Procedures & surgery prices at University of Michigan Health - West

Wyoming, MI · every code in this section with a posted price and a Medicare benchmark.

1249 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 4 matching MRF lines		 $144.40–$712.60 $361–$1,781.50 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $376.40 $941 0.4×
Abdomen Surgery Procedure (22999) $179.70 $449.25 0.7×
Ablate inf turbinate submuc (30802) $76.40 $191 0.0×
Ablate Pulm Tumor Perq Crybl (32994)
likely a partial charge, not the full procedure		 $2,498.80 $6,247 0.2×
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure		 $4,608.20 $11,520.50 0.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $5,197.50 $12,993.75 0.3×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
unusually low: confirm this is the full procedure		 $3,120.90 $7,802.25 0.4×
Acne surgery (10040) $8 $20 0.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $81.60 $204 0.0×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $99.20 $248 0.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $132 $330 0.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $122.40 $306 0.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $86.80 $217 0.0×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $87.20 $218 0.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $111.20 $278 0.1×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $102.80 $257 0.1×
Amniocentesis diagnostic (59000) $278.90 $697.25 0.3×
Amniocentesis therapeutic (59001) $207.50 $518.75 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,155.50 $2,888.75 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,389.90 $3,474.75 0.4×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $122.40–$1,548.10 $306–$3,870.25 varies
Amputation toe metatarsophalangeal joint (28820) $117.60 $294 0.0×
Anal/Urinary Muscle Study (51784) $331.90 $829.75 2.6×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $45.40–$111.10 $113.50–$277.75 varies
Anoscopy W/Rmvl Foreign Body (46608) $936.50 $2,341.25 1.0×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $399.60 $999 0.3×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,189.50 $5,473.75 0.8×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $18.40–$149.20 $46–$373 varies
Application Finger Splint Dynamic (29131) $124.80 $312 2.1×
Application finger splint static (29130)
range across 4 matching MRF lines		 $8.40–$124.80 $21–$312 varies
Application Halo Cranial Including Removal (20661) $806.70 $2,016.75 0.5×
Application long arm splint shoulder hand (29105) $210.10 $525.25 1.3×
Application Long Leg Cast Walker/Ambulatory Type (29355) $25.60 $64 0.1×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $24–$72.60 $60–$181.50 varies
Application of long leg cast (29345)
range across 2 matching MRF lines		 $26–$159.10 $65–$397.75 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $20.40–$325.30 $51–$813.25 varies
Application Short Arm Splint Dynamic (29126) $193 $482.50 1.5×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $18.40–$159.20 $46–$398 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $15.20–$72.60 $38–$181.50 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $18.40–$220.60 $46–$551.50 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $18.40–$149.20 $46–$373 varies
Apply Multlay Comprs Lwr Leg (29581) $71.30 $178.25 0.4×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $15.20–$149.20 $38–$373 varies
Apply short leg cast (29425) $15.20 $38 0.1×
Arterial puncture (36600)
range across 2 matching MRF lines		 $47.60–$72.60 $119–$181.50 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $12.40–$173.20 $31–$433 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $15.20 $38 0.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $506.10 $32–$1,265.25 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $15.20–$229.90 $38–$574.75 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $236.90 $28–$592.25 0.8×
Arthroplasty Ankle (27700)
likely a partial charge, not the full procedure		 $751.20 $1,878 0.1×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $535.20 $1,338 0.2×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $553.60 $1,384 0.2×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $553.20 $1,383 0.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $216.40 $541 0.1×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $553.20 $1,383 0.2×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
likely a partial charge, not the full procedure		 $553.20 $1,383 0.1×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $553.60 $1,384 0.2×
Arthrotomy ankle w/expl drainage/removal fb (27610) $604.40 $1,511 0.2×
Arthrotomy W/Synovectomy Ankle (27625) $603.20 $1,508 0.2×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,016.40 $2,541 0.3×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075)
range across 2 matching MRF lines		 $310.40–$3,380.20 $776–$8,450.50 varies
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022)
range across 2 matching MRF lines		 $122.40–$1,395.10 $306–$3,487.75 varies
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $132.40 $331 0.0×
Artificial insemination intra-uterine (58322) $19.20 $48 0.1×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $121.60–$720.30 $304–$1,800.75 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $100.40–$394.40 $251–$986 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $11.60–$162.20 $29–$405.50 varies
Aspiration & Injection Treatment Bone Cyst (20615) $52.40 $131 0.1×
Aspiration and/or injection thyroid cyst (60300) $308 $770 0.4×
Aspiration bladder insert suprapubic catheter (51102) $1,602.20 $4,005.50 0.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $37.60–$166.70 $94–$416.75 varies
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure		 $2,084.10 $5,210.25 0.2×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $2,084.10 $5,210.25 0.2×
Biliary ndsc prq t-tube w/bx single/multiple (47553)
unusually low: confirm this is the full procedure		 $2,084.10 $5,210.25 0.3×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure		 $2,084.10 $5,210.25 0.3×
Biopsy Abdominal Mass (49180) $655.20 $1,638 0.4×
Biopsy bone open deep (20245) $2,342 $5,855 0.8×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $434–$2,342 $1,085–$5,855 varies
Biopsy bone trocar/needle deep (20225) $1,504.30 $3,760.75 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $1,002 $2,505 0.6×
Biopsy External Auditory Canal (69105) $56 $140 0.0×
Biopsy external ear (69100) $35.20 $88 0.1×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $510.30–$832.30 $1,275.75–$2,080.75 varies
Biopsy Muscle Superficial (20200) $78.80 $197 0.0×
Biopsy nail unit (11755) $29.60 $74 0.0×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $85.20–$1,678.10 $213–$4,195.25 varies
Biopsy of floor of mouth (41108) $41.60 $104 0.0×
Biopsy of lip (40490) $96.60 $241.50 0.4×
Biopsy of liver, needle; percutaneous (47000) $655.20 $1,638 0.4×
Biopsy of palate, uvula (42100) $28.80 $72 0.0×
Biopsy of penis (54100) $1,231 $3,077.50 0.7×
Biopsy of toe joint lining (28054) $90.80 $227 0.0×
Biopsy Oropharynx (42800) $33.60 $84 0.0×
Biopsy Pleura Percutaneous Needle (32400) $655.20 $1,638 0.4×
Biopsy Salivary Gland Incisional (42405) $48.40 $121 0.0×
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines		 $34–$485.70 $85–$1,214.25 varies
Biopsy soft tissue forearm&/wrist superficial (25065) $65.60 $164 0.0×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,928.60 $4,821.50 0.7×
Biopsy soft tissue leg/ankle area superficial (27613)
range across 2 matching MRF lines		 $65.20–$556.10 $163–$1,390.25 varies
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $74.40–$1,186 $186–$2,965 varies
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $556.10 $1,390.25 0.3×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $754.50 $1,886.25 0.5×
Biopsy Soft Tissue Shoulder Deep (23066)
range across 2 matching MRF lines		 $1,585.50–$1,928.60 $3,963.75–$4,821.50 varies
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $434.80 $1,087 0.2×
Biopsy soft tissue thigh/knee area superficial (27323) $67.60 $169 0.0×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $63.60 $159 0.0×
Biopsy Tongue Anterior Two-Thirds (41100) $43.60 $109 0.1×
Biopsy Tongue Posterior One-Third (41105) $42.80 $107 0.0×
Biopsy Vaginal Mucosa Extensive (57105) $7.20 $18 0.0×
Biopsy Vaginal Mucosa Simple (57100) $15.60 $39 0.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $18.80 $47 0.0×
Biopsy, vestibule of mouth (40808) $56 $140 0.1×
Bladder instillation anticarcinogenic agent (51720) $19.20 $48 0.0×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $29.60–$380.30 $74–$950.75 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $13.20–$54.70 $33–$136.75 varies
Blepharoplasty upper eyelid (15822) $38 $95 0.0×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $44 $110 0.0×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $214.60–$226 $536.50–$565 varies
Blood Transfusion Service (36430) $245.30 $613.25 0.6×
Blood/Lymph System Procedure (38999) $1,076.20 $2,690.50 2.4×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $766.40–$1,282.70 $1,916–$3,206.75 varies
Bone Marrow; Aspiration Only (38220) $766.40 $1,916 0.5×
Brnchsc Brushing/Protected Brushings (31623) $1,359.50 $3,398.75 0.8×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,658.40 $6,646 0.7×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $2,658.40 $6,646 0.7×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $2,892.40 $7,231 0.8×
Bronchoscopy W/Biopsy(S) (31625) $1,359.50 $3,398.75 0.8×
Bronchoscopy W/Excision Tumor (31640) $2,892.40 $7,231 0.8×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $5,171.20 $12,928 0.7×
Bronchoscopy W/Removal Foreign Body (31635) $1,363.10 $3,407.75 0.8×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,791.40 $6,978.50 0.8×
Bronchoscopy/Needle Bx Each (31629) $2,791.40 $6,978.50 0.8×
Bx breast 1st lesion mr imag (19085) $1,211.10 $3,027.75 0.7×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $1,191.20–$1,211.10 $2,978–$3,027.75 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $553.50–$1,211.10 $1,383.75–$3,027.75 varies
Bx breast needle core w/o imaging guidance spx (19100) $551.60 $1,379 0.3×
Bx Cervix (57500) $36.40 $91 0.0×
Bx/exc lymph node open superficial (38500) $71.20 $178 0.0×
Canthotomy Separate Procedure (67715) $1,189.60 $2,974 0.5×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $108.40 $271 0.0×
Cautery Cervix Cryocautery Initial/Repeat (57511) $34 $85 0.1×
Cautery Cervix Electro/Thermal (57510) $962.80 $2,407 0.3×
Cessj Therapy Cath Removal (37214) $268.30 $670.75 0.1×
Change Cystostomy Tube Complicated (51710) $516 $1,290 0.7×
Change Cystostomy Tube Simple (51705) $380.30 $950.75 1.5×
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $96.60–$282.80 $241.50–$707 varies
Change ureter stent percut (50382) $1,617.10 $4,042.75 0.8×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $30.40–$272.60 $76–$681.50 varies
Chemical Pleurodesis (32560)
range across 2 matching MRF lines		 $114–$626.70 $285–$1,566.75 varies
Chemodenerv 1 extrem 5/> mus (64644) $12.40 $31 0.0×
Chemodenerv 1 extremity 1-4 (64642) $33.20 $83 0.0×
