Procedures & surgery prices at United Hospital Center

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

1149 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,151.50–$1,593 $2,303–$3,186 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,042.50–$1,516 $2,085–$3,032 varies
Abdomen Surgery Procedure (22999) $1,313 $2,626 5.5×
Ablate inf turbinate submuc (30802) $1,783.50 $3,567 1.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $7,847.50 $15,695 0.5×
Acne surgery (10040) $231 $462 1.2×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,371.50 $4,743 1.2×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,371.50 $4,743 1.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,073.50 $8,147 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,371.50 $4,743 1.2×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,371.50 $4,743 1.2×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,371.50 $4,743 1.2×
Amniocentesis diagnostic (59000) $1,059 $2,118 1.2×
Amniocentesis therapeutic (59001) $434 $868 1.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,761 $7,522 1.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $3,761–$4,855.50 $7,522–$9,711 varies
Amputation metatarsal with toe single (28810) $3,799.50 $7,599 1.2×
Amputation toe interphalangeal joint (28825) $3,761 $7,522 1.2×
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $3,761–$4,084.50 $7,522–$8,169 varies
Anal/Urinary Muscle Study (51784) $149.50 $299 1.2×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $187 $374 1.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $197.50 $395 1.3×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $318–$391.50 $636–$783 varies
Application Cast Finger (29086) $187 $374 1.2×
Application Finger Splint Dynamic (29131) $168 $336 2.9×
Application finger splint static (29130)
range across 3 matching MRF lines		 $153.50–$199.50 $307–$399 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $184–$250 $368–$500 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $391.50 $783 1.4×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $184–$250 $368–$500 varies
Application of cylinder cast (thigh to ankle) (29365) $321.50 $643 1.2×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $321.50–$391.50 $643–$783 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $321.50–$442.50 $643–$885 varies
Application Patellar Tendon Bearing Cast (29435) $321.50 $643 1.2×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $215.50–$232 $431–$464 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $153.50–$199.50 $307–$399 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $187–$238 $374–$476 varies
Application uniplane external fixation system (20690) $5,801 $11,602 0.8×
Apply hand/wrist cast (29085) $184 $368 1.2×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $318.50–$342 $637–$684 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $184–$195.50 $368–$391 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $318.50–$342 $637–$684 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $321.50–$342 $643–$684 varies
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $3,427 $6,854 0.7×
Arterial puncture (36600) $69.50 $139 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $351.50–$533 $703–$1,066 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $814.50–$1,023.50 $1,629–$2,047 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $351.50–$404.50 $703–$809 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $351.50–$486 $703–$972 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $351.50–$367 $703–$734 varies
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure		 $7,847.50 $15,695 0.5×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $824–$1,444 $1,648–$2,888 varies
Aspirate Pleura W/O Imaging (32554) $903 $1,806 1.5×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $351.50–$378 $703–$756 varies
Aspiration & Injection Treatment Bone Cyst (20615) $814 $1,628 1.2×
Aspiration and/or injection thyroid cyst (60300) $763.50 $1,527 1.1×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $2,403–$2,619 $4,806–$5,238 varies
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $3,111 $6,222 1.4×
Av Fistula Revision Open (36832) $5,039.50 $10,079 0.9×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $229–$231 $458–$462 varies
Biliary ndsc prq t-tube dilat strix w/stent (47556) $10,522 $21,044 1.0×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $5,945 $11,890 0.9×
Biopsy Abdominal Mass (49180) $2,257.50 $4,515 1.4×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $3,020–$3,342 $6,040–$6,684 varies
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $2,347–$3,286 $4,694–$6,572 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $1,898.50–$2,026.50 $3,797–$4,053 varies
Biopsy External Auditory Canal (69105) $1,783.50 $3,567 1.2×
Biopsy external ear (69100) $272.50 $545 1.2×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $1,898.50–$2,047 $3,797–$4,094 varies
Biopsy nail unit (11755) $814 $1,628 1.2×
Biopsy Nasopharynx Visible Lesion Simple (42804) $3,811 $7,622 1.2×
Biopsy of breast; open, incisional (19101) $4,500.50 $9,001 1.2×
Biopsy of conjunctiva (68100) $2,733 $5,466 1.2×
Biopsy of floor of mouth (41108) $1,898.50 $3,797 1.2×
Biopsy of lip (40490) $272.50 $545 1.2×
Biopsy of liver, needle; percutaneous (47000) $2,200 $4,400 1.4×
Biopsy of palate, uvula (42100) $1,783.50 $3,567 1.2×
Biopsy of penis (54100) $1,904 $3,808 1.2×
Biopsy of rectum (45100) $3,211 $6,422 1.2×
Biopsy of upper nose/throat (42806) $3,811 $7,622 1.2×
Biopsy of urethra (53200) $2,403 $4,806 1.2×
Biopsy Oropharynx (42800) $1,783.50 $3,567 1.2×
Biopsy Pleura Percutaneous Needle (32400) $1,507 $3,014 0.9×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $4,051.50 $8,103 1.2×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $4,051.50 $8,103 1.2×
Biopsy Salivary Gland Incisional (42405) $1,783.50 $3,567 1.2×
Biopsy Salivary Gland Needle (42400) $814 $1,628 1.2×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,898.50 $3,797 1.2×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,898.50 $3,797 1.2×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $2,273.50 $4,547 0.8×
Biopsy soft tissue leg/ankle area superficial (27613) $1,904 $3,808 1.2×
Biopsy soft tissue neck/thorax (21550) $1,968 $3,936 1.2×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,898.50 $3,797 1.2×
Biopsy soft tissue thigh/knee area superficial (27323) $1,898.50 $3,797 1.2×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $2,460.50 $4,921 1.5×
Biopsy Tongue Anterior Two-Thirds (41100) $620 $1,240 1.2×
Biopsy Tongue Posterior One-Third (41105) $3,811 $7,622 1.2×
Biopsy Vaginal Mucosa Extensive (57105) $3,721 $7,442 1.2×
Biopsy Vaginal Mucosa Simple (57100) $1,042 $2,084 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,065.50 $2,131 1.2×
Biopsy, vestibule of mouth (40808) $620 $1,240 1.2×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $801.50–$1,175.50 $1,603–$2,351 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $296–$354.50 $592–$709 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $68.50–$122.50 $137–$245 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $2,013.50 $4,027 1.3×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $2,371.50–$2,800.50 $4,743–$5,601 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $365–$467 $730–$934 varies
Blood Transfusion Service (36430) $923 $1,846 2.2×
Bone Marrow Biopsy (38221) $1,898.50 $3,797 1.2×
Bone Marrow; Aspiration Only (38220) $1,898.50 $3,797 1.2×
Brnchsc Brushing/Protected Brushings (31623) $2,770 $5,540 1.6×
Bronchoscopic Thermoplasty 2/> Lobes (31661)
unusually low: confirm this is the full procedure		 $2,624 $5,248 0.4×
Bronchoscopy Clear Airways (31645) $2,984.50 $5,969 1.7×
Bronchoscopy Reclear Airway (31646) $512.50 $1,025 1.4×
Bronchoscopy W/Removal Foreign Body (31635) $2,305.50 $4,611 1.3×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $4,326 $8,652 1.2×
Bronchoscopy/Needle Bx Each (31629) $4,326 $8,652 1.2×
Bx Arm/Elbow Soft Tissue,Deep (24066) $3,339 $6,678 1.2×
Bx breast 1st lesion mr imag (19085) $2,635 $5,270 1.6×
Bx breast 1st lesion strtctc (19081) $2,569.50 $5,139 1.6×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $2,022–$2,669 $4,044–$5,338 varies
Bx breast needle core w/o imaging guidance spx (19100) $2,166.50 $4,333 1.4×
Bx Cervix (57500) $1,478 $2,956 1.7×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $4,051.50 $8,103 1.2×
Bx prst8 trct us w/MRI fus 1 (55708) $4,051.50 $8,103 1.2×
Bx/exc lymph node open superficial (38500) $4,500.50 $9,001 1.2×
Canthoplasty (67950) $2,907 $5,814 1.3×
Canthotomy Separate Procedure (67715) $2,733 $5,466 1.2×
Car-t admn autologous (38228) $416 $832 1.3×
Carpal Tunnel Surgery (64721) $2,250 $4,500 1.2×
Cautery Cervix Cryocautery Initial/Repeat (57511) $350.50 $701 1.2×
Cautery Cervix Electro/Thermal (57510) $3,721 $7,442 1.2×
Cessj Therapy Cath Removal (37214) $2,865.50 $5,731 0.9×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $801.50–$926 $1,603–$1,852 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $289–$310.50 $578–$621 varies
Change of Windpipe Airway (31502) $339.50 $679 1.5×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $229–$231 $458–$462 varies
Chemical Pleurodesis (32560) $721.50 $1,443 1.2×
Chemodenerv 1 extrem 5/> mus (64644) $814.50 $1,629 1.2×
Chemodenerv 1 extremity 1-4 (64642) $814.50 $1,629 1.2×
Chemodenerv Eccrine Glands (64650) $353 $706 1.2×
Chemodenerv Musc Migraine (64615) $353 $706 1.2×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $353 $706 1.2×
Chemodenerv trunk musc 1-5 (64646) $811.50 $1,623 1.2×
Chemodenerv trunk musc 6/> (64647) $811.50 $1,623 1.2×
