Procedures & surgery prices at Wetzel County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $1,615.50–$1,729 $3,231–$3,458 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 4 matching MRF lines		 $982.50–$1,172 $1,965–$2,344 varies
Ablate inf turbinate submuc (30802) $1,716.50 $3,433 1.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $7,416 $14,832 0.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,265.50 $4,531 1.1×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,265.50 $4,531 1.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $4,270–$4,351.50 $8,540–$8,703 varies
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,161 $4,322 1.1×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,052.50 $4,105 1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,265.50 $4,531 1.1×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,265.50 $4,531 1.1×
Amniocentesis diagnostic (59000) $923.50 $1,847 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,907.50 $7,815 1.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $3,907.50–$3,981.50 $7,815–$7,963 varies
Amputation metatarsal with toe single (28810) $3,981.50 $7,963 1.3×
Amputation toe interphalangeal joint (28825) $3,986.50 $7,973 1.3×
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $3,986.50–$6,473 $7,973–$12,946 varies
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $191.50 $383 1.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines		 $185.50–$222.50 $371–$445 varies
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $269–$288 $538–$576 varies
Application Cast Finger (29086) $191.50 $383 1.2×
Application Finger Splint Dynamic (29131) $120.50 $241 2.1×
Application finger splint static (29130)
range across 4 matching MRF lines		 $171.50–$241 $343–$482 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $225–$241 $450–$482 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $321 $642 1.2×
Application Long Leg Splint (29505)
range across 4 matching MRF lines		 $391.50–$419 $783–$838 varies
Application of cylinder cast (thigh to ankle) (29365) $361 $722 1.3×
Application of long leg cast (29345) $321 $642 1.2×
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $361–$471.50 $722–$943 varies
Application Patellar Tendon Bearing Cast (29435) $315 $630 1.2×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $120.50–$127 $241–$254 varies
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines		 $214–$241 $428–$482 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $391.50–$419 $783–$838 varies
Application uniplane external fixation system (20690) $5,642.50 $11,285 0.8×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $120.50–$127 $241–$254 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $227–$231.50 $454–$463 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $133–$433.50 $266–$867 varies
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $300–$321 $600–$642 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $340–$346.50 $680–$693 varies
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $3,698 $7,396 0.7×
Arterial puncture (36600)
range across 5 matching MRF lines		 $90.50–$281 $181–$562 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 7 matching MRF lines		 $343.50–$2,171.50 $687–$4,343 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $949.50–$967.50 $1,899–$1,935 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $343.50–$2,405 $687–$4,810 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $391–$398.50 $782–$797 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $343.50–$368 $687–$736 varies
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure		 $7,939.50 $15,879 0.5×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $11,485.50 $22,971 0.7×
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines		 $550–$935.50 $1,100–$1,871 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $621–$826.50 $1,242–$1,653 varies
Aspirate/Inj Ganglion Cyst (20612) $377 $754 1.3×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $2,327.50–$2,372 $4,655–$4,744 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $224.50–$240.50 $449–$481 varies
Biopsy bone open superficial (20240) $3,381 $6,762 1.2×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $1,916.50–$1,953 $3,833–$3,906 varies
Biopsy muscle percutaneous needle (20206) $1,368 $2,736 0.9×
Biopsy of breast; open, incisional (19101) $4,445 $8,890 1.2×
Biopsy of conjunctiva (68100) $2,630 $5,260 1.2×
Biopsy of lip (40490) $273 $546 1.2×
Biopsy of liver, needle; percutaneous (47000) $989.50 $1,979 0.6×
Biopsy of penis (54100) $1,968.50 $3,937 1.2×
Biopsy of rectum (45100) $3,373 $6,746 1.3×
Biopsy of urethra (53200) $2,434.50 $4,869 1.2×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $4,051.50 $8,103 1.2×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $4,051.50 $8,103 1.2×
Biopsy Salivary Gland Incisional (42405) $1,822 $3,644 1.2×
Biopsy Salivary Gland Needle (42400) $834.50 $1,669 1.2×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,825 $3,650 1.2×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,968.50 $3,937 1.2×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,968.50 $3,937 1.2×
Biopsy soft tissue thigh/knee area superficial (27323) $1,968.50 $3,937 1.2×
Biopsy Vaginal Mucosa Extensive (57105) $3,711.50 $7,423 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $948.50 $1,897 1.1×
Bladder instillation anticarcinogenic agent (51720) $1,041.50 $2,083 1.6×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $180–$210 $360–$420 varies
Bladder Scan (51798)
range across 4 matching MRF lines		 $75–$80.50 $150–$161 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $1,827.50 $3,655 1.2×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,411 $4,822 1.2×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $348–$354.50 $696–$709 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $866.50–$1,733 $1,733–$3,466 varies
