605) $7,627.20 $10,896 2.0×
Ligation nasal sinus artery (30915) $4,020.80 $5,744 1.1×
Ligation of a-v fistula (37607) $14,383.60 $20,548 3.9×
Ligation or biopsy temporal artery (37609) $14,966 $21,380 7.7×
Limited pharyngectomy Facility (42890) $11,095.70 $15,851 1.6×
Lithotripsy, extracorporeal shock wave (50590)
range across 5 matching MRF lines		 $4,168.50–$10,278.80 $5,955–$14,684 varies
Low Back Disk Surgery (63030)
range across 3 matching MRF lines		 $16,251.20–$18,256 $23,216–$26,080 varies
Lrt iad 18bct/8vir&7arg RNA (0528U) $1,444.10 $2,063 2.3×
Lsh w/t/o uterus above 250 g (58544) $15,000.30 $21,429 1.2×
Lyse chest fibrin init day (32561) $1,215.90 $1,737 1.6×
Lyse Chest Fibrin Subq Day (32562) $1,125.60 $1,608 1.5×
Lysis Intranasal Synechia (30560) $1,221.50 $1,745 1.9×
Lysis of labial adhesions (56441) $5,454.40 $7,792 1.4×
Male sling procedure (53440) $16,107 $23,010 1.0×
Maniplatn palar fascial crd post inj single cord (26341) $564.20 $806 1.9×
Manipulation hip joint general anesthesia (27275) $8,232 $11,760 4.3×
Manipulation knee joint under general anesthesia (27570)
range across 4 matching MRF lines		 $3,720.50–$7,604.80 $5,315–$10,864 varies
Manipulation, finger joint, under anesthesia, each joint (26340) $5,223.40 $7,462 2.7×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $3,721.20–$4,974.20 $5,316–$7,106 varies
Marsupialization of bartholin's gland cyst (56440) $5,691 $8,130 1.5×
Mast mod rad (19307)
range across 2 matching MRF lines		 $20,352.50–$26,073.60 $29,075–$37,248 varies
Mastectomy partial (19301)
range across 5 matching MRF lines		 $6,790.70–$12,943 $9,701–$18,490 varies
Mastectomy partial w/axillary lymphadenectomy (19302) $48,335.70 $69,051 6.2×
Mastectomy simple complete (19303)
range across 5 matching MRF lines		 $17,537.80–$62,126.41 $25,054–$88,752.01 varies
Mastoidectomy (69501) $10,830.40 $15,472 1.5×
Mastoidectomy; complete (69502) $14,033.60 $20,048 2.0×
Mastopexy (19316)
range across 3 matching MRF lines		 $5,293.18–$31,620.41 $7,561.68–$45,172.01 varies
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,845.20 $2,636 1.0×
Mech remov tunneled cv cath (36595) $5,135.20 $7,336 1.4×
Middle ear expl thru postaur/ear canal inc (69440) $5,596.50 $7,995 1.4×
Middle ear surgery proc unlisted (69799) $4,995.20 $7,136 17.9×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $6,937.70 $9,911 1.7×
Mrgfus Stereotactic Ablation Target Intracranial (61715) $27,809.60 $39,728 2.1×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $3,884.30 $5,549 1.6×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733)
range across 2 matching MRF lines		 $6,533.80–$6,937.70 $9,334–$9,911 varies
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $7,148.93 $10,212.75 0.8×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $6,935.60 $9,908 1.7×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $1,658.30–$1,782.90 $2,369–$2,547 varies
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $1,891.40–$2,033.50 $2,702–$2,905 varies
Myelography via lumbar injection rs&i cervical (62302) $2,033.50 $2,905 2.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 2 matching MRF lines		 $1,891.40–$2,033.50 $2,702–$2,905 varies
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145)
range across 2 matching MRF lines		 $3,691.10–$14,011.20 $5,273–$20,016 varies
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $957.60–$2,212.70 $1,368–$3,161 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $957.60–$1,883 $1,368–$2,690 varies
N block inj intercost sng (64420)
range across 5 matching MRF lines		 $275.98–$1,437.10 $394.25–$2,053 varies
N Block Inj Plantar Digit (64455) $682.50 $975 1.9×
N Block Inj Pudendal (64430)
range across 3 matching MRF lines		 $957.60–$2,195.20 $1,368–$3,136 varies
N Block Lumbar/Thoracic (64520)
range across 8 matching MRF lines		 $514.85–$6,640.19 $735.50–$9,485.99 varies
Nasal Endoscopy Dx (31231) $525.70 $751 2.2×
Nasal sinus therapy (30210) $3,208.80 $4,584 1.8×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $630–$677.60 $900–$968 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 3 matching MRF lines		 $3,309.60–$7,430.50 $4,728–$10,615 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 3 matching MRF lines		 $636.53–$13,956.60 $909.33–$19,938 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 3 matching MRF lines		 $3,113.60–$3,915.52 $4,448–$5,593.60 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 2 matching MRF lines		 $3,712.80–$3,915.52 $5,304–$5,593.60 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $3,304–$3,721.20 $4,720–$5,316 varies
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239)
range across 4 matching MRF lines		 $4,495.40–$7,430.50 $6,422–$10,615 varies
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $13,956.60 $19,938 1.7×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 3 matching MRF lines		 $1,620.28–$13,956.60 $2,314.68–$19,938 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines		 $1,620.26–$13,956.60 $2,314.66–$19,938 varies
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $13,956.60 $19,938 1.7×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 5 matching MRF lines		 $636.55–$13,956.60 $909.35–$19,938 varies
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 2 matching MRF lines		 $11,919.60–$13,956.60 $17,028–$19,938 varies
Nasal/sinus ndsc total with sphenoidotomy (31257)
range across 4 matching MRF lines		 $3,309.60–$13,956.60 $4,728–$19,938 varies
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines		 $4,422.60–$13,956.60 $6,318–$19,938 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 4 matching MRF lines		 $3,309.60–$13,956.60 $4,728–$19,938 varies
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 2 matching MRF lines		 $7,339.75–$13,956.60 $10,485.35–$19,938 varies
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $3,712.80 $5,304 1.8×
Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380)
range across 2 matching MRF lines		 $20,260.80–$24,018.40 $28,944–$34,312 varies
Ndsc eval intstinal pouch w/bx single/multiple (44386) $2,964.50 $4,235 2.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 3 matching MRF lines		 $6,853–$9,233.70 $9,790–$13,191 varies
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $2,807–$5,625.20 $4,010–$8,036 varies
Needle Biopsy Pancreas (48102) $1,745.10 $2,493 0.9×
Nerve Pedicle Transfer First Stage (64905) $25,071.90 $35,817 2.4×
Nerve Repair W/Nerve Allograft First Strand (64912) $37,549.40 $53,642 3.6×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $5,630.94–$12,240.90 $8,044.20–$17,487 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $17,411.81 $24,874.01 7.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $307.30–$729.40 $439–$1,042 varies
Nipple/areola reconstruction (19350) $11,382.70 $16,261 2.5×
Njx anes stellate ganglion crv sympathetic (64510)
range across 4 matching MRF lines		 $956.89–$2,072 $1,366.99–$2,960 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $942.20 $1,346 2.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $3,814.30–$4,100.60 $5,449–$5,858 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,074.70 $5,821 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 7 matching MRF lines		 $257.43–$4,096.40 $367.75–$5,852 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 4 matching MRF lines		 $956.90–$2,497.60 $1,367–$3,568 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $478.80–$1,505 $684–$2,150 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,214.10 $3,163 2.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)
range across 2 matching MRF lines		 $1,029–$2,214.10 $1,470–$3,163 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 5 matching MRF lines		 $333.73–$1,029.70 $476.75–$1,471 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,773.10 $2,533 1.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $934.50–$1,004.50 $1,335–$1,435 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines		 $819.70–$6,437.20 $1,171–$9,196 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines		 $7,109.90–$13,956.60 $10,157–$19,938 varies
