Procedures & surgery prices at Thomas Memorial Hospital

South Charleston, WV · every code in this section with a posted price and a Medicare benchmark.

1563 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 5 matching MRF lines		 $1,556–$3,910.50 $3,112–$7,821 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,054.50–$5,320.50 $2,109–$10,641 varies
Abdomen Surgery Procedure (22999) $458 $916 1.9×
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $1,863.50–$1,933.17 $3,727–$3,866.33 varies
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $8,195 $16,390 0.5×
Acne surgery (10040)
range across 3 matching MRF lines		 $236.50–$254.50 $473–$509 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,101.67 $4,203.33 1.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $9,691.67 $19,383.34 2.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $9,422.76 $18,845.51 4.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,518 $7,036 1.8×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $2,404.50–$12,176 $4,809–$24,352 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $11,062.34 $22,124.67 5.6×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $10,682.50 $21,365 5.4×
Amniocentesis therapeutic (59001) $188.50 $377 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,799.50 $7,599 1.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 11 matching MRF lines		 $3,072.50–$11,894.76 $6,145–$23,789.51 varies
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $8,578–$12,738.50 $17,156–$25,477 varies
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $3,303–$3,799.50 $6,606–$7,599 varies
Amputation toe interphalangeal joint (28825)
range across 7 matching MRF lines		 $3,799.50–$9,012 $7,599–$18,024 varies
Amputation toe metatarsophalangeal joint (28820)
range across 7 matching MRF lines		 $2,863–$7,727 $5,726–$15,454 varies
Amputation, leg, through tibia and fibula; re-amputation (27886) $7,341.50 $14,683 2.3×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $355.50 $711 1.2×
Anal/Urinary Muscle Study (51784) $377 $754 3.1×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $172.50–$3,503.50 $345–$7,007 varies
Anoscopy; with biopsy, single or multiple (46606) $7,293 $14,586 6.4×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $6,678 $13,356 2.5×
Anterior colporraphy rpr cystocele w/cysto (57240) $9,132 $18,264 1.9×
Appendectomy (44950) $19,253 $38,506 3.1×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines		 $300.50–$601 $601–$1,202 varies
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $309.50 $619 2.0×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $176–$318 $352–$636 varies
Application Cast Finger (29086) $365.50 $731 2.3×
Application finger splint static (29130)
range across 4 matching MRF lines		 $60–$153.50 $120–$307 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $168.50–$184 $337–$368 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $318 $636 1.2×
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $166.50–$196.50 $333–$393 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $2,651.67 $5,303.33 0.2×
Application of cylinder cast (thigh to ankle) (29365) $318 $636 1.2×
Application of long leg cast (29345) $318 $636 1.2×
Application of rigid total contact leg cast (29445)
range across 5 matching MRF lines		 $299–$1,144 $598–$2,288 varies
Application Patellar Tendon Bearing Cast (29435) $318 $636 1.2×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $145–$157.50 $290–$315 varies
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines		 $252–$274 $504–$548 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $321.50–$349 $643–$698 varies
Application uniplane external fixation system (20690)
range across 3 matching MRF lines		 $5,853.50–$9,569 $11,707–$19,138 varies
Apply hand/wrist cast (29085)
range across 4 matching MRF lines		 $194.50–$3,222.42 $389–$6,444.83 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $195.50–$318 $391–$636 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $304.50–$609 $609–$1,218 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $166.50–$318 $333–$636 varies
Apply short leg cast (29425) $318 $636 1.2×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180)
range across 2 matching MRF lines		 $7,551.50–$9,703.50 $15,103–$19,407 varies
Arterial puncture (36600)
range across 3 matching MRF lines		 $457.50–$459 $915–$918 varies
Arteriovenous Anastomosis Open Direct (36821) $18,042.50 $36,085 6.0×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $11,183 $22,366 2.1×
Artery-vein autograft (36825)
range across 2 matching MRF lines		 $19,278–$20,060 $38,556–$40,120 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $39,348.50 $78,697 3.2×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
range across 3 matching MRF lines		 $20,252–$37,212 $40,504–$74,424 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines		 $16,511.67–$26,247 $33,023.34–$52,494 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 7 matching MRF lines		 $332–$1,297 $664–$2,594 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 4 matching MRF lines		 $496.50–$993 $993–$1,986 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 16 matching MRF lines		 $225–$6,576.83 $450–$13,153.66 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 7 matching MRF lines		 $353–$2,800 $706–$5,600 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 8 matching MRF lines		 $566.50–$2,871.75 $1,133–$5,743.50 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 5 matching MRF lines		 $4,884.30–$17,773.50 $9,768.60–$35,547 varies
Arthrodesis Posterior Interbody Lumbar (22630) $25,013.50 $50,027 1.0×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
range across 4 matching MRF lines		 $3,148–$14,262.50 $6,296–$28,525 varies
Arthrodesis sacroiliac joint percutaneous (27279)
range across 5 matching MRF lines		 $3,785.50–$9,012 $7,571–$18,024 varies
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $16,180.50–$19,022.34 $32,361–$38,044.67 varies
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $27,216 $54,432 2.2×
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines		 $19,901.50–$24,816.50 $39,803–$49,633 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 4 matching MRF lines		 $8,469–$20,025.50 $16,938–$40,051 varies
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 5 matching MRF lines		 $3,703.63–$9,607.34 $7,407.25–$19,214.67 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898) $11,453.50 $22,907 3.6×
Arthroscopy Ankle Surgical Debridement Limited (29897) $7,039.63 $14,079.25 2.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $5,754 $11,508 1.8×
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $5,937.50–$6,610 $11,875–$13,220 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $6,475.50–$9,838 $12,951–$19,676 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884)
range across 2 matching MRF lines		 $5,779–$8,762 $11,558–$17,524 varies
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $1,930.42–$3,424.38 $3,860.83–$6,848.75 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $6,869.25–$9,386.76 $13,738.50–$18,773.51 varies
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $11,325 $22,650 3.6×
Arthroscopy, knee, surgical; with lateral release (29873)
range across 2 matching MRF lines		 $3,303–$5,265 $6,606–$10,530 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $7,282.50–$9,226 $14,565–$18,452 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 4 matching MRF lines		 $1,977.42–$4,411.38 $3,954.83–$8,822.75 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 3 matching MRF lines		 $2,262.42–$6,123.67 $4,524.83–$12,247.34 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $3,081.92–$11,839 $6,163.83–$23,678 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $5,386.50–$12,995.50 $10,773–$25,991 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $5,932.26–$8,822.75 $11,864.51–$17,645.50 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 3 matching MRF lines		 $6,522–$15,694 $13,044–$31,388 varies
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 5 matching MRF lines		 $1,430.50–$17,504.50 $2,861–$35,009 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $14,684.50–$15,107.50 $29,369–$30,215 varies
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
range across 2 matching MRF lines		 $5,834.83–$11,669.67 $11,669.66–$23,339.34 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 4 matching MRF lines		 $4,679.92–$22,862.50 $9,359.83–$45,725 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $5,303.34 $10,606.67 1.7×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $5,928–$7,084.50 $11,856–$14,169 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $2,651.67–$6,610 $5,303.33–$13,220 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $7,417 $14,834 2.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $5,157 $10,314 3.3×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $10,415.50 $20,831 3.3×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $6,955.67 $13,911.33 4.5×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $11,196.50 $22,393 3.6×
Arthrt w/synvct kne ant&post w/pop area (27335) $8,115.25 $16,230.50 1.2×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $3,261 $6,522 1.0×
Aspirate pleura w/ imaging (32555)
range across 6 matching MRF lines		 $1,553–$3,910.50 $3,106–$7,821 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $768–$1,450.50 $1,536–$2,901 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $580.50–$624.50 $1,161–$1,249 varies
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines		 $821.50–$1,563.50 $1,643–$3,127 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $1,064.33–$2,417 $2,128.66–$4,834 varies
Av fistula revision (36833)
range across 3 matching MRF lines		 $2,715.50–$5,438 $5,431–$10,876 varies
Av Fistula Revision Open (36832)
range across 3 matching MRF lines		 $5,069.50–$18,580.50 $10,139–$37,161 varies
Av Fuse Uppr Arm Basilic (36819) $14,966.50 $29,933 2.8×
Av fusion/forearm vein (36820) $16,191 $32,382 3.0×
Avulsion nail plate partial/complete simple 1 (11730)
range across 9 matching MRF lines		 $379–$3,743.50 $758–$7,487 varies
Axillary lymphadenectomy; complete (38745)
range across 2 matching MRF lines		 $10,172.50–$12,958.50 $20,345–$25,917 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $2,812–$3,023 $5,624–$6,046 varies
Biopsy bone open deep (20245) $14,409 $28,818 5.2×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $3,341.50–$5,799.50 $6,683–$11,599 varies
Biopsy bone trocar/needle deep (20225)
range across 4 matching MRF lines		 $1,823–$9,012 $3,646–$18,024 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 5 matching MRF lines		 $1,064.38–$3,023 $2,128.75–$6,046 varies
Biopsy External Auditory Canal (69105) $2,663.50 $5,327 1.8×
Biopsy external ear (69100) $494 $988 2.2×
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $2,811.50–$3,022.50 $5,623–$6,045 varies
Biopsy nail unit (11755)
range across 3 matching MRF lines		 $717.50–$17,721.50 $1,435–$35,443 varies
Biopsy Nasopharynx Visible Lesion Simple (42804) $5,096.50 $10,193 1.6×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $4,555.50–$5,907 $9,111–$11,814 varies
Biopsy of conjunctiva (68100) $2,777 $5,554 1.2×
Biopsy of floor of mouth (41108) $2,497 $4,994 1.6×
Biopsy of lip (40490)
range across 2 matching MRF lines		 $296.50–$3,812 $593–$7,624 varies
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $2,812–$3,023 $5,624–$6,046 varies
Biopsy of nerve (64795) $2,361.50 $4,723 1.3×
Biopsy of penis (54100) $1,903.50 $3,807 1.2×
Biopsy of rectum (45100) $5,170 $10,340 1.9×
Biopsy Oropharynx (42800) $2,772 $5,544 1.9×
Biopsy Pleura Percutaneous Needle (32400) $1,898.50 $3,797 1.2×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $4,051.50 $8,103 1.2×
Biopsy Salivary Gland Incisional (42405)
range across 2 matching MRF lines		 $1,687.50–$2,587 $3,375–$5,174 varies
Biopsy Salivary Gland Needle (42400)
range across 3 matching MRF lines		 $791.50–$1,944.50 $1,583–$3,889 varies
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,981.50 $3,963 1.3×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,903.50 $3,807 1.2×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,256.50 $2,513 0.5×
Biopsy soft tissue leg/ankle area superficial (27613) $539.50 $1,079 0.3×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,903.50 $3,807 1.2×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,757.50 $3,515 1.1×
Biopsy Tongue Anterior Two-Thirds (41100) $1,072.50 $2,145 2.1×
Biopsy Tongue Posterior One-Third (41105) $5,353 $10,706 1.7×
Biopsy Vaginal Mucosa Simple (57100) $1,384.50 $2,769 1.6×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $1,498–$3,399 $2,996–$6,798 varies
Biopsy, vestibule of mouth (40808) $1,029.50 $2,059 2.0×
Biopsy/removal lymph nodes (38510)
range across 4 matching MRF lines		 $4,070–$7,855.50 $8,140–$15,711 varies
Bladder instillation anticarcinogenic agent (51720)
range across 3 matching MRF lines		 $490–$2,104.50 $980–$4,209 varies
Bladder Irrigation (51700)
range across 5 matching MRF lines		 $429.96–$1,611 $859.92–$3,222 varies
Bladder Scan (51798)
range across 5 matching MRF lines		 $119.50–$130 $239–$260 varies
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $5,157.83 $10,315.66 2.6×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 4 matching MRF lines		 $1,310.50–$12,610 $2,621–$25,220 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $800.50–$861 $1,601–$1,722 varies
Bone Graft Any Donor Area Minor/Small (20900) $4,884.30 $9,768.60 0.7×
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $3,133.50–$3,369 $6,267–$6,738 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $3,134–$3,369.50 $6,268–$6,739 varies
Breast augmentation with implant (19325) $8,104 $16,208 1.0×
Breast Reduction (19318) $21,219.50 $42,439 3.3×
Brnchsc Brushing/Protected Brushings (31623)
range across 4 matching MRF lines		 $645.50–$2,046.50 $1,291–$4,093 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 4 matching MRF lines		 $645.50–$4,326 $1,291–$8,652 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines		 $1,925.08–$4,326 $3,850.16–$8,652 varies
Brnchsc Removal Bronchial Valve Ea Addl (31649) $2,792.50 $5,585 1.6×
Brnchsc Removal Bronchial Valve Initial (31648) $5,824 $11,648 1.6×
Bronchial Valve Init Insert (31647) $6,831 $13,662 1.0×
Bronchoscopic Thermoplasty 2/> Lobes (31661) $7,336.50 $14,673 1.1×
Bronchoscopy Balloon Occlusion (31634) $6,354 $12,708 0.9×
Bronchoscopy Clear Airways (31645) $1,104.20 $2,208.40 0.6×
Bronchoscopy W/Biopsy(S) (31625)
range across 4 matching MRF lines		 $1,257.20–$2,305 $2,514.40–$4,610 varies
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $4,506 $9,012 0.7×
Bronchoscopy W/Removal Foreign Body (31635) $1,543.50 $3,087 0.9×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 4 matching MRF lines		 $645.50–$5,467 $1,291–$10,934 varies
Bronchoscopy/Needle Bx Each (31629)
range across 2 matching MRF lines		 $3,658.75–$4,506.25 $7,317.50–$9,012.50 varies
Bx Arm/Elbow Soft Tissue,Deep (24066) $3,341.50 $6,683 1.2×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $1,298–$1,395.50 $2,596–$2,791 varies
Bx breast 1st lesion us imag (19083)
range across 5 matching MRF lines		 $2,239.50–$6,253.50 $4,479–$12,507 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $1,898.50–$1,904 $3,797–$3,808 varies
Bx Cervix (57500)
range across 2 matching MRF lines		 $1,466.50–$4,514.50 $2,933–$9,029 varies
Bx prostate strtctc saturation sampling img gid (55706) $4,349.63 $8,699.25 1.3×
Bx/exc lymph node open deep axillary node (38525)
range across 3 matching MRF lines		 $5,017.17–$15,617.67 $10,034.33–$31,235.34 varies
Bx/exc lymph node open superficial (38500)
range across 4 matching MRF lines		 $4,555.50–$11,325 $9,111–$22,650 varies
Canthoplasty (67950)
range across 2 matching MRF lines		 $2,777–$6,200.50 $5,554–$12,401 varies
Capsulectomy/capsulotomy mtcarphlngl joint each (26520)
range across 2 matching MRF lines		 $4,931.50–$12,353 $9,863–$24,706 varies
Car-t admn autologous (38228) $414.50 $829 1.3×
Carpal Tunnel Surgery (64721)
range across 8 matching MRF lines		 $3,192–$6,827.50 $6,384–$13,655 varies
Carpectomy All Bones Proximal Row (25215)
range across 2 matching MRF lines		 $11,576.34–$15,051.50 $23,152.67–$30,103 varies
Cataract surgery complex (66982)
range across 3 matching MRF lines		 $2,037–$4,996 $4,074–$9,992 varies
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $229–$246.50 $458–$493 varies
Cerv artific diskectomy (22856) $41,238 $82,476 2.5×
Cessj Therapy Cath Removal (37214) $5,994 $11,988 2.0×
Change Cystostomy Tube Complicated (51710)
range across 4 matching MRF lines		 $626.50–$798 $1,253–$1,596 varies
Change Cystostomy Tube Simple (51705)