Chemodenerv Musc Migraine (64615) $28.40 $71 0.1×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $277.10 $31–$692.75 0.9×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $14 $35 0.0×
Chemodenerv trunk musc 1-5 (64646) $25.20 $63 0.0×
Chemodenerv trunk musc 6/> (64647)
range across 2 matching MRF lines		 $36.80–$110.20 $92–$275.50 varies
Chemodenervation eccrine glands oth area per day (64653) $82.40 $206 0.3×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $10 $25 0.0×
Chest tube placement (32551)
range across 3 matching MRF lines		 $60–$390.50 $150–$976.25 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $969.50 $2,423.75 0.5×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,084.10 $5,210.25 0.6×
Circumcision 28 days or older (54161) $383.20 $958 0.2×
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $51.60–$1,072.80 $129–$2,682 varies
Circumcision w/clamp/oth dev w/block (54150) $40.80 $102 0.0×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $4,043.70 $84–$10,109.25 2.5×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $44.80–$131.60 $112–$329 varies
Closed Rx Metacarpal Fx,Percut (26608) $500 $1,250 0.2×
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $20–$1,250.90 $50–$3,127.25 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $379.50 $948.75 1.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $950 $2,375 3.9×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $22.80 $57 0.1×
Closed Treatment Sesamoid Fracture (28530) $11.60 $29 0.0×
Closed Treatment Sternum Fracture (21820)
range across 2 matching MRF lines		 $325.30 $27–$813.25 1.3×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $20–$325.30 $50–$813.25 varies
Closed tx ankle dislocation w/o anesthesia (27840) $241.90 $604.75 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,250.90 $3,127.25 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $30.80–$325.30 $77–$813.25 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $421.60 $1,054 1.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $21.60 $54 0.1×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $18.40–$325.30 $46–$813.25 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $31.20–$1,250.90 $78–$3,127.25 varies
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,167.80 $7,919.50 2.0×
Closed tx knee dislocation w/o anesthesia (27550) $990 $2,475 4.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,166.30 $2,915.75 0.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $100 $250 0.2×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $14.40–$325.30 $36–$813.25 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,165.40 $2,913.50 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,508.20 $8,770.50 2.3×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $3,508.20 $218–$8,770.50 1.1×
Closed tx patellar dislocation w/anesthesia (27562) $807 $2,017.50 3.3×
Closed tx patellar dislocation w/o anesthesia (27560) $717.70 $1,794.25 2.9×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $27.20–$325.30 $68–$813.25 varies
Closed tx radial head/neck fx w/manipulation (24655) $856.50 $2,141.25 0.5×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $20.40–$325.30 $51–$813.25 varies
Closed tx radial shaft fracture w/manipulation (25505) $1,250.90 $3,127.25 0.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $21.20–$325.30 $53–$813.25 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,250.90 $101–$3,127.25 0.8×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $18–$325.30 $45–$813.25 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $15.20–$325.30 $38–$813.25 varies
Closed tx septal&nose fx (21337) $3,508.20 $8,770.50 1.1×
Closed Tx Talus Fracture W/Manipulation (28435) $618.60 $1,546.50 0.4×
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $23.20–$475.60 $58–$1,189 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $214.80 $537 0.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $394.10 $985.25 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $483.60 $1,209 2.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $33.20–$107 $83–$267.50 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $26.80–$325.30 $67–$813.25 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $24.40–$325.30 $61–$813.25 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $70.80–$672.80 $177–$1,682 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $369.20–$731.70 $923–$1,829.25 varies
Closure of salivary fistula (42600) $150 $375 0.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $616.90 $1,542.25 2.5×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $16.40–$424.80 $41–$1,062 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $415.60 $21–$1,039 1.7×
Clsd tx fx orbit except blowout w/o manipulation (21400) $30 $75 0.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,167.80 $7,919.50 2.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $25.20–$590.70 $63–$1,476.75 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,250.90 $3,127.25 0.8×
Clsr Lacrimal Punctum Plug Each (68761) $17.60 $44 0.1×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 2 matching MRF lines		 $1,025.30 $22–$2,563.25 4.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,211.90 $3,029.75 0.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $114.60 $286.50 0.1×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $14.40–$325.30 $36–$813.25 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,250.90 $3,127.25 0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $22.80 $57 0.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $660 $1,650 2.7×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,250.90 $3,127.25 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $855.50 $2,138.75 3.5×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $20.40–$325.30 $51–$813.25 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $627.70 $1,569.25 2.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $15.60–$348.30 $39–$870.75 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $13.60–$325.30 $34–$813.25 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,108.80 $2,772 0.7×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $310.40 $776 0.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $28.80 $72 0.1×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232)
range across 2 matching MRF lines		 $1,267.10 $118–$3,167.75 0.8×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $943.60 $23–$2,359 3.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $4,043.70 $10,109.25 2.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $325.30 $813.25 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $18.80–$325.30 $47–$813.25 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $16.40–$325.30 $41–$813.25 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $325.30 $14–$813.25 1.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,223.80 $3,059.50 0.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $585.20 $29–$1,463 2.4×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $16–$325.30 $40–$813.25 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $4,043.70 $10,109.25 2.5×
Cltx hip dislocation traumatic req anesthesia (27252) $1,493.90 $3,734.75 0.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $965.10 $2,412.75 3.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $32–$325.30 $80–$813.25 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $318.90 $797.25 0.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,231.90 $3,079.75 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $30.80 $77 0.1×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $104.40–$1,250.90 $261–$3,127.25 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines		 $17.60–$3,167.80 $44–$7,919.50 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $21.20–$325.30 $53–$813.25 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $3,167.80 $7,919.50 11.4×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $20.40–$533.60 $51–$1,334 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,231.90 $3,079.75 0.8×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $20–$325.30 $50–$813.25 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $26–$623.60 $65–$1,559 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $325.30 $28–$813.25 1.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $204–$802.70 $510–$2,006.75 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,036.60 $2,591.50 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $27.20–$681 $68–$1,702.50 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $14.80–$369.80 $37–$924.50 varies
Cltx post hip arthrp dislc req anes (27266) $1,036.60 $2,591.50 0.6×
Cltx post hip arthrp dislc w/o anes (27265) $827.80 $2,069.50 3.4×
Cltx prox fibula/shft fx w/manj (27781) $807 $2,017.50 0.5×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $26.40–$325.30 $66–$813.25 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $4,043.70 $10,109.25 2.5×
Cltx prox tibfib jt dislc req anes (27831) $4,043.70 $10,109.25 1.2×
Cltx prox tibfib jt dislc w/o anes (27830) $689 $1,722.50 2.8×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $252.60 $631.50 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $35.60–$325.30 $89–$813.25 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $814.50 $2,036.25 0.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,075.20 $2,688 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $37.20 $93 0.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $31.60–$325.30 $79–$813.25 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,637.50 $4,093.75 1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,007.80 $2,519.50 4.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $12.40 $31 0.1×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $17.60–$325.30 $44–$813.25 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $26.80–$325.30 $67–$813.25 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $34.80 $87 0.1×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,250.90 $99–$3,127.25 0.8×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $29.20–$609.10 $73–$1,522.75 varies
Collect Blood From Catheter Venous Nos (36592) $41.70 $104.25 0.3×
Collection of venous blood by venipuncture (36415) $7.60 $19 0.8×
Colonoscopy w/fb removal (45379)
range across 2 matching MRF lines		 $167.60–$614.10 $419–$1,535.25 varies
Colporrhaphy (57200) $2,089.30 $5,223.25 0.6×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $12.40 $31 0.0×
Colposcopy Cervix Endocervical Curettage (57456) $22.40 $56 0.1×
Colposcopy cervix upper/adjacent vagina (57452) $12 $30 0.1×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $29.20 $73 0.1×
Colposcopy cervix vag eltrd conization cervix (57461) $94 $235 0.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $86 $215 0.0×
Colposcopy entire vagina w/cervix if present (57420) $13.60 $34 0.0×
Colposcopy of vulva (56820) $17.60 $44 0.1×
Colposcopy Vulva W/Biopsy (56821) $24.40 $61 0.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $20.80 $52 0.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $201.20 $503 0.2×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $294.40 $736 0.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $140.80 $352 0.1×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $1,396.90–$3,944.80 $3,492.25–$9,862 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $20 $50 0.0×