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $13,956.60 $19,938 1.7×
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) $336 $480 2.6×
Obstructive material removal from gi tube (49460) $914.90 $1,307 0.9×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $330.63–$5,888.40 $472.33–$8,412 varies
Ocular Surface Reconstruction Amniotic Membrane (65780) $3,457.30 $4,939 0.7×
Open biopsy/excision inguinofemoral nodes (38531)
range across 4 matching MRF lines		 $3,157.46–$19,359.20 $4,510.66–$27,656 varies
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
unusually low: confirm this is the full procedure		 $18,783.10 $26,833 0.4×
Open Treatment Bimalleolar Ankle Fracture (27814) $20,385.40 $29,122 2.4×
Open Treatment Fracture Distal Tibia & Fibula (27828) $22,009.40 $31,442 1.5×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $5,502.53 $7,860.75 0.4×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $18,754.40 $26,792 2.2×
Open Treatment Humeral Condylar Fracture (24579) $15,750 $22,500 1.0×
Open treatment interphalangeal joint dislocation (28675) $4,083.10 $5,833 1.1×
Open Treatment Medial Malleolus Fracture (27766) $10,611.30 $15,159 1.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $14,371.70 $20,531 1.7×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $14,497–$23,518.60 $20,710–$33,598 varies
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $12,397 $17,710 1.8×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $7,926.10 $11,323 1.1×
Open treatment of nasal fracture; uncomplicated Facility (21325) $5,596.50 $7,995 1.4×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $12,635 $18,050 1.8×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $11,615.11 $16,593.01 1.4×
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines		 $10,451.70–$15,827.70 $14,931–$22,611 varies
Open treatment posterior malleolus fracture (27769) $5,360.25 $7,657.50 0.6×
Open Treatment Radial Shaft Fracture (25515) $16,752.40 $23,932 2.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)
range across 2 matching MRF lines		 $14,371.70–$15,875.30 $20,531–$22,679 varies
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $19,383 $27,690 5.0×
Open tx carpal scaphoid navicular fracture (25628)
range across 2 matching MRF lines		 $8,973.30–$14,121.10 $12,819–$20,173 varies
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $2,122.54 $3,032.20 0.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $4,999.40–$10,362.10 $7,142–$14,803 varies
Open Tx Distal Phalangeal Fracture Each (26765)
range across 3 matching MRF lines		 $6,610.80–$13,116.60 $9,444–$18,738 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $2,950.50–$4,438.70 $4,215–$6,341 varies
Open tx humeral supracondylar fracture w/o xtn (24545) $14,829.15 $21,184.50 1.0×
Open tx interphalangeal joint dislocation (26785) $4,916.80 $7,024 1.3×
Open Tx Mandibular Fx W/Interdental Fixation (21462)
range across 2 matching MRF lines		 $14,765.10–$16,374.40 $21,093–$23,392 varies
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $7,831.60 $11,188 1.1×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $10,451.70–$14,497 $14,931–$20,710 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 3 matching MRF lines		 $7,311.50–$12,734.40 $10,445–$18,192 varies
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $15,421.70 $22,031 1.8×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $8,376.20 $11,966 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $18,631.90–$20,885.90 $26,617–$29,837 varies
Open tx ulnar fx proximal end (24685) $20,511.40 $29,302 2.4×
Open/Perq Place Stent 1St (37236)
range across 5 matching MRF lines		 $9,993.20–$21,439.60 $14,276–$30,628 varies
Open/Perq Place Stent Same (37238)
range across 3 matching MRF lines		 $12,741.40–$13,696.90 $18,202–$19,567 varies
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $6,811.70 $9,731 1.8×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $16,096.50–$23,643.90 $22,995–$33,777 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 4 matching MRF lines		 $10,111.50–$19,007.80 $14,445–$27,154 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 3 matching MRF lines		 $13,946.10–$25,101.30 $19,923–$35,859 varies
Optx tibial fx prox bicondylar w/wo int fixj (27536) $17,628.80 $25,184 2.1×
Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420)
range across 2 matching MRF lines		 $5,372.50–$7,207.90 $7,675–$10,297 varies
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $14,139.30 $20,199 3.0×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412)
range across 3 matching MRF lines		 $4,755.10–$5,054 $6,793–$7,220 varies
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $1,609.30 $2,299 0.6×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) $6,649.30 $9,499 1.4×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) $9,123.10 $13,033 2.0×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414)
range across 2 matching MRF lines		 $7,594.30–$20,774.60 $10,849–$29,678 varies
Orchiopexy Ingun/Scrot Appr (54640) $3,022.60 $4,318 0.7×
Ostc prtl exostc/condylc metar head (28288)
range across 2 matching MRF lines		 $7,137.20–$11,122.30 $10,196–$15,889 varies
Ostectomy calcaneus (28118)
range across 3 matching MRF lines		 $4,366.60–$9,837.10 $6,238–$14,053 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $2,228.21–$5,989.20 $3,183.16–$8,556 varies
Ostectomy, complete excision; first metatarsal head (28111) $5,989.20 $8,556 1.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $3,185.70–$7,455 $4,551–$10,650 varies
Osteoplasty Radius/Ulna Shortening (25390) $22,640.80 $32,344 2.6×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 7 matching MRF lines		 $2,949.52–$24,024 $4,213.60–$34,320 varies
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines		 $12,115.60–$15,122.80 $17,308–$21,604 varies
Osteotomy Clavicle W Bone Graft (23485)
range across 2 matching MRF lines		 $17,002.30–$24,521 $24,289–$35,030 varies
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) $11,413.03 $16,304.33 1.3×
Ovarian cystectomy, unilateral or bilateral (58925) $9,557.10 $13,653 1.6×
Palatopharyngoplasty (42145)
range across 2 matching MRF lines		 $5,879.30–$11,095.70 $8,399–$15,851 varies
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 4 matching MRF lines		 $10,785.60–$16,601.20 $15,408–$23,716 varies
Partial Excision Distal Phalanx Finger (26236) $5,623.10 $8,033 3.0×
Partial removal of nose (30150) $11,095.70 $15,851 1.6×
Partial removal of thyroid (60220)
range across 3 matching MRF lines		 $10,612–$26,544 $15,160–$37,920 varies
Partial removal of tibia (27640) $11,113.90 $15,877 2.9×
Partial removal of toe (28160) $5,623.10 $8,033 1.5×
Partial removal of tongue (41120)
unusually low: confirm this is the full procedure		 $2,129.88 $3,042.68 0.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $9,847.60 $14,068 1.4×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $3,394.30–$3,647 $4,849–$5,210 varies
Pelvic examination under anesthesia (other than local) (57410) $2,911.30 $4,159 0.8×
Penile Injection (54235) $410.90 $587 1.4×
Perc Cryo Ablate Renal Tum (50593)
range across 3 matching MRF lines		 $14,053.20–$18,132.80 $20,076–$25,904 varies
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines		 $8,517.60–$9,156.70 $12,168–$13,081 varies
Percut Ablate Liver Rf (47382)
range across 3 matching MRF lines		 $6,626.90–$9,688.70 $9,467–$13,841 varies
Percut Cath Occlusn Non Cns Lesn (61626)
range across 2 matching MRF lines		 $13,751.50–$19,032.65 $19,645–$27,189.50 varies
Percut Drain/Inject Renal Cyst (50390) $2,589.30 $3,699 3.1×