range across 5 matching MRF lines		 $571–$1,233.88 $1,142–$2,467.75 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $276–$1,944.50 $552–$3,889 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $361–$388.50 $722–$777 varies
Chemical Pleurodesis (32560) $726.50 $1,453 1.2×
Chemodenerv 1 extrem 5/> mus (64644) $3,472.50 $6,945 5.1×
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $779–$814.50 $1,558–$1,629 varies
Chemodenerv Musc Migraine (64615)
range across 4 matching MRF lines		 $362–$768 $724–$1,536 varies
Chemodenerv musc neck dyston (64616)
range across 4 matching MRF lines		 $566.50–$1,133 $1,133–$2,266 varies
Chemodenerv trunk musc 1-5 (64646) $1,731 $3,462 2.6×
Chemodenervation of extraocular muscle (67345) $2,477.88 $4,955.75 8.1×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 5 matching MRF lines		 $332–$664 $664–$1,328 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,307–$1,802.50 $2,614–$3,605 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines		 $3,602.75–$3,799 $7,205.50–$7,598 varies
Chorionic Villus Sampling (59015) $1,065 $2,130 1.2×
Ciliary body dstrj cyclophotocoag transsceral (66710)
range across 3 matching MRF lines		 $2,306–$6,744.50 $4,612–$13,489 varies
Circumcision 28 days or older (54161)
range across 3 matching MRF lines		 $2,402.50–$16,079.50 $4,805–$32,159 varies
Circumcision Neonate (54160) $801.50 $1,603 1.2×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $2,403–$3,284.50 $4,806–$6,569 varies
Cl Tx Scapular Fx; W Manip (23575) $2,039.50 $4,079 1.3×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,848–$1,867.50 $3,696–$3,735 varies
Claviculectomy partial (23120) $5,008.92 $10,017.83 1.6×
Clear outer ear canal (69200)
range across 4 matching MRF lines		 $497–$994 $994–$1,988 varies
Closed Rx Metacarpal Fx,Percut (26608)
range across 4 matching MRF lines		 $4,458–$12,528 $8,916–$25,056 varies
Closed Treat Vert Body Fract (22310) $838 $1,676 3.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,016.50 $2,033 4.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $571 $1,142 2.4×
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines		 $240–$286.50 $480–$573 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 3 matching MRF lines		 $651.50–$707 $1,303–$1,414 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines		 $270–$293 $540–$586 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $1,800.50–$2,117 $3,601–$4,234 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $747.50 $1,495 3.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $513 $1,026 2.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $611.50 $1,223 2.6×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,869 $3,738 1.2×
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines		 $270–$293 $540–$586 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $443.50–$887 $887–$1,774 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $2,196.50–$2,354 $4,393–$4,708 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 4 matching MRF lines		 $1,788.50–$5,738 $3,577–$11,476 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $4,287 $8,574 1.3×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $655–$711 $1,310–$1,422 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $655.50 $1,311 2.8×
Closed tx radial head/neck fx w/manipulation (24655) $1,867.50 $3,735 1.2×
Closed tx radial head/neck fx w/o manipulation (24650) $550.50 $1,101 2.3×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,867.50–$2,978.50 $3,735–$5,957 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $548.50 $1,097 2.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $1,072–$1,867.50 $2,144–$3,735 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $565.50 $1,131 2.4×
Closed Tx Scapular Fracture W/O Manipulation (23570) $474 $948 2.0×
Closed tx talotarsal joint dislc w/o anes (28570) $283.50 $567 1.2×
Closed tx talus fracture w/o manipulation (28430) $480.50 $961 2.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $337 $674 1.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $589 $1,178 2.5×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines		 $526–$1,979.17 $1,052–$3,958.33 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $324 $648 1.4×
Closure lacrimal punctum (68760) $659.50 $1,319 2.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $471.50 $943 2.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $1,848.50–$1,867.50 $3,697–$3,735 varies
Clsd tx clavicular fracture w/o manipulation (23500) $474.50 $949 2.0×
Clsd Tx Pelvic Ring Fx (27198) $286.50 $573 1.2×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $286.50 $573 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $838–$1,867.50 $1,676–$3,735 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $606–$1,212 $1,212–$2,424 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $880 $1,760 3.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 3 matching MRF lines		 $1,954–$7,417 $3,908–$14,834 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 3 matching MRF lines		 $270–$286.50 $540–$573 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,867.50 $3,735 1.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $575.50 $1,151 2.4×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,954 $3,908 1.3×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $283.50–$868 $567–$1,736 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $611–$642 $1,222–$1,284 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $288.50–$313.50 $577–$627 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $371.50 $743 1.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 4 matching MRF lines		 $657–$1,314 $1,314–$2,628 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $1,129.50–$9,010.50 $2,259–$18,021 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,867.50 $3,735 1.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,130.50 $4,261 1.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,095.50 $2,191 4.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $292.50 $585 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $241.99–$286.50 $483.97–$573 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $250.50–$286.50 $501–$573 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,867.50–$1,964 $3,735–$3,928 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $447 $894 1.9×
Cltx greater humeral tuberosity fx w/o manj (23620) $547.50 $1,095 2.3×
Cltx Greater Trochanteric Fx W/O Manj (27246) $788.50 $1,577 3.3×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $286.50–$293 $573–$586 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $668 $1,336 2.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $719 $1,438 3.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,867.50 $3,735 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 3 matching MRF lines		 $195.50–$286.50 $391–$573 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $768 $1,536 2.9×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 4 matching MRF lines		 $270–$544.50 $540–$1,089 varies
Cltx Medial Ankle Fx (27760) $737 $1,474 3.1×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $651–$707 $1,302–$1,414 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $590–$1,180 $1,180–$2,360 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $687 $1,374 2.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $397–$2,016 $794–$4,032 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $3,101–$3,276.50 $6,202–$6,553 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $790.50–$858 $1,581–$1,716 varies
Cltx prox fibula/shft fx w/o manj (27780) $619 $1,238 2.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,867.50 $3,735 1.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $270–$293 $540–$586 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 3 matching MRF lines		 $943.50–$1,879.50 $1,887–$3,759 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $1,867.50–$1,954 $3,735–$3,908 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $786.50 $1,573 3.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,963.50 $3,927 1.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,061.50 $2,123 4.5×
Cltx tibial fx proximal w/o manipulation (27530) $610.50 $1,221 2.6×
Cltx tibial shaft fx w/o manipulation (27750) $719.50 $1,439 3.0×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $2,182–$2,367.50 $4,364–$4,735 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $627.50 $1,255 2.7×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $7,575.08 $15,150.16 1.6×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $224–$241.50 $448–$483 varies
Collection of venous blood by venipuncture (36415) $14 $28 1.5×
Colonoscopy stoma w/balloon dilation (44405) $1,986.83 $3,973.66 1.7×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 3 matching MRF lines		 $1,553.33–$3,973.67 $3,106.66–$7,947.34 varies
Colonoscopy thru stoma (44388) $2,197 $4,394 2.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $4,628 $9,256 4.0×
Colonoscopy w/ablation (45388)
range across 3 matching MRF lines		 $1,992–$4,336 $3,984–$8,672 varies
Colonoscopy W/Band Ligation (45398)
range across 3 matching MRF lines		 $517.67–$2,680.50 $1,035.33–$5,361 varies
Colonoscopy w/fb removal (45379)
range across 3 matching MRF lines		 $962.88–$5,653 $1,925.75–$11,306 varies
Colonoscopy W/Resection (45390)
range across 4 matching MRF lines		 $1,340.25–$4,935.50 $2,680.50–$9,871 varies
Colonoscopy w/submucosal inj (45381)
range across 4 matching MRF lines		 $772.63–$2,704.33 $1,545.25–$5,408.66 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $4,514.50 $9,029 1.5×
Colpopexy extraperitoneal (57282) $10,971.34 $21,942.67 1.5×
Colpopexy vaginal intraperitoneal approach (57283)
range across 2 matching MRF lines		 $4,282.94–$7,575.09 $8,565.87–$15,150.17 varies
Colporrhaphy (57200) $15,754.50 $31,509 5.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $891.50–$5,214 $1,783–$10,428 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $278–$353 $556–$706 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $228.50–$234.50 $457–$469 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $837 $1,674 2.9×
Colposcopy cervix vag eltrd conization cervix (57461) $3,780 $7,560 1.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines		 $3,577–$3,780 $7,154–$7,560 varies
Colposcopy entire vagina w/cervix if present (57420)
range across 3 matching MRF lines		 $248–$756.83 $496–$1,513.66 varies
Colposcopy of vulva (56820)
range across 2 matching MRF lines		 $226.50–$234.50 $453–$469 varies
Colposcopy Vulva W/Biopsy (56821) $761.50 $1,523 2.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,570 $3,140 1.8×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 5 matching MRF lines		 $551.83–$3,017 $1,103.66–$6,034 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $3,398 $6,796 3.0×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 6 matching MRF lines		 $1,030.17–$3,398 $2,060.33–$6,796 varies
Combined anteroposterior colporrhaphy; (57260) $10,891 $21,782 2.3×
Complex Cystometrogram (51726) $509 $1,018 2.1×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $3,431.50–$5,285.50 $6,863–$10,571 varies
Composite Skin Graft (15760) $2,404.50 $4,809 1.2×
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines		 $3,820.50–$4,752 $7,641–$9,504 varies
Conization of cervix (57520)
range across 2 matching MRF lines		 $3,780–$8,755 $7,560–$17,510 varies
Conjunctival Flap Total (68362) $5,799.50 $11,599 2.5×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $4,795.50 $9,591 2.1×
Conjunctivorhinostomy Insj Tube/Stent (68750)
range across 2 matching MRF lines		 $2,514.25–$4,789.34 $5,028.50–$9,578.67 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $373–$405 $746–$810 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $249.50–$499 $499–$998 varies
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,040.50 $4,081 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $2,273–$2,443.50 $4,546–$4,887 varies
Corneal Transplant,Penetrat,Aphakia (65750) $7,470 $14,940 1.5×
Correction hammertoe (28285)
range across 7 matching MRF lines		 $2,606.83–$7,903.67 $5,213.66–$15,807.34 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $16,428.50 $32,857 5.2×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $19,561.50 $39,123 1.6×
Create Eardrum Opening (69433)
range across 3 matching MRF lines		 $1,121.50–$7,093 $2,243–$14,186 varies
Create Tear Sac-Nasal Fistula (68720)
range across 3 matching MRF lines		 $3,391.50–$4,717.25 $6,783–$9,434.50 varies
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
range across 2 matching MRF lines		 $5,039.50–$18,249 $10,079–$36,498 varies
Csf shunt reprogram (62252) $353 $706 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $137–$158.50 $274–$317 varies
Curettage postpartum (59160) $4,636.50 $9,273 1.5×
Curette/treat cornea (65435) $1,217 $2,434 1.3×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 9 matching MRF lines		 $1,371.83–$7,045.33 $2,743.66–$14,090.66 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 3 matching MRF lines		 $2,065.50–$3,927 $4,131–$7,854 varies
Cysto w/complex removal stone & stent (52315)
range across 3 matching MRF lines		 $1,849.50–$5,928 $3,699–$11,856 varies
Cysto w/destruction of lesions (52214) $5,324 $10,648 1.6×
Cysto w/insert ureteral stent (52332)
range across 8 matching MRF lines		 $1,518.31–$7,070.50 $3,036.62–$14,141 varies
Cysto w/irrig & evac multple obstructing clots (52001)
range across 3 matching MRF lines		 $2,254.17–$7,293 $4,508.33–$14,586 varies
Cysto w/removal of lesions small (52224)
range across 3 matching MRF lines		 $2,662–$4,083 $5,324–$8,166 varies
Cysto w/removal of tumors small (52234)
range across 2 matching MRF lines		 $4,083–$6,699 $8,166–$13,398 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 6 matching MRF lines		 $2,373–$6,341 $4,746–$12,682 varies
Cysto w/ureter stricture tx (52341)
range across 4 matching MRF lines		 $1,285.13–$4,612.83 $2,570.25–$9,225.66 varies
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 5 matching MRF lines		 $4,524.83–$8,762.50 $9,049.66–$17,525 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 5 matching MRF lines		 $2,607–$5,771.17 $5,214–$11,542.33 varies
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 5 matching MRF lines		 $1,801.50–$5,140.50 $3,603–$10,281 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 4 matching MRF lines		 $1,337.67–$3,061.83 $2,675.33–$6,123.66 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 3 matching MRF lines		 $3,808–$8,235.34 $7,616–$16,470.67 varies
Cysto/uretero w/lithotripsy (52356)
range across 5 matching MRF lines		 $4,832–$27,092.50 $9,664–$54,185 varies
Cystolithotomy (51050) $8,379.67 $16,759.34 1.6×
Cystometrogram W/Vp (51728) $1,207.50 $2,415 1.8×
Cystometrogram W/Vp&Up (51729) $2,099 $4,198 3.1×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $12,761 $25,522 1.4×
Cystostomy Cystotomy W/Drainage (51040)
range across 2 matching MRF lines		 $2,417–$9,718.50 $4,834–$19,437 varies
Cystouretero w/excise tumor (52355) $5,654.17 $11,308.33 1.1×
Cystourethroscopy (52000)
range across 6 matching MRF lines		 $1,207.50–$8,483.17 $2,415–$16,966.33 varies
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $4,083 $8,166 1.2×
Cystourethroscopy inj chemodenervation bladder (52287)
range across 5 matching MRF lines		 $825.17–$2,980.25 $1,650.33–$5,960.50 varies
Cystourethroscopy tx female urethral syndrome (52285) $3,828 $7,656 5.7×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)
range across 2 matching MRF lines		 $5,212.75–$5,662.50 $10,425.50–$11,325 varies
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $7,855.50 $15,711 1.5×
Cystourethroscopy w/dil bladder general anesth (52260)
range across 2 matching MRF lines		 $2,417–$3,222 $4,834–$6,444 varies
Cystourethroscopy w/rmvl ureteral calculus (52320) $4,083 $8,166 1.2×
Cystourethroscopy with biopsy (52204)
range across 3 matching MRF lines		 $2,417–$7,056.83 $4,834–$14,113.66 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $6,569 $13,138 3.3×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334)
range across 2 matching MRF lines		 $4,709.75–$11,145.83 $9,419.50–$22,291.66 varies
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $2,417 $4,834 1.2×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $2,447.17 $4,894.33 1.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 3 matching MRF lines		 $2,459.50–$3,964.92 $4,919–$7,929.83 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $983 $1,966 1.4×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $859.50 $1,719 1.3×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287)
range across 2 matching MRF lines		 $1,406–$2,244.50 $2,812–$4,489 varies
Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) $5,800.50 $11,601 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 7 matching MRF lines		 $1,422–$10,409.34 $2,844–$20,818.67 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $152–$1,804.67 $304–$3,609.33 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $176.50–$190 $353–$380 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 6 matching MRF lines		 $1,345.50–$6,864.67 $2,691–$13,729.34 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $1,132 $2,264 2.2×
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $443.50–$887 $887–$1,774 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 8 matching MRF lines		 $225–$6,570.50 $450–$13,141 varies
Declot vascular device (36593)
range across 4 matching MRF lines		 $590–$1,180 $1,180–$2,360 varies
Decomp forearm,1 compart,w/o debride (25020) $5,285.50 $10,571 3.4×
Decompression of tibia nerve (28035) $3,955.63 $7,911.25 2.1×
Deep Muscle Biopsy (20205)
range across 3 matching MRF lines		 $3,341.50–$5,791.50 $6,683–$11,583 varies
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,404.50 $4,809 1.2×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $12,523 $25,046 6.3×
Dermabrasion segmental face (15781) $1,108 $2,216 1.6×
Dermabrasion superficial any site (15783) $965 $1,930 2.5×
Destr W Neurolytic; Celiac Plexus (64680) $1,891 $3,782 2.2×
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines		 $1,475.34–$5,988 $2,950.67–$11,976 varies
Destroy lumb/sac facet jnt (64635)
range across 6 matching MRF lines		 $1,719.34–$11,656 $3,438.67–$23,312 varies
Destruc retinal lesn,photocoag (67210) $2,068.83 $4,137.66 3.9×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $361–$2,704.17 $722–$5,408.33 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $229–$16,208 $458–$32,416 varies
Destruction by neurolytic agent; plantar common digital nerve (64632) $566.50 $1,133 1.9×
Destruction Lesions Vulva Extensive (56515)
range across 2 matching MRF lines		 $2,404.50–$6,783 $4,809–$13,566 varies
Destruction Lesions Vulva Simple (56501) $3,801 $7,602 1.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $355 $710 1.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $410 $820 2.1×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $492.50 $985 1.3×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $840 $1,680 1.2×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $840 $1,680 1.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $418 $836 2.2×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $347.50 $695 1.8×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $380.50 $761 2.0×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $466.50 $933 1.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 2 matching MRF lines		 $279–$3,140.92 $558–$6,281.83 varies
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $299.50 $599 1.6×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $326 $652 1.7×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $371.50 $743 1.9×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $466.50 $933 1.2×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $493 $986 1.3×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $229 $458 1.2×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $2,579–$4,033.50 $5,158–$8,067 varies
Destruction of lesion, conjunctiva (68135) $882.75 $1,765.50 0.4×
Destruction of skin lesions (17106) $690.50 $1,381 1.8×
Destruction Premalignant Lesion 15/> (17004) $466.50 $933 1.2×
Destruction premalignant lesion 1st (17000)
range across 4 matching MRF lines		 $360.50–$3,903.50 $721–$7,807 varies
Destruction Vaginal Lesions Simple (57061)
range across 2 matching MRF lines		 $5,659.50–$8,621 $11,319–$17,242 varies
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $346.83–$2,585 $693.66–$5,170 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $291.50 $583 2.4×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $224.50 $449 1.8×
Dilat Urethral Strix Dilator Male Sbsq (53601) $224.50 $449 1.8×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $288.50 $577 1.2×
Dilat Xst Trc New Access Rcs (50437) $4,706.83 $9,413.66 1.4×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $337–$2,095.50 $674–$4,191 varies
Dilate Urethra Stricture (53620) $798 $1,596 1.2×
Dilate Urethra Stricture (53600) $490 $980 2.0×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 3 matching MRF lines		 $3,149.50–$5,791.50 $6,299–$11,583 varies
Dilation Cervical Canal (57800)
range across 2 matching MRF lines		 $1,936–$5,526.50 $3,872–$11,053 varies
Dilation Lacrimal Punctum W/WO Irrgation (68801) $1,695.75 $3,391.50 4.0×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $526.50–$814.50 $1,053–$1,629 varies
Drain Hand Tendon Sheath (26020)
range across 2 matching MRF lines		 $3,799.50–$6,200.50 $7,599–$12,401 varies
Drain Spinal Cord Cyst (62268) $1,181 $2,362 1.4×
Drain/inj small joint/bursa w/us (20604)
range across 4 matching MRF lines		 $130–$351.50 $260–$703 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $821.50 $1,643 1.2×
Drainage Finger Abscess Complicated (26011)
range across 3 matching MRF lines		 $1,634.50–$5,928 $3,269–$11,856 varies
Drainage of eye (65800) $5,265 $10,530 2.4×
Drainage of finger abscess simple (26010)
range across 5 matching MRF lines		 $683.50–$7,131.25 $1,367–$14,262.50 varies
Drainage of gum lesion (41800)
range across 4 matching MRF lines		 $145–$157.50 $290–$315 varies
Drainage of hematoma/fluid (10140)
range across 6 matching MRF lines		 $2,844–$26,651 $5,688–$53,302 varies
Drainage of hydrocele (55000)
range across 3 matching MRF lines		 $1,223.50–$4,233.50 $2,447–$8,467 varies
Drainage of scrotal wall abscess (55100)
range across 3 matching MRF lines		 $1,981.50–$6,570.50 $3,963–$13,141 varies
Drainage of scrotum (54700) $2,417 $4,834 1.2×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $241.50–$260 $483–$520 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines		 $449.50–$488 $899–$976 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 4 matching MRF lines		 $229–$343.50 $458–$687 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $361–$392 $722–$784 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $874 $1,748 1.2×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $2,404.50 $4,809 1.2×
Dstrj Lesion Anus Extensive (46924) $7,524 $15,048 2.8×
Dstrj lesion anus simple surg excision (46922)
range across 3 matching MRF lines		 $2,752.67–$16,108.25 $5,505.34–$32,216.50 varies
Dstrj Lesion Penis Simple Chemical (54050) $744.50 $1,489 1.9×
Dstrj Lesion Penis Simple Electrodesiccation (54055)
range across 2 matching MRF lines		 $2,404.50–$4,093 $4,809–$8,186 varies
Dstrj lesion penis simple laser (54057) $7,955 $15,910 4.0×
Dstrj lesion penis simple surg excision (54060) $2,404.50 $4,809 1.2×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $573 $1,146 1.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 5 matching MRF lines		 $1,783.50–$3,567 $3,567–$7,134 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $2,427 $4,854 2.9×
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $5,028–$5,405.50 $10,056–$10,811 varies
Dx Bronchoscope/Lavage (31624)
range across 6 matching MRF lines		 $645.50–$2,457.88 $1,291–$4,915.75 varies
Dx Bronchoscope/Wash (31622)
range across 5 matching MRF lines		 $1,859–$3,732.17 $3,718–$7,464.33 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $2,046.50–$2,148 $4,093–$4,296 varies
Dx laryngoscopy w/oper scope (31526) $4,093 $8,186 2.4×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 3 matching MRF lines		 $1,355.50–$1,457.50 $2,711–$2,915 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 3 matching MRF lines		 $827.75–$3,705.50 $1,655.50–$7,411 varies
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines		 $706–$2,314 $1,412–$4,628 varies
Egd control bleeding any (43255)
range across 4 matching MRF lines		 $693.67–$2,315.50 $1,387.34–$4,631 varies
Egd dilation gastric/duodenal stricture (43245)
range across 3 matching MRF lines		 $594–$2,932 $1,188–$5,864 varies
Egd Endoscopic Stent Place (43266) $6,484.50 $12,969 1.1×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $930.25–$1,054.50 $1,860.50–$2,109 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $258.19–$880 $516.37–$1,760 varies
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,743.50 $7,487 2.0×
Egd intrmural us needle aspirate/biopsy esophags (43238) $3,019.50 $6,039 1.6×
Egd lesion ablation (43270) $721.38 $1,442.75 0.4×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $1,884.50–$4,861.50 $3,769–$9,723 varies
Egd remove lesion snare (43251)
range across 4 matching MRF lines		 $674–$2,284 $1,348–$4,568 varies
Egd Tube/Cath Insertion (43241) $2,222.50 $4,445 1.2×
Egd us exam duodenum/jejunum (43259) $5,983.75 $11,967.50 3.3×
Egd us transmural injxn/mark (43253) $3,366 $6,732 1.8×
Egd Varices Ligation (43244)
range across 2 matching MRF lines		 $483.50–$1,420 $967–$2,840 varies
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $222 $444 0.8×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368)
range across 3 matching MRF lines		 $353–$676.50 $706–$1,353 varies
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367)
range across 2 matching MRF lines		 $353–$629 $706–$1,258 varies
Electro-Uroflowmetry First (51741)
range across 2 matching MRF lines		 $248–$313.50 $496–$627 varies
Electrolysis Epilation Each 30 Minutes (17380) $849.50 $1,699 1.2×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201)
range across 3 matching MRF lines		 $5,039.50–$14,666 $10,079–$29,332 varies
Endocervical curettage (57505) $1,611.50 $3,223 1.8×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $506–$4,355.33 $1,012–$8,710.66 varies
Endoscopic injection/implant (51715)
range across 2 matching MRF lines		 $3,193–$4,083 $6,386–$8,166 varies
Endoscopic plantar fasciotomy (29893) $7,955 $15,910 2.5×
Endoscopic us exam esoph (43237) $2,557.50 $5,115 1.4×
Endoscopy upper small intestine w/biopsy (44361)
range across 3 matching MRF lines		 $620.17–$1,348 $1,240.33–$2,696 varies
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,669.50 $5,339 0.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 7 matching MRF lines		 $2,669.50–$14,547 $5,339–$29,094 varies
Endoven ther chem adhes 1st (36482)
range across 4 matching MRF lines		 $4,687.50–$12,351 $9,375–$24,702 varies
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,758 $3,516 1.0×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $3,403.50 $6,807 1.7×
Epididymectomy unilateral (54860) $7,207.34 $14,414.67 2.1×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,404.50 $4,809 1.2×
Epidural Blood Patch (62273)
range across 5 matching MRF lines		 $431.50–$1,286 $863–$2,572 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $4,380.34 $8,760.67 0.8×
Ercp duct stent placement (43274)
range across 3 matching MRF lines		 $2,330–$3,009.67 $4,660–$6,019.34 varies
Ercp Dx Collection Specimen Brushing/Washing (43260)
range across 2 matching MRF lines		 $2,972.50–$3,381 $5,945–$6,762 varies
Ercp ea duct/ampulla dilate (43277)
range across 2 matching MRF lines		 $2,104.50–$3,009.67 $4,209–$6,019.34 varies
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,033.67 $2,067.33 0.3×
Ercp remove forgn body duct (43275) $2,458.50 $4,917 1.3×
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure		 $1,422 $2,844 0.2×
Ercp W/Biopsy Single/Multiple (43261)
range across 3 matching MRF lines		 $1,415.91–$4,209 $2,831.81–$8,418 varies
Ercp,Sphincterotomy (43262)
range across 3 matching MRF lines		 $711–$2,635 $1,422–$5,270 varies
Escharotomy; initial incision (16035) $466.50 $933 1.2×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 4 matching MRF lines		 $344.25–$1,513.67 $688.50–$3,027.34 varies
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,618 $3,236 1.9×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $118 $236 0.1×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $10,296 $20,592 5.6×
Esophagoscopy rigid trnso dx (43191) $1,237.50 $2,475 0.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,222.50 $4,445 1.2×
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $145–$157.50 $290–$315 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113)
range across 2 matching MRF lines		 $7,184–$12,481.50 $14,368–$24,963 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 4 matching MRF lines		 $906.47–$7,598.50 $1,812.94–$15,197 varies
Exc arm/elbow les sc < 3 cm (24075)
range across 5 matching MRF lines		 $1,903.50–$7,984 $3,807–$15,968 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $1,357.50–$3,903.50 $2,715–$7,807 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $2,812–$6,313.50 $5,624–$12,627 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $3,193–$4,771.50 $6,386–$9,543 varies
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines		 $3,341.50–$5,799.50 $6,683–$11,599 varies
Exc back tum deep < 5 cm (21932) $5,779 $11,558 2.1×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $9,342–$12,096 $18,684–$24,192 varies
Exc Chalazion Anes Req Hospization Single/Mult (67808)
range across 5 matching MRF lines		 $2,673–$4,174.50 $5,346–$8,349 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 5 matching MRF lines		 $473–$2,574.25 $946–$5,148.50 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 5 matching MRF lines		 $791.50–$7,287.33 $1,583–$14,574.66 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $1,904–$6,179.34 $3,808–$12,358.67 varies
Exc Face Les Sbq 2 Cm/> (21012)
range across 3 matching MRF lines		 $1,903.50–$8,498 $3,807–$16,996 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 5 matching MRF lines		 $1,322.50–$5,408.34 $2,645–$10,816.67 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $1,223.50–$3,009.67 $2,447–$6,019.34 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $1,588.50–$5,414 $3,177–$10,828 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $3,042.50–$4,477 $6,085–$8,954 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $3,138.50 $6,277 2.0×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 3 matching MRF lines		 $906.47–$4,955.76 $1,812.94–$9,911.52 varies
Exc Forearm Tum Deep 3 Cm/> (25073) $5,498 $10,996 2.0×
Exc ganglion wrist recurrent (25112)
range across 3 matching MRF lines		 $1,867.50–$6,313.50 $3,735–$12,627 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $1,406.50–$11,068 $2,813–$22,136 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $1,223.50–$7,575.08 $2,447–$15,150.16 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $1,321.38–$7,575.09 $2,642.75–$15,150.17 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $1,903.50–$4,133.67 $3,807–$8,267.34 varies
Exc hand tum deep < 1.5 cm (26116) $7,746 $15,492 4.9×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)
range across 4 matching MRF lines		 $791–$3,358 $1,582–$6,716 varies
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $1,650.17 $3,300.33 0.5×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,867.50 $3,735 1.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,964 $3,928 1.3×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,816 $3,632 0.6×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788)
range across 2 matching MRF lines		 $2,250–$5,779 $4,500–$11,558 varies
Exc neuroma hand/foot xcp digital nerve (64782)
range across 2 matching MRF lines		 $4,203.33–$5,836.67 $8,406.66–$11,673.34 varies
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $4,983.63 $9,967.25 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 4 matching MRF lines		 $1,376–$8,321 $2,752–$16,642 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $3,076–$4,466 $6,152–$8,932 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $3,341.50–$4,894.34 $6,683–$9,788.67 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 4 matching MRF lines		 $2,123.08–$5,285.50 $4,246.16–$10,571 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $1,611.67–$3,093 $3,223.34–$6,186 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $3,193–$3,867.67 $6,386–$7,735.34 varies
Exc tendon shth lesion leg/ankle (27630)
range across 2 matching MRF lines		 $5,217–$5,936 $10,434–$11,872 varies
Exc thigh/knee les sc 3 cm/> (27337) $11,196.50 $22,393 4.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $2,328.50–$6,442 $4,657–$12,884 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $663.50–$3,229.50 $1,327–$6,459 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $1,223.50–$4,386 $2,447–$8,772 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 3 matching MRF lines		 $3,432.50–$4,313.25 $6,865–$8,626.50 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 4 matching MRF lines		 $906.47–$7,470 $1,812.94–$14,940 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $10,040 $20,080 3.6×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $6,442 $12,884 4.1×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,734.88 $5,469.75 1.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $6,699 $13,398 2.4×