Chemodenervation eccrine glands oth area per day (64653) $353 $706 1.2×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $811.50 $1,623 1.2×
Chemodenervation of extraocular muscle (67345)
range across 2 matching MRF lines		 $365–$416.50 $730–$833 varies
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $351.50 $703 1.2×
Chest tube placement (32551) $2,486 $4,972 1.6×
Chg onc prst8 ca alys all PSA structural isoforms (0359U) $249 $498 0.3×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,417 $4,834 1.2×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,426.50 $6,853 1.0×
Chorionic Villus Sampling (59015) $1,059 $2,118 1.2×
Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) $2,653 $5,306 1.2×
Ciliary body dstrj cyclophotocoag transsceral (66710) $2,977.50 $5,955 1.3×
Circumcision 28 days or older (54161) $2,403 $4,806 1.2×
Circumcision Neonate (54160) $801.50 $1,603 1.2×
Cl Tx Scapular Fx; W Manip (23575) $2,267 $4,534 1.5×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,848.50–$2,340 $3,697–$4,680 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $153.50–$220.50 $307–$441 varies
Closed Treat Vert Body Fract (22310) $284 $568 1.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $284 $568 1.2×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,848.50 $3,697 1.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $284 $568 1.2×
Closed Treatment Sesamoid Fracture (28530) $284 $568 1.2×
Closed Treatment Ulnar Styloid Fracture (25650) $284 $568 1.2×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,848.50–$2,340 $3,697–$4,680 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $284 $568 1.2×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $284 $568 1.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Closed tx carpal scaphoid fracture w/manj (25624) $1,848.50 $3,697 1.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $284 $568 1.2×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,960.50 $3,921 1.3×
Closed tx femoral fracture prox head w/o manj (27267) $3,761 $7,522 1.2×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $284 $568 1.2×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,848.50 $3,697 1.2×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $620 $1,240 1.2×
Closed tx metatarsal fracture w/o manipulation (28470) $284 $568 1.2×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,340 $4,680 1.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,783.50 $3,567 1.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $3,811–$3,988.50 $7,622–$7,977 varies
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $3,827.50 $7,655 1.2×
Closed tx patellar dislocation w/o anesthesia (27560) $338.50 $677 1.4×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,848.50–$1,991 $3,697–$3,982 varies
Closed tx radial head/neck fx w/o manipulation (24650) $284 $568 1.2×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,848.50–$2,340 $3,697–$4,680 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $284 $568 1.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,848.50–$2,176.50 $3,697–$4,353 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $284 $568 1.2×
Closed Tx Scapular Fracture W/O Manipulation (23570) $286.50 $573 1.2×
Closed tx talotarsal joint dislc w/o anes (28570) $283.50 $567 1.2×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $1,848.50–$2,340 $3,697–$4,680 varies
Closed tx talus fracture w/o manipulation (28430) $284 $568 1.2×
Closed tx tarsometatarsal dislocation w/o anes (28600) $284 $568 1.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $338.50 $677 1.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,848.50–$2,340 $3,697–$4,680 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $284 $568 1.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $286.50 $573 1.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $275.50 $551 1.2×
Closure lacrimal punctum (68760) $365 $730 1.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $321 $642 1.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,848.50 $3,697 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $286.50 $573 1.2×
Clsd Tx Pelvic Ring Fx (27198) $284 $568 1.2×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $284 $568 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,340 $4,680 1.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $286.50–$410 $573–$820 varies
Clsr Lacrimal Punctum Plug Each (68761)
range across 2 matching MRF lines		 $368–$396 $736–$792 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $284 $568 1.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,321.50 $4,643 1.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,340 $4,680 1.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $284 $568 1.2×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,848.50 $3,697 1.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $284 $568 1.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $284 $568 1.2×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $284–$333 $568–$666 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $286.50–$338.50 $573–$677 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $286.50 $573 1.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $284–$307 $568–$614 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,867.50–$2,462 $3,735–$4,924 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,340 $4,680 1.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230) $284 $568 1.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,867.50 $3,735 1.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $284 $568 1.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $284 $568 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $284 $568 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,848.50–$2,340 $3,697–$4,680 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $284 $568 1.2×
Cltx greater humeral tuberosity fx w/o manj (23620) $284 $568 1.2×
Cltx Greater Trochanteric Fx W/O Manj (27246) $286.50 $573 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $286.50–$364.50 $573–$729 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $284 $568 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,848.50 $3,697 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $284 $568 1.2×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,848.50 $3,697 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $387 $774 1.6×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,848.50 $3,697 1.2×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $286.50–$338 $573–$676 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,867.50 $3,735 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $284–$387 $568–$774 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $286.50–$338 $573–$676 varies
Cltx post hip arthrp dislc req anes (27266) $2,741 $5,482 1.8×
Cltx post hip arthrp dislc w/o anes (27265) $510.50 $1,021 2.1×
Cltx prox fibula/shft fx w/o manj (27780) $284 $568 1.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,784 $3,568 1.1×
Cltx prox tibfib jt dislc w/o anes (27830) $338.50 $677 1.4×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $284 $568 1.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,848.50–$1,952.50 $3,697–$3,905 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $1,848.50–$1,991 $3,697–$3,982 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,848.50 $3,697 1.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $268–$394 $536–$788 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,848.50 $3,697 1.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $284 $568 1.2×
Cltx tibial fx proximal w/o manipulation (27530) $284 $568 1.2×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $284 $568 1.2×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,848.50–$2,267 $3,697–$4,534 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $284 $568 1.2×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $153.50–$241.50 $307–$483 varies
Collection of venous blood by venipuncture (36415) $18 $36 1.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $331 $662 1.1×
Colposcopy Cervix Endocervical Curettage (57456) $350.50 $701 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $232.50 $465 1.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $350.50 $701 1.2×
Colposcopy cervix vag eltrd conization cervix (57461) $3,721 $7,442 1.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,721 $7,442 1.2×
Colposcopy entire vagina w/cervix if present (57420) $350.50 $701 1.2×
Colposcopy of vulva (56820) $232.50 $465 1.2×
Colposcopy Vulva W/Biopsy (56821) $350 $700 1.2×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,255.50 $2,511 1.4×
Complex Cystometrogram (51726) $287.50 $575 1.2×
Complex drainage wound (10180) $3,274.50 $6,549 1.2×
Composite Skin Graft (15760) $2,371.50 $4,743 1.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,721 $7,442 1.2×
Conization of cervix (57520) $3,118.50 $6,237 1.0×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $153.50–$189 $307–$378 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $153.50–$220.50 $307–$441 varies
Control oropharyngeal hemorrhage simple (42960) $620 $1,240 1.2×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,175 $4,350 1.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,346.50 $4,693 1.5×
Correction of trichiasis; epilation, by forceps only (67820) $153 $306 1.2×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $2,733 $5,466 1.2×
Create Eardrum Opening (69433) $620 $1,240 1.2×
Create Tear Sac-Nasal Fistula (68720) $3,973 $7,946 1.0×
Csf shunt reprogram (62252)
range across 2 matching MRF lines		 $353.50–$582 $707–$1,164 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $153.50–$180.50 $307–$361 varies