Percut Mech Thrombectomy, Venous, Repeat (37188) $8,215.20 $11,736 2.2×
Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) $5,596.50 $7,995 1.4×
Peri-Implant Capsulectomy Breast Complete (19371) $14,378.70 $20,541 3.1×
Pericardiocentesis W/Imaging (33016) $3,061.80 $4,374 1.6×
Perineoplasty rpr perineum nonobstetrical spx (56810) $3,354.40 $4,792 0.9×
Peritoneal Lavage (49084) $978.60 $1,398 0.9×
Perm Occlusion/Embolization,Percut,Cns (61624) $20,236.30 $28,909 0.9×
Perq Cervicothoracic Inject (22510) $3,774.40 $5,392 1.0×
Perq dev breast 1st mr guide (19287) $1,671.60 $2,388 2.0×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $1,424.50–$1,531.60 $2,035–$2,188 varies
Perq device breast 1st imag (19281)
range across 5 matching MRF lines		 $1,327.20–$2,654.40 $1,896–$3,792 varies
Perq dilation xst trc endourologic px w/img (50436) $4,862.90 $6,947 1.2×
Perq Lumbosacral Injection (22511) $3,774.40 $5,392 1.0×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $17,250.80 $24,644 1.5×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $5,499.20 $7,856 0.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $1,262.10–$1,356.60 $1,803–$1,938 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 2 matching MRF lines		 $12,345.90–$20,684.30 $17,637–$29,549 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 3 matching MRF lines		 $6,939.80–$10,784.90 $9,914–$15,407 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $8,947.40–$11,615.10 $12,782–$16,593 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $8,450.40–$8,607.20 $12,072–$12,296 varies
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines		 $9,445.10–$20,227.90 $13,493–$28,897 varies
Place Cath Thoracic Aorta (36221) $5,214.30 $7,449 1.4×
Place Cath Vertebral Art (36226)
range across 5 matching MRF lines		 $10,369.80–$44,921.80 $14,814–$64,174 varies
Place Duod/Jej Tube Perc (49441) $2,903.60 $4,148 1.3×
Placement Needle Pelvic Organ Radioelement Appl (55920) $9,272.90 $13,247 1.6×
Placement of needle for intraosseous infusion (36680) $507.50 $725 1.0×
Plmt Bile Duct Stent Prq Existing Access (47538) $11,879 $16,970 1.7×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $10,998.40 $15,712 1.5×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $10,998.40 $15,712 1.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $5,618.20–$6,039.60 $8,026–$8,628 varies
Plmt Nephroureteral Catheter (50433)
range across 3 matching MRF lines		 $5,337.50–$17,047.10 $7,625–$24,353 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $8,231.30 $11,759 2.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $6,367.90–$6,845.30 $9,097–$9,779 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $7,076.30 $10,109 1.7×
Prim art mech thrombectomy (37184) $12,651.80 $18,074 0.6×
Probing nasolacrimal duct (68810) $1,103.90 $1,577 2.9×
Proctopexy Perineal Approach (45541) $9,377.90 $13,397 2.9×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,869.70 $2,671 1.7×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,275.70 $3,251 0.7×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) $8,465.80 $12,094 1.2×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $7,714 $11,020 11.9×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $3,298.40 $4,712 3.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 2 matching MRF lines		 $5,334–$5,734.40 $7,620–$8,192 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $8,099 $11,570 1.9×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $23,665.60 $33,808 6.1×
Prq skel fixj metar fx w/manj (28476) $2,911.08 $4,158.68 0.8×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
range across 2 matching MRF lines		 $10,854.20–$14,872.90 $15,506–$21,247 varies
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $11,991 $17,130 3.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $4,083.45–$4,241.30 $5,833.50–$6,059 varies
Pseudoaneurysm Injection Trt (36002) $1,150.10 $1,643 1.6×
Punch biopsy skin single lesion (11104) $664.30 $949 1.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $634.90–$1,269.80 $907–$1,814 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $1,036.70–$1,242.50 $1,481–$1,775 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $2,062.20 $2,946 2.5×
Rad resect elbow caps/sr bone w rels (24149) $13,619.90 $19,457 1.6×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $12,661.60 $18,088 3.7×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $13,708.10 $19,583 4.0×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $12,498.50 $17,855 3.6×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $13,854.40 $19,792 4.0×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $17,437.70 $24,911 5.1×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $8,908.90 $12,727 2.6×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $2,654.40 $3,792 0.8×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 6 matching MRF lines		 $1,059.80–$4,050.90 $1,514–$5,787 varies
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $4,732.70 $6,761 1.7×
Rcnstj Eyelid Full Thickness Second Stage (67975) $2,500.40 $3,572 0.9×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines		 $3,752.70–$5,960.03 $5,361–$8,514.33 varies
Reconstruct elbow med ligmnt (24346) $22,010.10 $31,443 1.5×
Reconstruct lip with flap (40525) $5,699.40 $8,142 1.5×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) $11,095.70 $15,851 1.6×
Reconstruction Nail Bed W/Graft (11762) $4,337.90 $6,197 1.8×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
range across 2 matching MRF lines		 $8,500.80–$11,095.70 $12,144–$15,851 varies
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) $17,411.80 $24,874 2.5×
Reconstruction of throat (42950)
range across 2 matching MRF lines		 $7,553–$11,095.70 $10,790–$15,851 varies
Redo Endovas Vena Cava Filtr (37192) $6,054.30 $8,649 1.6×
Reduction of rectal prolapse (45900) $1,503.60 $2,148 1.4×
Release of big toe (28240) $5,756.24 $8,223.20 1.5×
Relocation Pocket Pacemaker (33222) $2,722.30 $3,889 1.1×
Rem Endovas Vena Cava Filter (37193)
range across 3 matching MRF lines		 $3,952.20–$11,718.70 $5,646–$16,741 varies
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537)
range across 2 matching MRF lines		 $1,057–$1,136.10 $1,510–$1,623 varies
Removal Embedded Foreign Body Eyelid (67938) $716.10 $1,023 1.9×
Removal Foreign Body Foot Complicated (28193) $2,671.20 $3,816 1.4×
Removal foreign body foot deep (28192) $3,445.40 $4,922 1.8×
Removal Foreign Body Foot Subcutaneous (28190) $3,496.50 $4,995 4.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 3 matching MRF lines		 $3,496.50–$7,408.80 $4,995–$10,584 varies
Removal foreign body, intranasal; requiring general anesthesia (30310) $5,596.50 $7,995 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $219.80–$2,867.20 $314–$4,096 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $202.30–$3,035.20 $289–$4,336 varies
Removal Implant Deep (20680)
range across 7 matching MRF lines		 $6,853.70–$15,248.80 $9,791–$21,784 varies
Removal Implant Superficial Separate Procedure (20670)
range across 3 matching MRF lines		 $2,785.76–$6,267.80 $3,979.66–$8,954 varies
Removal implantable contraceptive capsules (11976) $1,316 $1,880 1.6×
Removal of adenoids (42831)
range across 2 matching MRF lines		 $2,539.60–$2,809.33 $3,628–$4,013.33 varies
Removal of adenoids (42830) $1,498.94 $2,141.34 0.4×
Removal of bone lesion (23140) $30,074.10 $42,963 7.8×
Removal of esophageal sphincter augmentation device (43285) $12,397.70 $17,711 1.7×
Removal of eye (65110) $10,320.10 $14,743 2.2×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $896–$940.80 $1,280–$1,344 varies
Removal of intranasal lesion (30118)
range across 2 matching MRF lines		 $5,596.50–$20,437.20 $7,995–$29,196 varies
Removal of kidney stone (50081)
range across 2 matching MRF lines		 $10,173.10–$17,339 $14,533–$24,770 varies
Removal of lens material (66852)