Exc tumor soft tiss shoulder subfasc <5cm (23076)
range across 2 matching MRF lines		 $3,089.67–$5,008.92 $6,179.33–$10,017.83 varies
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $7,341.50–$8,112.50 $14,683–$16,225 varies
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $4,257.50 $8,515 1.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $10,040 $20,080 3.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $1,903.50–$4,380.34 $3,807–$8,760.67 varies
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)
range across 2 matching MRF lines		 $5,277–$9,151 $10,554–$18,302 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $7,855.50 $15,711 2.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 6 matching MRF lines		 $1,238.94–$14,280.50 $2,477.87–$28,561 varies
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $6,313.50 $12,627 2.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $1,903.50–$7,184 $3,807–$14,368 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $6,179.34 $12,358.67 2.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $3,554.50–$5,065.67 $7,109–$10,131.34 varies
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $11,961 $23,922 4.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $3,338.50 $6,677 1.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 3 matching MRF lines		 $5,029–$6,827.50 $10,058–$13,655 varies
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $12,610 $25,220 3.7×
Exchange Intraocular Lens (66986)
range across 3 matching MRF lines		 $3,996.67–$6,879 $7,993.33–$13,758 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $3,557–$3,824 $7,114–$7,648 varies
Excise intraspinal lesion (63267) $20,867 $41,734 3.0×
Excise Wrist Tendon Sheath (25118) $4,514.50 $9,029 2.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 7 matching MRF lines		 $791.50–$5,531.17 $1,583–$11,062.33 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961)
range across 3 matching MRF lines		 $1,385.63–$4,037.67 $2,771.25–$8,075.34 varies
Excision Chalazion Multiple Same Lid (67801) $3,712.50 $7,425 3.9×
Excision Chalazion Single (67800)
range across 3 matching MRF lines		 $2,557.50–$3,366 $5,115–$6,732 varies
Excision Distal Ulna Partial/Complete (25240) $8,369.50 $16,739 2.7×
Excision H/P/P/U Complex Repair (11471) $3,341.50 $6,683 1.2×
Excision H/P/P/U Simple/Intermediate Repair (11470)
range across 2 matching MRF lines		 $3,341.50–$5,836.67 $6,683–$11,673.34 varies
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 2 matching MRF lines		 $3,341.50–$12,851.50 $6,683–$25,703 varies
Excision inferior turbinate partial/complete (30130) $11,710.50 $23,421 3.7×
Excision Lesion Conjunctiva </1 Cm (68110)
range across 2 matching MRF lines		 $3,358–$3,486.50 $6,716–$6,973 varies
Excision Lesion Cornea Xcp Pterygium (65400)
range across 2 matching MRF lines		 $2,458.50–$2,547.50 $4,917–$5,095 varies
Excision lesion mouth roof (42104) $3,827.50 $7,655 1.2×
Excision lesion tendon sheath forearm&/wrist (25110) $8,112.50 $16,225 5.3×
Excision Lesion Tongue W/O Closure (41110) $3,827.50 $7,655 1.2×
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $2,839.50–$7,721.34 $5,679–$15,442.67 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $1,541.50–$2,000.25 $3,083–$4,000.50 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 3 matching MRF lines		 $791.50–$1,422.50 $1,583–$2,845 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 6 matching MRF lines		 $467–$3,236.75 $934–$6,473.50 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 3 matching MRF lines		 $791.50–$1,482 $1,583–$2,964 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $2,928.31 $5,856.62 4.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 4 matching MRF lines		 $1,823–$4,120.50 $3,646–$8,241 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $7,138.25 $14,276.50 2.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $1,205–$1,315.50 $2,410–$2,631 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 4 matching MRF lines		 $1,424–$3,181 $2,848–$6,362 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 3 matching MRF lines		 $1,823–$2,964 $3,646–$5,928 varies
Excision Multiple External Papillae/Tags Anus (46230) $5,028.50 $10,057 1.9×
Excision of bartholin's gland or cyst (56740) $3,720.50 $7,441 1.2×
Excision of chalazion; multiple, different lids (67805)
range across 2 matching MRF lines		 $2,664–$2,904 $5,328–$5,808 varies
Excision of extraparenchymal lesion of testis (54512)
range across 2 matching MRF lines		 $2,275.83–$2,675.67 $4,551.66–$5,351.33 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 4 matching MRF lines		 $1,867.50–$5,285.50 $3,735–$10,571 varies
Excision of hydrocele; bilateral (55041) $12,242 $24,484 3.6×
Excision of hydrocele; unilateral (55040) $4,551.67 $9,103.34 1.3×
Excision of local lesion of epididymis (54830) $9,397.50 $18,795 2.8×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $3,341.50–$10,297 $6,683–$20,594 varies
Excision of single external papilla or tag, anus (46220) $1,430.50 $2,861 1.2×
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines		 $3,872–$6,103 $7,744–$12,206 varies
Excision olecranon bursa (24105)
range across 4 matching MRF lines		 $3,799.50–$9,863 $7,599–$19,726 varies
Excision or curettage of bone cyst or benign tumor of femur; (27355) $7,551.50 $15,103 2.4×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $11,872 $23,744 3.8×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $3,341.50–$4,514.50 $6,683–$9,029 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $3,341.50–$6,313.50 $6,683–$12,627 varies
Excision prepatellar bursa (27340) $5,803 $11,606 1.8×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $18,491.50 $36,983 2.9×
Excision soft tissue lesion, external auditory canal (69145) $3,341.50 $6,683 1.2×
Excision spermatocele w/wo epididymectomy (54840)
range across 2 matching MRF lines		 $5,351.34–$16,722 $10,702.67–$33,444 varies
Excision tendon finger flexor/extensor each (26180) $1,867.50 $3,735 1.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 4 matching MRF lines		 $3,193–$8,027 $6,386–$16,054 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 2 matching MRF lines		 $3,341.50–$6,827.50 $6,683–$13,655 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $1,903.50–$3,100 $3,807–$6,200 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $1,903.50–$11,713.26 $3,807–$23,426.52 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 4 matching MRF lines		 $1,238.94–$4,294.67 $2,477.87–$8,589.34 varies
Excision, interdigital (morton) neuroma, single, each (28080) $4,890.38 $9,780.75 3.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $4,184.75 $8,369.50 1.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines		 $2,977–$5,919.50 $5,954–$11,839 varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $7,727 $15,454 2.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $3,486.50–$6,481.50 $6,973–$12,963 varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $1,903.50–$6,442 $3,807–$12,884 varies
Excision/curettage cyst/tumor carpal bones (25130) $6,100.67 $12,201.34 1.9×
Excision/curettage cyst/tumor phalanx finger (26210)
range across 3 matching MRF lines		 $1,867.50–$9,269 $3,735–$18,538 varies
Excision/destruction intranasal lesion int appr (30117)
range across 2 matching MRF lines		 $2,715.50–$3,811 $5,431–$7,622 varies
Excision/surgical planing skin nose rhinophyma (30120) $8,448.50 $16,897 2.7×
Excision/Transposition Pterygium W/Grafg (65426)
range across 2 matching MRF lines		 $3,486.50–$4,386 $6,973–$8,772 varies
Excision; trochanteric bursa or calcification (27062)
range across 2 matching MRF lines		 $6,286–$8,358.50 $12,572–$16,717 varies
Expl penetrating wound spx abdomen/flank/back (20102) $2,405 $4,810 1.2×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) $8,486.67 $16,973.33 1.6×
Explo/Drain Breast Abscess (19020)
range across 3 matching MRF lines		 $3,096.50–$6,570.50 $6,193–$13,141 varies
Exploration of knee joint (27310)
range across 3 matching MRF lines		 $3,799.50–$5,494 $7,599–$10,988 varies
Exploration penetrating wound spx extremity (20103) $1,904 $3,808 1.2×
External cephalic version (59412)
range across 2 matching MRF lines		 $3,149.50–$3,780 $6,299–$7,560 varies
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 3 matching MRF lines		 $1,261.83–$1,979.17 $2,523.66–$3,958.33 varies
Fasciectomy Palm Only (26121)
range across 3 matching MRF lines		 $3,799.50–$11,196.50 $7,599–$22,393 varies
Fasciectomy Plantar Fascia Partial Spx (28060) $3,955.63 $7,911.25 1.3×
Fasciotomy palmar open partial (26045)
range across 3 matching MRF lines		 $3,799.50–$11,967.50 $7,599–$23,935 varies
Fasciotomy palmar percutaneous (26040) $6,699 $13,398 4.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 11 matching MRF lines		 $3,799.50–$24,887 $7,599–$49,774 varies
Fetal Contraction Stress Test (59020) $364.50 $729 1.9×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $343.50–$689 $687–$1,378 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,273 $2,546 1.9×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $736.50–$799 $1,473–$1,598 varies
Fixation contralateral testis separate procedure (54620) $13,928 $27,856 4.1×
Fluid Pressure Muscle (20950) $1,027.50 $2,055 1.5×
Fluoro exam of g/colon tube (49465) $332.50 $665 1.5×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,279 $2,558 1.9×
Fna bx w/us gdn 1st les (10005)
range across 6 matching MRF lines		 $1,133.50–$2,005.50 $2,267–$4,011 varies
Foreskin manipulation (54450) $544.50 $1,089 2.3×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $11,582 $23,164 5.2×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $2,216.50–$8,296.75 $4,433–$16,593.50 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,404.50 $4,809 1.2×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,404.50 $4,809 1.2×
Fusion Finger Joint (26860)
range across 4 matching MRF lines		 $5,687.50–$12,931.50 $11,375–$25,863 varies
Fusion of knuckle (26850)
range across 2 matching MRF lines		 $9,223–$15,077 $18,446–$30,154 varies
Gastrocnemius recession (27687) $7,265.33 $14,530.66 2.3×
Goniotomy (65820)
range across 2 matching MRF lines		 $2,523.67–$2,703 $5,047.34–$5,406 varies
Grafting of autologous fat by lipo 50 cc or less (15771) $3,216.75 $6,433.50 0.9×
Grafting of autologous soft tiss by direct exc (15769) $4,760.17 $9,520.33 1.4×
Gstr Rstcv Px Trnsorl Esg W/Argon Plasma Coagj (43889) $10,522 $21,044 1.0×
Guide Cathet Fluid Drainage (10030) $729.50 $1,459 1.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $7,464.34 $14,928.67 2.8×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $9,853.50 $19,707 3.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $14,280.50 $28,561 5.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 3 matching MRF lines		 $585.50–$1,687.50 $1,171–$3,375 varies
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $4,250–$5,117.50 $8,500–$10,235 varies
Hysteroscopy Dx Sep Proc (58555)
range across 3 matching MRF lines		 $3,780–$4,637.34 $7,560–$9,274.67 varies
Hysteroscopy Endometrial Ablation (58563) $8,112.50 $16,225 1.7×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,325 $4,650 0.7×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $7,313 $14,626 1.5×
I&d abscess peritonsillar (42700) $680 $1,360 3.0×
I&d abscess simple (10060)
range across 5 matching MRF lines		 $432–$3,872 $864–$7,744 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $6,570.50 $13,141 4.3×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 3 matching MRF lines		 $1,456.50–$8,369.50 $2,913–$16,739 varies
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 4 matching MRF lines		 $2,870–$8,883.50 $5,740–$17,767 varies
I&d forearm/wrist bursa (25031) $1,963.50 $3,927 1.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,303 $6,606 1.1×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $1,660.50–$7,855.50 $3,321–$15,711 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $821.50–$859 $1,643–$1,718 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $351–$821.50 $702–$1,643 varies
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $5,285.50–$6,185 $10,571–$12,370 varies
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,963 $3,926 2.3×
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $1,634.50–$1,757.50 $3,269–$3,515 varies
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $11,395.50–$12,250.50 $22,791–$24,501 varies
Implant neuroelectrodes (63650)
range across 6 matching MRF lines		 $1,518–$5,124 $3,036–$10,248 varies
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $3,370–$4,054.50 $6,740–$8,109 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $4,032.50 $8,065 0.2×
Implant Spine Infusion Pump (62362)
range across 2 matching MRF lines		 $5,672.50–$6,879 $11,345–$13,758 varies
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
range across 2 matching MRF lines		 $1,665.33–$5,031.50 $3,330.66–$10,063 varies
Incise external hemorrhoid (46083)
range across 5 matching MRF lines		 $273.50–$6,480 $547–$12,960 varies
Incise finger tendon sheath (26055)
range across 19 matching MRF lines		 $902.33–$6,699 $1,804.66–$13,398 varies
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $530.50–$9,012 $1,061–$18,024 varies
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $4,257.50–$6,744.50 $8,515–$13,489 varies
Incision & drainage leg/ankle infected bursa (27604) $3,955 $7,910 1.3×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,634.50–$5,157 $3,269–$10,314 varies
Incision & removal foreign body subq tiss simple (10120)
range across 7 matching MRF lines		 $449.50–$3,135 $899–$6,270 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 4 matching MRF lines		 $202.92–$234.50 $405.84–$469 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 5 matching MRF lines		 $231.50–$767.54 $463–$1,535.07 varies
Incision extensor tendon sheath wrist (25000)
range across 3 matching MRF lines		 $1,867.50–$6,056.50 $3,735–$12,113 varies
Incision of eardrum (69421) $3,827.50 $7,655 1.2×
Incision of eardrum (69420) $647.50 $1,295 2.8×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $605.33–$2,762 $1,210.66–$5,524 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,331–$4,257.50 $4,662–$8,515 varies
Incision of urethra (53020)
range across 2 matching MRF lines		 $2,002–$2,799.13 $4,004–$5,598.25 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 3 matching MRF lines		 $1,634.50–$8,589 $3,269–$17,178 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $392–$4,900 $784–$9,800 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $455–$494 $910–$988 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 8 matching MRF lines		 $1,150–$12,920 $2,300–$25,840 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $367.50–$395.50 $735–$791 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $1,564.50–$3,567 $3,129–$7,134 varies
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $2,702–$5,937.50 $5,404–$11,875 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 11 matching MRF lines		 $353–$4,121.25 $706–$8,242.50 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 5 matching MRF lines		 $1,001.50–$3,781 $2,003–$7,562 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 4 matching MRF lines		 $1,376–$2,752 $2,752–$5,504 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 5 matching MRF lines		 $1,783.50–$5,350.50 $3,567–$10,701 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $1,181 $2,362 1.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 3 matching MRF lines		 $1,476.50–$2,953 $2,953–$5,906 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 5 matching MRF lines		 $1,376–$9,641.83 $2,752–$19,283.66 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $752–$797.50 $1,504–$1,595 varies
Injection Anes Superior Hypogastric Plexus (64517) $1,891 $3,782 2.2×
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $1,376–$2,752 $2,752–$5,504 varies
Injection enzyme palmar fascial cord (20527) $351.50 $703 1.2×
Injection for identification of sentinel node (38792)
range across 4 matching MRF lines		 $907–$8,260.38 $1,814–$16,520.75 varies
Injection Into Brain Canal (61055) $851 $1,702 2.9×
Injection procedure for peyronie disease (54200) $544 $1,088 2.3×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $566.50–$1,133 $1,133–$2,266 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines		 $611.50–$1,247.50 $1,223–$2,495 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 9 matching MRF lines		 $566.50–$1,292 $1,133–$2,584 varies
Injection therapeutic carpal tunnel (20526)