Curettage postpartum (59160) $3,721 $7,442 1.2×
Curette/treat cornea (65435) $1,146 $2,292 1.2×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $2,403–$3,279.50 $4,806–$6,559 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $2,417.50–$3,374.50 $4,835–$6,749 varies
Cysto w/complex removal stone & stent (52315) $2,417 $4,834 1.2×
Cysto w/insert ureteral stent (52332) $5,228 $10,456 1.5×
Cysto w/irrig & evac multple obstructing clots (52001) $4,051.50 $8,103 1.2×
Cysto w/removal of lesions small (52224) $4,051.50 $8,103 1.2×
Cysto w/removal of tumors small (52234) $4,051.50 $8,103 1.2×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $2,417.50–$2,529 $4,835–$5,058 varies
Cysto/uretero w/lithotripsy (52356) $4,929 $9,858 1.0×
Cystometrogram W/Vp (51728) $801.50 $1,603 1.2×
Cystometrogram W/Vp&Up (51729) $801.50 $1,603 1.2×
Cystostomy Cystotomy W/Drainage (51040) $3,026 $6,052 1.5×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $798–$1,019.50 $1,596–$2,039 varies
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $4,051.50 $8,103 1.2×
Cystourethroscopy inj chemodenervation bladder (52287) $2,417 $4,834 1.2×
Cystourethroscopy tx female urethral syndrome (52285) $801.50 $1,603 1.2×
Cystourethroscopy w/dil bladder general anesth (52260) $2,409 $4,818 1.2×
Cystourethroscopy with biopsy (52204) $2,403 $4,806 1.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $2,403 $4,806 1.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $3,274.50–$3,338.50 $6,549–$6,677 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $814 $1,628 1.2×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $814 $1,628 1.2×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $2,250 $4,500 1.2×
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 2 matching MRF lines		 $840–$1,585.50 $1,680–$3,171 varies
Debride nail 1-5 (11720) $68 $136 1.2×
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $68–$68.50 $136–$137 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,898.50–$1,904 $3,797–$3,808 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $620 $1,240 1.2×
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $231–$295 $462–$590 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $467.50–$563 $935–$1,126 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $384–$469.50 $768–$939 varies
Deep Muscle Biopsy (20205) $3,339 $6,678 1.2×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,371.50 $4,743 1.2×
Dermabrasion superficial any site (15783) $467.50 $935 1.2×
Destr W Neurolytic; Celiac Plexus (64680) $1,017 $2,034 1.2×
Destroy cerv/thor facet jnt (64633) $2,244.50 $4,489 1.2×
Destroy lumb/sac facet jnt (64635) $2,244.50 $4,489 1.2×
Destruc retinal lesn,photocoag (67210) $632.50 $1,265 1.2×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $229–$231 $458–$462 varies
Destruction Benign Lesions 15/> (17111) $231 $462 1.2×
Destruction by neurolytic agent, intercostal nerve (64620) $1,017 $2,034 1.2×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $2,244.50 $4,489 1.2×
Destruction by neurolytic agent; plantar common digital nerve (64632) $353 $706 1.2×
Destruction by neurolytic agent; pudendal nerve (64630) $1,017 $2,034 1.2×
Destruction Lesions Vulva Simple (56501) $2,371.50 $4,743 1.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $231 $462 1.2×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $231 $462 1.2×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $467.50 $935 1.2×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $849.50 $1,699 1.2×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $849.50 $1,699 1.2×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $467.50 $935 1.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $231 $462 1.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $231 $462 1.2×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $231 $462 1.2×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $231 $462 1.2×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $467.50 $935 1.2×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $467.50 $935 1.2×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $231 $462 1.2×
Destruction neurolytic agt genicular nerve w/img (64624) $2,250 $4,500 1.2×
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) $365 $730 1.2×
Destruction of lesion of lid margin (up to 1 cm) (67850)
range across 2 matching MRF lines		 $1,146–$1,392 $2,292–$2,784 varies
Destruction Premalignant Lesion 15/> (17004) $467.50 $935 1.2×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $229–$229.50 $458–$459 varies
Destruction Vaginal Lesions Simple (57061) $3,721 $7,442 1.2×
Diagnostic anoscopy (46601) $513.50 $1,027 1.2×
Diaphragm or cervical cap fitting with instructions (57170) $232.50 $465 1.2×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $149.50 $299 1.2×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $153 $306 1.2×
Dilat Urethral Strix Dilator Male Sbsq (53601) $153 $306 1.2×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $287.50 $575 1.2×
Dilat Xst Trc New Access Rcs (50437) $345 $690 0.1×
Dilate Urethra Stricture (53620) $801.50 $1,603 1.2×
Dilate Urethra Stricture (53600) $287.50 $575 1.2×
Dilation & curettage dx&/ther nonobstetric (58120) $3,780.50 $7,561 1.2×
Dilation Cervical Canal (57800) $3,721 $7,442 1.2×
Dilation Lacrimal Punctum W/WO Irrgation (68801)
range across 2 matching MRF lines		 $513.50–$560 $1,027–$1,120 varies
Dilation Salivary Duct (42650) $1,783.50 $3,567 1.2×
Drain ant chmbr,remv vitreous (65810) $2,653 $5,306 1.2×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $811.50–$1,246.50 $1,623–$2,493 varies
Drain Hand Tendon Sheath (26020) $3,761 $7,522 1.2×
Drain Spinal Cord Cyst (62268) $1,017 $2,034 1.2×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $341.50–$351.50 $683–$703 varies
Drainage abscess parotid simple (42300) $1,783.50 $3,567 1.2×
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $620–$745 $1,240–$1,490 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $814–$1,058.50 $1,628–$2,117 varies
Drainage external ear abscess/hematoma cmplx (69005) $1,898.50 $3,797 1.2×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $814–$1,058.50 $1,628–$2,117 varies
Drainage Finger Abscess Complicated (26011) $1,898.50 $3,797 1.2×
Drainage of eye (65800)
range across 2 matching MRF lines		 $2,653–$3,522.50 $5,306–$7,045 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $231–$340 $462–$680 varies
Drainage of gum lesion (41800) $171.50 $343 1.3×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,898.50–$2,285 $3,797–$4,570 varies
Drainage of hydrocele (55000) $814 $1,628 1.2×
Drainage of nose lesion (30000) $272.50 $545 1.2×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,898.50–$2,059 $3,797–$4,118 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $2,403–$3,165 $4,806–$6,330 varies
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $153.50–$237.50 $307–$475 varies
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $707.50 $1,415 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $814–$1,058.50 $1,628–$2,117 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $514–$553 $1,028–$1,106 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $229–$277 $458–$554 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $229–$296 $458–$592 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $849.50 $1,699 1.2×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $2,371.50 $4,743 1.2×
Dstrj Extensive Retinopathy (67227) $3,862.50 $7,725 1.0×
Dstrj les/scar vestibule mouth physical meths (40820) $3,811 $7,622 1.2×
Dstrj Lesion Anus Simple Chemical (46900) $467.50 $935 1.2×
Dstrj lesion anus simple cryosurgery (46916) $231 $462 1.2×
Dstrj lesion anus simple surg excision (46922) $3,682 $7,364 1.4×
Dstrj Lesion Penis Simple Chemical (54050) $467.50 $935 1.2×
Dstrj lesion penis simple surg excision (54060) $2,371.50 $4,743 1.2×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $467.50 $935 1.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,017 $2,034 1.2×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,017 $2,034 1.2×
Dx Bone Marrow Bx & Aspir (38222) $3,339 $6,678 1.2×
Dx Bronchoscope/Lavage (31624) $2,046 $4,092 1.2×
Dx Bronchoscope/Wash (31622) $2,046.50 $4,093 1.2×
Dx gastr intub w/asp spec (43754) $377 $754 1.8×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $2,046–$2,607 $4,092–$5,214 varies
Dx laryngoscopy w/oper scope (31526)
range across 2 matching MRF lines		 $2,046–$2,607 $4,092–$5,214 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,073.50 $2,147 1.6×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,054.50–$1,505.50 $2,109–$3,011 varies
Egd place gastrostomy tube (43246) $2,340.50 $4,681 1.3×
Egd Tube/Cath Insertion (43241) $2,340.50 $4,681 1.3×
Electrical stimulation bone healing noninvasive (20974) $33 $66 0.3×
Electro-Uroflowmetry First (51741) $248.50 $497 1.2×
Electrolysis Epilation Each 30 Minutes (17380) $849.50 $1,699 1.2×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $5,069.50 $10,139 0.9×
Endocervical curettage (57505) $1,059 $2,118 1.2×
Endometrial Biopsy (58100) $201.50 $403 1.0×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $2,865.50 $5,731 0.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,865.50 $5,731 0.9×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $811.50–$977.50 $1,623–$1,955 varies
Episiotomy or vaginal repair (59300) $3,721 $7,442 1.2×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,381 $6,762 0.9×
Ercp remove calculi/debris biliary/pancreas duct (43264) $3,369.50 $6,739 0.9×
Ercp,Sphincterotomy (43262) $3,369.50 $6,739 0.9×