range across 3 matching MRF lines		 $3,218.60–$6,330.80 $4,598–$9,044 varies
Removal of mammary implant material (19330) $9,123.80 $13,034 2.0×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $959.70–$6,956.60 $1,371–$9,938 varies
Removal of nose (30160) $15,489.61 $22,128.01 2.2×
Removal of nose lesion (30124) $3,208.80 $4,584 1.8×
Removal of testis (54520) $5,577.60 $7,968 1.3×
Removal of thymus gland (60520) $16,328.20 $23,326 2.3×
Removal of thyroid (60271) $19,321.40 $27,602 2.8×
Removal of tonsils (42825) $4,351.20 $6,216 0.6×
Removal of tonsils (42826)
range across 2 matching MRF lines		 $4,060–$5,370.40 $5,800–$7,672 varies
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $5,340.30–$5,626.60 $7,629–$8,038 varies
Removal or bivalving full arm or full leg cast (29705) $688.10 $983 2.1×
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines		 $6,713.70–$7,217 $9,591–$10,310 varies
Removal parotid stone (42340) $5,596.50 $7,995 1.4×
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $12,421.50–$13,353.20 $17,745–$19,076 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $360.50 $515 1.5×
Removal subcutaneous cardiac rhythm monitor (33286) $3,147.90 $4,497 3.8×
Removal Submand Stone,Complicated (42335) $5,596.50 $7,995 1.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,000.60 $2,858 0.8×
Removal, under anesthesia, of external fixation system (20694) $4,347.70 $6,211 2.3×
Removal/bivalving gauntlet boot/body cast (29700) $413.70 $591 1.3×
Remove & graft wrist lesion (25135) $17,880.10 $25,543 2.1×
Remove drug implant device (11982) $574 $820 1.1×
Remove ear lesion (69550) $11,095.70 $15,851 1.6×
Remove Elctrd Transvenously (33244)
range across 2 matching MRF lines		 $5,754.70–$6,186.60 $8,221–$8,838 varies
Remove eye/attach implant (65105)
range across 2 matching MRF lines		 $5,559.40–$8,244.60 $7,942–$11,778 varies
Remove Forearm Foreign Body (25248) $7,191.80 $10,274 3.8×
Remove foreign body from eye (65235) $4,484.20 $6,406 1.6×
Remove foreign body from eye (65205) $359.80 $514 2.3×
Remove groin lymph nodes (38760) $18,195.10 $25,993 2.3×
Remove Int Dwell Ureteral Stent Transurethral (50386) $4,478.60 $6,398 1.8×
Remove Intrauterine Device (58301) $786.10 $1,123 2.2×
Remove intrvas foreign body (37197)
range across 2 matching MRF lines		 $4,804.80–$5,165.30 $6,864–$7,379 varies
Remove knee joint lining (27334) $7,730.10 $11,043 2.0×
Remove Lower Leg Bone Lesion (27635)
range across 2 matching MRF lines		 $3,342.33–$7,981.40 $4,774.75–$11,402 varies
Remove lung catheter (32552)
range across 2 matching MRF lines		 $1,385.30–$3,844.40 $1,979–$5,492 varies
Remove Nasal Foreign Body (30300) $354.90 $507 2.3×
Remove Peritoneal Foreign Body (49402) $6,658.40 $9,512 1.6×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $4,729.20–$5,084.10 $6,756–$7,263 varies
Remove renal tube w/fluoro (50389) $1,079.40 $1,542 1.3×
Remove Skin Nerve Lesion (64774) $11,629.80 $16,614 5.0×
Remove spine lamina 1/2 lmbr (63005) $20,386.10 $29,123 2.4×
Remove Tendon Sheath Lesion (26160)
range across 8 matching MRF lines		 $3,050.95–$8,106.70 $4,358.50–$11,581 varies
Remove ureter stent percut (50384) $5,457.20 $7,796 2.2×
Remove vc lesion w/scope (31545) $6,899.20 $9,856 1.6×
Remove wrist joint cartilage (25107) $7,981.05 $11,401.50 2.1×
Remove&replace pm gen singl (33227)
range across 2 matching MRF lines		 $6,524–$7,013.30 $9,320–$10,019 varies
Remove/Insert Drug Implant (11983) $574 $820 1.1×
Remove/replace penis prosth (54410) $15,388.80 $21,984 0.6×
Remv cartilage for graft nasal (20912) $2,489.20 $3,556 0.6×
Remv&replc cvd gen dual lead (33263)
range across 2 matching MRF lines		 $10,098.90–$10,856.30 $14,427–$15,509 varies
Remv&replc cvd gen mult lead (33264)
range across 2 matching MRF lines		 $10,383.10–$11,161.50 $14,833–$15,945 varies
Remv&replc cvd gen sing lead (33262)
range across 2 matching MRF lines		 $9,816.80–$10,553.20 $14,024–$15,076 varies
Remv&replc pm gen dual lead (33228)
range across 3 matching MRF lines		 $6,652.10–$11,091.50 $9,503–$15,845 varies
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $6,781.60–$7,290.50 $9,688–$10,415 varies
Renal Biopsy Perq (50200)
range across 3 matching MRF lines		 $2,814–$16,867.20 $4,020–$24,096 varies
Reopen fallopian tube (58350) $8,052.10 $11,503 1.4×
Repair Achilles Tendon (27650)
range across 4 matching MRF lines		 $12,602.10–$16,125.90 $18,003–$23,037 varies
Repair Blood Vessel Direct Hand Finger (35207) $6,815.20 $9,736 1.8×
Repair blood vessel direct neck (35201) $5,292.70 $7,561 0.8×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $4,923.80–$5,954.20 $7,034–$8,506 varies
Repair Choanal Atresia Intranasal (30540)
range across 2 matching MRF lines		 $4,053.70–$11,095.70 $5,791–$15,851 varies
Repair cleft lip/nasal (40700) $11,095.70 $15,851 1.6×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 3 matching MRF lines		 $5,082.94–$14,996.80 $7,261.34–$21,424 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,920.80 $2,744 2.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,920.80 $2,744 2.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $848.40 $1,212 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,477.70–$9,471 $2,111–$13,530 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,111.60 $1,588 2.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,920.80 $2,744 4.0×
Repair complex trunk 1.1-2.5 cm (13100) $1,326.50 $1,895 1.5×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $1,547–$2,082.08 $2,210–$2,974.40 varies
Repair Detached Retina (67101) $5,293.41 $7,562.01 1.9×
Repair detached retina (67105) $4,096.40 $5,852 6.3×
Repair Ectropion Extensive (67917)
range across 2 matching MRF lines		 $2,072.93–$4,496.10 $2,961.33–$6,423 varies
Repair Ectropion Suture (67914) $3,740.80 $5,344 1.3×
Repair Elbow Perc (24357) $6,620.60 $9,458 1.7×
Repair Entropion Suture (67921) $3,274.60 $4,678 1.2×
Repair extensor tendon finger w/o graft each (26418)
range across 3 matching MRF lines		 $4,567.50–$13,274.10 $6,525–$18,963 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $14,067.20 $20,096 3.6×
Repair Eyelid Wound (67935) $3,438.40 $4,912 1.2×
Repair facial nerve (69740) $11,095.70 $15,851 1.6×
Repair Finger Tendon (26433) $4,567.50 $6,525 1.2×
Repair Finger/Hand Tendon (26350) $6,811.70 $9,731 1.8×
Repair Fistula Oromaxillary (30580) $11,095.70 $15,851 1.6×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $6,620.60 $9,458 1.7×
Repair gum (41872) $7,457.10 $10,653 1.9×
Repair Hallux Rigidus (28289)
range across 3 matching MRF lines		 $2,785.78–$9,735.60 $3,979.68–$13,908 varies
Repair Hand Joint (26540)
range across 2 matching MRF lines		 $4,567.50–$22,318.10 $6,525–$31,883 varies
Repair Hand Tendon (26410) $5,290.60 $7,558 2.8×
Repair humerus with graft (24435) $18,381.30 $26,259 1.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $6,939.80 $9,914 1.6×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 3 matching MRF lines		 $6,939.10–$12,661.60 $9,913–$18,088 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $870.10–$5,163.20 $1,243–$7,376 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,070.30 $1,529 2.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,184.40 $1,692 2.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $1,548.40–$1,626.10 $2,212–$2,323 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $2,183.30 $3,119 4.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $888.30 $1,269 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $462.70–$3,658.66 $661–$5,226.66 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $584.50 $835 1.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $795.20 $1,136 0.9×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,368.10 $3,383 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,169 $1,670 2.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $636.30 $909 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $709.10–$3,235.40 $1,013–$4,622 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $1,218.70–$1,279.60 $1,741–$1,828 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $942.20 $1,346 2.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,487.10 $3,553 1.0×