range across 9 matching MRF lines		 $580–$2,207.33 $1,160–$4,414.66 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 6 matching MRF lines		 $1,783.50–$5,884.17 $3,567–$11,768.33 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 8 matching MRF lines		 $665–$18,770.50 $1,330–$37,541 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 8 matching MRF lines		 $1,376–$2,752 $2,752–$5,504 varies
Injection, Intralesional; More Than 7 Lesions (11901) $229 $458 1.2×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $110–$229 $220–$458 varies
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines		 $5,379.50–$5,783 $10,759–$11,566 varies
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $5,379.50–$5,783 $10,759–$11,566 varies
Ins cath ren art 2nd+ bilat (36254) $2,870 $5,740 0.9×
Ins cath ren art 2nd+ unilat (36253) $5,039.50 $10,079 0.9×
Ins endovas vena cava filtr (37191) $5,039.50 $10,079 0.9×
Ins Vag Brachytx Device (57156) $468.50 $937 1.6×
Ins/Rep Subq Defibrillator (33270)
range across 2 matching MRF lines		 $10,482–$11,268 $20,964–$22,536 varies
Insert 1 Electrode Pm-Defib (33216) $5,915 $11,830 0.7×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183)
range across 2 matching MRF lines		 $1,441.17–$1,799.83 $2,882.33–$3,599.66 varies
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $323–$350.50 $646–$701 varies
Insert cath pleura w/ image (32557) $1,188 $2,376 0.8×
Insert cath pleura w/o image (32556) $2,222.50 $4,445 1.2×
Insert cervical dilator (59200) $588 $1,176 2.0×
Insert Drug Implant Device (11981) $287.50 $575 2.3×
Insert Gastrostomy Tube Percutaneous (49440) $2,205.50 $4,411 1.2×
Insert Heart Pm Atrial (33206) $5,362.50 $10,725 0.5×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $4,988.50–$5,362.50 $9,977–$10,725 varies
Insert multi-comp penis pros (54405)
unusually low: confirm this is the full procedure		 $9,263.34 $18,526.67 0.5×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines		 $2,869.50–$5,187 $5,739–$10,374 varies
Insert Pacing Lead & Connect (33224) $5,363 $10,726 0.5×
Insert pessary/other device (57160) $465.50 $931 2.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 4 matching MRF lines		 $3,049.50–$3,279 $6,099–$6,558 varies
Insert pulse gen dual leads (33213) $5,363 $10,726 0.5×
Insert Pulse Gen Sngl Lead (33212) $5,915 $11,830 0.7×
Insert semi-rigid prosthesis (54400) $8,406.67 $16,813.34 0.7×
Insert spine infusion device (62360)
unusually low: confirm this is the full procedure		 $5,672.50 $11,345 0.3×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $233–$253 $466–$506 varies
Insert testicular prosthesis (54660) $10,554 $21,108 2.1×
Insert tun ip cath perc (49418) $3,332.50 $6,665 1.0×
Insert tunneled cv cath (36561)
range across 6 matching MRF lines		 $2,870–$8,224 $5,740–$16,448 varies
Insert tunneled cv cath (36563) $5,039.50 $10,079 0.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines		 $284.50–$318.50 $569–$637 varies
Insertion indwelling tunneled pleural catheter (32550) $3,135 $6,270 0.9×
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) $9,581.50 $19,163 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $2,904.50–$3,151.50 $5,809–$6,303 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 2 matching MRF lines		 $15,027.50–$16,155 $30,055–$32,310 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,332.50 $6,665 1.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $4,578 $9,156 1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $5,915 $11,830 0.7×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985)
range across 2 matching MRF lines		 $2,978.50–$3,113 $5,957–$6,226 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,870 $5,740 0.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $2,708.50–$6,783 $5,417–$13,566 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 5 matching MRF lines		 $3,049.50–$3,309.50 $6,099–$6,619 varies
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $2,777 $5,554 1.2×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $8,195 $16,390 0.7×
Insj Subq Impltbl Dfb Elctrd (33271) $5,915 $11,830 0.7×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $2,870 $5,740 0.9×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $5,039.50 $10,079 0.9×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,870 $5,740 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $1,531.50–$17,556.50 $3,063–$35,113 varies
Insj/rplcmt breast implant sep day mastectomy (19342) $15,688.34 $31,376.67 2.0×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 3 matching MRF lines		 $10,481.50–$11,267.50 $20,963–$22,535 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $7,365.67–$13,843 $14,731.34–$27,686 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,915 $11,830 0.7×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $5,915 $11,830 0.7×
Insrt heart pm atrial & vent (33208)
range across 3 matching MRF lines		 $4,988.50–$8,365 $9,977–$16,730 varies
Insrt Pulse Gen W/Dual Leads (33230)
unusually low: confirm this is the full procedure		 $8,489 $16,978 0.4×
Insrt Pulse Gen W/Mult Leads (33231)
unusually low: confirm this is the full procedure		 $11,268 $22,536 0.4×
Insrt Pulse Gen W/Singl Lead (33240)
unusually low: confirm this is the full procedure		 $8,489 $16,978 0.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,036.50 $2,073 2.7×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $487.50 $975 1.3×
Intranasal Biopsy (30100) $2,672.50 $5,345 1.8×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $2,592–$2,786.50 $5,184–$5,573 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 2 matching MRF lines		 $18,518.50–$19,907.50 $37,037–$39,815 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $9,138.50–$9,824 $18,277–$19,648 varies
Intro Gastrointestinal Tube (44500) $1,695.50 $3,391 1.9×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $271.50–$295 $543–$590 varies
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $2,257.50 $4,515 1.0×
Iridoplasty photocoagulation 1/> sessions (66762) $3,872.50 $7,745 7.3×
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines		 $788–$1,559 $1,576–$3,118 varies
Irrigation of corpora cavernosa for priapism (54220) $455 $910 1.9×
Keratoplasty (corneal transplant); endothelial (65756)
range across 3 matching MRF lines		 $2,344.34–$9,140.50 $4,688.67–$18,281 varies
Keratoplasty Penetrating Pseudophakia (65755)
range across 2 matching MRF lines		 $7,470–$9,783 $14,940–$19,566 varies
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730)
range across 2 matching MRF lines		 $7,470–$8,241 $14,940–$16,482 varies
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $6,313.50–$7,084.50 $12,627–$14,169 varies
Labyrinthotomy Transcanal (69801) $2,790 $5,580 1.9×
Lam facetec & foramot lumbar (63047)
range across 4 matching MRF lines		 $4,323.25–$15,890.50 $8,646.50–$31,781 varies
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $18,700.34 $37,400.67 2.7×
Laminotomy Single Lumbar (63042)
range across 3 matching MRF lines		 $16,697.50–$19,925.50 $33,395–$39,851 varies
Lap insert tunnel ip cath (49324) $7,820.50 $15,641 1.3×
Lap revision perm ip cath (49325) $7,727 $15,454 1.3×
Laparo-vag hyst incl t/o (58552) $32,703 $65,406 3.2×
Laparoscope proc ureter (50949)
range across 3 matching MRF lines		 $4,918.56–$20,612.63 $9,837.12–$41,225.25 varies
Laparoscopic myomectomy (58545) $8,618 $17,236 1.5×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $1,394.92 $2,789.83 0.2×
Laparoscopy Enterolysis Separate Procedure (44180) $11,445 $22,890 2.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 4 matching MRF lines		 $10,267–$24,432.50 $20,534–$48,865 varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $42,206.50 $84,413 4.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $7,575.09–$21,890 $15,150.17–$43,780 varies
Laparoscopy W/Lysis Of Adhesions (58660) $5,484.58 $10,969.16 0.9×
Laparoscopy w/rmvl adnexal structures (58661)
range across 5 matching MRF lines		 $6,610–$13,469.50 $13,220–$26,939 varies
Laparoscopy, surgical, appendectomy (44970)
range across 3 matching MRF lines		 $6,827.67–$14,007.50 $13,655.34–$28,015 varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $30,978.34 $61,956.67 3.0×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $35,789 $71,578 3.5×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $23,827 $47,654 2.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $15,621.50 $31,243 2.7×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $5,565.83–$16,025 $11,131.66–$32,050 varies
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $13,584.50 $27,169 2.3×
Laparoscopy, surgical; partial nephrectomy (50543)
range across 2 matching MRF lines		 $14,545.50–$16,294 $29,091–$32,588 varies
Laparoscopy, surgical; pyeloplasty (50544)
range across 2 matching MRF lines		 $13,766.50–$16,465 $27,533–$32,930 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 4 matching MRF lines		 $19,347.50–$45,959 $38,695–$91,918 varies
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $7,805.17 $15,610.33 0.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $1,394.92–$8,890 $2,789.83–$17,780 varies
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $4,284–$9,140.50 $8,568–$18,281 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 4 matching MRF lines		 $7,094.83–$14,007.50 $14,189.66–$28,015 varies
Laps surg prst8ect smpl stot robotic assistance (55867) $16,288.34 $32,576.67 1.6×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $8,498 $16,996 1.5×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $19,856 $39,712 1.9×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $2,844 $5,688 0.8×
Laryngoplasty Medialization Unliateral (31591)
unusually low: confirm this is the full procedure		 $2,153 $4,306 0.4×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $1,076.50 $2,153 0.3×
Laryngoscopy diagnostic (31505) $242.50 $485 1.3×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $231.50–$251.50 $463–$503 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 2 matching MRF lines		 $2,046.50–$2,105 $4,093–$4,210 varies
Laryngoscopy W/Biopsy (31535) $2,664.75 $5,329.50 0.7×
Laryngoscopy w/biopsy microscope/telescope (31536) $2,475 $4,950 0.7×
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $1,940–$2,105 $3,880–$4,210 varies
Laryngoscopy w/wo tracheoscopy aspiration (31515) $447 $894 1.2×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $470 $940 1.3×
Larynscop w/tumr exc + scope (31541) $4,386 $8,772 1.2×
Laser Surgery of Cervix (57513) $5,265 $10,530 1.7×
Laser treatment of retina (67040)
range across 4 matching MRF lines		 $1,669.50–$7,013.50 $3,339–$14,027 varies
Laser vaporization of prostate (52648)
range across 2 matching MRF lines		 $9,713.67–$16,697.50 $19,427.34–$33,395 varies
Late closure of wound (13160)
range across 3 matching MRF lines		 $2,747–$9,432 $5,494–$18,864 varies
Lateral Canthopexy (21282) $12,045.67 $24,091.34 3.8×
Lig&div long saph vein saphfem junct/interrupj (37700)
range across 2 matching MRF lines		 $9,397.50–$11,839 $18,795–$23,678 varies
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines		 $14,545.50–$14,949 $29,091–$29,898 varies
Ligation of a-v fistula (37607)
range across 2 matching MRF lines		 $2,980.50–$5,427.33 $5,961–$10,854.66 varies
Ligation of hemorrhoids (46946) $3,431 $6,862 1.3×
Ligation Of Neck Artery (37615) $5,671 $11,342 1.9×
Ligation or biopsy temporal artery (37609)
range across 4 matching MRF lines		 $1,757.50–$7,703 $3,515–$15,406 varies
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785)
range across 5 matching MRF lines		 $3,212.50–$17,107.50 $6,425–$34,215 varies
Litholapaxy comp/lg > 2.5 cm (52318) $9,035.50 $18,071 2.7×
Litholapaxy smpl/sm <2.5 cm (52317) $3,064.75 $6,129.50 0.9×
Lithotripsy, extracorporeal shock wave (50590)
range across 4 matching MRF lines		 $8,330–$9,855.50 $16,660–$19,711 varies
Low Back Disk Surgery (63030)
range across 5 matching MRF lines		 $8,073.50–$16,805 $16,147–$33,610 varies
Lumbar spine fusion combined (22633) $19,081 $38,162 0.7×
Lyse chest fibrin init day (32561) $748 $1,496 1.2×
Lyse Chest Fibrin Subq Day (32562) $748 $1,496 1.2×
Lysis of labial adhesions (56441) $3,780 $7,560 1.2×
Lysis/excision penile postcircumcision adhesions (54162)
range across 2 matching MRF lines		 $2,417–$5,285.50 $4,834–$10,571 varies
Maniplatn palar fascial crd post inj single cord (26341) $286.50 $573 1.2×
Manipulation knee joint under general anesthesia (27570)
range across 5 matching MRF lines		 $1,980–$4,057.63 $3,960–$8,115.25 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $9,428 $18,856 6.1×
Marsupialization of bartholin's gland cyst (56440) $7,984 $15,968 2.6×
Mast mod rad (19307)
range across 5 matching MRF lines		 $13,381–$24,836.50 $26,762–$49,673 varies
Mastectomy for gynecomastia (19300) $14,149.83 $28,299.66 3.8×
Mastectomy partial (19301)
range across 4 matching MRF lines		 $5,364.83–$8,883.50 $10,729.66–$17,767 varies
Mastectomy simple complete (19303)
range across 7 matching MRF lines		 $3,964.92–$47,305 $7,929.83–$94,610 varies
Mastopexy (19316)
range across 3 matching MRF lines		 $13,509.50–$35,097.50 $27,019–$70,195 varies
Maternity Care Procedure (59899) $102.50 $205 0.5×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,668.50 $5,337 1.8×
Mech remov tunneled cv cath (36595) $2,870 $5,740 0.9×
Mediastinoscpy w/lmph nod bx (39402) $6,179.34 $12,358.67 1.1×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,315.50 $2,631 1.9×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $1,227.50 $2,455 1.7×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $1,559 $3,118 0.7×
Musc myocutaneous/fasciocutaneous flap uxtr (15736)
range across 2 matching MRF lines		 $2,275.83–$35,868.50 $4,551.66–$71,737 varies
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $6,163.83 $12,327.66 0.9×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $418.50–$450 $837–$900 varies
Myelography Lumbar Injection (62304) $2,210.50 $4,421 2.9×
Myelography via lumbar injection rs&i cervical (62302) $2,210.50 $4,421 2.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,210.50 $4,421 2.9×
Myringoplasty (69620)
range across 3 matching MRF lines		 $3,827.50–$6,270 $7,655–$12,540 varies
N Block Inj Celiac Pelus (64530) $2,652.50 $5,305 3.1×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $811.50–$1,459 $1,623–$2,918 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $1,376–$2,918 $2,752–$5,836 varies
N Block Inj Paracervical (64435)
range across 2 matching MRF lines		 $811.50–$1,563.50 $1,623–$3,127 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $322–$351.50 $644–$703 varies
N Block Inj Pudendal (64430)
range across 3 matching MRF lines		 $1,376–$2,752 $2,752–$5,504 varies
N Block Lumbar/Thoracic (64520)
range across 4 matching MRF lines		 $1,783.50–$2,457 $3,567–$4,914 varies
Nasal Endoscopy Dx (31231) $442 $884 2.3×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $353.50–$573.50 $707–$1,147 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $1,287.83–$3,560.83 $2,575.66–$7,121.66 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
unusually low: confirm this is the full procedure		 $2,560.38 $5,120.75 0.4×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 6 matching MRF lines		 $1,257.13–$5,065.67 $2,514.25–$10,131.34 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 3 matching MRF lines		 $1,931.75–$2,090.25 $3,863.50–$4,180.50 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $3,149–$3,609.34 $6,298–$7,218.67 varies
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239)
range across 2 matching MRF lines		 $5,836.67–$6,744.50 $11,673.34–$13,489 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 2 matching MRF lines		 $5,120.75–$7,121.67 $10,241.50–$14,243.34 varies
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 4 matching MRF lines		 $1,835.38–$15,352.50 $3,670.75–$30,705 varies
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $4,926.75 $9,853.50 0.7×
Nasal/sinus ndsc total with sphenoidotomy (31257)
range across 3 matching MRF lines		 $2,358.67–$14,574 $4,717.33–$29,148 varies
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 3 matching MRF lines		 $2,560.38–$3,670.75 $5,120.75–$7,341.50 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 4 matching MRF lines		 $4,377.50–$18,984 $8,755–$37,968 varies
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 4 matching MRF lines		 $3,285.25–$8,757 $6,570.50–$17,514 varies
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $288.50 $577 1.2×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 4 matching MRF lines		 $3,100–$11,586.50 $6,200–$23,173 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,634.50–$1,757.50 $3,269–$3,515 varies
Needle Biopsy Pancreas (48102) $3,023 $6,046 1.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $28 $56 1.0×