Conization of cervix (57520) $22.80 $57 0.0×
Contour of face bone lesion (21029) $86.80 $217 0.0×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $90.40–$225.90 $226–$564.75 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $27.20–$225.90 $68–$564.75 varies
Control oropharyngeal hemorrhage simple (42960) $81.50 $203.75 0.2×
Conversion ext bil drg cath (47535) $3,195.10 $7,987.75 0.9×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $586 $1,465 0.3×
Convert Nephrostomy Catheter (50434) $2,309.70 $5,774.25 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,281.50 $3,203.75 0.8×
Correction hammertoe (28285) $123.20 $308 0.0×
Correction of trichiasis; epilation, by forceps only (67820) $32 $80 0.2×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $45.20–$497 $113–$1,242.50 varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $1.60 $4 0.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $159.60–$225.90 $399–$564.75 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $170.40–$225.90 $426–$564.75 varies
Cysto Bladder W/Ureteral Catheterization (52005) $2,380 $5,950 1.1×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $105.60–$1,154.80 $264–$2,887 varies
Cysto W/Simple Removal Stone & Stent (52310) $1,154.80 $2,887 0.6×
Cystometrogram W/Vp (51728) $985.30 $2,463.25 1.4×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $91.60–$483.60 $229–$1,209 varies
Cystourethroscopy w/dil bladder general anesth (52260) $417.20 $1,043 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $13.20 $33 0.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $200–$290.40 $500–$726 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $149.60–$281.60 $374–$704 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $165.60 $414 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $291.70 $729.25 0.4×
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $12.40–$93.50 $31–$233.75 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $10–$93.50 $25–$233.75 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $346.20–$1,033.10 $865.50–$2,582.75 varies
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $55.20–$168.40 $138–$421 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $291.70–$555.60 $729.25–$1,389 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $154.50–$162.20 $386.25–$405.50 varies
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $601.60 $1,504 0.2×
Decompression of tibia nerve (28035) $124.40 $311 0.1×
Deep Muscle Biopsy (20205) $1,294.50 $3,236.25 0.4×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $78 $195 0.0×
Delivery of placenta (59414) $1,792.40 $4,481 0.6×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $75.20 $188 0.0×
Derma-fat-fascia graft (15770) $274 $685 0.1×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $75.60 $189 0.0×
Destr penis lesion(s) (54065) $31.20 $78 0.0×
Destr W Neurolytic; Celiac Plexus (64680) $1,554.20 $3,885.50 1.8×
Destroy cerv/thor facet jnt (64633) $1,554.20 $3,885.50 0.8×
Destruc retinal lesn,photocoag (67210) $12.80 $32 0.0×
Destruct B9 Lesion 1-14 (17110) $91.50 $228.75 0.5×
Destruction Benign Lesions 15/> (17111) $91.50 $228.75 0.5×
Destruction by neurolytic agent; plantar common digital nerve (64632) $11.60 $29 0.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $37.60 $94 0.0×
Destruction Lesions Vulva Extensive (56515) $17.20 $43 0.0×
Destruction Lesions Vulva Simple (56501) $4.40 $11 0.0×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $168.30 $420.75 0.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $168.30 $420.75 0.8×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $168.30 $420.75 0.4×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $264.50 $661.25 0.4×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $50 $125 0.1×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $91.50 $228.75 0.5×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $94.10 $235.25 0.5×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $91.50 $228.75 0.5×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $291.30 $728.25 0.7×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $49.20 $123 0.1×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $91.50 $228.75 0.5×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $91.50 $228.75 0.5×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $91.50 $228.75 0.5×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $91.50 $228.75 0.5×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $168.30 $420.75 0.4×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $168.30 $420.75 0.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $91.50 $228.75 0.5×
Destruction of lesion of lid margin (up to 1 cm) (67850) $55.20 $138 0.1×
Destruction of skin lesions (17106) $168.30 $420.75 0.4×
Destruction Premalignant Lesion 15/> (17004) $168.30 $420.75 0.4×
Destruction premalignant lesion 1st (17000) $94.10 $235.25 0.5×
Destruction Vaginal Lesions Extensive (57065) $13.60 $34 0.0×
Destruction Vaginal Lesions Simple (57061) $11.20 $28 0.0×
Diaphragm or cervical cap fitting with instructions (57170) $22 $55 0.1×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $873.50 $2,183.75 0.7×
Dilat Xst Trc New Access Rcs (50437) $2,953.90 $7,384.75 0.8×
Dilate Urethra Stricture (53600) $204.90 $512.25 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $26.40 $66 0.0×
Dilation Cervical Canal (57800) $1,979.70 $4,949.25 0.6×
Dilation Salivary Duct (42650) $18 $45 0.0×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $299.40–$622.40 $748.50–$1,556 varies
Drain Spinal Cord Cyst (62268) $635.90 $1,589.75 0.7×
Drain/inj small joint/bursa w/us (20604) $14.40 $36 0.0×
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $216.90–$254.40 $542.25–$636 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $65.20–$287.50 $163–$718.75 varies
Drainage external ear abscess/hematoma cmplx (69005) $41.60 $104 0.0×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $48–$287.50 $120–$718.75 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $145.20–$915.60 $363–$2,289 varies
Drainage lymph node lesion (38305) $9,598 $23,995 3.3×
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $36.40–$231.90 $91–$579.75 varies
Drainage of eye (65800) $1,048.90 $2,622.25 0.5×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $92.40–$99.60 $231–$249 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $88–$287.50 $220–$718.75 varies
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $1,001.50–$2,563 $2,503.75–$6,407.50 varies
Drainage of mouth lesion (41017) $656.90 $1,642.25 0.2×
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $170.40–$223.40 $426–$558.50 varies
Drainage of rectal abscess (45005) $109.20 $273 0.1×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $339.20–$855.50 $848–$2,138.75 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $367.20–$1,578.50 $918–$3,946.25 varies
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $19.20–$58.40 $48–$146 varies
Dressing Change Under Anesthesia (15852) $6 $15 0.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $255.20 $638 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $254.80–$287.50 $637–$718.75 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $672.80 $1,682 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $356.30 $890.75 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $24.40–$301.30 $61–$753.25 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $19.20–$172.10 $48–$430.25 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $49.60 $124 0.1×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $35.60 $89 0.0×
Dstrj les/scar vestibule mouth physical meths (40820) $3,508.20 $8,770.50 1.1×
Dstrj Lesion Anus Extensive (46924) $249.60 $624 0.1×
Dstrj Lesion Anus Simple Chemical (46900) $79.60 $199 0.2×
Dstrj lesion anus simple cryosurgery (46916) $146.40 $366 0.7×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $102.80 $257 0.1×
Dstrj Lesion Penis Simple Cryosurgery (54056) $23.20 $58 0.1×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $16.80 $42 0.0×
Dstrj lesion penis simple laser (54057) $32.80 $82 0.0×
Dstrj lesion penis simple surg excision (54060) $33.60 $84 0.0×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $49.60 $124 0.1×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,560 $3,900 0.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $38–$635.90 $95–$1,589.75 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $520 $1,300 0.6×
Dx Bone Marrow Bx & Aspir (38222) $766.40 $1,916 0.3×
Dx Bronchoscope/Lavage (31624) $1,359.50 $3,398.75 0.8×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $129.60–$1,359.50 $324–$3,398.75 varies
Dx Laryngoscopy Excl Nb (31525) $1,371.60 $3,429 0.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $594.30 $1,485.75 0.8×
Egd endo mucosal resection (43254) $1,365.80 $3,414.50 0.7×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $591.40–$593.10 $1,478.50–$1,482.75 varies
Egd lesion ablation (43270) $1,365.80 $3,414.50 0.7×
Egd place gastrostomy tube (43246) $803.30 $2,008.25 0.4×
Egd Tube/Cath Insertion (43241) $1,328.60 $3,321.50 0.7×
Egd Varices Ligation (43244) $630.30 $1,575.75 0.3×
Egd W/Transmural Drain Cyst (43240)
unusually low: confirm this is the full procedure		 $2,536.40 $6,341 0.4×
Electro-Uroflowmetry First (51741) $245.30 $613.25 1.1×
Endocervical curettage (57505) $6.80 $17 0.0×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $568.80 $1,422 0.1×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $13.60–$102.90 $34–$257.25 varies
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) $1,103.20 $2,758 0.2×
Endoscopic injection/implant (51715) $119.20 $298 0.0×
Endoscopy Upper Small Intestine (44360) $705 $1,762.50 0.4×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $6,205.80 $15,514.50 0.5×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $3,435.60 $8,589 1.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $1,945.20 $4,863 0.6×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,052.40 $7,631 1.0×
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure		 $2,424.90 $6,062.25 0.4×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,511.30 $3,778.25 0.8×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $667.80 $1,669.50 0.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $667.80 $1,669.50 0.3×
Epidural Blood Patch (62273) $743 $1,857.50 1.1×
Episiotomy or vaginal repair (59300) $1,437.70 $3,594.25 0.4×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
likely a partial charge, not the full procedure		 $1,460 $3,650 0.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $696.60 $1,741.50 0.8×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,510.90 $3,777.25 0.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $121.60 $304 0.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $591.40 $1,478.50 0.3×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $630.30 $1,575.75 0.3×
Evacuation of subungual hematoma (11740) $85.10 $212.75 0.6×