Escharotomy; initial incision (16035) $467.50 $935 1.2×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,042.50 $2,085 1.2×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $1,042.50 $2,085 1.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,042.50 $2,085 1.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,206 $4,412 1.2×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $153–$168 $306–$336 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,898.50 $3,797 1.2×
Exc arm/elbow les sc < 3 cm (24075) $1,898.50 $3,797 1.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $814 $1,628 1.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,898.50 $3,797 1.2×
Exc Back Les Sc < 3 Cm (21930) $1,898.50 $3,797 1.2×
Exc Back Tum Deep 5 Cm/> (21933) $3,341.50 $6,683 1.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $814–$862.50 $1,628–$1,725 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $814–$871.50 $1,628–$1,743 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $1,898.50–$2,008.50 $3,797–$4,017 varies
Exc Face Les Sbq 2 Cm/> (21012) $1,898.50 $3,797 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $814 $1,628 1.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $814 $1,628 1.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $814–$883.50 $1,628–$1,767 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,898.50 $3,797 1.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,898.50 $3,797 1.2×
Exc Frenum Labial/Buccal (40819) $1,783.50 $3,567 1.2×
Exc ganglion wrist recurrent (25112) $1,848.50 $3,697 1.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,898.50–$1,904 $3,797–$3,808 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $814 $1,628 1.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,898.50 $3,797 1.2×
Exc Hand Les Sc < 1.5 Cm (26115) $1,898.50 $3,797 1.2×
Exc hand tum deep < 1.5 cm (26116) $1,898.50 $3,797 1.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,142.50 $2,285 1.2×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $3,811 $7,622 1.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $1,848.50–$1,867.50 $3,697–$3,735 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,848.50 $3,697 1.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,811 $7,622 1.2×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)
range across 2 matching MRF lines		 $3,811–$4,212 $7,622–$8,424 varies
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,244.50 $4,489 1.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $814–$822 $1,628–$1,644 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,898.50 $3,797 1.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,339 $6,678 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,898.50 $3,797 1.2×
Exc Skin Benig >4cm Face,Facial (11446) $3,339 $6,678 1.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $1,898.50–$2,008.50 $3,797–$4,017 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,339 $6,678 1.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,898.50 $3,797 1.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,375.50–$2,045 $2,751–$4,090 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $467.50–$639 $935–$1,278 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $814 $1,628 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $1,898.50–$1,904 $3,797–$3,808 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,341.50 $6,683 1.2×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,339 $6,678 1.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,898.50 $3,797 1.2×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $3,341.50 $6,683 1.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,904 $3,808 1.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,898.50 $3,797 1.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,898.50 $3,797 1.2×
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) $3,341.50 $6,683 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,426.50 $6,853 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $2,417–$2,853 $4,834–$5,706 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 2 matching MRF lines		 $2,206–$3,831.50 $4,412–$7,663 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $3,811 $7,622 1.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,783.50 $3,567 1.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $814–$871.50 $1,628–$1,743 varies
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $3,208 $6,416 1.4×
Excision Aural Polyp (69540) $1,783.50 $3,567 1.2×
Excision Bone Mandible (21025) $6,804.50 $13,609 1.2×
Excision Chalazion Multiple Same Lid (67801)
range across 2 matching MRF lines		 $1,146–$1,228.50 $2,292–$2,457 varies
Excision Chalazion Single (67800)
range across 2 matching MRF lines		 $368–$377 $736–$754 varies
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,341.50 $6,683 1.2×
Excision exostosis(es), external auditory canal Facility (69140) $6,804.50 $13,609 1.2×
Excision External Ear Partial Simple Repair (69110) $3,339 $6,678 1.2×
Excision H/P/P/U Complex Repair (11471) $3,339 $6,678 1.2×
Excision H/P/P/U Simple/Intermediate Repair (11470) $3,339 $6,678 1.2×
Excision Hidradenitis Axillary Complex Repair (11451) $3,339 $6,678 1.2×
Excision Hidradenitis Inguinal Complex Repair (11463) $3,339 $6,678 1.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $3,339 $6,678 1.2×
Excision Lesion Conjunctiva </1 Cm (68110) $2,732.50 $5,465 1.2×
Excision lesion conjunctiva > 1 cm (68115) $2,733 $5,466 1.2×
Excision lesion mouth roof (42104) $3,811 $7,622 1.2×
Excision Lesion Tongue W/O Closure (41110) $3,811 $7,622 1.2×
Excision Lingual Frenum Frenectomy (41115) $1,783.50 $3,567 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $814 $1,628 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $814–$871.50 $1,628–$1,743 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $467.50–$501.50 $935–$1,003 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $814–$862.50 $1,628–$1,725 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $814 $1,628 1.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $1,898.50–$2,008.50 $3,797–$4,017 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $3,339–$3,520.50 $6,678–$7,041 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,898.50 $3,797 1.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $814–$871.50 $1,628–$1,743 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $814–$871.50 $1,628–$1,743 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $1,898.50–$2,008.50 $3,797–$4,017 varies
Excision malignant tumor mandible (21044) $6,804.50 $13,609 1.2×
Excision nasal polyp(s) simple (30110) $1,783.50 $3,567 1.2×
Excision of bartholin's gland or cyst (56740) $3,721 $7,442 1.2×
Excision of chalazion; multiple, different lids (67805)
range across 2 matching MRF lines		 $365–$416.50 $730–$833 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,867.50 $3,735 1.2×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $3,339–$3,520.50 $6,678–$7,041 varies
Excision of single external papilla or tag, anus (46220) $1,607 $3,214 1.4×
Excision of vaginal cyst or tumor (57135) $3,780 $7,560 1.2×
Excision olecranon bursa (24105) $3,799.50 $7,599 1.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,339 $6,678 1.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,339 $6,678 1.2×
Excision soft tissue lesion, external auditory canal (69145) $3,339 $6,678 1.2×
Excision synovial cyst popliteal space (27345) $3,761 $7,522 1.2×
Excision tendon finger flexor/extensor each (26180) $1,848.50 $3,697 1.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,904 $3,808 1.2×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,339 $6,678 1.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,898.50 $3,797 1.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,898.50 $3,797 1.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,898.50 $3,797 1.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,898.50 $3,797 1.2×
Excision/curettage cyst/tumor phalanx finger (26210) $1,848.50 $3,697 1.2×
Excision/destruction intranasal lesion int appr (30117) $3,811 $7,622 1.2×
Excision/destruction lesion pharynx any method (42808) $3,811 $7,622 1.2×
Excision/surgical planing skin nose rhinophyma (30120) $3,811 $7,622 1.2×
Excision/Transposition Pterygium W/Grafg (65426) $2,777.50 $5,555 1.2×
Expl penetrating wound spx abdomen/flank/back (20102) $2,815 $5,630 1.4×
Explo/Drain Breast Abscess (19020) $1,898.50 $3,797 1.2×
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $3,761–$4,368.50 $7,522–$8,737 varies
Exploration penetrating wound spx extremity (20103) $2,446 $4,892 1.5×
External cephalic version (59412) $3,721 $7,442 1.2×
Extraction of lens (66940) $2,653 $5,306 1.2×
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 2 matching MRF lines		 $2,653–$3,111 $5,306–$6,222 varies
Eye surgery procedure (67299) $2,653 $5,306 1.2×
Fasciectomy Palm Only (26121) $3,761 $7,522 1.2×
Fasciotomy palmar open partial (26045) $3,799.50 $7,599 1.2×
Fasciotomy palmar percutaneous (26040) $1,848.50 $3,697 1.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,799.50 $7,599 1.2×
Fetal Contraction Stress Test (59020) $389.50 $779 2.0×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $235–$298.50 $470–$597 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,353 $2,706 2.0×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,454.50 $2,909 2.1×
Fine needle aspiration without imaging guidance (10021) $467.50 $935 1.2×
Fluoro exam of g/colon tube (49465) $354.50 $709 1.5×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,454.50 $2,909 2.1×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $1,061–$1,347 $2,122–$2,694 varies