Needle insertion w/o injection 3 or more muscles (20561) $40.50 $81 1.5×
Neurectomy Popliteal (27326) $7,216 $14,432 3.9×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 5 matching MRF lines		 $4,551.67–$16,428.50 $9,103.34–$32,857 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 2 matching MRF lines		 $7,282.50–$12,791.50 $14,565–$25,583 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $672.50–$686 $1,345–$1,372 varies
Njx anes stellate ganglion crv sympathetic (64510)
range across 4 matching MRF lines		 $1,481–$2,629 $2,962–$5,258 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $566.50–$1,847 $1,133–$3,694 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,336 $6,672 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,332.50 $6,665 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 5 matching MRF lines		 $987.34–$12,920 $1,974.67–$25,840 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $1,479–$2,990.50 $2,958–$5,981 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $526.50–$534 $1,053–$1,068 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,016.50 $2,033 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $973.50 $1,947 1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $1,376–$1,980 $2,752–$3,960 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465) $3,403.50 $6,807 1.7×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,403.50 $6,807 1.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $751–$807.50 $1,502–$1,615 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $690.50 $1,381 1.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $690.50 $1,381 1.8×
Njx Sclrsnt Spider Veins (36468) $725 $1,450 1.9×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 4 matching MRF lines		 $1,642.63–$3,542.25 $3,285.25–$7,084.50 varies
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure		 $1,095.08 $2,190.16 0.2×
Obstructive material removal from gi tube (49460) $1,470 $2,940 1.7×
Occipital Nerve Block (64405)
range across 8 matching MRF lines		 $566.50–$1,159 $1,133–$2,318 varies
Open biopsy/excision inguinofemoral nodes (38531) $6,185 $12,370 1.6×
Open bone biopsy (20251)
unusually low: confirm this is the full procedure		 $2,696.50 $5,393 0.4×
Open Repair of Rotator Cuff Acute (23410) $17,504.50 $35,009 2.5×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $16,025–$19,522 $32,050–$39,044 varies
Open treatment calcaneal fracture (28415) $16,284.25 $32,568.50 2.3×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $4,407.88 $8,815.75 0.4×
Open treatment fracture distal tibia only (27827)
range across 4 matching MRF lines		 $6,686.67–$14,949 $13,373.33–$29,898 varies
Open treatment greater trochanteric fracture (27248) $6,304.83 $12,609.66 0.9×
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $5,799.50–$5,853.50 $11,599–$11,707 varies
Open treatment metatarsal fracture each (28485)
range across 4 matching MRF lines		 $8,457.75–$17,908 $16,915.50–$35,816 varies
Open treatment of acromioclavicular dislocation acute or chronic (23550) $11,889.50 $23,779 1.7×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 3 matching MRF lines		 $10,515.14–$14,814.50 $21,030.28–$29,629 varies
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $10,899 $21,798 1.6×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $3,682.83 $7,365.66 0.5×
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines		 $15,487–$18,732 $30,974–$37,464 varies
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $7,955 $15,910 2.5×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $12,656 $25,312 4.0×
Open tx carpal scaphoid navicular fracture (25628) $5,072.67 $10,145.33 0.7×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $3,010.33–$8,896.50 $6,020.66–$17,793 varies
Open Tx Distal Phalangeal Fracture Each (26765)
range across 3 matching MRF lines		 $2,694.88–$7,417 $5,389.75–$14,834 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 4 matching MRF lines		 $3,503.50–$6,622 $7,007–$13,244 varies
Open Tx Humeral Epicondylar Fracture (24575) $11,317.50 $22,635 0.9×
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $3,727.67–$14,007.50 $7,455.33–$28,015 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,799.50 $7,599 1.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 3 matching MRF lines		 $3,955.50–$19,426.50 $7,911–$38,853 varies
Open Tx Radial Head/Neck Fracture (24665) $8,627.50 $17,255 1.2×
Open Tx Radial Head/Neck Fracture Prosth (24666) $15,545.67 $31,091.33 1.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $7,455.34–$19,118.50 $14,910.67–$38,237 varies
Open tx ulnar fx proximal end (24685) $17,066 $34,132 2.5×
Open/Perq Place Stent 1St (37236)
range across 3 matching MRF lines		 $9,339.75–$19,909 $18,679.50–$39,818 varies
Open/Perq Place Stent Same (37238)
range across 4 matching MRF lines		 $6,562–$39,818 $13,124–$79,636 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 3 matching MRF lines		 $5,373–$7,551.50 $10,746–$15,103 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 3 matching MRF lines		 $6,096.50–$15,083.50 $12,193–$30,167 varies
Orchiectomy radical tumor inguinal approach (54530)
range across 2 matching MRF lines		 $8,883.50–$16,336.50 $17,767–$32,673 varies
Orchiopexy Ingun/Scrot Appr (54640) $11,068 $22,136 3.2×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $8,090.25–$8,142.13 $16,180.50–$16,284.25 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $12,096 $24,192 3.9×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,799.50 $7,599 1.2×
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 6 matching MRF lines		 $6,955–$16,593.50 $13,910–$33,187 varies
Partial Excision Bone Humerus (24140) $5,494 $10,988 1.8×
Partial excision bone metacarpal (26230) $3,050.33 $6,100.66 1.0×
Partial excision bone olecranon process (24147) $7,207.34 $14,414.67 2.3×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $1,867.50–$3,964.92 $3,735–$7,929.83 varies
Partial excision of lip (40520) $14,666 $29,332 4.6×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) $8,064 $16,128 1.2×
Partial hymenectomy or revision of hymenal ring (56700) $3,780 $7,560 1.2×
Partial removal of fibula (27641) $5,803 $11,606 1.8×
Partial removal of thyroid (60220)
range across 5 matching MRF lines		 $5,274.17–$18,649.50 $10,548.33–$37,299 varies
Partical Excision Bone Phalanx Toe (28124)
range across 6 matching MRF lines		 $3,152.50–$8,112.50 $6,305–$16,225 varies
Pelvic examination under anesthesia (other than local) (57410) $3,553 $7,106 1.1×
Penile Injection (54235)
range across 4 matching MRF lines		 $538–$4,203.33 $1,076–$8,406.66 varies
Penis plastic surgery (54360) $10,425.50 $20,851 3.1×
Percut Cath Occlusn Non Cns Lesn (61626) $7,644 $15,288 0.7×
Percut Drain/Inject Renal Cyst (50390) $819.50 $1,639 1.2×
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,870 $5,740 0.9×
Peri-Implant Capsulectomy Breast Complete (19371)
range across 4 matching MRF lines		 $5,231.33–$21,990.50 $10,462.66–$43,981 varies
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $1,991.50–$2,010 $3,983–$4,020 varies
Perineoplasty rpr perineum nonobstetrical spx (56810)
range across 2 matching MRF lines		 $3,720.50–$8,870 $7,441–$17,740 varies
Peritoneal Lavage (49084) $1,054.50 $2,109 1.2×
Perq Cervicothoracic Inject (22510) $4,192.50 $8,385 1.3×
Perq dev breast 1st strtctc (19283) $3,288.50 $6,577 4.8×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $678.50–$821.50 $1,357–$1,643 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $1,634.50–$1,757.50 $3,269–$3,515 varies
Perq dilation xst trc endourologic px w/img (50436)
range across 3 matching MRF lines		 $4,678.83–$6,237.17 $9,357.66–$12,474.33 varies
Perq Lumbosacral Injection (22511) $4,192.50 $8,385 1.3×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
range across 2 matching MRF lines		 $9,890.50–$11,105.67 $19,781–$22,211.34 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 3 matching MRF lines		 $922–$991.50 $1,844–$1,983 varies
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $5,803–$8,089.50 $11,606–$16,179 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $20,108.50 $40,217 1.8×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 2 matching MRF lines		 $4,134–$4,444.50 $8,268–$8,889 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $5,393–$5,800.50 $10,786–$11,601 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $5,800.50–$10,645 $11,601–$21,290 varies
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $2,669.50–$16,593.50 $5,339–$33,187 varies
Pin hand dislocation (26676)
range across 2 matching MRF lines		 $2,831–$3,682.83 $5,662–$7,365.66 varies
Place Amniotic Membrane Ocular Surface Sutured (65779) $2,477.88 $4,955.75 0.7×
Place Cath Subclavian Art (36225) $2,870 $5,740 0.9×
Place Cath Thoracic Aorta (36221) $2,870 $5,740 0.9×
Place Cath Vertebral Art (36226) $5,039.50 $10,079 0.9×
Place Duod/Jej Tube Perc (49441) $2,398 $4,796 1.3×
Place Rt Device/Marker Pros (55876)
range across 2 matching MRF lines		 $1,419.17–$1,693 $2,838.33–$3,386 varies
Placement Needle Pelvic Organ Radioelement Appl (55920) $4,578 $9,156 1.0×
Placement of needle for intraosseous infusion (36680)
range across 3 matching MRF lines		 $598.50–$649.50 $1,197–$1,299 varies
Placement of seton (46020) $2,490 $4,980 0.9×
Plastic Repair Canaliculi (68700) $659.50 $1,319 0.3×
Plastic Repair Introitus (56800) $7,984 $15,968 2.6×
Plmt expandable cath brst following prtl mast (19296) $7,397.50 $14,795 0.9×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $3,556–$3,823 $7,112–$7,646 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
range across 2 matching MRF lines		 $5,445.50–$5,722.50 $10,891–$11,445 varies
Prim art mech thrombectomy (37184)
range across 4 matching MRF lines		 $1,269.54–$21,030.50 $2,539.07–$42,061 varies
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815)
range across 3 matching MRF lines		 $2,783–$4,643 $5,566–$9,286 varies
Probe nasolacrimal duct w/wo irrig req gen anes (68811)
range across 4 matching MRF lines		 $1,518–$1,980 $3,036–$3,960 varies
Probe nl duct w/balloon (68816) $1,287 $2,574 0.6×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 7 matching MRF lines		 $2,696.50–$5,534 $5,393–$11,068 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $924 $1,848 1.4×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 3 matching MRF lines		 $3,370–$4,130.50 $6,740–$8,261 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,332.50 $6,665 1.0×
Prq skel fixj metar fx w/manj (28476) $10,645 $21,290 3.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
range across 2 matching MRF lines		 $6,072–$6,341 $12,144–$12,682 varies
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $7,148 $14,296 2.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 3 matching MRF lines		 $3,072.50–$7,598.50 $6,145–$15,197 varies
Pseudoaneurysm Injection Trt (36002) $1,071 $2,142 1.8×
Punch biopsy skin single lesion (11104)
range across 7 matching MRF lines		 $284–$1,244.17 $568–$2,488.33 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 8 matching MRF lines		 $750–$3,571.67 $1,500–$7,143.34 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $1,323–$2,646 $2,646–$5,292 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 3 matching MRF lines		 $1,459–$2,222.50 $2,918–$4,445 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 5 matching MRF lines		 $845.50–$1,691 $1,691–$3,382 varies
Rad resect elbow caps/sr bone w rels (24149) $30,013 $60,026 4.3×
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $21,219.50 $42,439 7.6×
Radical resection of tumor, femur or knee Facility (27365) $11,721 $23,442 3.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 3 matching MRF lines		 $3,805–$7,610 $7,610–$15,220 varies
Rbc DNA gntyp 12 bld grp gen (0282U) $285 $570 0.4×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541)
range across 2 matching MRF lines		 $4,855–$9,606 $9,710–$19,212 varies
Re-explore parathyroids (60502) $3,086.83 $6,173.66 0.5×
Realignment extensor tendon hand each tendon (26437)
range across 2 matching MRF lines		 $4,041.50–$8,083 $8,083–$16,166 varies
Reconstruct extra finger (26587) $13,604 $27,208 4.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $16,294 $32,588 2.3×
Redo Endovas Vena Cava Filtr (37192) $2,870 $5,740 0.9×
Reduction Overcorrection Ptosis (67909) $2,777 $5,554 1.2×
Release eye tissue (67343)
range across 2 matching MRF lines		 $4,955.75–$10,425.50 $9,911.50–$20,851 varies
Relocation Pocket Pacemaker (33222) $2,436.50 $4,873 1.2×
Rem Endovas Vena Cava Filter (37193)
range across 2 matching MRF lines		 $5,277.50–$5,673.50 $10,555–$11,347 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $5,285.50–$7,727 $10,571–$15,454 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $1,634.50–$10,126 $3,269–$20,252 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 4 matching MRF lines		 $1,357.50–$3,486.50 $2,715–$6,973 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $1,634.50–$1,904 $3,269–$3,808 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $3,334 $6,668 1.1×
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $3,085.50–$3,114 $6,171–$6,228 varies
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,972.50 $5,945 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $126.50–$253 $253–$506 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 8 matching MRF lines		 $253–$1,804.67 $506–$3,609.33 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,881.50 $7,763 1.2×
Removal Implant Deep (20680)
range across 8 matching MRF lines		 $2,870–$10,353.67 $5,740–$20,707.34 varies
Removal Implant Superficial Separate Procedure (20670)
range across 5 matching MRF lines		 $1,849.50–$4,323.50 $3,699–$8,647 varies
Removal implantable contraceptive capsules (11976) $1,285 $2,570 1.9×
Removal intact breast implant (19328) $4,052 $8,104 1.1×
Removal of adenoids (42831) $5,153.60 $10,307.20 1.6×
Removal of adenoids (42830)
range across 2 matching MRF lines		 $1,302–$3,438 $2,604–$6,876 varies
Removal of anal fissure (46200) $9,608.50 $19,217 3.6×
Removal of heel spur (28119) $7,911.25 $15,822.50 2.5×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) $15,751.50 $31,503 1.3×
Removal of implant from finger or hand (26320) $1,898.50 $3,797 1.2×
Removal of implanted material, anterior segment of eye (65920) $2,306 $4,612 1.0×
Removal of kidney stone (50081)
range across 4 matching MRF lines		 $6,073.26–$15,530.50 $12,146.52–$31,061 varies
Removal of lens material (66852)
range across 2 matching MRF lines		 $7,993.34–$10,779.50 $15,986.67–$21,559 varies
Removal of mammary implant material (19330)
range across 3 matching MRF lines		 $7,330.17–$16,850.50 $14,660.33–$33,701 varies
Removal of nail bed (11750)
range across 5 matching MRF lines		 $564.03–$6,827.50 $1,128.05–$13,655 varies
Removal of sesamoid bone (28315)
range across 2 matching MRF lines		 $13,251–$13,738.50 $26,502–$27,477 varies
Removal of sperm cord lesion (55520) $3,874.33 $7,748.66 1.1×
Removal of testis (54520)
range across 2 matching MRF lines		 $11,453.50–$13,124 $22,907–$26,248 varies
Removal of thyroid (60271) $20,320 $40,640 3.6×
Removal of tonsils (42825) $6,056.50 $12,113 1.1×
Removal of tonsils (42826) $5,671 $11,342 1.8×
Removal of tunneled intraperitoneal catheter (49422)
range across 5 matching MRF lines		 $2,669.50–$7,855.50 $5,339–$15,711 varies
Removal of wrist bone (25210)
range across 6 matching MRF lines		 $4,158–$19,278 $8,316–$38,556 varies
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines		 $3,045.50–$3,274 $6,091–$6,548 varies
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $3,002.50–$5,915 $6,005–$11,830 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines		 $381–$1,055.60 $762–$2,111.20 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $1,266–$1,361 $2,532–$2,722 varies
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines		 $3,798–$3,944.50 $7,596–$7,889 varies
Removal sweat gland lesion (11450)
range across 5 matching MRF lines		 $3,341.50–$14,630.50 $6,683–$29,261 varies
Removal, under anesthesia, of external fixation system (20694)
range across 4 matching MRF lines		 $1,867.50–$13,373.34 $3,735–$26,746.67 varies
Removal/bivalving gauntlet boot/body cast (29700) $328.50 $657 1.2×
Remove Brain Cavity Fluid (61020) $1,114 $2,228 1.3×
Remove drug implant device (11982)
range across 4 matching MRF lines		 $328–$4,546 $656–$9,092 varies
Remove Elctrd Transvenously (33244) $3,274 $6,548 0.9×
Remove foreign body from eye (65235)
range across 2 matching MRF lines		 $2,978.50–$3,089 $5,957–$6,178 varies
Remove foreign body from eye (65205)
range across 4 matching MRF lines		 $137–$168 $274–$336 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $760–$2,318.67 $1,520–$4,637.33 varies
Remove intrvas foreign body (37197) $2,870 $5,740 0.9×