Exc arm/elbow les sc < 3 cm (24075) $118.80 $297 0.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $295.70 $739.25 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,186 $2,965 0.7×
Exc Back Les Sc < 3 Cm (21930) $79.60 $199 0.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,678.10 $4,195.25 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $556.10 $1,390.25 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $556.10 $1,390.25 0.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $730.10 $1,825.25 0.4×
Exc Face Les Sbq 2 Cm/> (21012) $152.80 $382 0.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $282.20 $705.50 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $282.20 $705.50 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $519.50–$556.10 $1,298.75–$1,390.25 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $520.60 $1,301.50 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $730.10 $1,825.25 0.4×
Exc Forearm Les Sc 3 Cm/> (25071) $552.40 $1,381 0.3×
Exc Frenum Labial/Buccal (40819) $52.40 $131 0.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $520.60–$545.50 $1,301.50–$1,363.75 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $520.60 $1,301.50 0.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $556.10 $1,390.25 0.3×
Exc Hand Les Sc < 1.5 Cm (26115) $145.20 $363 0.1×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $82 $205 0.1×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $57.20 $143 0.0×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $67.60 $169 0.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $119.60 $299 0.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $113.60 $284 0.1×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $58.40 $146 0.0×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $424.80 $1,062 0.1×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $78 $195 0.0×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $90.40 $226 0.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $556.10 $1,390.25 0.8×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,517.90 $3,794.75 0.9×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,258.90 $3,147.25 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $730.10–$1,087 $1,825.25–$2,717.50 varies
Exc Skin Benig >4cm Face,Facial (11446) $1,258.90 $3,147.25 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $759.80 $1,899.50 0.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,258.80 $3,147 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $730.10 $1,825.25 0.4×
Exc tendon shth lesion leg/ankle (27630) $137.60 $344 0.0×
Exc thigh/knee les sc 3 cm/> (27337) $434.80 $1,087 0.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,624.80 $128–$4,062 1.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $282.20 $705.50 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $290.40–$295.70 $726–$739.25 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $1,186–$1,517.90 $2,965–$3,794.75 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $435.60 $1,089 0.2×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,139 $5,347.50 0.7×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,231 $3,077.50 0.7×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $293.60 $734 0.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $435.20 $1,088 0.2×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $293.60 $734 0.1×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $293.60 $734 0.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $424.40 $1,061 0.3×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $106 $265 0.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $114.80 $287 0.1×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $293.60 $734 0.1×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $98 $245 0.1×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $434.80 $1,087 0.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $79.20 $198 0.0×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $71.20 $178 0.0×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $290.80 $727 0.1×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure		 $1,133.60 $2,834 0.2×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $125.20 $313 0.0×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $110.80 $277 0.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,195.10 $7,987.75 0.9×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,347.30 $8,368.25 1.6×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $983.80 $2,459.50 0.5×
Excis Mouth Mucosa/Sub,No Repair (40810) $57.20 $143 0.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $59.20 $148 0.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $520.60 $1,301.50 0.7×
Excision Chalazion Multiple Same Lid (67801) $19.20 $48 0.0×
Excision Chalazion Single (67800) $16.80 $42 0.1×
Excision Excessive Skin & Subq Tissue Other Area (15839)
range across 2 matching MRF lines		 $70–$1,108 $175–$2,770 varies
Excision exostosis(es), external auditory canal Facility (69140)
likely a partial charge, not the full procedure		 $816.80 $2,042 0.1×
Excision External Ear Partial Simple Repair (69110) $95.60 $239 0.0×
Excision H/P/P/U Complex Repair (11471) $1,258.90 $3,147.25 0.4×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,258.90 $3,147.25 0.4×
Excision Hidradenitis Axillary Complex Repair (11451) $1,258.90 $3,147.25 0.4×
Excision Hidradenitis Inguinal Complex Repair (11463) $1,258.90 $3,147.25 0.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,258.90 $3,147.25 0.4×
Excision lesion mouth roof (42104) $54.40 $136 0.0×
Excision Lesion Tongue W/O Closure (41110) $58.40 $146 0.0×
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $74.40–$971.60 $186–$2,429 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $556.10 $1,390.25 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $290.40 $726 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $284.40 $711 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $935.40 $2,338.50 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $556.10 $1,390.25 0.8×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $556.10 $1,390.25 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,293.80 $3,234.50 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $759.80 $1,899.50 0.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $759.80 $1,899.50 1.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $759.80 $1,899.50 1.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,517.90 $3,794.75 0.9×
Excision of bartholin's gland or cyst (56740) $486 $1,215 0.2×
Excision of chalazion; multiple, different lids (67805) $26 $65 0.1×
Excision of pilonidal cyst or sinus; simple (11770) $65.20 $163 0.0×
Excision of vaginal cyst or tumor (57135) $12.40 $31 0.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $82.40 $206 0.0×
Excision Pilonidal Cyst/Sinus Extensive (11771) $96.40 $241 0.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
likely a partial charge, not the full procedure		 $231.20 $578 0.0×
Excision soft tissue lesion, external auditory canal (69145) $106.40 $266 0.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $849.20 $2,123 0.5×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $116.40 $291 0.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $99.60 $249 0.1×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $105.20 $263 0.1×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $436 $1,090 0.2×
Excision, interdigital (morton) neuroma, single, each (28080) $138.40 $346 0.1×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $573.20 $1,433 0.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $62.40 $156 0.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $577.20 $1,443 0.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $573.20 $1,433 0.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $107.20 $268 0.1×
Excision/destruction intranasal lesion int appr (30117) $388 $970 0.1×
Excision/destruction lesion pharynx any method (42808) $48 $120 0.0×
Expl penetrating wound spx abdomen/flank/back (20102) $1,561.10 $3,902.75 0.8×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure		 $1,216.90 $3,042.25 0.2×
Explo/Drain Breast Abscess (19020) $1,229.30 $3,073.25 0.7×
Exploration penetrating wound spx chest (20101)
range across 2 matching MRF lines		 $174.40–$2,273.80 $436–$5,684.50 varies
Exploration penetrating wound spx extremity (20103) $3,250.80 $8,127 2.0×
Exploration Penetrating Wound Spx Neck (20100) $118.40 $296 0.2×
Explore/Treat Knee Joint (27331) $604.40 $1,511 0.2×
External cephalic version (59412) $1,314.40 $3,286 0.4×
Fasciectomy Plantar Fascia Partial Spx (28060) $119.60 $299 0.0×
Fasciotomy, foot and/or toe (28008) $98.80 $247 0.0×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $22–$139 $55–$347.50 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,130 $2,825 1.6×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $668.30 $1,670.75 0.9×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $174.90–$320.50 $437.25–$801.25 varies
Flap; neurovascular pedicle (15750) $238 $595 0.1×
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $115.60–$122.10 $289–$305.25 varies
Fluoro exam of g/colon tube (49465) $397.80 $994.50 1.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $363.90 $909.75 0.5×
Fna bx w/us gdn 1st les (10005) $637.80 $1,594.50 0.9×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $586.80 $20–$1,467 2.4×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $95.20 $238 0.0×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $100 $250 0.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $102.40 $256 0.0×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $106 $265 0.1×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $108.80 $272 0.1×
Gastrocnemius recession (27687) $604.80 $1,512 0.2×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $4,112 $10,280 0.7×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $462.10–$1,029.90 $1,155.25–$2,574.75 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $48.80 $122 0.1×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $1,014.40 $2,536 0.2×
Hysteroscopy Biopsy (58558) $683.60 $1,709 0.2×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $701.60 $1,754 0.1×
Hysteroscopy Dx Sep Proc (58555) $80.40 $201 0.0×
Hysteroscopy Endometrial Ablation (58563) $1,147.60 $2,869 0.2×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $440.80 $1,102 0.1×
Hysteroscopy Removal Impacted Foreign Body (58562) $78.40 $196 0.0×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $38.80–$231.90 $97–$579.75 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $169.10–$183.50 $422.75–$458.75 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $85.20 $213 0.1×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $124.80–$1,315.60 $312–$3,289 varies
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines		 $94.40–$1,315.60 $236–$3,289 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $399.20 $998 0.1×
I&d forearm/wrist bursa (25031) $382.40 $956 0.2×
I&D Intramural Im/Absc Transanal Anes (46045) $1,624.80 $4,062 0.6×