Foreskin manipulation (54450) $287.50 $575 1.2×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $2,405–$3,155.50 $4,810–$6,311 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,371.50 $4,743 1.2×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,371.50 $4,743 1.2×
Gstr Rstcv Px Trnsorl Esg W/Argon Plasma Coagj (43889) $10,522 $21,044 1.0×
Guide Cathet Fluid Drainage (10030) $821.50 $1,643 1.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $1,069–$1,369.50 $2,138–$2,739 varies
Hysteroscopy Biopsy (58558) $3,721 $7,442 1.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $272.50–$339.50 $545–$679 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $231–$315 $462–$630 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,824.50 $7,649 1.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,339 $6,678 1.2×
I&d forearm/wrist bursa (25031) $1,848.50 $3,697 1.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $4,495.50 $8,991 1.4×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $1,077–$1,403 $2,154–$2,806 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $814–$1,058.50 $1,628–$2,117 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $814–$1,058.50 $1,628–$2,117 varies
Image Cath Fluid Colxn Visc (49405) $3,900 $7,800 2.4×
Image Cath Fluid Peri/Retro (49406) $4,650 $9,300 2.9×
Implant Neuroelectrodes (64561) $3,621.50 $7,243 0.6×
Implant Periph/Gastric Neurostim/Receiver (64590)
range across 2 matching MRF lines		 $4,192–$4,326 $8,384–$8,652 varies
Implant temple bone w/stimul (69714) $7,598.50 $15,197 0.6×
Implantation intrastromal corneal ring segments (65785) $3,786 $7,572 0.9×
Impression & Preparation Oral Surgical Splint (21085) $326 $652 1.4×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $289–$470.50 $578–$941 varies
Incise finger tendon sheath (26055) $1,848.50 $3,697 1.2×
Incision & drainage abscess complicated/multiple (10061) $467.50 $935 1.2×
Incision & drainage leg/ankle infected bursa (27604) $3,761 $7,522 1.2×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,898.50–$2,220 $3,797–$4,440 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $467.50–$511 $935–$1,022 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $232.50–$290.50 $465–$581 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $331–$353.50 $662–$707 varies
Incision Drainage Lacrimal Sac (68420)
range across 2 matching MRF lines		 $2,733–$2,977.50 $5,466–$5,955 varies
Incision extensor tendon sheath wrist (25000) $1,867.50 $3,735 1.2×
Incision of eardrum (69421) $3,811 $7,622 1.2×
Incision of eardrum (69420) $272.50 $545 1.2×
Incision of labial frenum (frenotomy) (40806) $620 $1,240 1.2×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $1,783.50–$2,126.50 $3,567–$4,253 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,375.50–$1,902 $2,751–$3,804 varies
Incision of urethra (53020) $2,002 $4,004 1.0×
Incisional biopsy eyelid skin & lid margin (67810)
range across 2 matching MRF lines		 $365–$467 $730–$934 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $797–$849.50 $1,594–$1,699 varies
Induced abortion dilation and curettage (59840) $3,721 $7,442 1.2×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $231–$295 $462–$590 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,016.50–$1,017.50 $2,033–$2,035 varies
Inj W/Fluor Eval Cv Device (36598) $490 $980 2.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,756.50 $3,513 2.1×
Inject Intravitreal Pharmcologic (67028)
range across 3 matching MRF lines		 $384–$413.50 $768–$827 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $351.50–$391.50 $703–$783 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,017 $2,034 1.2×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $814.50–$875.50 $1,629–$1,751 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $1,017–$1,353.50 $2,034–$2,707 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $811.50 $1,623 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $811.50–$1,129 $1,623–$2,258 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $353–$495.50 $706–$991 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $811.50–$977.50 $1,623–$1,955 varies
Injection enzyme palmar fascial cord (20527) $353 $706 1.2×
Injection for identification of sentinel node (38792) $529 $1,058 1.4×
Injection Into Brain Canal (61055) $844.50 $1,689 2.8×
Injection medication/other subst tenon capsule (67515) $365 $730 1.2×
Injection procedure for peyronie disease (54200) $287.50 $575 1.2×
Injection single tendon origin/insertion (20551) $353 $706 1.2×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $351.50–$456.50 $703–$913 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $351.50–$403 $703–$806 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $194–$317.50 $388–$635 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $1,017–$1,268.50 $2,034–$2,537 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $811.50–$959.50 $1,623–$1,919 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $811.50–$875.50 $1,623–$1,751 varies
Injection, anesthetic agent; vagus nerve (64408) $378 $756 1.3×
Injection, Intralesional; More Than 7 Lesions (11901) $231 $462 1.2×
Injection, intralesional; up to and including 7 lesions (11900) $231 $462 1.2×
Injx Anterior Chamber Eye Medication Spx (66030)
range across 2 matching MRF lines		 $2,653–$3,111 $5,306–$6,222 varies
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,017.50 $2,035 1.2×
Ins cath ren art 1st bilat (36252) $2,865.50 $5,731 0.9×
Ins cath ren art 1st unilat (36251) $2,865.50 $5,731 0.9×
Ins cath ren art 2nd+ bilat (36254) $2,865.50 $5,731 0.9×
Ins cath ren art 2nd+ unilat (36253) $5,069.50 $10,139 0.9×
Ins endovas vena cava filtr (37191) $5,069.50 $10,139 0.9×
Ins Vag Brachytx Device (57156) $353 $706 1.2×
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure		 $11,268.50 $22,537 0.4×
Insert 1 Electrode Pm-Defib (33216)
unusually low: confirm this is the full procedure		 $3,144 $6,288 0.4×
Insert and remove bone pin (20650) $3,761 $7,522 1.2×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $148–$216 $296–$432 varies
Insert cath pleura w/ image (32557) $1,802.50 $3,605 1.2×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $2,206–$2,500 $4,412–$5,000 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,386 $2,772 1.2×
Insert cervical dilator (59200) $350.50 $701 1.2×
Insert Drug Implant Device (11981) $153 $306 1.2×
Insert Gastrostomy Tube Percutaneous (49440) $2,175 $4,350 1.2×
Insert Heart Pm Atrial (33206) $5,235.50 $10,471 0.5×
Insert Heart Pm Ventricular (33207) $5,235.50 $10,471 0.5×
Insert Nasal Septal Button (30220) $1,783.50 $3,567 1.2×
Insert non-tunnel cv cath (36556) $3,497.50 $6,995 1.1×
Insert Pacing Lead & Connect (33224) $5,235.50 $10,471 0.5×
Insert pessary/other device (57160) $232.50 $465 1.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,802.50 $3,605 1.2×
Insert pulse gen dual leads (33213) $5,363 $10,726 0.5×
Insert Pulse Gen Sngl Lead (33212)
unusually low: confirm this is the full procedure		 $3,144 $6,288 0.4×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $153.50–$246.50 $307–$493 varies
Insert tun ip cath perc (49418) $3,332.50 $6,665 1.0×
Insert tunneled cv cath (36561) $2,970 $5,940 1.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $153–$165 $306–$330 varies
Insertion indwelling tunneled pleural catheter (32550) $3,332.50 $6,665 1.0×
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) $9,382.50 $18,765 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,809.50 $3,619 1.2×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $12,749.50 $25,499 1.6×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,332.50 $6,665 1.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $4,578 $9,156 0.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
unusually low: confirm this is the full procedure		 $3,144 $6,288 0.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,865.50 $5,731 0.9×
Insj Picc Rs&I <5 Yr (36572) $726.50 $1,453 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,497.50 $4,995 1.6×
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $2,733 $5,466 1.2×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $7,598.50 $15,197 0.6×
Insj Subq Impltbl Dfb Elctrd (33271)
unusually low: confirm this is the full procedure		 $3,228.50 $6,457 0.4×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $5,039.50 $10,079 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,980.50 $5,961 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249)
unusually low: confirm this is the full procedure		 $11,456.50 $22,913 0.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure		 $3,144 $6,288 0.4×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure		 $3,144 $6,288 0.4×
Insrt heart pm atrial & vent (33208) $5,235.50 $10,471 0.5×
Interdental fixation (21110) $1,791.50 $3,583 1.2×
Interdental Wiring Other Than Fracture (21497) $2,264 $4,528 1.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $553 $1,106 1.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $467.50 $935 1.2×
Intranasal Biopsy (30100) $1,783.50 $3,567 1.2×
Intro cath dialysis circuit (36901) $1,164 $2,328 0.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $7,965.50 $15,931 0.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $4,984 $9,968 0.9×
Intro Gastrointestinal Tube (44500) $1,350.50 $2,701 1.5×
Intubation endotracheal emergency procedure (31500) $308 $616 1.3×
Iridotomy/irridectomy laser surg per session (66761) $648.50 $1,297 1.2×
Irrigation of corpora cavernosa for priapism (54220) $285 $570 1.2×
Labyrinthotomy Transcanal (69801) $1,783.50 $3,567 1.2×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $10,522 $21,044 1.0×
Laryngoplasty Medialization Unliateral (31591) $6,804.50 $13,609 1.2×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $4,285.50 $8,571 1.2×