Remove lamina/facets lumbar (63012) $15,775.76 $31,551.52 2.3×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $478.50–$695.50 $957–$1,391 varies
Remove muti-comp penis pros (54406) $13,766.50 $27,533 4.1×
Remove Nasal Foreign Body (30300)
range across 4 matching MRF lines		 $145–$464.50 $290–$929 varies
Remove prostate regrowth (52630) $3,695 $7,390 0.7×
Remove Pulse Generator (33241) $3,274 $6,548 0.9×
Remove renal tube w/fluoro (50389) $610.50 $1,221 0.9×
Remove spine eltrd plate (63662)
range across 2 matching MRF lines		 $3,326.50–$11,919 $6,653–$23,838 varies
Remove Tendon Sheath Lesion (26160)
range across 12 matching MRF lines		 $1,437.75–$10,168.50 $2,875.50–$20,337 varies
Remove tissue expander (11971) $5,928 $11,856 2.1×
Remove&replace pm gen singl (33227)
range across 2 matching MRF lines		 $3,002.50–$6,408 $6,005–$12,816 varies
Remove/graft bone lesion (24125) $19,035 $38,070 6.1×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $467–$508 $934–$1,016 varies
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure		 $8,488.50 $16,977 0.4×
Remv&replc cvd gen mult lead (33264)
range across 3 matching MRF lines		 $10,481.50–$11,634 $20,963–$23,268 varies
Remv&replc cvd gen sing lead (33262)
range across 2 matching MRF lines		 $7,896.50–$8,488.50 $15,793–$16,977 varies
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $4,988.50–$5,618.50 $9,977–$11,237 varies
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $8,536–$15,418 $17,072–$30,836 varies
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $2,812–$3,023 $5,624–$6,046 varies
Reopen fallopian tube (58350)
range across 3 matching MRF lines		 $2,285.13–$3,775 $4,570.25–$7,550 varies
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $8,498–$12,353 $16,996–$24,706 varies
Repair Blood Vessel Direct Upper Extremity (35206)
range across 3 matching MRF lines		 $5,919.50–$36,101.50 $11,839–$72,203 varies
Repair brow ptosis (67900) $15,746.25 $31,492.50 6.9×
Repair Collat Ankle Ligmnt,Secondary (27698) $7,470 $14,940 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines		 $923–$6,827.50 $1,846–$13,655 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,021–$1,108 $2,042–$2,216 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $835.50–$1,373.50 $1,671–$2,747 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $955.50–$2,238.50 $1,911–$4,477 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $697–$3,281 $1,394–$6,562 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 5 matching MRF lines		 $849.50–$5,567.53 $1,699–$11,135.05 varies
Repair complex trunk 1.1-2.5 cm (13100) $840 $1,680 1.2×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $840–$852 $1,680–$1,704 varies
Repair detached retina (67105)
range across 2 matching MRF lines		 $6,206.50–$8,896.50 $12,413–$17,793 varies
Repair Ectropion Excision Tarsal Wedge (67916)
range across 2 matching MRF lines		 $2,777–$7,855.50 $5,554–$15,711 varies
Repair Ectropion Extensive (67917)
range across 3 matching MRF lines		 $3,009.67–$4,900 $6,019.34–$9,800 varies
Repair Elbow Perc (24357) $3,799.50 $7,599 1.2×
Repair Entropion Extensive (67924) $10,315.67 $20,631.34 4.5×
Repair Entropion Suture (67921) $3,101 $6,202 1.4×
Repair extensor tendon finger w/o graft each (26418)
range across 7 matching MRF lines		 $1,867.50–$18,424 $3,735–$36,848 varies
Repair Finger Tendon (26433) $3,799.50 $7,599 1.2×
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $10,939.50–$15,694 $21,879–$31,388 varies
Repair Fistula Oromaxillary (30580) $3,670.75 $7,341.50 0.6×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $8,457.75–$21,936.50 $16,915.50–$43,873 varies
Repair Forearm Tendon Sheath (25275) $15,897 $31,794 5.1×
Repair Hallux Rigidus (28289) $9,012 $18,024 2.9×
Repair Hand Joint (26540)
range across 3 matching MRF lines		 $4,803–$8,483.25 $9,606–$16,966.50 varies
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $1,867.50–$10,682.50 $3,735–$21,365 varies
Repair humerus with graft (24435) $27,457.50 $54,915 2.2×
Repair incomplete circumcision (54163) $11,839 $23,678 5.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 6 matching MRF lines		 $945.17–$6,313.50 $1,890.33–$12,627 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 7 matching MRF lines		 $449.50–$3,627.13 $899–$7,254.25 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 3 matching MRF lines		 $688.50–$1,244.17 $1,377–$2,488.33 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $736–$799 $1,472–$1,598 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $840–$849.50 $1,680–$1,699 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 5 matching MRF lines		 $449.50–$945.17 $899–$1,890.33 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 7 matching MRF lines		 $449.50–$890.21 $899–$1,780.41 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 3 matching MRF lines		 $715–$6,056.50 $1,430–$12,113 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $830.50–$3,236.75 $1,661–$6,473.50 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 9 matching MRF lines		 $425.50–$2,575.67 $851–$5,151.33 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 6 matching MRF lines		 $598–$2,895.50 $1,196–$5,791 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $1,183.50–$1,284 $2,367–$2,568 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 6 matching MRF lines		 $449.50–$6,632.13 $899–$13,264.25 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $2,404.50–$4,030.75 $4,809–$8,061.50 varies
Repair iris ciliary body (66680) $2,166.67 $4,333.34 1.0×
Repair lead pace-defib dual (33220) $3,273.50 $6,547 0.9×
Repair Lead Pace-Defib One (33218) $3,273.50 $6,547 0.9×
Repair Nonunion Hand (26546) $5,853.50 $11,707 0.8×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $17,908 $35,816 2.6×
Repair of enterocele, vaginal approach (separate procedure) (57268)
range across 2 matching MRF lines		 $4,121.50–$5,722.50 $8,243–$11,445 varies
Repair of nail bed (11760)
range across 2 matching MRF lines		 $840–$7,855.50 $1,680–$15,711 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $20,463.50 $40,927 2.9×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $22,016.50 $44,033 3.2×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $11,325–$11,967.50 $22,650–$23,935 varies
Repair of traumatic corporeal tear(s) (54437) $11,325 $22,650 3.3×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $10,297 $20,594 1.7×
Repair retinal detach cplx (67113)
range across 3 matching MRF lines		 $6,874–$12,387 $13,748–$24,774 varies
Repair Retinal Detachment Scleral Buckling (67107) $7,820.50 $15,641 2.0×
Repair Rotator Cuff Chronic (23412)
range across 3 matching MRF lines		 $3,276.08–$6,848.75 $6,552.16–$13,697.50 varies
Repair shoulder capsule (23466) $12,428.50 $24,857 1.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,799.50 $7,599 1.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $12,096–$12,610 $24,192–$25,220 varies
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) $19,719 $39,438 2.8×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 3 matching MRF lines		 $4,758.83–$14,079.25 $9,517.66–$28,158.50 varies
Repair/Revise Wrist Joint (25320) $10,376 $20,752 1.5×
Repair/transpose nerve (64856) $11,484 $22,968 1.4×
Replace duodenostomy/jejunostomy tube perq (49451) $1,482 $2,964 1.7×
Replace g/c tube perc (49450) $1,042.50 $2,085 1.2×
Replacement Tissue Expander W/Permanent Implant (11970) $6,433.50 $12,867 0.9×
Repos Previously Implanted Subq Implantable Dfb (33273) $3,273.50 $6,547 0.9×
Reposition L Ventric Lead (33226) $2,980.50 $5,961 1.0×
Reposition Pacing-Defib Lead (33215)
range across 3 matching MRF lines		 $2,772.50–$7,900.50 $5,545–$15,801 varies
Reposition Venous Catheter (36597) $2,961 $5,922 2.0×
Repositioning Io Lens Prosthesis Req Inc Spx (66825)
range across 2 matching MRF lines		 $2,472.33–$2,709.50 $4,944.66–$5,419 varies
Repr elbow lat ligmnt w/tiss (24343) $5,488.33 $10,976.66 1.7×
Resection of scrotum (55150) $15,308.50 $30,617 4.5×
Resection, partial or complete, phalangeal base, each toe (28126) $3,799.50 $7,599 1.2×
Retrobulbar injection (67500) $688 $1,376 2.3×
Rev/rmv prph sac/gstr npg/r (64595) $2,858 $5,716 0.9×
Revis reconst shoulder joint (23473)
range across 2 matching MRF lines		 $23,246–$29,517.50 $46,492–$59,035 varies
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $19,008.50 $38,017 1.5×
Revise eye with implant (65093) $12,259 $24,518 3.3×
Revise Hand/Foot Nerve (64704) $7,955 $15,910 4.2×
Revise lower leg tendon (27690) $8,090.25 $16,180.50 1.2×
Revise Spine Eltrd Plate (63664) $13,642.34 $27,284.67 1.3×
Revise ulnar nerve at wrist (64719)
range across 3 matching MRF lines		 $7,213–$15,218 $14,426–$30,436 varies
Revise/Implant Finger Joint (26536)
range across 2 matching MRF lines		 $5,687.50–$15,487 $11,375–$30,974 varies
Revision of eyelid (67880) $1,397 $2,794 0.6×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $3,955.50–$4,289 $7,911–$8,578 varies
Revision of penis (54300) $2,101.67 $4,203.33 0.6×
Revision of reconstructed breast (19380)
range across 4 matching MRF lines		 $2,787–$10,462.67 $5,574–$20,925.34 varies
Revision of scrotum (55180) $6,305.01 $12,610.01 1.2×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $20,561.50 $41,123 1.7×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185)
range across 2 matching MRF lines		 $6,206.50–$9,045 $12,413–$18,090 varies
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
range across 3 matching MRF lines		 $3,682.83–$6,475.50 $7,365.66–$12,951 varies
Revj Shunt Extraocular Reservoir W/O Graft (66184) $2,838.34 $5,676.67 1.3×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 3 matching MRF lines		 $7,579.17–$31,106.50 $15,158.33–$62,213 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $12,211.67–$16,974.50 $24,423.34–$33,949 varies
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 4 matching MRF lines		 $3,336.50–$4,808.67 $6,673–$9,617.34 varies
Revj/rmvl peripheral neurostimulator electrode (64585)
range across 2 matching MRF lines		 $3,094–$13,638 $6,188–$27,276 varies
Revj/rpr oprative wound anterior segment (66250)
range across 2 matching MRF lines		 $1,547.67–$4,643 $3,095.33–$9,286 varies
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $9,138.50 $18,277 1.7×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $9,138.50 $18,277 1.7×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $18,519.50 $37,039 1.1×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $18,519.50 $37,039 1.1×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $29,610 $59,220 1.7×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $29,610 $59,220 1.7×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $18,520 $37,040 1.7×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $18,520 $37,040 1.7×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $7,965 $15,930 0.7×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $7,965 $15,930 0.7×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $4,649.50 $9,299 0.9×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $4,649.50 $9,299 0.9×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $18,706 $37,412 1.7×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $18,706 $37,412 1.7×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $18,521 $37,042 1.7×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $18,521 $37,042 1.7×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $29,610 $59,220 1.7×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $29,610 $59,220 1.7×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $9,515 $19,030 0.5×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $9,515 $19,030 0.5×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $9,515 $19,030 0.5×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $9,515 $19,030 0.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,091 $4,182 1.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $449–$508 $898–$1,016 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $169.50 $339 1.3×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $508–$7,605.50 $1,016–$15,211 varies
Rmvl FB/Dacryolith Lacrimal Passages (68530) $368 $736 1.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,472.50 $6,945 1.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $1,903.50–$1,904 $3,807–$3,808 varies
Rmvl Implt Matrl Posterior Segment Intraocular (67121)
range across 2 matching MRF lines		 $3,458.67–$7,148 $6,917.33–$14,296 varies
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $2,306 $4,612 1.0×
Rmvl Lens Material Phacofragmentation Aspir (66850)
range across 3 matching MRF lines		 $2,068.83–$2,226 $4,137.66–$4,452 varies
Rmvl of subq implantable defibrillator electrode (33272) $3,273.50 $6,547 0.9×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $1,761.83 $3,523.66 0.9×
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 3 matching MRF lines		 $2,250–$4,147.83 $4,500–$8,295.66 varies
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $10,554 $21,108 3.2×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,274 $6,548 0.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 6 matching MRF lines		 $1,307–$4,900 $2,614–$9,800 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 4 matching MRF lines		 $721–$6,744.50 $1,442–$13,489 varies
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $1,620.50 $3,241 0.7×
Rmvl/revj sling stress incontinence (57287) $3,780 $7,560 1.2×
Rplc Gtube No Revj Trc (43762)
range across 5 matching MRF lines		 $273.50–$2,330 $547–$4,660 varies
Rplc gtube revj gstrst trc (43763) $191.50 $383 0.8×
Rplcmt cath ctr vad subq port/pmp (36578) $2,870 $5,740 0.9×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,429 $2,858 0.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,616 $3,232 1.1×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 3 matching MRF lines		 $2,772.50–$15,756 $5,545–$31,512 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $5,727–$6,157 $11,454–$12,314 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 3 matching MRF lines		 $8,441.67–$12,124.50 $16,883.34–$24,249 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 3 matching MRF lines		 $7,070.67–$14,472.17 $14,141.33–$28,944.33 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $24,303.50 $48,607 3.9×
Rpr aa hernia recr 3-10 cm reducible (49615) $22,212 $44,424 3.6×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $30,873.50 $61,747 5.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $20,931.50 $41,863 6.1×
Rpr aa hrn 1st 3-10 rdc (49593) $10,376 $20,752 1.7×
Rpr aa hrn 1st < 3 ncr/strn (49592) $8,369.50 $16,739 1.4×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904)
range across 5 matching MRF lines		 $3,390.50–$8,883.50 $6,781–$17,767 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $841.50 $1,683 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $350.50–$380.50 $701–$761 varies
Rpr flexor tendon leg secondary w/o graft each (27659) $13,252.50 $26,505 1.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $688.50–$840 $1,377–$1,680 varies
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $3,095.34 $6,190.67 1.4×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $3,486.50 $6,973 0.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $620 $1,240 1.2×
Rpr Lip Full Thickness Vermilion Only (40650) $11,839 $23,678 22.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $12,738.50 $25,477 8.6×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108)
range across 4 matching MRF lines		 $5,393–$11,452 $10,786–$22,904 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines		 $7,039.63–$8,142.13 $14,079.25–$16,284.25 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,742 $11,484 1.8×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $9,263.34 $18,526.67 3.0×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $9,511.17 $19,022.33 1.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $726.50 $1,453 1.2×
Sclerotx Fluid Collection (49185) $2,544 $5,088 1.6×
Scrotal exploration (55110) $8,626.50 $17,253 2.6×
Scrotoplasty Simple (55175) $4,631.67 $9,263.33 1.4×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 3 matching MRF lines		 $2,028.13–$2,722.50 $4,056.25–$5,445 varies
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $16,563 $33,126 7.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,090.50 $6,181 2.7×
Shave skin lesion 0.5 cm/< (11300)
range across 3 matching MRF lines		 $388.50–$687.50 $777–$1,375 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $398.50 $797 2.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 2 matching MRF lines		 $269.50–$466.50 $539–$933 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $227–$229 $454–$458 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $256.50 $513 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $431 $862 2.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $466.50 $933 1.2×