I&D Mouth/Tong Intra,Masticator (41009) $94.40 $236 0.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $400.80 $1,002 0.1×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $74.80–$2,485.30 $187–$6,213.25 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $70–$344.60 $175–$861.50 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $53.60–$287.50 $134–$718.75 varies
I&d shoulder deep abscess/hematoma (23030) $134.80 $337 0.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $123.20 $308 0.0×
Icd Pocket Revision (33223) $1,273.40 $3,183.50 0.6×
Ileoscopy Stoma W/Balloon Dilation (44381) $837.10 $2,092.75 0.4×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $705 $1,762.50 0.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $667.80 $1,669.50 0.7×
Image Cath Fluid Colxn Visc (49405) $3,424.80 $8,562 2.1×
Image Cath Fluid Peri/Retro (49406) $5,915.40 $14,788.50 3.6×
Image Cath Fluid Trns/Vgnl (49407) $2,634.10 $6,585.25 1.6×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $217.60–$380.30 $544–$950.75 varies
Incise finger tendon sheath (26055) $179.60 $449 0.1×
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure		 $1,672.80 $4,182 0.2×
Incise/Drain Conjunctiva (68020) $71.60 $179 0.1×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $169.10–$209.70 $422.75–$524.25 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $722 $1,805 0.2×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $730.10–$3,235 $1,825.25–$8,087.50 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $168.30–$555.60 $420.75–$1,389 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $21.20–$289.40 $53–$723.50 varies
Incision and drainage of vulva or perineal abscess (56405) $160.40 $401 0.5×
Incision of eardrum (69420) $50.40 $126 0.2×
Incision of Foot Tendon (28234) $106.40 $266 0.1×
Incision of labial frenum (frenotomy) (40806) $74 $185 0.1×
Incision of lingual frenum (frenotomy) (41010) $69.20 $173 0.0×
Incision of rectal abscess (46040)
range across 3 matching MRF lines		 $84.40–$1,624.80 $211–$4,062 varies
Incision&drainage bursa foot (28001) $75.20 $188 0.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $184.80–$1,229.30 $462–$3,073.25 varies
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) $1,935.40 $4,838.50 0.6×
Incisional biopsy eyelid skin & lid margin (67810) $267.40 $668.50 0.8×
Incisional biopsy skin single lesion (11106) $236 $590 0.3×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $12.80–$168.40 $32–$421 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $364 $910 0.4×
Inj W/Fluor Eval Cv Device (36598) $526.30 $1,315.75 2.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $478.70 $1,196.75 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $18.40–$506.10 $46–$1,265.25 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $364 $910 0.4×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $364 $910 0.4×
Injection aa&/strd genicular nrv branches w/img (64454) $594.30 $1,485.75 0.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $63.20–$488.30 $158–$1,220.75 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $364 $910 0.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $594.30 $1,485.75 0.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $129 $322.50 0.2×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $13.60–$236.40 $34–$591 varies
Injection Anes Superior Hypogastric Plexus (64517) $465 $1,162.50 0.5×
Injection anesthetic agent suprascapular nerve (64418) $294.20 $735.50 0.4×
Injection enzyme palmar fascial cord (20527) $15.20 $38 0.0×
Injection for identification of sentinel node (38792) $432.50 $1,081.25 1.1×
Injection Into Brain Canal (61055) $211.60 $529 0.7×
Injection single tendon origin/insertion (20551) $11.60 $29 0.0×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $12–$181 $30–$452.50 varies
Injection single/mlt trigger point 3/> muscles (20553) $12 $30 0.0×
Injection Sinus Tract Therapeutic Separate Proc (20500) $516.40 $1,291 0.3×
Injection therapeutic carpal tunnel (20526) $11.60 $29 0.0×
Injection Turbinate Therapeutic (30200) $32 $80 0.1×
Injection, anesthetic agent; brachial plexus, single (64415) $364 $910 0.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $27.60–$294.20 $69–$735.50 varies
Injection, Intralesional; More Than 7 Lesions (11901) $165.40 $413.50 0.8×
Injection, intralesional; up to and including 7 lesions (11900) $12 $30 0.1×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $488.30 $1,220.75 0.6×
Ins cath ren art 1st bilat (36252) $4,988.80 $12,472 1.6×
Ins cath ren art 1st unilat (36251) $4,988.80 $12,472 1.6×
Ins cath ren art 2nd+ bilat (36254) $5,208.60 $13,021.50 1.7×
Ins cath ren art 2nd+ unilat (36253) $5,208.60 $13,021.50 0.9×
Ins endovas vena cava filtr (37191) $4,759.70 $11,899.25 0.9×
Ins/Rep Subq Defibrillator (33270) $29,663 $74,157.50 0.9×
Insert 1 Electrode Pm-Defib (33216) $4,149.20 $10,373 0.5×
Insert Bladder Cath Complex (51703) $95.80 $239.50 0.7×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $250–$837 $625–$2,092.50 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $288.40–$376.40 $721–$941 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,251.40 $5,628.50 1.9×
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $19.20–$207.50 $48–$518.75 varies
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $38–$244.20 $95–$610.50 varies
Insert Gastrostomy Tube Percutaneous (49440) $586 $1,465 0.3×
Insert Heart Pm Atrial (33206) $8,190.50 $20,476.25 0.8×
Insert Heart Pm Ventricular (33207) $8,058.80 $20,147 0.8×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $1,823.40 $4,558.50 0.1×
Insert Nasal Septal Button (30220) $129.60 $324 0.1×
Insert non-tunnel cv cath (36556) $756.80 $1,892 0.2×
Insert Pacing Lead & Connect (33224) $15,980 $39,950 1.5×
Insert pessary/other device (57160) $18.80 $47 0.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $681 $1,702.50 0.4×
Insert pulse gen dual leads (33213) $7,332.80 $18,332 0.7×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure		 $7,478.50 $18,696.25 0.4×
Insert Pulse Gen Sngl Lead (33212) $6,654.10 $16,635.25 0.8×
Insert Temp Bladder Cath (51702) $131.60 $329 1.0×
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $916.40–$2,001.50 $2,291–$5,003.75 varies
Insert tunneled cv cath (36561) $2,063.80 $5,159.50 0.7×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $19.20–$131.60 $48–$329 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $386.40–$2,152.10 $966–$5,380.25 varies
Insertion phrenic nerve stimulator system (33276)
likely a partial charge, not the full procedure		 $12,468.70 $31,171.75 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $887.30 $2,218.25 0.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $5,241.60 $13,104 0.6×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $2,064.80 $5,162 0.6×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $4,160.70 $10,401.75 0.8×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
unusually low: confirm this is the full procedure		 $3,913.90 $9,784.75 0.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $756.80–$2,251.40 $1,892–$5,628.50 varies
Insj Picc Rs&I <5 Yr (36572) $811.60 $2,029 1.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,717.40 $4,293.50 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $756.80 $1,892 0.5×
Insj Subq Impltbl Dfb Elctrd (33271) $5,456.50 $13,641.25 0.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,717.40 $4,293.50 0.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $27,954.20 $69,885.50 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $3,317.40–$3,767.80 $8,293.50–$9,419.50 varies
Insrt heart pm atrial & vent (33208) $9,637 $24,092.50 0.9×
Insrt Pulse Gen W/Dual Leads (33230) $22,233.10 $55,582.75 1.0×
Insrt Pulse Gen W/Mult Leads (33231) $22,233.10 $55,582.75 0.7×
Insrt Pulse Gen W/Singl Lead (33240)
range across 2 matching MRF lines		 $22,087.50–$29,663 $55,218.75–$74,157.50 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $164.50–$700.40 $411.25–$1,751 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $267.60–$995.40 $669–$2,488.50 varies
Intranasal Biopsy (30100) $54 $135 0.0×
Intraoral i&d tongue/floor lingual (41000) $59.60 $149 0.1×
Intraoral i&d tongue/floor sublngl supfc (41005) $68.80 $172 0.3×
Intraoral i&d tongue/floor submental space (41007) $80 $200 0.1×
Intraoral i&d tongue/floor submndblr space (41008) $92.40 $231 0.0×
Intro cath dialysis circuit (36901) $436.60 $1,091.50 0.3×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
likely a partial charge, not the full procedure		 $436.60 $1,091.50 0.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
likely a partial charge, not the full procedure		 $436.60 $1,091.50 0.1×
Intro Gastrointestinal Tube (44500) $431.90 $1,079.75 0.5×
Intubation endotracheal emergency procedure (31500) $365.70 $914.25 1.5×
Iridotomy/irridectomy laser surg per session (66761) $41.60 $104 0.1×
Irrigation of corpora cavernosa for priapism (54220) $130.10 $325.25 0.5×
Island pedicle flap graft (15740) $110.40 $276 0.1×
Knee Arthroscopy/Surgery (29850) $513.60 $1,284 0.3×
Labyrinthotomy Transcanal (69801) $98.40 $246 0.1×
Laparo ablate liver tumor rf (47370) $7,451.60 $18,629 0.7×
Laparo ablate renal mass (50542) $7,298 $18,245 0.7×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546)
likely a partial charge, not the full procedure		 $913.60 $2,284 0.1×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $24.80–$167.10 $62–$417.75 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $13.20–$367.70 $33–$919.25 varies
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $408.10 $1,020.25 1.0×
Laryngoscopy W/Foreign Body Removal (31530) $1,455.20 $3,638 0.8×
Laser Surgery Anal Lesions (46917) $242 $605 0.1×
Late closure of wound (13160) $849.30 $2,123.25 0.2×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,536 $3,840 0.2×
Ligation nasal sinus artery (30915) $473.60 $1,184 0.2×
Ligation or biopsy temporal artery (37609) $3,235 $8,087.50 2.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $5,567.70 $13,919.25 1.8×
Lip Surgery Procedure (40799) $86.10 $215.25 0.4×
Lyse chest fibrin init day (32561)
range across 2 matching MRF lines		 $553.80 $41–$1,384.50 0.9×
Lyse Chest Fibrin Subq Day (32562) $14.80 $37 0.0×
Lysis Intranasal Synechia (30560) $99.60 $249 0.2×
Marsupialization of bartholin's gland cyst (56440) $380.80 $952 0.1×
Mastectomy partial (19301) $2,335.90 $5,839.75 0.6×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $756.80 $1,892 0.5×
Mech remov tunneled cv cath (36595) $1,717.40 $4,293.50 0.5×
Metatarsectomy (28140) $112.80 $282 0.0×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $489.60 $1,224 0.7×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $234 $585 0.3×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $119.60 $299 0.1×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $114 $285 0.0×
Muscle-skin graft trunk (15734) $122 $305 0.0×
Myelography Lumbar Injection (62305) $649.80 $1,624.50 0.8×
Myelography Lumbar Injection (62304) $649.80 $1,624.50 0.8×
Myelography via lumbar injection rs&i cervical (62302) $649.80 $1,624.50 0.8×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $649.80 $1,624.50 0.8×
Myringoplasty (69620) $147.20 $368 0.0×
N Block Inj Celiac Pelus (64530) $488.30 $1,220.75 0.6×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $30–$559.50 $75–$1,398.75 varies