Laryngoscopy diagnostic (31505) $229.50 $459 1.2×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $4,285.50 $8,571 1.2×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $262.50–$286.50 $525–$573 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $4,285.50 $8,571 1.2×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $2,046 $4,092 1.2×
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 2 matching MRF lines		 $2,046–$2,085.50 $4,092–$4,171 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $2,046 $4,092 1.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $450 $900 1.2×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $450 $900 1.2×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $445.50 $891 1.2×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $470 $940 1.2×
Late closure of wound (13160) $4,073.50 $8,147 1.2×
Lateral Canthopexy (21282) $3,811 $7,622 1.2×
Ligation of a-v fistula (37607) $2,865.50 $5,731 0.9×
Ligation of hemorrhoids (46946) $3,211 $6,422 1.2×
Ligation or biopsy temporal artery (37609) $2,368.50 $4,737 1.5×
Low Back Disk Surgery (63030) $5,801 $11,602 0.8×
Lyse chest fibrin init day (32561) $721.50 $1,443 1.2×
Lysis Intranasal Synechia (30560) $620 $1,240 1.2×
Lysis of labial adhesions (56441) $3,721 $7,442 1.2×
Lysis/excision penile postcircumcision adhesions (54162) $2,403 $4,806 1.2×
Maniplatn palar fascial crd post inj single cord (26341) $284 $568 1.2×
Manipulation knee joint under general anesthesia (27570) $1,848.50 $3,697 1.2×
Maternity Care Procedure (59899) $61 $122 0.3×
Middle ear surgery proc unlisted (69799) $272.50 $545 1.2×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $849.50 $1,699 1.2×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $849.50 $1,699 1.2×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $2,733 $5,466 1.2×
Myelography Lumbar Injection (62305) $902.50 $1,805 1.2×
Myelography Lumbar Injection (62304) $902.50 $1,805 1.2×
Myelography via lumbar injection rs&i cervical (62302) $1,232.50 $2,465 1.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,287.50 $2,575 1.7×
Myringoplasty (69620) $3,811 $7,622 1.2×
N Block Inj Celiac Pelus (64530) $1,756.50 $3,513 2.1×
N Block Inj Ilio-Ing/Hypogi (64425) $811.50 $1,623 1.2×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $811.50–$1,121 $1,623–$2,242 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $353–$378 $706–$756 varies
N Block Inj Pudendal (64430) $1,017 $2,034 1.2×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $1,016.50–$1,419 $2,033–$2,838 varies
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $228–$263.50 $456–$527 varies
Nasal surgery procedure (30999) $339.50 $679 1.5×
Nasal/Orogastric W/Tube Plmt (43752) $616 $1,232 1.4×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $450 $900 1.2×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $4,326 $8,652 1.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $2,046–$2,607 $4,092–$5,214 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,046 $4,092 1.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $2,046–$2,730 $4,092–$5,460 varies
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $2,046 $4,092 1.2×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785)
range across 2 matching MRF lines		 $287.50–$381 $575–$762 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,898.50–$2,047 $3,797–$4,094 varies
Needle Biopsy Pancreas (48102) $1,898.50 $3,797 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $50 $100 1.8×
Needle insertion w/o injection 3 or more muscles (20561) $60 $120 2.1×
Neuroeltrd Stim Post Tibial (64566) $353 $706 1.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,250 $4,500 1.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $534 $1,068 1.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $403 $806 1.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,426.50 $6,853 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,016.50–$1,017.50 $2,033–$2,035 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $811.50 $1,623 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $811.50 $1,623 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,017 $2,034 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $811.50–$959.50 $1,623–$1,919 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465) $2,371.50 $4,743 1.2×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $2,371.50 $4,743 1.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $915.50 $1,831 1.4×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $467.50 $935 1.2×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $7,139.50 $14,279 1.0×
Obstructive material removal from gi tube (49460) $1,077.50 $2,155 1.2×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $227.50–$378 $455–$756 varies
Onc pncrs DNA&mrna seq 74 (0313U) $750 $1,500 0.2×
Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) $2,241 $4,482 0.8×
Open treatment fracture distal tibia only (27827) $7,598.50 $15,197 0.6×
Open Tx Distal Phalangeal Fracture Each (26765) $3,799.50 $7,599 1.2×
Open tx interphalangeal joint dislocation (26785) $3,799.50 $7,599 1.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,730 $7,460 1.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,761 $7,522 1.2×
Open/Perq Place Stent 1St (37236) $16,000 $32,000 1.4×
Open/Perq Place Stent Same (37238) $11,000 $22,000 1.0×
Orbital implant removal/revision (67560) $3,862.50 $7,725 1.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,761 $7,522 1.2×
Parathyroidectomy or exploration of parathyroid(s); (60500) $6,804.50 $13,609 1.2×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $1,848.50–$2,340 $3,697–$4,680 varies
Partial hymenectomy or revision of hymenal ring (56700) $4,348.50 $8,697 1.4×
Penile Injection (54235) $288.50 $577 1.2×
Percut Cath Occlusn Non Cns Lesn (61626) $7,644 $15,288 0.7×
Percut Drain/Inject Renal Cyst (50390) $1,142 $2,284 1.7×
Pericardiocentesis W/Imaging (33016) $2,930 $5,860 1.9×
Perineoplasty rpr perineum nonobstetrical spx (56810) $3,720.50 $7,441 1.2×
Perm Occlusion/Embolization,Percut,Cns (61624) $11,647 $23,294 0.7×
Perq Cervicothoracic Inject (22510) $3,761 $7,522 1.2×
Perq dev breast 1st strtctc (19283) $822 $1,644 1.2×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $821.50–$822 $1,643–$1,644 varies
Perq device breast 1st imag (19281) $1,232 $2,464 0.8×
Perq Lumbosacral Injection (22511) $3,761 $7,522 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $814–$822 $1,628–$1,644 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $7,965.50 $15,931 0.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $5,801 $11,602 0.8×
Perq Vertebral Augmentation (22513) $5,801 $11,602 0.8×
Photopheresis extracorporeal (36522) $5,006.50 $10,013 1.2×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $1,146 $2,292 1.2×
Place Amniotic Membrane Ocular Surface Sutured (65779) $3,973 $7,946 1.0×
Place Cath Subclavian Art (36225) $2,865.50 $5,731 0.9×
Place Cath Thoracic Aorta (36221) $2,865.50 $5,731 0.9×
Place Cath Vertebral Art (36226) $5,069.50 $10,139 0.9×
Place Duod/Jej Tube Perc (49441) $2,175 $4,350 1.2×
Place Rt Device/Marker Pros (55876) $1,610 $3,220 1.2×
Placement of needle for intraosseous infusion (36680) $513.50 $1,027 1.2×
Placement of seton (46020) $3,682 $7,364 1.4×
Plastic Repair Canaliculi (68700)
range across 2 matching MRF lines		 $2,733–$2,977.50 $5,466–$5,955 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,417.50 $4,835 1.2×
Plmt Nephroureteral Catheter (50433) $5,354.50 $10,709 1.6×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $1,443 $2,886 0.4×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,599 $7,198 1.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $5,128.50 $10,257 1.5×
Prim art mech thrombectomy (37184) $9,515 $19,030 0.5×
Probe lacrimal canaliculi w/wo irrigation (68840) $371 $742 1.2×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $2,777 $5,554 1.2×
Probing nasolacrimal duct (68810) $365 $730 1.2×
Proctopexy Perineal Approach (45541) $4,191 $8,382 1.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,069 $2,138 1.2×
Proctosgmdsc rigid w/dilation (45303) $1,375.50 $2,751 1.2×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 2 matching MRF lines		 $632.50–$744.50 $1,265–$1,489 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,724 $3,448 2.5×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $3,621.50 $7,243 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,426.50 $6,853 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,426.50 $6,853 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,799.50 $7,599 1.2×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $466.50–$714.50 $933–$1,429 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $466.50–$553 $933–$1,106 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $822–$943 $1,644–$1,886 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,051.50 $2,103 1.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,244.50 $4,489 1.2×
Rbc DNA gntyp 12 bld grp gen (0282U) $285 $570 0.4×
Rcnstj Eyelid Full Thickness Second Stage (67975) $3,240 $6,480 1.4×
Reconstruct extra finger (26587) $4,855.50 $9,711 1.5×
Reduction Overcorrection Ptosis (67909) $2,733 $5,466 1.2×
Relocation Pocket Pacemaker (33222) $2,404.50 $4,809 1.2×
Rem Endovas Vena Cava Filter (37193) $2,870 $5,740 0.9×
Removal Anal Seton Other Marker (46030) $1,375.50 $2,751 1.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,042.50 $2,085 1.2×
Removal Embedded Foreign Body Eyelid (67938) $432 $864 1.4×
Removal foreign body foot deep (28192) $1,904 $3,808 1.2×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $814–$883.50 $1,628–$1,767 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,446 $4,892 1.5×