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines		 $5,799.50–$6,185 $11,599–$12,370 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $229 $458 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $358–$388.50 $716–$777 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $466.50–$1,339.38 $933–$2,678.75 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $293–$428.50 $586–$857 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 2 matching MRF lines		 $3,810.50–$7,984 $7,621–$15,968 varies
Sigmoidoscopy flx tndsc balo dilat (45340) $3,193 $6,386 2.8×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $938 $1,876 0.8×
Sigmoidoscopy w/fb removal (45332) $2,068 $4,136 1.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 4 matching MRF lines		 $465.13–$3,932.50 $930.25–$7,865 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334)
range across 2 matching MRF lines		 $762–$1,162.67 $1,524–$2,325.34 varies
Simple Cystometrogram (51725) $1,068 $2,136 4.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $466.50 $933 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 5 matching MRF lines		 $229–$2,201.50 $458–$4,403 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $381.50–$414 $763–$828 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $289–$314 $578–$628 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 6 matching MRF lines		 $400.50–$5,799.50 $801–$11,599 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $176–$191 $352–$382 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $2,404.50–$10,952.34 $4,809–$21,904.67 varies
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $1,432–$3,964.92 $2,864–$7,929.83 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $1,954.50–$3,166 $3,909–$6,332 varies
Skin sub grft t/arm/lg child (15273) $2,371.50 $4,743 1.2×
Skin Tissue Procedure (17999)
range across 3 matching MRF lines		 $230.50–$4,000.50 $461–$8,001 varies
Skn sub grft f/n/hf/g child (15277) $2,371.50 $4,743 1.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $5,039.50 $10,079 0.9×
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,870 $5,740 0.9×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $5,039.50 $10,079 0.9×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines		 $4,566–$6,687.67 $9,132–$13,375.33 varies
Slitting of prepuce (54001)
range across 3 matching MRF lines		 $2,007–$5,408.67 $4,014–$10,817.34 varies
Small bowel endoscopy (44366)
range across 2 matching MRF lines		 $2,065.50–$2,538.67 $4,131–$5,077.34 varies
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,240.34 $2,480.67 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $381.50–$414 $763–$828 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $424.50–$466.50 $849–$933 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $408–$443 $816–$886 varies
Snip Incision Lacrimal Punctum (68440)
range across 2 matching MRF lines		 $737–$1,504.83 $1,474–$3,009.66 varies
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $894–$1,470.50 $1,788–$2,941 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines		 $3,600.83–$4,117.50 $7,201.66–$8,235 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $2,404.50–$5,787.83 $4,809–$11,575.66 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 3 matching MRF lines		 $2,669.50–$17,107.50 $5,339–$34,215 varies
Strabismus Recession/Rescj 1 Hrzntl Musc (67311)
range across 4 matching MRF lines		 $1,866.08–$7,318.34 $3,732.16–$14,636.67 varies
Strabismus Recession/Rescj 1 Ver Musc (67314)
range across 3 matching MRF lines		 $4,386–$6,056.50 $8,772–$12,113 varies
Strabismus Recession/Rescj 2 Hrzntl Musc (67312)
range across 3 matching MRF lines		 $9,783–$17,107.50 $19,566–$34,215 varies
Strabismus Recession/Rescj 2/More Ver Musc (67316) $10,120 $20,240 4.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $382–$411.50 $764–$823 varies
Subconjunctival injection (68200)
range across 2 matching MRF lines		 $1,402.50–$1,633.50 $2,805–$3,267 varies
Subcutaneous Hormone Pellet Implantation (11980)
range across 2 matching MRF lines		 $191–$508 $382–$1,016 varies
Subcutaneous Injection Filling Material 1 Cc/< (11950) $229 $458 1.2×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $840 $1,680 1.2×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 3 matching MRF lines		 $2,090.25–$10,040 $4,180.50–$20,080 varies
Suction Lipectomy Lwr Extrem (15879) $33,812.50 $67,625 9.9×
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $5,237 $10,474 0.3×
Surg tx anal fistula subq (46270) $6,022.50 $12,045 2.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $4,980 $9,960 1.9×
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $4,672.50–$15,951 $9,345–$31,902 varies
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $2,257.50 $4,515 1.0×
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 3 matching MRF lines		 $6,570.50–$7,598.50 $13,141–$15,197 varies
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
range across 2 matching MRF lines		 $12,393.50–$15,218 $24,787–$30,436 varies
Tangential biopsy skin single lesion (11102)
range across 5 matching MRF lines		 $239.50–$1,944.50 $479–$3,889 varies
Tattooing incl micropigmentation 6.0 cm/< (11920) $840 $1,680 1.2×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $840 $1,680 1.2×
Tcat Insj/Rpl Perm Ldls Pm (33274)
range across 2 matching MRF lines		 $7,940.50–$8,536 $15,881–$17,072 varies
Tcat Rmvl Perm Ldls Pm (33275) $2,980.50 $5,961 1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $4,041.50 $8,083 1.3×
Tenodesis long tendon biceps (23430)
range across 5 matching MRF lines		 $5,599.83–$19,656.50 $11,199.66–$39,313 varies
Tenolysis flexor tendon palm&finger each tendo (26442)
range across 3 matching MRF lines		 $3,266.67–$9,345 $6,533.34–$18,690 varies
Tenolysis flexor tendon palm/finger each tendon (26440)
range across 7 matching MRF lines		 $1,578.38–$6,827.50 $3,156.75–$13,655 varies
Tenolysis, extensor tendon, hand or finger, each tendon (26445)
range across 3 matching MRF lines		 $3,799.50–$10,168.50 $7,599–$20,337 varies
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295)
range across 2 matching MRF lines		 $5,082.25–$6,678 $10,164.50–$13,356 varies
Tenotomy Percutaneous Single Each Digit (26060) $2,330.50 $4,661 1.5×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $1,848.50–$2,172 $3,697–$4,344 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $3,799.50 $7,599 1.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $3,575 $7,150 2.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,457.50 $2,915 2.2×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
range across 3 matching MRF lines		 $8,195–$10,145.34 $16,390–$20,290.67 varies
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
range across 2 matching MRF lines		 $5,039.50–$11,183 $10,079–$22,366 varies
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $19,522 $39,044 3.7×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $5,039.50 $10,079 0.9×
Thrmbc/Nfs Dialysis Circuit (36906)
range across 2 matching MRF lines		 $29,703.50–$31,931.50 $59,407–$63,863 varies
Thromblytic art/ven therapy (37213) $2,870 $5,740 0.9×
Thrombolytic Art Therapy (37211) $5,039.50 $10,079 0.9×
Thrombolytic Therapy Stroke (37195) $425 $850 1.3×
Thrombolytic Venous Therapy (37212) $2,870 $5,740 0.9×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $859.50–$1,372.50 $1,719–$2,745 varies
Thyroidectomy Post Prev Thyr Surg (60260)
range across 4 matching MRF lines		 $11,582–$15,192.50 $23,164–$30,385 varies
Thyroidectomy, total or complete (60240)
range across 2 matching MRF lines		 $16,850.50–$18,778 $33,701–$37,556 varies
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
range across 2 matching MRF lines		 $14,917.34–$19,549 $29,834.67–$39,098 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 4 matching MRF lines		 $2,058–$15,895 $4,116–$31,790 varies
Tissue Expander Placement Breast Reconstruction (19357)
range across 5 matching MRF lines		 $8,553.75–$19,549 $17,107.50–$39,098 varies
Tnot elbow lateral/medial debride open (24358) $4,551.67 $9,103.34 1.5×
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 4 matching MRF lines		 $2,747–$8,241 $5,494–$16,482 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $5,414 $10,828 1.7×
Tooth extraction (41899)
range across 4 matching MRF lines		 $292.50–$14,537.50 $585–$29,075 varies
Total Knee Arthroplasty (27447)
range across 4 matching MRF lines		 $10,172.50–$14,543.50 $20,345–$29,087 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
range across 2 matching MRF lines		 $15,051.50–$16,979 $30,103–$33,958 varies
Tprnl Plmt Biodegrdabl Matrl (55874)
range across 2 matching MRF lines		 $2,838.34–$5,719 $5,676.67–$11,438 varies
Tracheobrnchsc Thru Est Trachs Inc (31615) $614.50 $1,229 1.2×
Tracheostomy planned (31600) $3,827.50 $7,655 1.2×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $5,788.17 $11,576.33 3.1×
Transfer skin pedicle flap (15650) $3,152.50 $6,305 1.6×
Translum Dil Eye Canal (66174)
range across 2 matching MRF lines		 $1,716.67–$1,799.83 $3,433.34–$3,599.66 varies
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875)
likely a partial charge, not the full procedure		 $871.63 $1,743.25 0.2×
Transplant hand tendon (26480) $4,803.67 $9,607.33 1.5×
Transur electr resection of prostate (52601)
range across 3 matching MRF lines		 $4,696–$8,167.50 $9,392–$16,335 varies
Transurethral resection bladder neck (52500) $3,478 $6,956 1.0×
Treat Big Toe Fracture (28505) $7,417 $14,834 2.4×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $8,112.50–$11,967.50 $16,225–$23,935 varies
Treat Finger Fracture Each (26727)
range across 5 matching MRF lines		 $3,799.50–$8,089.50 $7,599–$16,179 varies
Treat fracture radius/ulna (25575) $5,830 $11,660 0.8×
Treat Fx Rad Extra-Articul (25607)
range across 4 matching MRF lines		 $6,674.50–$27,457.50 $13,349–$54,915 varies
Treat humerus fracture (24500) $728 $1,456 3.1×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,879.50–$10,837 $3,759–$21,674 varies
Treat humerus fracture (23600) $659 $1,318 2.8×
Treat knee fracture (27532) $3,955.50 $7,911 1.3×
Treat Kneecap Fracture (27524) $13,839 $27,678 2.0×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $253–$275 $506–$550 varies
Treat metacarpal fracture (26607) $3,799.50 $7,599 1.2×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $528–$4,000.50 $1,056–$8,001 varies
Treat Tail Bone Fracture (27200) $288.50 $577 1.2×
Treat toe dislocation (28630) $313.50 $627 1.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,090 $2,180 0.7×
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines		 $756.50–$821 $1,513–$1,642 varies
Treatment extensive retinopathy photocoagulation (67228)
range across 8 matching MRF lines		 $2,651.67–$6,341 $5,303.33–$12,682 varies
Treatment of penis lesion (54115) $7,855.50 $15,711 2.8×
Trim skin lesion (11055) $381.50 $763 2.0×
Trim skin lesions 2 to 4 (11056) $401 $802 2.1×
Trim skin lesions over 4 (11057) $363.50 $727 1.9×
Trimming Nondystrophic Nails Any Number (11719) $133.50 $267 2.4×
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $9,138.50–$9,824 $18,277–$19,648 varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $9,138.50–$9,824 $18,277–$19,648 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
range across 2 matching MRF lines		 $14,949–$20,329 $29,898–$40,658 varies
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 3 matching MRF lines		 $2,442–$3,881.50 $4,884–$7,763 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $11,183 $22,366 1.6×
Tx Missed Abortion First Trimester Surgical (59820) $5,676 $11,352 1.8×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 5 matching MRF lines		 $640–$6,779 $1,280–$13,558 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $365.50–$467.50 $731–$935 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,867.50 $3,735 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $438 $876 1.9×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $7,365.67–$15,897 $14,731.34–$31,794 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 5 matching MRF lines		 $1,231.34–$3,799 $2,462.67–$7,598 varies
Tympanoplasty (69631)
range across 4 matching MRF lines		 $6,955–$16,428.50 $13,910–$32,857 varies
Tympanostomy general anesthesia (69436)
range across 7 matching MRF lines		 $824.67–$2,014 $1,649.34–$4,028 varies
Unlisted laparoscopic procedure liver (47379) $11,131.67 $22,263.34 1.9×
Unlisted laparoscopy procedure appendix (44979) $17,639 $35,278 3.0×
Unlisted laparoscopy procedure oviduct ovary (58679) $6,380.50 $12,761 1.1×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $5,616.83 $11,233.66 1.0×
Unlisted laparoscopy procedure, bladder (51999) $11,998.25 $23,996.50 2.1×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
range across 2 matching MRF lines		 $10,525.34–$37,484 $21,050.67–$74,968 varies
Unlisted laparoscopy procedure, spermatic cord (55559)
range across 2 matching MRF lines		 $3,480.88–$6,392.67 $6,961.75–$12,785.33 varies
Unlisted laparoscopy procedure, uterus (58578) $9,690.50 $19,381 1.7×
Unlisted procedure anus (46999) $1,166.83 $2,333.66 1.3×
Unlisted procedure arthroscopy (29999)
range across 3 matching MRF lines		 $2,562–$7,211.50 $5,124–$14,423 varies
Unlisted procedure breast (19499) $4,555.50 $9,111 1.2×
Unlisted Procedure Conjunctiva (68399) $882.75 $1,765.50 2.9×
Unlisted Procedure Esophagus (43499) $210.17 $420.33 0.2×
Unlisted procedure femur or knee (27599) $1,239 $2,478 5.2×
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines		 $286.50–$5,028.50 $573–$10,057 varies
Unlisted procedure forearm or wrist (25999)
range across 2 matching MRF lines		 $5,082.25–$6,072 $10,164.50–$12,144 varies
Unlisted Procedure Hands/Fingers (26989)
range across 2 matching MRF lines		 $737–$3,860.67 $1,474–$7,721.33 varies
Unlisted procedure humerus/elbow (24999)
range across 3 matching MRF lines		 $1,110.50–$10,752 $2,221–$21,504 varies
Unlisted Procedure Leg/Ankle (27899) $313.50 $627 1.3×
Unlisted procedure lungs and pleura (32999) $748 $1,496 1.2×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $566.50–$7,598.50 $1,133–$15,197 varies
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines		 $3,143–$3,646.50 $6,286–$7,293 varies
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines		 $1,290–$2,953.58 $2,580–$5,907.16 varies
Unlisted procedure spine (22899) $1,277.38 $2,554.75 5.4×
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $893.50–$1,341 $1,787–$2,682 varies
Unlisted Procedure Trachea Bronchi (31899) $2,458.50 $4,917 12.8×
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines		 $651.50–$11,710.50 $1,303–$23,421 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $7,984 $15,968 9.2×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $699–$4,189.83 $1,398–$8,379.66 varies
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $1,377–$6,442 $2,754–$12,884 varies
Upgrade of pacemaker system (33214) $5,363 $10,726 0.5×
Urine Flow Measurement (51736) $267 $534 2.1×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $19,565–$21,032.50 $39,130–$42,065 varies
Vasc Embolize/Occlude Bleed (37244) $7,644 $15,288 0.7×
Vasc Embolize/Occlude Organ (37243) $7,644 $15,288 0.7×
Vasc embolize/occlude venous (37241) $7,644 $15,288 0.7×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $1,250–$5,791.50 $2,500–$11,583 varies
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $19,563.50–$21,031 $39,127–$42,062 varies
Ventilating tube removal requiring general anesthesia (69424)
range across 3 matching MRF lines		 $1,115–$3,067 $2,230–$6,134 varies
Vitrectomy mechanical pars plana (67036)
range across 4 matching MRF lines		 $5,399.50–$6,917.34 $10,799–$13,834.67 varies
Vitrectomy pars plana remove int memb retina (67042)
range across 5 matching MRF lines		 $2,293–$9,128 $4,586–$18,256 varies
Vitrectomy Pars Plana Remove Preretinal Membrane (67041)
range across 4 matching MRF lines		 $1,669.50–$6,475.50 $3,339–$12,951 varies
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039)
range across 2 matching MRF lines		 $5,803–$6,341 $11,606–$12,682 varies
Vulvectomy simple partial (56620)
range across 2 matching MRF lines		 $5,157–$7,598.50 $10,314–$15,197 varies
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $424.50–$466.50 $849–$933 varies
Wound Prep F/N/Hf/G (15004) $5,476.17 $10,952.33 14.0×
Wound Prep Trk/Arm/Leg (15002) $5,745.33 $11,490.66 8.1×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)
range across 2 matching MRF lines		 $4,054.50–$4,323.50 $8,109–$8,647 varies
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $5,039.50 $10,079 0.9×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $2,349 $4,698 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.