N block inj intercost sng (64420) $327.90 $819.75 0.5×
N Block Inj Paracervical (64435) $42.80 $107 0.1×
N Block Inj Plantar Digit (64455) $10 $25 0.0×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $43.60–$488.30 $109–$1,220.75 varies
N Block Lumbar/Thoracic (64520) $364 $910 0.4×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $86.40–$145.60 $216–$364 varies
Nasal/Orogastric W/Tube Plmt (43752) $281.80 $704.50 0.6×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $518 $1,295 0.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $85.20 $213 0.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $96.80–$1,468 $242–$3,670 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
likely a partial charge, not the full procedure		 $1,162 $2,905 0.2×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure		 $1,164.80 $2,912 0.2×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure		 $1,162.40 $2,906 0.2×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $495.60 $1,239 0.1×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $837.80 $2,094.50 0.9×
Ndsc eval intstinal pouch w/bx single/multiple (44386)
range across 2 matching MRF lines		 $157.20–$837.80 $393–$2,094.50 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $677–$792.60 $1,692.50–$1,981.50 varies
Needle Biopsy Pancreas (48102) $655.20 $1,638 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $18 $45 0.6×
Needle insertion w/o injection 3 or more muscles (20561) $18 $45 0.6×
Neuroeltrd Stim Post Tibial (64566) $73.60 $184 0.2×
Nipple Exploration (19110) $103.20 $258 0.0×
Njx anes stellate ganglion crv sympathetic (64510) $635.90 $1,589.75 0.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $37.60–$248.70 $94–$621.75 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $810.50 $2,026.25 0.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $949.20 $2,373 0.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $364 $910 0.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $382.20 $955.50 0.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $308.90 $772.25 0.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $382.20 $955.50 0.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $505 $1,262.50 0.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $351.50 $878.75 0.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $351.50 $878.75 0.5×
Njx Sclrsnt 1 Incmptnt Vein (36470) $118 $295 0.3×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $118 $295 0.3×
Njx Sclrsnt Spider Veins (36468) $118 $295 0.3×
Obstructive material removal from gi tube (49460) $431.90 $1,079.75 0.5×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $26.80–$132.60 $67–$331.50 varies
Open bone biopsy (20251)
likely a partial charge, not the full procedure		 $1,492.40 $3,731 0.2×
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure		 $1,320 $3,300 0.2×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $986 $2,465 0.1×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $986 $2,465 0.1×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
likely a partial charge, not the full procedure		 $120.80 $302 0.0×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $986 $2,465 0.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $963.60 $2,409 0.1×
Open Tx Distal Phalangeal Fracture Each (26765) $2,159.80 $5,399.50 0.7×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $59.20 $148 0.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,580.80 $3,952 0.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $986.40 $2,466 0.1×
Open/Perq Place Stent 1St (37236) $7,792 $19,480 0.7×
Open/Perq Place Stent Same (37238) $7,792 $19,480 0.7×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure		 $1,320.80 $3,302 0.2×
Ostc compl all metar heads w/prtl prox phalangc (28114) $176.80 $442 0.1×
Ostectomy calcaneus (28118) $134.80 $337 0.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $130.40 $326 0.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $123.60 $309 0.0×
Ostectomy, complete excision; first metatarsal head (28111) $124.40 $311 0.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $127.20 $318 0.0×
Osteochondral knee autograft (27416)
likely a partial charge, not the full procedure		 $900.80 $2,252 0.1×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,134 $2,835 0.2×
Part remv talus or calcaneus (28120) $135.60 $339 0.0×
Partial Excision Distal Phalanx Finger (26236) $1,408.80 $3,522 0.9×
Partial excision of lip (40520) $93.20 $233 0.0×
Partial removal of toe (28160) $108.40 $271 0.0×
Partial removal of tongue (41120)
likely a partial charge, not the full procedure		 $453.20 $1,133 0.1×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $106.40–$1,872 $266–$4,680 varies
Pelvic examination under anesthesia (other than local) (57410) $380.80 $952 0.1×
Perc Cryo Ablate Renal Tum (50593)
unusually low: confirm this is the full procedure		 $4,228.20 $10,570.50 0.4×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $274 $685 0.2×
Perc Rf Ablate Renal Tumor (50592) $4,608.20 $11,520.50 0.8×
Percut Ablate Liver Rf (47382) $4,608.20 $11,520.50 0.8×
Percut Cath Occlusn Non Cns Lesn (61626) $6,326.30 $15,815.75 0.5×
Percut Drain/Inject Renal Cyst (50390) $655.20 $1,638 0.9×
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,828.40 $7,071 0.9×
Pericardiocentesis W/Imaging (33016) $1,550.20 $3,875.50 1.0×
Perineoplasty rpr perineum nonobstetrical spx (56810) $380.80 $952 0.1×
Peritoneal Lavage (49084) $702.50 $1,756.25 0.8×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $4,967.80 $12,419.50 0.3×
Perq av fistula creation uxtr sep access sites (36837) $14,733.60 $36,834 0.8×
Perq av fistula creation uxtr single access (36836) $14,903.20 $37,258 0.8×
Perq Cervicothoracic Inject (22510) $2,299 $5,747.50 0.7×
Perq dev breast 1st mr guide (19287) $543.60 $1,359 0.8×
Perq dev breast 1st strtctc (19283) $831 $2,077.50 1.2×
Perq dev breast 1st us imag (19285) $831 $2,077.50 1.2×
Perq device breast 1st imag (19281) $1,064 $2,660 0.6×
Perq dilation xst trc endourologic px w/img (50436) $3,490 $8,725 1.0×
Perq Lumbosacral Injection (22511) $2,299 $5,747.50 0.7×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
unusually low: confirm this is the full procedure		 $2,956.30 $7,390.75 0.3×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $4,608.20 $11,520.50 0.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $58 $145 0.1×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure		 $436.60 $1,091.50 0.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
likely a partial charge, not the full procedure		 $436.60 $1,091.50 0.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure		 $2,886.70 $7,216.75 0.4×
Perq Vertebral Augmentation (22513)
unusually low: confirm this is the full procedure		 $2,886.70 $7,216.75 0.4×
Phalangectomy toe each toe (28150) $105.60 $264 0.0×
Phleb Veins - Extrem 20+ (37766) $2,918.30 $7,295.75 0.9×
Place breast rad tube/caths (19298)
likely a partial charge, not the full procedure		 $577.60 $1,444 0.0×
Place Cath Subclavian Art (36225) $7,326.40 $18,316 2.3×
Place Cath Thoracic Aorta (36221) $6,584 $16,460 2.1×
Place Cath Vertebral Art (36226) $6,494.20 $16,235.50 1.2×
Place Duod/Jej Tube Perc (49441) $595.80 $1,489.50 0.3×
Placement of needle for intraosseous infusion (36680) $291.60 $729 0.7×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure		 $2,315.80 $5,789.50 0.4×
Plmt Bile Duct Stent Prq Existing Access (47538) $3,203.90 $8,009.75 0.5×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
unusually low: confirm this is the full procedure		 $2,591.10 $6,477.75 0.4×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540)
unusually low: confirm this is the full procedure		 $2,591.10 $6,477.75 0.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,464.60 $8,661.50 1.7×
Plmt Nephroureteral Catheter (50433) $2,309.70 $5,774.25 0.7×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $4,040 $10,100 1.2×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,040 $10,100 1.2×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $4,040 $10,100 1.2×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $2,828.40 $7,071 0.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $61.60–$546.70 $154–$1,366.75 varies
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $2,157.60 $5,394 0.8×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $873.50 $2,183.75 0.7×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $1,417.70 $3,544.25 0.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $814.60 $2,036.50 1.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,389.80 $10,974.50 1.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,389.80 $10,974.50 1.2×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $500 $1,250 0.2×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure		 $500.40 $1,251 0.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $113.20 $283 0.0×
Pseudoaneurysm Injection Trt (36002) $878.70 $2,196.75 1.4×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $236–$314.80 $590–$787 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $98.80–$189.50 $247–$473.75 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $46.40–$311.60 $116–$779 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $431.90 $1,079.75 0.6×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $2,139 $5,347.50 0.7×
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $2,139 $5,347.50 0.7×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $2,139 $5,347.50 0.7×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $2,139 $5,347.50 0.7×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $2,139 $5,347.50 0.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,606.50 $4,016.25 0.8×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $126.40 $316 0.0×
Reconstruction Nail Bed W/Graft (11762)
range across 2 matching MRF lines		 $67.20–$94 $168–$235 varies
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $900.80 $2,252 0.1×
Reconstruction Tongue Fold (41520) $68.40 $171 0.0×
Redo Endovas Vena Cava Filtr (37192) $4,759.70 $11,899.25 1.5×
Reduction of rectal prolapse (45900) $523.80 $1,309.50 0.6×
Relieve Pressure on Nerve(S) (64722) $352.40 $881 0.2×
Relocation Pocket Pacemaker (33222) $1,033.70 $2,584.25 0.5×
Rem Endovas Vena Cava Filter (37193) $3,608 $9,020 1.1×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $513.40 $1,283.50 0.6×
Removal Embedded Foreign Body Eyelid (67938) $438.50 $1,096.25 1.4×
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $118.40–$1,281.50 $296–$3,203.75 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $115.20–$3,235 $288–$8,087.50 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $88.80–$1,679.90 $222–$4,199.75 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $96.80–$910.90 $242–$2,277.25 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $764 $1,910 0.2×
Removal Foreign Body Scrotum (55120) $297.60 $744 0.1×
Removal foreign body upper arm/elbow deep (24201) $135.60 $339 0.0×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $12.40–$41.50 $31–$103.75 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $12.40–$131.60 $31–$329 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $137.20–$2,241.40 $343–$5,603.50 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $159.60–$1,504.30 $399–$3,760.75 varies