Repair intrinsic muscles hand each muscle (26591) $4,418.40 $6,312 1.1×
Repair Laceration Palate </2 Cm (42180) $1,120 $1,600 1.8×
Repair Laceration Palate >2 Cm/Complex (42182) $7,739.20 $11,056 1.1×
Repair lead pace-defib dual (33220) $3,980.90 $5,687 0.9×
Repair Lead Pace-Defib One (33218) $3,980.90 $5,687 0.9×
Repair mouth/nose fistula (30600) $3,818.50 $5,455 0.5×
Repair nasal septal perforations (30630)
range across 2 matching MRF lines		 $5,926.90–$6,147.40 $8,467–$8,782 varies
Repair Nasal Vestibular Stenosis (30465)
range across 3 matching MRF lines		 $8,123.74–$11,095.70 $11,605.34–$15,851 varies
Repair nose to lip fistula (42260) $11,095.70 $15,851 1.6×
Repair of hydrocele (55060) $11,095.70 $15,851 2.7×
Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) $5,212.90 $7,447 1.9×
Repair of nail bed (11760) $1,033.20 $1,476 1.2×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $13,619.90 $19,457 1.6×
Repair of rectum (45505) $8,346.80 $11,924 2.5×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $16,125.90–$27,520.50 $23,037–$39,315 varies
Repair oval window fistula (69666) $5,596.50 $7,995 1.4×
Repair retinal detach cplx (67113)
range across 2 matching MRF lines		 $7,527.80–$9,044 $10,754–$12,920 varies
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $17,502.10–$24,269.70 $25,003–$34,671 varies
Repair round window fistula (69667) $10,248 $14,640 2.6×
Repair secondary achilles tendon w/wo graft (27654)
range across 3 matching MRF lines		 $4,742.50–$11,988.20 $6,775–$17,126 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 3 matching MRF lines		 $5,373.20–$11,489.10 $7,676–$16,413 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 4 matching MRF lines		 $4,923.80–$11,598.30 $7,034–$16,569 varies
Repair tongue laceration (41252) $1,433.60 $2,048 5.1×
Repair tongue laceration (41250) $546 $780 1.0×
Repair Tooth Socket (41874) $13,789.30 $19,699 3.5×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $2,950.50–$3,595.62 $4,215–$5,136.60 varies
Repair/graft achilles tendon (27652) $7,045.98 $10,065.68 0.8×
Repair/Graft Wrist Bone (25440) $30,477.30 $43,539 3.6×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $1,678.60–$1,804.60 $2,398–$2,578 varies
Replace elbow joint (24363) $27,778.10 $39,683 1.3×
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $1,614.90–$1,736 $2,307–$2,480 varies
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $1,311.10–$1,409.10 $1,873–$2,013 varies
Replacement Tissue Expander W/Permanent Implant (11970) $36,248.10 $51,783 4.2×
Reposition Gastrostomy Tube (43761) $2,563.40 $3,662 8.7×
Reposition L Ventric Lead (33226) $6,090 $8,700 1.6×
Reposition Pacing-Defib Lead (33215)
range across 2 matching MRF lines		 $4,207–$6,520.50 $6,010–$9,315 varies
Reposition Venous Catheter (36597) $2,590 $3,700 1.4×
Repr Elbw Med Ligmnt W/Tiss (24345) $20,760.60 $29,658 2.4×
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $9,003.40–$11,288.90 $12,862–$16,127 varies
Resect Shoulder Tumor 5 Cm/> (23078)
range across 2 matching MRF lines		 $5,532.80–$15,749.30 $7,904–$22,499 varies
Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) $11,095.70 $15,851 1.6×
Resection/transplantation long tendon biceps (23440)
range across 2 matching MRF lines		 $2,774.10–$2,974.58 $3,963–$4,249.40 varies
Retrobulbar injection (67500) $2,905.23 $4,150.33 7.7×
Rev/rmv prph sac/gstr npg/r (64595) $7,081.20 $10,116 1.7×
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure		 $7,451.33 $10,644.75 0.5×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $17,993.85 $25,705.50 1.2×
Revise external ear (69300) $5,596.50 $7,995 1.4×
Revise eye with implant (65093) $4,960.90 $7,087 1.1×
Revise ulnar nerve at wrist (64719)
range across 4 matching MRF lines		 $5,630.94–$20,134.80 $8,044.20–$28,764 varies
Revision of big toe (28310)
unusually low: confirm this is the full procedure		 $3,746.40 $5,352 0.4×
Revision of larynx (31400) $18,713.80 $26,734 2.7×
Revision of lower leg tendon (27685) $7,045.96 $10,065.66 1.8×
Revision of reconstructed breast (19380)
range across 2 matching MRF lines		 $12,536.65–$20,754.30 $17,909.50–$29,649 varies
Revision of stapedectomy or stapedotomy Facility (69662) $16,580.90 $23,687 2.4×
Revision of urethra (57220) $3,845.56 $5,493.66 0.7×
Revision Peri-Implant Capsule Breast (19370) $8,747.90 $12,497 1.9×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $16,575.30 $23,679 2.2×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $7,714.24–$13,205.50 $11,020.34–$18,865 varies
Revj Transvns Intrahepatic Portosystemic Shunt (37183)
range across 2 matching MRF lines		 $10,384.50–$11,163.60 $14,835–$15,948 varies
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines		 $1,986.60–$8,197.70 $2,838–$11,711 varies
Revj/rmvl neurostimulator pulse generator (61888) $19,992 $28,560 1.5×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $11,765.60 $16,808 1.7×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $11,765.60 $16,808 1.7×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $37,898 $54,140 1.8×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $37,898 $54,140 1.8×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $37,898 $54,140 1.8×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $37,898 $54,140 1.8×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $24,432.80 $34,904 1.8×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $23,865.80 $34,094 1.7×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $23,865.80 $34,094 1.7×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $23,865.80 $34,094 1.7×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $11,765.60 $16,808 1.7×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $11,765.60 $16,808 1.7×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $23,865.80 $34,094 1.7×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $23,865.80 $34,094 1.7×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $23,865.80 $34,094 1.7×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $23,865.80 $34,094 1.7×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $37,898 $54,140 1.8×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $37,898 $54,140 1.8×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $37,898 $54,140 1.8×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $37,898 $54,140 1.8×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $37,898 $54,140 1.8×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $37,898 $54,140 1.8×
Rhinoplasty primary w/major septal repair (30420) $14,469 $20,670 2.1×
Rhinoplasty Secondary Minor Revision (30430) $11,095.70 $15,851 1.6×
Rhinp Dfrm W/Colum Lngth Tip Only (30460) $11,095.70 $15,851 1.6×
Rhinp Prim Complete Xtrnl Parts (30410) $11,095.70 $15,851 1.6×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $11,095.70 $15,851 1.6×
Rib cartilage graft (21230) $11,095.70 $15,851 1.6×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $3,578.40 $5,112 1.4×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $3,402.70 $4,861 1.9×
Rmvl embedded fb vestibule mouth comp (40805) $5,999 $8,570 9.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,123.50 $1,605 1.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $4,947.60 $7,068 2.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $505.40–$530.60 $722–$758 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $569.80 $814 3.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $457.10 $653 0.9×
Rmvl fecal impaction/fb spx under anes (45915) $6,045.90 $8,637 4.3×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $3,208.80 $4,584 1.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $6,052.20 $8,646 1.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,317 $3,310 1.2×