Removal Foreign Body Pelvis/Hip Deep (27087) $3,799.50 $7,599 1.2×
Removal foreign body upper arm/elbow deep (24201) $3,341.50 $6,683 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $68.50–$110.50 $137–$221 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $68–$102 $136–$204 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,845.50 $7,691 1.2×
Removal Implant Deep (20680) $3,338.50 $6,677 1.2×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $1,898.50–$2,420 $3,797–$4,840 varies
Removal implantable contraceptive capsules (11976) $814 $1,628 1.2×
Removal of implant from finger or hand (26320) $1,898.50 $3,797 1.2×
Removal of intranasal lesion (30118) $3,811 $7,622 1.2×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $466.50–$573.50 $933–$1,147 varies
Removal of tunneled intraperitoneal catheter (49422) $3,744.50 $7,489 1.2×
Removal or bivalving full arm or full leg cast (29705) $391.50 $783 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $230.50 $461 1.2×
Removal subcutaneous cardiac rhythm monitor (33286) $1,818.50 $3,637 2.7×
Removal Submand Stone,Complicated (42335) $3,811 $7,622 1.2×
Removal sweat gland lesion (11450) $3,339 $6,678 1.2×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $321.50–$341.50 $643–$683 varies
Remove Brain Cavity Fluid (61020) $1,017 $2,034 1.2×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $508–$546.50 $1,016–$1,093 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $153.50–$171.50 $307–$343 varies
Remove Int Dwell Ureteral Stent Transurethral (50386) $2,477.50 $4,955 1.2×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $353.50–$380 $707–$760 varies
Remove lung catheter (32552) $1,134.50 $2,269 1.9×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $153–$171.50 $306–$343 varies
Remove renal tube w/fluoro (50389) $2,039.50 $4,079 3.0×
Remove Tendon Sheath Lesion (26160) $1,867.50 $3,735 1.2×
Remove/Insert Drug Implant (11983) $513.50 $1,027 1.2×
Remv&replc pm gen dual lead (33228) $14,221 $28,442 1.4×
Renal Biopsy Perq (50200) $2,160.50 $4,321 1.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $840–$948 $1,680–$1,896 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $849.50–$891.50 $1,699–$1,783 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $467.50–$577 $935–$1,154 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $466.50–$832 $933–$1,664 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $467.50–$804.50 $935–$1,609 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $466.50–$838 $933–$1,676 varies
Repair complex trunk 1.1-2.5 cm (13100) $849.50 $1,699 1.2×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $849.50–$903 $1,699–$1,806 varies
Repair Detached Retina (67101) $3,111 $6,222 1.4×
Repair detached retina (67105) $866 $1,732 1.6×
Repair Ectropion Excision Tarsal Wedge (67916) $2,733 $5,466 1.2×
Repair Ectropion Extensive (67917) $2,733 $5,466 1.2×
Repair Ectropion Suture (67914) $2,733 $5,466 1.2×
Repair Elbow Perc (24357) $3,761 $7,522 1.2×
Repair Entropion Extensive (67924) $2,777 $5,554 1.2×
Repair Entropion Suture (67921) $2,733 $5,466 1.2×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,848.50–$2,340 $3,697–$4,680 varies
Repair Finger Tendon (26433) $3,761 $7,522 1.2×
Repair Hand Tendon (26410) $1,952.50 $3,905 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $553 $1,106 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $467.50–$553 $935–$1,106 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $467.50–$553 $935–$1,106 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $467.50–$553 $935–$1,106 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $849.50–$903 $1,699–$1,806 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $466.50–$552.50 $933–$1,105 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $552.50 $1,105 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $860 $1,720 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $808 $1,616 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $467.50–$553 $935–$1,106 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $466.50–$552.50 $933–$1,105 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $552.50 $1,105 1.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,371.50 $4,743 1.2×
Repair intrinsic muscles hand each muscle (26591) $3,761 $7,522 1.2×
Repair Laceration Palate </2 Cm (42180) $1,050.50 $2,101 2.0×
Repair Laceration Palate >2 Cm/Complex (42182) $6,955 $13,910 1.2×
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) $5,801 $11,602 0.8×
Repair of nail bed (11760) $849.50 $1,699 1.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,855.50 $9,711 1.5×
Repair tongue laceration (41252) $339.50 $679 1.5×
Repair tongue laceration (41250) $616 $1,232 1.4×
Replace duodenostomy/jejunostomy tube perq (49451) $1,397.50 $2,795 1.6×
Replace G-J Tube Perc (49452) $1,123 $2,246 1.3×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $1,042.50–$1,261 $2,085–$2,522 varies
Repos Previously Implanted Subq Implantable Dfb (33273) $3,150.50 $6,301 0.9×
Reposition Gastrostomy Tube (43761) $288.50 $577 1.2×
Reposition Pacing-Defib Lead (33215) $2,980.50 $5,961 1.0×
Reposition Venous Catheter (36597) $1,802.50 $3,605 1.2×
Resection, partial or complete, phalangeal base, each toe (28126) $3,761 $7,522 1.2×
Retrobulbar injection (67500)
range across 2 matching MRF lines		 $365–$396 $730–$792 varies
Revise eyelashes (67825)
range across 2 matching MRF lines		 $365–$434 $730–$868 varies
Revision of lower leg tendon (27685) $3,761 $7,522 1.2×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $4,117.50 $8,235 1.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $3,621.50 $7,243 0.6×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,412 $6,824 1.0×
Revj/rpr oprative wound anterior segment (66250) $2,733 $5,466 1.2×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $6,661 $13,322 1.2×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $6,661 $13,322 1.2×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $9,515 $19,030 0.5×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $9,515 $19,030 0.5×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $9,515 $19,030 0.5×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $9,515 $19,030 0.5×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $14,091.50 $28,183 1.3×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $14,091.50 $28,183 1.3×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $4,377 $8,754 0.8×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $4,377 $8,754 0.8×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $7,965 $15,930 0.7×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $7,965 $15,930 0.7×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $7,965 $15,930 0.7×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $7,965 $15,930 0.7×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $9,515 $19,030 0.5×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $9,515 $19,030 0.5×
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×
Rhinoplasty Secondary Minor Revision (30430) $6,804.50 $13,609 1.2×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,756.50 $5,513 1.4×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $2,733 $5,466 1.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,222.50 $2,445 1.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $1,898.50–$2,446 $3,797–$4,892 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $807.50 $1,615 1.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $153–$179 $306–$358 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $513.50 $1,027 1.2×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $365 $730 1.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,339 $6,678 1.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,904 $3,808 1.2×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $2,653 $5,306 1.2×
Rmvl of subq implantable defibrillator electrode (33272) $3,150.50 $6,301 0.9×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,244.50 $4,489 1.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,775 $5,550 1.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $727 $1,454 1.2×
Rmvl/revj sling stress incontinence (57287) $3,721 $7,442 1.2×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $386–$406 $772–$812 varies
Rplcmt compl tun ctr vad w/subq port (36582) $2,870 $5,740 0.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,062 $6,124 1.0×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $3,973 $7,946 1.0×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $2,777 $5,554 1.2×
Rpr blood vessel direct lower extremity (35226) $992.50 $1,985 1.4×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $2,733 $5,466 1.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $267.50 $535 1.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $339.50 $679 1.5×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $3,522.50 $7,045 1.6×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $2,977.50 $5,955 1.3×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110)
range across 2 matching MRF lines		 $2,653–$3,197.50 $5,306–$6,395 varies
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $2,653 $5,306 1.2×
Sclerotx Fluid Collection (49185) $1,994 $3,988 1.2×
Severing Adhesions Anterior Segment Laser Spx (65860) $632.50 $1,265 1.2×
Severing tarsorrhaphy (67710) $1,146 $2,292 1.2×