Removal implantable contraceptive capsules (11976) $34 $85 0.0×
Removal of a lesion from the floor of the mouth (41116) $79.60 $199 0.0×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $45.40–$62 $113.50–$155 varies
Removal of heel spur (28119) $120.40 $301 0.0×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $27.60–$320.60 $69–$801.50 varies
Removal of tunneled intraperitoneal catheter (49422) $1,555.30 $3,888.25 0.5×
Removal or bivalving full arm or full leg cast (29705) $13.60 $34 0.0×
Removal Pacemaker Electrode (33235) $1,555.30 $3,888.25 0.4×
Removal ppm generator only (33233)
likely a partial charge, not the full procedure		 $1,555.30 $3,888.25 0.2×
Removal shoulder foreign body deep subfascial/im (23333) $573.20 $1,433 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $59.70–$69.80 $149.25–$174.50 varies
Removal subcutaneous cardiac rhythm monitor (33286) $781.60 $1,954 1.1×
Removal sweat gland lesion (11450) $1,258.90 $3,147.25 0.4×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $22.40–$72.60 $56–$181.50 varies
Remove cerclage suture (59871) $369.20 $923 0.1×
Remove drug implant device (11982) $45.40 $113.50 0.1×
Remove Elctrd Transvenously (33244) $1,836.40 $4,591 0.5×
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $407.60–$4,432.20 $1,019–$11,080.50 varies
Remove foreign body from eye (65235) $3,406.50 $8,516.25 1.5×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $9.20–$190.10 $23–$475.25 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $18.80–$156 $47–$390 varies
Remove intrvas foreign body (37197) $3,608.20 $9,020.50 1.1×
Remove Lower Leg Bone Lesion (27635) $604.40 $1,511 0.2×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $17.60–$142.60 $44–$356.50 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $45.40–$80.40 $113.50–$201 varies
Remove palate/lesion (42120)
likely a partial charge, not the full procedure		 $453.20 $1,133 0.1×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $1,538.70–$2,747.90 $3,846.75–$6,869.75 varies
Remove renal tube w/fluoro (50389) $473.70 $1,184.25 0.7×
Remove self-contd penis pros (54415) $2,209.30 $5,523.25 0.6×
Remove Shoulder Foreign Body (23330) $254.40 $636 0.2×
Remove ureter stent percut (50384) $1,428.80 $3,572 0.7×
Remove&replace pm gen singl (33227) $8,354.70 $20,886.75 1.0×
Remove/Insert Drug Implant (11983) $31.20 $78 0.1×
Remv&replc cvd gen dual lead (33263) $23,771.80 $59,429.50 1.1×
Remv&replc cvd gen mult lead (33264) $33,341.90 $83,354.75 1.1×
Remv&replc cvd gen sing lead (33262) $23,771.80 $59,429.50 1.1×
Remv&replc pm gen dual lead (33228) $9,033.30 $22,583.25 0.9×
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure		 $9,033.30 $22,583.25 0.5×
Renal Biopsy Perq (50200) $655.20 $1,638 0.4×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $2,893.70 $7,234.25 0.4×
Repair Blood Vessel Direct Hand Finger (35207) $8,202.30 $20,505.75 2.6×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $604.80 $1,512 0.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $127.10–$901.40 $317.75–$2,253.50 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $149.80–$1,012.80 $374.50–$2,532 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $129.10–$700.40 $322.75–$1,751 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $462.50–$966.80 $1,156.25–$2,417 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $108–$700.40 $270–$1,751 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $462.50–$750.20 $1,156.25–$1,875.50 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $122–$901.40 $305–$2,253.50 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $135.30–$901.40 $338.25–$2,253.50 varies
Repair Elbow Perc (24357) $604 $1,510 0.2×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $318.40–$3,380.20 $796–$8,450.50 varies
Repair Eyelid Wound (67935) $105.60 $264 0.0×
Repair Finger Tendon (26433) $310.80 $777 0.1×
Repair Finger/Hand Tendon (26350) $1,914.20 $4,785.50 0.6×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $407.60 $1,019 0.1×
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $986 $2,465 0.1×
Repair Hand Tendon (26410) $3,380.20 $8,450.50 2.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $91.80–$470.90 $229.50–$1,177.25 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $225–$490.20 $562.50–$1,225.50 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $225–$523.50 $562.50–$1,308.75 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $134.30–$579.80 $335.75–$1,449.50 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $267.60–$1,000.90 $669–$2,502.25 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $124.20–$700.40 $310.50–$1,751 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $91.80–$405.30 $229.50–$1,013.25 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $225–$491.10 $562.50–$1,227.75 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $138.20–$526.70 $345.50–$1,316.75 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $403.20–$915.50 $1,008–$2,288.75 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $138.70–$712.90 $346.75–$1,782.25 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $91.80–$267.30 $229.50–$668.25 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $225–$309.30 $562.50–$773.25 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $264.50–$802.20 $661.25–$2,005.50 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $225–$489.20 $562.50–$1,223 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $424.40–$901.60 $1,061–$2,254 varies
Repair Laceration Palate </2 Cm (42180)
range across 2 matching MRF lines		 $195.60–$220.90 $489–$552.25 varies
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure		 $147.20 $368 0.0×
Repair lead pace-defib dual (33220) $1,481.30 $3,703.25 0.4×
Repair Lead Pace-Defib One (33218) $1,481.30 $3,703.25 0.4×
Repair nasal septal perforations (30630) $428.80 $1,072 0.1×
Repair of anal fistula with fibrin glue (46706) $1,254 $3,135 0.5×
Repair of hammertoe (28286) $110.40 $276 0.0×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $70–$700.40 $175–$1,751 varies
Repair of urethra injury (53502) $2,633.30 $6,583.25 0.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $116.40 $291 0.0×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $892 $2,230 0.1×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $86.40–$535 $216–$1,337.50 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $97.60–$225.90 $244–$564.75 varies
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $604.40 $1,511 0.1×
Replace duodenostomy/jejunostomy tube perq (49451) $532.40 $1,331 0.6×
Replace G-J Tube Perc (49452) $532.40 $1,331 0.6×
Replace g/c tube perc (49450) $532.40 $1,331 0.6×
Replace/Revise Brain Shunt (62230)
unusually low: confirm this is the full procedure		 $4,282.50 $10,706.25 0.5×
Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) $4,316.70 $10,791.75 2.7×
Repos Previously Implanted Subq Implantable Dfb (33273) $2,747.90 $6,869.75 0.7×
Reposition Gastrostomy Tube (43761) $593.10 $1,482.75 2.4×
Reposition L Ventric Lead (33226) $1,538.70 $3,846.75 0.5×
Reposition Pacing-Defib Lead (33215) $1,555.30 $3,888.25 0.5×
Reposition Venous Catheter (36597) $756.80 $1,892 0.5×
Repositioning phrenic nrv stimulator transvns ld (33281) $2,186.10 $5,465.25 0.6×
Resect back tum < 5 cm (21935) $2,139 $5,347.50 0.7×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $110 $275 0.0×
Resection, partial or complete, phalangeal base, each toe (28126) $106.80 $267 0.0×
Revision of foot (28116) $143.20 $358 0.0×
Revision of lower leg tendon (27685) $143.60 $359 0.0×
Revision of tracheostomy scar (31830) $80.40 $201 0.0×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $6,595.40 $16,488.50 1.2×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $762.40 $1,906 0.4×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $126 $315 0.1×
Rmvl embedded fb vestibule mouth comp (40805)
range across 2 matching MRF lines		 $369.60–$1,533 $924–$3,832.50 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $76.90–$254.80 $192.25–$637 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205) $4,444.50 $11,111.25 2.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $190.10 $475.25 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $190.10 $475.25 1.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $190.10 $23–$475.25 0.4×
Rmvl fecal impaction/fb spx under anes (45915) $2,485.30 $6,213.25 2.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,258.50 $3,146.25 0.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)
range across 2 matching MRF lines		 $631.60–$759.80 $1,579–$1,899.50 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $48 $120 0.0×
Rmvl of subq implantable defibrillator electrode (33272) $2,747.90 $6,869.75 0.7×
Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) $2,082 $5,205 0.6×
Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) $2,082 $5,205 0.6×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $1,555.30 $3,888.25 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $959.50 $2,398.75 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $421.90 $45–$1,054.75 0.7×
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287)
unusually low: confirm this is the full procedure		 $11,875 $29,687.50 0.4×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $240.70 $601.75 0.9×
Rmvl/revj sling stress incontinence (57287) $692.40 $1,731 0.2×
Rplc Gtube No Revj Trc (43762) $174.20 $435.50 0.7×
Rplc gtube revj gstrst trc (43763) $1,460.30 $3,650.75 5.9×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $756.80 $1,892 0.5×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $2,172.80 $5,432 0.7×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $756.80 $1,892 0.5×
Rplcmt compl tun ctr vad w/subq port (36582) $2,782 $6,955 0.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,717.40 $4,293.50 0.5×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $93.60 $234 0.0×
Rpr blood vessel direct lower extremity (35226) $1,839.30 $4,598.25 2.6×
Rpr blvsl w/grf other/than vein lower extremity (35286)
likely a partial charge, not the full procedure		 $934 $2,335 0.2×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,280.70 $3,201.75 0.8×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $604.40 $1,511 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $146.80–$525 $367–$1,312.50 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $267.20–$892.20 $668–$2,230.50 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $95.60 $239 0.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $440.60–$1,533 $1,101.50–$3,832.50 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $369.60–$1,533 $924–$3,832.50 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $84.80–$1,533 $212–$3,832.50 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines		 $122.40–$1,395.10 $306–$3,487.75 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $604.80–$6,080.40 $1,512–$15,201 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $848.80 $2,122 0.3×