Rmvl Lens Material Phacofragmentation Aspir (66850) $4,016.60 $5,738 1.5×
Rmvl of subq implantable defibrillator electrode (33272) $5,427.10 $7,753 1.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $4,721.50 $6,745 2.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $6,447.70 $9,211 1.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 5 matching MRF lines		 $2,146.90–$12,192.60 $3,067–$17,418 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $1,377.60–$1,579.20 $1,968–$2,256 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $6,729.10 $9,613 2.5×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $688.10 $983 2.1×
Rmvl/revj sling stress incontinence (57287) $6,032.60 $8,618 1.6×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $721–$5,532.10 $1,030–$7,903 varies
Rplc gtube revj gstrst trc (43763) $1,106 $1,580 3.7×
Rplcmt cath ctr vad subq port/pmp (36578) $4,752.30 $6,789 1.3×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $2,915.50–$3,133.90 $4,165–$4,477 varies
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $4,754.40 $6,792 1.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $3,279.50 $4,685 1.8×
Rplcmt compl tun ctr vad w/subq pmp (36583) $7,903.70 $11,291 1.2×
Rplcmt compl tun ctr vad w/subq port (36582) $7,963.90 $11,377 2.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 6 matching MRF lines		 $4,032–$9,397.50 $5,760–$13,425 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $11,911.20–$33,560.10 $17,016–$47,943 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $8,159.20–$16,254.70 $11,656–$23,221 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $15,018.51 $21,455.01 2.0×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $28,602.70 $40,861 4.0×
Rpr aa hrn 1st 3-10 rdc (49593) $15,557.50 $22,225 2.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $30,403.80 $43,434 4.3×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $6,218.80 $8,884 1.3×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901)
range across 2 matching MRF lines		 $6,251–$12,159.70 $8,930–$17,371 varies
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904)
range across 2 matching MRF lines		 $11,118.10–$20,375.60 $15,883–$29,108 varies
Rpr blood vessel direct lower extremity (35226) $1,572.20 $2,246 1.9×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 2 matching MRF lines		 $3,802.40–$4,087.30 $5,432–$5,839 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
range across 2 matching MRF lines		 $9,781.10–$15,153.60 $13,973–$21,648 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $917 $1,310 3.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $879.90 $1,257 1.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $954.80 $1,364 3.4×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270)
range across 2 matching MRF lines		 $2,088.10–$3,274.60 $2,983–$4,678 varies
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) $8,164.80 $11,664 1.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $2,104.20–$2,209.20 $3,006–$3,156 varies
Rpr Lip Full Thickness Vermilion Only (40650) $2,265.90 $3,237 3.6×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,559.90 $3,657 1.4×
Rpr Nsl Vlv Collapse W/Implt (30468) $9,443 $13,490 1.4×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108)
range across 2 matching MRF lines		 $7,714–$13,353.20 $11,020–$19,076 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,010.60 $7,158 1.3×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $8,019.90 $11,457 2.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,377.60 $1,968 1.9×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $3,599.40 $5,142 0.8×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $6,902.70 $9,861 1.8×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 3 matching MRF lines		 $6,811.70–$19,255.60 $9,731–$27,508 varies
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $15,248.80 $21,784 3.9×
Sclerotx Fluid Collection (49185)
range across 2 matching MRF lines		 $3,912.30–$4,205.60 $5,589–$6,008 varies
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $11,095.70 $15,851 1.6×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $5,596.50–$8,123.73 $7,995–$11,605.33 varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,353.80 $1,934 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $1,779.40–$3,709.30 $2,542–$5,299 varies
Shave skin lesion 0.5 cm/< (11300) $443.10 $633 0.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $451.50 $645 1.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $303.10 $433 1.3×
Shoulder arthroscopy diagnostic (29805) $14,245.70 $20,351 3.7×
Shoulder Arthroscopy/Surgery (29825) $12,197.85 $17,425.50 3.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $5,596.50 $7,995 1.4×
Sigmoidoscopy & decompress (45337) $1,353.80 $1,934 1.2×
Sigmoidoscopy & Polypectomy (45333) $1,353.80 $1,934 1.2×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,655.50 $2,365 1.2×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $1,779.40 $2,542 1.3×
Sigmoidoscopy Flx With With Band Ligation(S) (45350)
range across 2 matching MRF lines		 $1,655.50–$7,596.40 $2,365–$10,852 varies
Sigmoidoscopy w/fb removal (45332) $1,655.50 $2,365 1.2×
Sigmoidoscopy w/plcmt stent (45347) $4,939.20 $7,056 0.7×
Sigmoidoscopy W/Resection (45349) $4,151.70 $5,931 1.3×
Sigmoidoscopy W/Ultrasound (45341)
range across 2 matching MRF lines		 $1,353.80–$3,336.20 $1,934–$4,766 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 4 matching MRF lines		 $1,353.80–$6,001.80 $1,934–$8,574 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,779.40 $2,542 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,304.80 $1,864 2.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $307.30–$412.30 $439–$589 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $307.30 $439 1.3×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,335.60 $1,908 2.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $644 $920 2.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,444.10 $2,063 6.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $364.70–$415.10 $521–$593 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,446.20 $2,066 6.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $606.20 $866 2.6×
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $3,402–$5,061 $4,860–$7,230 varies
Skin Pinch Graft (15050) $1,326.50 $1,895 1.5×
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $1,874.60–$3,749.20 $2,678–$5,356 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $1,874.60–$2,015.30 $2,678–$2,879 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $3,287.20–$3,533.60 $4,696–$5,048 varies
Skin Tissue Procedure (17999) $14,499.45 $20,713.50 61.2×
Skn sub grft f/n/hf/g child (15277) $2,966.60 $4,238 1.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 7 matching MRF lines		 $14,251.30–$61,563.60 $20,359–$87,948 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $7,798.70–$10,356.50 $11,141–$14,795 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 5 matching MRF lines		 $16,157.40–$80,909.50 $23,082–$115,585 varies
Slitting of prepuce (54001) $3,081.40 $4,402 1.2×
Small bowel endoscopy (44384) $8,173.90 $11,677 3.6×
Small bowel endoscopy (44366) $7,059.50 $10,085 3.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $307.30–$347.20 $439–$496 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $982.80 $1,404 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $1,192.10–$1,251.60 $1,703–$1,788 varies
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $8,065.40 $11,522 2.5×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $1,283.10–$1,379 $1,833–$1,970 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,550.40 $5,072 0.8×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $3,477.60–$8,627.50 $4,968–$12,325 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $10,934.70–$12,435.50 $15,621–$17,765 varies