Shave skin lesion 0.5 cm/< (11300) $467.50 $935 1.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $231 $462 1.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $467.50 $935 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $231 $462 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $231 $462 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $231 $462 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $467.50 $935 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $231 $462 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $467.50 $935 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $175–$230.50 $350–$461 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $467.50 $935 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $231 $462 1.2×
Simple Cystometrogram (51725) $287.50 $575 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $229–$375 $458–$750 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $361.50 $723 1.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $267.50 $535 1.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $229.50–$392 $459–$784 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $229–$396.50 $458–$793 varies
Skin Full Grft Face/Genit/Hf (15240) $2,404.50 $4,809 1.2×
Skin sub graft face/nk/hf/g (15275) $849.50 $1,699 1.2×
Skin sub graft trnk/arm/leg (15271) $850 $1,700 1.2×
Skin sub grft t/arm/lg child (15273) $2,371.50 $4,743 1.2×
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $229–$331 $458–$662 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) $5,069.50 $10,139 0.9×
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,865.50 $5,731 0.9×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $5,069.50 $10,139 0.9×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,614 $9,228 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $229–$396 $458–$792 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $553 $1,106 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $553 $1,106 1.4×
Snip Incision Lacrimal Punctum (68440) $368 $736 1.2×
Spinal puncture lumbar diagnostic (62270) $1,090.50 $2,181 1.6×
Strapping ankle (29540)
range across 2 matching MRF lines		 $176–$184 $352–$368 varies
Strapping elbow or wrist (29260) $133 $266 2.3×
Strapping hand/finger (29280) $123 $246 2.2×
Strapping shoulder (29240) $229.50 $459 1.8×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $184–$266.50 $368–$533 varies
Subconjunctival injection (68200) $513.50 $1,027 1.2×
Subcutaneous Hormone Pellet Implantation (11980) $513.50 $1,027 1.2×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $231 $462 1.2×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $849.50 $1,699 1.2×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $849.50 $1,699 1.2×
Suprachoroidal space njx pharmacologic agent (67516) $478 $956 1.5×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $3,811 $7,622 1.2×
Suture digital nerve hand/foot 1 nerve (64831) $2,932.50 $5,865 1.6×
Tangential biopsy skin single lesion (11102) $467.50 $935 1.2×
Tattooing incl micropigmentation 6.0 cm/< (11920) $849.50 $1,699 1.2×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $849.50 $1,699 1.2×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure		 $7,672.50 $15,345 0.3×
Tcat Insj/Rpl Perm Ldls Pm (33274)
unusually low: confirm this is the full procedure		 $8,276 $16,552 0.4×
Temporary Closure Eyelids Suture (67875)
range across 2 matching MRF lines		 $1,143–$1,146 $2,286–$2,292 varies
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $3,761 $7,522 1.2×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,848.50 $3,697 1.2×
Tenotomy Percutaneous Single Each Digit (26060) $1,848.50 $3,697 1.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,882.50 $3,765 1.2×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $3,761 $7,522 1.2×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,848.50 $3,697 1.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,848.50 $3,697 1.2×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,073.50 $2,147 1.6×
Therapeutic Apheresis White Blood Cells (36511) $1,773 $3,546 1.2×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $5,427 $10,854 1.0×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $5,039.50 $10,079 0.9×
Thromblytic art/ven therapy (37213) $2,865.50 $5,731 0.9×
Thrombolytic Art Therapy (37211) $5,069.50 $10,139 0.9×
Thrombolytic Therapy Stroke (37195) $613.50 $1,227 1.9×
Thrombolytic Venous Therapy (37212) $2,865.50 $5,731 0.9×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $814–$894.50 $1,628–$1,789 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,371.50 $4,743 1.2×
Tissue Expander Placement Breast Reconstruction (19357) $9,526 $19,052 0.7×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,761 $7,522 1.2×
Tooth extraction (41899)
range across 2 matching MRF lines		 $276–$339.50 $552–$679 varies
Trabeculoplasty by laser surgery (65855) $632.50 $1,265 1.2×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $3,721 $7,442 1.2×
Tracheobrnchsc Thru Est Trachs Inc (31615) $620 $1,240 1.2×
Tracheostomy planned (31600) $3,810.50 $7,621 1.2×
Transcatheter biopsy (37200) $5,039.50 $10,079 0.9×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $4,929 $9,858 1.0×
Transur electr resection of prostate (52601) $4,929 $9,858 1.0×
Treat Finger Fracture Each (26727) $3,799.50 $7,599 1.2×
Treat Hip Socket Fracture (27222) $281.50 $563 1.2×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $258.50–$394 $517–$788 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,867.50–$2,108.50 $3,735–$4,217 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Treat knee fracture (27532) $3,761 $7,522 1.2×
Treat Knee Fracture(S) (27538) $284 $568 1.2×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $284–$292.50 $568–$585 varies
Treat metacarpal fracture (26607) $3,761 $7,522 1.2×
Treat Metatarsal Fracture (28475) $284 $568 1.2×
Treat Tail Bone Fracture (27200) $284 $568 1.2×
Treat Thumb Dislocation (26641) $284 $568 1.2×
Treat Thumb Fracture (26645) $1,848.50 $3,697 1.2×
Treat toe dislocation (28630) $284 $568 1.2×
Treat vagina infection (57150) $68 $136 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,340 $4,680 1.5×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Treatment extensive retinopathy photocoagulation (67228) $632.50 $1,265 1.2×
Treatment of gum lesion (41850) $1,783.50 $3,567 1.2×
Treatment of retina (67141)
range across 2 matching MRF lines		 $365–$437 $730–$874 varies
Treatment of retinal lesion (67208) $416.50 $833 1.4×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $229–$231 $458–$462 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $229–$231 $458–$462 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $229–$229.50 $458–$459 varies
Trimming Nondystrophic Nails Any Number (11719) $68.50 $137 1.2×
Trluml Balo Angiop 1St Art (37246) $4,377 $8,754 0.8×
Trluml Balo Angiop 1St Vein (37248) $4,377 $8,754 0.8×
Tx Gastro Intub W/Asp (43753) $249 $498 1.2×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $3,721–$3,845.50 $7,442–$7,691 varies
Tx Missed Abortion First Trimester Surgical (59820) $4,476.50 $8,953 1.4×
Tx open tendon flexor toe 1 tendon spx (28232) $1,848.50 $3,697 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $840–$909 $1,680–$1,818 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $467.50–$493.50 $935–$987 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,848.50 $3,697 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $284 $568 1.2×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,783.50 $3,567 1.2×
Tympanoplasty (69631) $6,804.50 $13,609 1.2×
Tympanostomy general anesthesia (69436) $1,993.50 $3,987 1.3×
Unlisted procedure breast (19499) $4,555.50 $9,111 1.2×
Unlisted Procedure Casting/Strapping (29799) $222 $444 1.4×
Unlisted procedure colon (45399)
range across 2 matching MRF lines		 $1,069–$1,356 $2,138–$2,712 varies
Unlisted Procedure Endocrine System (60699) $6,949 $13,898 1.2×
Unlisted procedure eyelids (67999) $365 $730 1.2×
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $284–$338.50 $568–$677 varies
Unlisted procedure foot or toes (28899) $284 $568 1.2×
Unlisted Procedure Hands/Fingers (26989) $284 $568 1.2×
Unlisted procedure humerus/elbow (24999) $496 $992 2.1×
Unlisted Procedure Intestine (44799) $1,042.50 $2,085 1.2×
Unlisted procedure lacrimal system (68899)
range across 2 matching MRF lines		 $365–$416.50 $730–$833 varies
Unlisted procedure larynx (31599) $272.50 $545 1.2×
Unlisted Procedure Leg/Ankle (27899) $333 $666 1.4×
Unlisted procedure lungs and pleura (32999) $1,251.50 $2,503 2.1×
Unlisted Procedure Muscskeletal System General (20999) $338.50 $677 1.4×
Unlisted procedure neck or thorax (21899) $272.50 $545 1.2×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $353–$589.50 $706–$1,179 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $339.50 $679 1.5×
Unlisted Procedure Rectum (45999) $1,356 $2,712 1.5×
Unlisted procedure shoulder (23929) $284 $568 1.2×
Unlisted procedure spine (22899) $284 $568 1.2×
Unlisted procedure stomach (43999) $1,042.50 $2,085 1.2×
Unlisted Procedure Tongue Floor Mouth (41599) $272.50 $545 1.2×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $721.50–$943.50 $1,443–$1,887 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,516 $3,032 1.7×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $232.50–$263.50 $465–$527 varies
Upgrade of pacemaker system (33214) $5,363 $10,726 0.5×
Urinary Reflex Study (51792) $70.50 $141 1.2×
Urine Flow Measurement (51736) $153 $306 1.2×
Vaginal delivery only (59409) $3,447 $6,894 1.1×
Vasc embolize/occlude artery (37242) $9,515 $19,030 0.5×
Vasc Embolize/Occlude Bleed (37244) $7,965.50 $15,931 0.7×
Vasc Embolize/Occlude Organ (37243) $7,965.50 $15,931 0.7×
Venous Mech Thrombectomy (37187) $7,965 $15,930 0.7×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $460–$466.50 $920–$933 varies
Wound Prep F/N/Hf/G (15004) $466.50 $933 1.2×
Wound Prep Trk/Arm/Leg (15002) $840 $1,680 1.2×

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.