Sclerotx Fluid Collection (49185) $1,002 $2,505 0.6×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $94.10–$99.30 $235.25–$248.25 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $91.50 $228.75 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $168.30 $420.75 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $91.50 $228.75 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $91.50 $228.75 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $91.50 $228.75 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $168.30 $420.75 0.4×
Shoulder arthroscopy diagnostic (29805) $553.60 $1,384 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $91.50 $228.75 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $168.30 $420.75 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $94.10–$99.30 $235.25–$248.25 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $125.30 $313.25 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $91.50 $228.75 0.5×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,433.60 $3,584 0.4×
Sigmoidoscopy w/fb removal (45332) $391.20 $978 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $175.60 $439 0.2×
Simple Cystometrogram (51725) $54 $135 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $267.20–$622.80 $668–$1,557 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $91.50–$267.30 $228.75–$668.25 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $245–$352.60 $612.50–$881.50 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $268–$561.50 $670–$1,403.75 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $91.50–$417.10 $228.75–$1,042.75 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $146.40–$664.80 $366–$1,662 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $91.50–$267.30 $228.75–$668.25 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $87.50–$146.40 $218.75–$366 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $96.20–$378.90 $240.50–$947.25 varies
Skin Full Grft Face/Genit/Hf (15240) $88 $220 0.0×
Skin Pinch Graft (15050) $84.80 $212 0.1×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $33.60–$593.60 $84–$1,484 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $32.80–$593.60 $82–$1,484 varies
Skin sub grft t/arm/lg child (15273)
range across 3 matching MRF lines		 $882.40–$2,051.10 $134–$5,127.75 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $57.60–$360.80 $144–$902 varies
Skn sub grft f/n/hf/g child (15277)
range across 3 matching MRF lines		 $882.40–$2,051.10 $136–$5,127.75 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $9,803.60 $24,509 1.8×
Slctv cath carotid/innom art angio xtrcranl art (36222) $7,830.20 $19,575.50 2.5×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $8,467.40 $21,168.50 1.5×
Slitting of prepuce (54001) $1,263.30 $3,158.25 0.6×
Small bowel endoscopy (44384) $2,499.10 $6,247.75 1.3×
Small bowel endoscopy (44366) $705 $1,762.50 0.4×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $705 $1,762.50 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $91.50–$481.10 $228.75–$1,202.75 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $168.30–$472.60 $420.75–$1,181.50 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $267.60–$589.60 $669–$1,474 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $273.90–$283.90 $684.75–$709.75 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $105.20 $263 0.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $97.20 $243 0.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,945.20 $4,863 0.6×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $439.20 $1,098 0.2×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $434.40 $1,086 0.1×
Strapping ankle (29540) $6.40 $16 0.0×
Strapping elbow or wrist (29260) $11.20 $28 0.2×
Strapping hand/finger (29280) $11.60 $29 0.2×
Strapping shoulder (29240) $10.80 $27 0.1×
Strapping toes (29550) $6.80 $17 0.1×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $11.60–$92.50 $29–$231.25 varies
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $80 $200 0.0×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $604.40 $1,511 0.1×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $605.20 $1,513 0.1×
Synovectomy Tendon Sheath Foot Flexor (28086) $138.40 $346 0.0×
Tangential biopsy skin single lesion (11102) $236 $590 0.6×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $44.40 $111 0.1×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure		 $2,582.40 $6,456 0.1×
Tcat Insj/Rpl Perm Ldls Pm (33274) $14,406.60 $36,016.50 0.8×
Tcat Rmvl Perm Ldls Pm (33275) $2,300.60 $5,751.50 0.7×
Tenotomy Adductor Hip Percutaneous Spx (27000) $324 $810 0.2×
Tenotomy Hip Abd/Ext Open (27006) $385.60 $964 0.1×
Tenotomy Percutaneous Toe Single Tendon (28010) $17.60 $44 0.0×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $407.60 $1,019 0.1×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $106.40 $266 0.1×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $594.40 $1,486 0.2×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $604 $1,510 0.2×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $1,344 $3,360 0.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $24 $60 0.0×
Ther Apheresis,Red Blood Cells (36512) $797.20 $1,993 0.5×
Ther Spi Pnxr Csf Fluor/Ct (62329) $594.30 $1,485.75 0.8×
Therapeutic plasma exchange (36514) $771.10 $1,927.75 0.5×
Thrmbc/Nfs Dialysis Circuit (36906)
likely a partial charge, not the full procedure		 $436.60 $1,091.50 0.0×
Thromblytic art/ven therapy (37213) $3,383.40 $8,458.50 1.1×
Thrombolytic Art Therapy (37211) $2,911.60 $7,279 0.5×
Thrombolytic Therapy Stroke (37195) $152.50 $381.25 0.5×
Thrombolytic Venous Therapy (37212) $2,911.60 $7,279 0.9×
Thyroid biopsy (60100) $311.60 $779 0.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $68.40 $171 0.0×
Tooth extraction (41899) $1,165.60 $2,914 4.9×
Tracheobrnchsc Thru Est Trachs Inc (31615) $38.40 $96 0.1×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,533 $3,832.50 6.5×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure		 $2,063.80 $5,159.50 0.4×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $352 $880 0.2×
Treat ankle fracture (28445)
likely a partial charge, not the full procedure		 $986 $2,465 0.1×
Treat Big Toe Fracture (28505) $125.20 $313 0.0×
Treat dislocation/fracture (23670)
likely a partial charge, not the full procedure		 $1,319.60 $3,299 0.2×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $845.20 $2,113 0.1×
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure		 $1,320.80 $3,302 0.2×
Treat forearm bone lesion (25035) $5,686.80 $14,217 0.8×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $1,320.80 $3,302 0.2×
Treat Hip Socket Fracture (27222) $3,129.70 $7,824.25 12.7×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $30.40–$677.20 $76–$1,693 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,000 $99–$2,500 0.6×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $13.60–$325.30 $34–$813.25 varies
Treat Knee Fracture(S) (27538) $20.40 $51 0.1×
Treat Knuckle Dislocation (26700) $617.60 $1,544 2.5×
Treat Metatarsal Fracture (28475) $325.30 $813.25 1.3×
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $325.30 $27–$813.25 1.3×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $26–$116.30 $65–$290.75 varies
Treat Thumb Fracture (26645) $1,250.90 $3,127.25 0.8×
Treat toe dislocation (28630) $183.20 $458 0.7×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $272.40–$3,167.80 $681–$7,919.50 varies
Treatment closed elbow dislocation w/o anes (24600) $757.40 $1,893.50 3.1×
Treatment extensive retinopathy photocoagulation (67228) $47.60 $119 0.1×
Treatment mouth roof lesion (42160) $61.60 $154 0.0×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $28.80–$116.40 $72–$291 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $30.40–$116.40 $76–$291 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $24–$116.40 $60–$291 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $6.80–$93.50 $17–$233.75 varies
Trluml Balo Angiop 1St Art (37246) $3,435.60 $8,589 0.6×
Trluml Balo Angiop 1St Vein (37248) $3,435.60 $8,589 0.6×
Trurl drainage prostatic abscess (52700) $1,730.10 $4,325.25 0.5×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $892.30 $2,230.75 0.5×
Tx Gastro Intub W/Asp (43753) $178.80 $447 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $15.20 $38 0.0×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $831.60–$899.60 $2,079–$2,249 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $107.20 $268 0.1×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $3,167.80 $7,919.50 2.0×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $264.50–$519 $661.25–$1,297.50 varies
Tx superficial wound dehiscence w/packing (12021)
range across 3 matching MRF lines		 $168.30–$302.10 $420.75–$755.25 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $550.40 $1,376 0.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $20.80–$119.90 $52–$299.75 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $67.20 $168 0.0×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $74.30 $185.75 0.3×
Unlisted procedure anus (46999) $1,122.90 $2,807.25 1.2×
Unlisted Procedure Biliary Tract (47999) $2,084.10 $5,210.25 2.3×
Unlisted Procedure Esophagus (43499) $1,291 $3,227.50 1.4×
Unlisted Procedure External Ear (69399)
range across 2 matching MRF lines		 $12.40–$1,168.40 $31–$2,921 varies
Unlisted procedure foot or toes (28899) $25.20 $63 0.1×
Unlisted Procedure Hands/Fingers (26989) $365.50 $913.75 1.5×
Unlisted Procedure Intestine (44799) $1,826.90 $4,567.25 2.0×
Unlisted Procedure Leg/Ankle (27899) $956.20 $2,390.50 3.9×
Unlisted Procedure Male Genital System (55899) $1,051.50 $2,628.75 4.2×
Unlisted procedure neck or thorax (21899) $1,011.80 $2,529.50 4.3×
Unlisted procedure nervous system (64999) $274.80 $687 0.9×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $1,427.30 $3,568.25 6.0×
Unlisted procedure stomach (43999) $564.90 $1,412.25 0.6×
Unlisted Procedure Vascular Surgery (37799)
range across 4 matching MRF lines		 $78.80–$3,574.50 $197–$8,936.25 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,843.10 $4,607.75 2.0×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $1,053.50–$1,106.10 $2,633.75–$2,765.25 varies
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $11.20–$977.80 $28–$2,444.50 varies
Unlisted Px Salivary Glands/Ducts (42699)
range across 2 matching MRF lines		 $91.20–$153.80 $228–$384.50 varies
Upgrade of pacemaker system (33214) $9,576.10 $23,940.25 0.9×
Uvulectomy excision of uvula (42140) $72.80 $182 0.0×
Vaginal delivery only (59409) $1,741.50 $4,353.75 0.5×
Vasc embolize/occlude artery (37242) $9,822.50 $24,556.25 0.5×
Vasc Embolize/Occlude Bleed (37244) $9,822.50 $24,556.25 0.9×
Vasc Embolize/Occlude Organ (37243) $6,974.60 $17,436.50 0.6×
Vasc embolize/occlude venous (37241) $9,822.50 $24,556.25 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $90.80 $227 0.0×
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure		 $2,828.40 $7,071 0.2×
Vulvectomy simple partial (56620) $380.80 $952 0.1×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $39.20–$110 $98–$275 varies
Wound Prep F/N/Hf/G (15004) $869.90 $2,174.75 2.1×
Wound Prep Trk/Arm/Leg (15002) $83.60 $209 0.1×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $900.40 $2,251 0.1×

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.