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660)
range across 3 matching MRF lines		 $6,608–$11,095.70 $9,440–$15,851 varies
Stapes mobilization (69650) $5,596.50 $7,995 1.4×
Strapping ankle (29540) $394.10 $563 2.1×
Strapping elbow or wrist (29260) $295.40 $422 4.2×
Strapping hand/finger (29280) $295.40 $422 4.2×
Strapping Hip (29520) $172.20 $246 1.1×
Strapping knee (29530) $172.20 $246 1.1×
Strapping shoulder (29240) $266 $380 1.7×
Strapping thorax (29200) $394.10 $563 2.1×
Strapping toes (29550) $172.20 $246 2.5×
Strapping Unna Boot (29580) $314.30 $449 1.6×
Subcutaneous Hormone Pellet Implantation (11980) $574 $820 1.1×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 4 matching MRF lines		 $2,539.60–$8,123.73 $3,628–$11,605.33 varies
Suction assisted lipectomy; head and neck (15876) $7,800.45 $11,143.50 1.9×
Suction assisted lipectomy; trunk (15877)
range across 3 matching MRF lines		 $7,800.45–$26,466.30 $11,143.50–$37,809 varies
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $4,132.80 $5,904 1.1×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
range across 3 matching MRF lines		 $2,704.80–$3,304 $3,864–$4,720 varies
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
range across 3 matching MRF lines		 $3,404.80–$3,971.52 $4,864–$5,673.60 varies
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $3,657.50–$4,501 $5,225–$6,430 varies
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $7,033.60 $10,048 2.1×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $3,274.60 $4,678 1.2×
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $12,008.50–$22,138.90 $17,155–$31,627 varies
Suture of facial nerve; extracranial Facility (64864) $7,105 $10,150 0.7×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $14,891.80 $21,274 1.7×
Suture pharynx for wound or injury (42900) $3,208.80 $4,584 1.8×
Syndactylization toes (28280) $10,182.20 $14,546 2.6×
Synovectomy Tendon Sheath Foot Extensor (28088) $4,930.45 $7,043.50 1.3×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $664.30–$4,688.60 $949–$6,698 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
range across 2 matching MRF lines		 $14,252.70–$15,321.60 $20,361–$21,888 varies
Tcat Insj/Rpl Perm Ldls Pm (33274)
likely a partial charge, not the full procedure		 $5,083.40 $7,262 0.2×
Tcat Rmvl Perm Ldls Pm (33275) $13,442.80 $19,204 3.6×
Temporary Closure Eyelids Suture (67875) $5,559.40 $7,942 4.7×
Tenodesis long tendon biceps (23430)
range across 5 matching MRF lines		 $6,308.75–$20,885.20 $9,012.50–$29,836 varies
Tenolysis Flexor Foot Multiple Tendons (28222) $11,123.70 $15,891 2.9×
Tenolysis flexor tendon palm/finger each tendon (26440)
range across 2 matching MRF lines		 $2,946.30–$10,451 $4,209–$14,930 varies
Tenotomy Adductor Hip Percutaneous Spx (27000) $3,485.30 $4,979 1.8×
Tenotomy Hip Abd/Ext Open (27006) $6,101.90 $8,717 1.6×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,829.80 $2,614 2.2×
Therapeutic Apheresis White Blood Cells (36511) $3,215.10 $4,593 1.7×
Therapeutic plasma exchange (36514) $3,453.80 $4,934 1.9×
Thoracoscopy w/bx pleura (32609) $25,762.10 $36,803 3.6×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831)
range across 4 matching MRF lines		 $8,346.80–$18,930.80 $11,924–$27,044 varies
Thrmbc/Nfs Dialysis Circuit (36906) $22,430.80 $32,044 1.0×
Thromblytic art/ven therapy (37213) $6,202 $8,860 1.7×
Thrombolytic Art Therapy (37211) $6,669.60 $9,528 1.0×
Thrombolytic Therapy Stroke (37195) $606.20 $866 1.6×
Thrombolytic Venous Therapy (37212) $3,331.30 $4,759 0.9×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $1,245.30–$1,338.40 $1,779–$1,912 varies
Thyroidectomy Post Prev Thyr Surg (60260)
range across 3 matching MRF lines		 $9,284.80–$17,941.70 $13,264–$25,631 varies
Thyroidectomy, total or complete (60240) $16,413.60 $23,448 2.3×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $16,319.80 $23,314 2.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 3 matching MRF lines		 $1,103.90–$3,936.10 $1,577–$5,623 varies
Tissue Expander Placement Breast Reconstruction (19357) $18,386.91 $26,267.01 1.1×
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $7,856.10–$9,485 $11,223–$13,550 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $4,569.60 $6,528 1.2×
Tooth extraction (41899)
range across 2 matching MRF lines		 $268.80–$16,239.30 $384–$23,199 varies
Total Knee Arthroplasty (27447)
range across 7 matching MRF lines		 $11,364.50–$33,216.40 $16,235–$47,452 varies
Tprnl Plmt Biodegrdabl Matrl (55874) $4,044.60 $5,778 0.6×
Trabeculoplasty by laser surgery (65855) $2,340.80 $3,344 3.6×
Tracheal pnxr prq w/transtracheal aspir&/njx (31612) $5,576.20 $7,966 1.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,628.90 $2,327 2.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,293.60 $1,848 4.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $3,717 $5,310 2.0×
Tracheostomy Fenestration W/Skin Flaps (31610) $11,095.70 $15,851 1.6×
Tracheostomy planned (31600) $5,876.50 $8,395 1.5×
Tracheostomy Planned Under 2 Years Spx (31601) $11,095.70 $15,851 1.6×
Transcatheter biopsy (37200)
range across 4 matching MRF lines		 $5,151.30–$8,028.30 $7,359–$11,469 varies
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $3,905.30 $5,579 1.0×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772)
range across 2 matching MRF lines		 $8,125.60–$16,448.25 $11,608–$23,497.50 varies
Translum Dil Eye Canal (66174)
range across 2 matching MRF lines		 $2,487.10–$5,851.30 $3,553–$8,359 varies
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $17,819.90 $25,457 2.8×
Transplant hand tendon (26480) $5,630.94 $8,044.20 1.5×
Transur electr resection of prostate (52601)
range across 2 matching MRF lines		 $6,293–$7,928.20 $8,990–$11,326 varies
Transurethral resection bladder neck (52500) $5,985.70 $8,551 1.4×
Treat ankle fracture (28445)
range across 2 matching MRF lines		 $5,502.53–$25,147.50 $7,860.75–$35,925 varies
Treat Dental Ridge Fracture (21440) $3,891.30 $5,559 1.0×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $7,364.70–$7,365.40 $10,521–$10,522 varies
Treat elbow fracture (24586) $18,806.20 $26,866 1.2×
Treat Elbow Fracture (24635) $18,918.90 $27,027 2.2×
Treat elbow fracture (24587) $17,880.10 $25,543 1.2×
Treat Finger Fracture Each (26727)
range across 2 matching MRF lines		 $8,773.80–$10,854.90 $12,534–$15,507 varies
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $24,395.70–$28,280 $34,851–$40,400 varies
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $14,997.50–$15,123.50 $21,425–$21,605 varies
Treat Hip Socket Fracture (27222) $950.60 $1,358 3.3×
Treat humerus fracture (24500) $819.70 $1,171 2.8×
Treat Humerus Fracture (24505) $2,912.70 $4,161 1.5×
Treat humerus fracture (23600) $667.10 $953 2.3×
Treat knee fracture (27532) $5,290.60 $7,558 1.4×
Treat Knee Fracture(S) (27538) $985.60 $1,408 3.4×
Treat Kneecap Fracture (27524)
range across 4 matching MRF lines		 $8,732.50–$23,643.90 $12,475–$33,777 varies
Treat Knuckle Dislocation (26700) $888.30 $1,269 3.0×
Treat Metatarsal Fracture (28475) $870.10 $1,243 3.0×
Treat Tail Bone Fracture (27200) $522.20 $746 1.8×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $846.30–$888.30 $1,209–$1,269 varies
Treat Thumb Fracture (26645) $2,641.80 $3,774 1.4×
Treat toe dislocation (28630) $525.70 $751 1.8×
Treat Vaginal Bleeding (57180) $403.20 $576 1.7×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $3,875.20–$9,109.10 $5,536–$13,013 varies
Treatment closed elbow dislocation w/o anes (24600) $793.10 $1,133 2.7×
Treatment mouth roof lesion (42160) $5,596.50 $7,995 1.4×
Treatment of ankle fracture (27823) $15,248.80 $21,784 1.8×
Treatment of foot infection (28003) $11,525.50 $16,465 3.0×
Treatment of nose fracture (21330) $11,095.70 $15,851 1.6×
Treatment of penis lesion (54115) $5,041.40 $7,202 1.5×
Trim skin lesion (11055) $303.10 $433 1.3×
Trim skin lesions 2 to 4 (11056) $359.80 $514 1.5×
Trim skin lesions over 4 (11057) $478.80 $684 2.0×
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $127.40–$141.40 $182–$202 varies
Trluml Balo Angiop 1St Art (37246)
range across 3 matching MRF lines		 $7,485.10–$15,874.60 $10,693–$22,678 varies
Trluml Balo Angiop 1St Vein (37248)
range across 5 matching MRF lines		 $8,112.30–$15,563.80 $11,589–$22,234 varies
Trnsplj autologous hematopoietic cells per donor (38241) $3,154.38 $4,506.25 1.7×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $6,869.10 $9,813 1.6×
Trurl rescj postop bladder neck contracture (52640)
range across 2 matching MRF lines		 $7,313.60–$7,723.80 $10,448–$11,034 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $5,439 $7,770 1.7×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $547.40–$3,704.40 $782–$5,292 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
range across 2 matching MRF lines		 $10,387.30–$32,163.60 $14,839–$45,948 varies
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 3 matching MRF lines		 $3,335.50–$5,649 $4,765–$8,070 varies
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $3,830.40–$5,975.90 $5,472–$8,537 varies
Tx Missed Abortion Second Trimester Surgical (59821)
range across 3 matching MRF lines		 $4,537.40–$7,091 $6,482–$10,130 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,326.50 $1,895 1.5×
Tx superficial wound dehiscence w/packing (12021) $916.30 $1,309 1.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,459.40 $4,942 1.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $522.20 $746 1.8×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $20,934.19–$36,255.11 $29,905.99–$51,793.01 varies
Tympanoplasty (69631)
range across 2 matching MRF lines		 $6,252.40–$9,446.50 $8,932–$13,495 varies
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $17,236.80 $24,624 2.5×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $13,070.40 $18,672 1.9×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636)
range across 2 matching MRF lines		 $2,615.20–$9,710.40 $3,736–$13,872 varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644)
range across 2 matching MRF lines		 $20,518.40–$21,896 $29,312–$31,280 varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643)
range across 2 matching MRF lines		 $11,194.40–$14,834.40 $15,992–$21,192 varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
range across 2 matching MRF lines		 $5,997.60–$16,520 $8,568–$23,600 varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $8,836.80 $12,624 1.3×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)
range across 2 matching MRF lines		 $9,228.80–$14,543.20 $13,184–$20,776 varies
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
range across 3 matching MRF lines		 $9,228.80–$15,853.60 $13,184–$22,648 varies
Tympanostomy general anesthesia (69436)
range across 4 matching MRF lines		 $1,668.80–$3,208.80 $2,384–$4,584 varies
Unlisted Cardiac Surgery (33999)
range across 8 matching MRF lines		 $420.70–$30,415 $601–$43,450 varies
Unlisted hysteroscopy procedure, uterus (58579) $3,759.70 $5,371 15.7×
Unlisted laparoscopic procedure liver (47379) $15,323 $21,890 2.1×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $6,022.10–$21,051.10 $8,603–$30,073 varies
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $9,284.80 $13,264 1.3×
Unlisted Procedure Accessory Sinuses (31299) $2,539.60 $3,628 9.1×
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines		 $6,294.16–$8,689.45 $8,991.66–$12,413.50 varies
Unlisted Procedure Casting/Strapping (29799) $366.80 $524 1.9×
Unlisted procedure colon (45399) $1,813.70 $2,591 1.7×
Unlisted Procedure Endocrine System (60699)
range across 2 matching MRF lines		 $12,687.50–$13,987.40 $18,125–$19,982 varies
Unlisted Procedure Esophagus (43499)
range across 2 matching MRF lines		 $2,977.80–$4,642.40 $4,254–$6,632 varies
Unlisted procedure eyelids (67999) $1,609.30 $2,299 4.3×
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $3,721.20–$23,643.19 $5,316–$33,775.99 varies
Unlisted procedure foot or toes (28899) $5,682.25 $8,117.50 19.5×
Unlisted procedure humerus/elbow (24999) $1,813.70 $2,591 6.2×
Unlisted Procedure Intestine (44799) $1,813.70 $2,591 1.7×
Unlisted Procedure Leg/Ankle (27899) $338.80 $484 1.2×
Unlisted procedure liver (47399) $6,595.40 $9,422 7.9×
Unlisted Procedure Male Genital System (55899) $547.40 $782 1.9×
Unlisted Procedure Muscskeletal System General (20999) $957.60 $1,368 3.3×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $703.50–$16,945.60 $1,005–$24,208 varies
Unlisted Procedure Palate Uvula (42299) $3,122 $4,460 11.2×
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines		 $16,376.50–$28,326.90 $23,395–$40,467 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $407.40–$3,550.40 $582–$5,072 varies
Unlisted procedure shoulder (23929) $3,721.20 $5,316 12.8×
Unlisted procedure stomach (43999) $6,658.40 $9,512 6.2×
Unlisted Procedure Tongue Floor Mouth (41599) $2,374.40 $3,392 8.5×
Unlisted Procedure Vascular Surgery (37799)
range across 3 matching MRF lines		 $2,015.30–$14,697.90 $2,879–$20,997 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $5,063.80 $7,234 4.7×
Unlisted Procedure, Urinary System (53899) $624.40 $892 2.1×
Unlisted px female genital system nonobstetrical (58999) $408.10 $583 1.7×
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure		 $4,286.10 $6,123 0.3×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) — $1.01 —
Uvulectomy excision of uvula (42140) $5,596.50 $7,995 1.4×
Vag hyst w/t/o & vag repair (58263) $11,677.40 $16,682 2.0×
Vaginal delivery only (59409) $2,597.70 $3,711 0.7×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $12,525.10 $17,893 2.1×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $8,495.90 $12,137 1.4×
Vasc embolize/occlude artery (37242)
range across 4 matching MRF lines		 $14,285.60–$20,969.20 $20,408–$29,956 varies
Vasc Embolize/Occlude Bleed (37244) $17,507.70 $25,011 1.3×
Vasc Embolize/Occlude Organ (37243)
range across 2 matching MRF lines		 $14,285.60–$15,357.30 $20,408–$21,939 varies
Vasc embolize/occlude venous (37241) $13,622.70 $19,461 1.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $5,986.40 $8,552 2.4×
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $12,651.80–$22,502.20 $18,074–$32,146 varies
Ventilating tube removal requiring general anesthesia (69424) $2,312.80 $3,304 0.6×
Ventricular puncture previous burr hole w/inj (61026) $1,708 $2,440 2.0×
Vit for membrane dissect (67043) $6,889.40 $9,842 1.4×
Vitrectomy mechanical pars plana (67036)
range across 4 matching MRF lines		 $4,575.20–$7,940.10 $6,536–$11,343 varies
Vitrectomy pars plana remove int memb retina (67042)
range across 4 matching MRF lines		 $2,642.28–$5,053.30 $3,774.68–$7,219 varies
Vitrectomy Pars Plana Remove Preretinal Membrane (67041)
range across 3 matching MRF lines		 $4,655–$8,404.90 $6,650–$12,007 varies
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039)
range across 2 matching MRF lines		 $4,096.40–$6,010.90 $5,852–$8,587 varies
Vulvectomy simple partial (56620)
range across 2 matching MRF lines		 $5,668.60–$6,515.60 $8,098–$9,308 varies
Wedge excision skin nail fold (11765) $636.30 $909 1.3×
Wedging of cast (29740) $413.70 $591 1.3×
Windowing of cast (29730) $394.10 $563 2.1×
Wound Prep F/N/Hf/G (15004) $1,103.90 $1,577 2.3×
Wound Prep Trk/Arm/Leg (15002) $17,272.50 $24,675 19.8×
Xfer Single Deep Low Leg Tendon (27691)
range across 2 matching MRF lines		 $8,313.55–$12,740.70 $11,876.50–$18,201 varies
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $1,221.50 $1,745 1.9×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $11,095.70 $15,851 1.6×

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.