Bone Marrow Biopsy (38221) $1,968.50 $3,937 1.2×
Bone Marrow; Aspiration Only (38220)
range across 3 matching MRF lines		 $780–$930.50 $1,560–$1,861 varies
Bronchoscopic Thermoplasty 2/> Lobes (31661) $7,166 $14,332 1.1×
Bx Arm/Elbow Soft Tissue,Deep (24066) $3,390.50 $6,781 1.2×
Bx breast 1st lesion mr imag (19085) $1,886 $3,772 1.2×
Bx breast 1st lesion us imag (19083) $2,737.50 $5,475 1.7×
Bx breast needle core w/o imaging guidance spx (19100) $1,959 $3,918 1.2×
Bx/exc lymph node open superficial (38500) $4,724.50 $9,449 1.3×
Canthoplasty (67950) $2,409 $4,818 1.1×
Canthotomy Separate Procedure (67715) $2,775.50 $5,551 1.2×
Car-t admn autologous (38228) $363 $726 1.1×
Carpal Tunnel Surgery (64721) $2,359.50 $4,719 1.3×
Cautery Cervix Electro/Thermal (57510) $3,711.50 $7,423 1.2×
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $207–$221.50 $414–$443 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $162–$165 $324–$330 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $235–$297.50 $470–$595 varies
Chemical Pleurodesis (32560) $759.50 $1,519 1.3×
Chemodenerv Eccrine Glands (64650) $371 $742 1.3×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $367.50–$464 $735–$928 varies
Chemodenerv musc neck dyston (64616)
range across 3 matching MRF lines		 $340–$680 $680–$1,360 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $357 $714 1.2×
Chemodenervation eccrine glands oth area per day (64653) $357 $714 1.2×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $846 $1,692 1.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $391 $782 1.3×
Chest tube placement (32551)
range across 5 matching MRF lines		 $1,149.50–$1,397.50 $2,299–$2,795 varies
Chg onc prst8 ca alys all PSA structural isoforms (0359U) $303.50 $607 0.4×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,255 $6,510 0.9×
Chorionic Villus Sampling (59015) $905 $1,810 1.0×
Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) $2,834.50 $5,669 1.3×
Circumcision 28 days or older (54161) $2,784.50 $5,569 1.4×
Circumcision Neonate (54160) $811.50 $1,623 1.2×
Circumcision w/clamp/oth dev w/block (54150) $2,784.50 $5,569 1.4×
Cl Tx Scapular Fx; W Manip (23575) $2,048 $4,096 1.3×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,883–$1,919 $3,766–$3,838 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $149.50–$160 $299–$320 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535) $277.50 $555 1.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $308.50 $617 1.3×
Closed Treatment Sesamoid Fracture (28530) $358.50 $717 1.5×
Closed Treatment Ulnar Styloid Fracture (25650) $185.50 $371 0.8×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $469–$478 $938–$956 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,883–$1,919 $3,766–$3,838 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $185.50 $371 0.8×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $277.50 $555 1.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $185.50 $371 0.8×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $5,611 $11,222 3.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $714 $1,428 3.0×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $469–$478 $938–$956 varies
Closed Tx Mandibular Fracture W/O Manipulation (21450) $600 $1,200 1.2×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $176.50–$185.50 $353–$371 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,919 $3,838 1.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,805.50 $7,611 1.2×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $3,805.50 $7,611 1.2×
Closed tx patellar dislocation w/anesthesia (27562) $301 $602 1.3×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $259–$277.50 $518–$555 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $185.50–$189 $371–$378 varies
Closed tx radial head/neck fx w/manipulation (24655) $1,919 $3,838 1.2×
Closed tx radial head/neck fx w/o manipulation (24650) $185.50 $371 0.8×
Closed tx radial shaft fracture w/manipulation (25505) $1,919 $3,838 1.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $185.50 $371 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $1,793–$1,919 $3,586–$3,838 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $185.50 $371 0.8×
Closed tx talotarsal joint dislc w/o anes (28570) $283.50 $567 1.2×
Closed Tx Talus Fracture W/Manipulation (28435) $1,919 $3,838 1.2×
Closed tx talus fracture w/o manipulation (28430) $185.50 $371 0.8×
Closed tx tarsometatarsal dislocation w/o anes (28600) $185.50 $371 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $259–$277.50 $518–$555 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,919 $3,838 1.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $185.50 $371 0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $185.50 $371 0.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $274.50–$458 $549–$916 varies
Closure lacrimal punctum (68760) $348 $696 1.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,891 $3,782 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $358.50 $717 1.5×
Clsd Tx Pelvic Ring Fx (27198) $266 $532 1.1×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $185.50 $371 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,430 $4,860 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $715–$765.50 $1,430–$1,531 varies
Clsr Lacrimal Punctum Plug Each (68761) $391 $782 1.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $241 $482 1.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,123 $4,246 1.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $1,793–$1,919 $3,586–$3,838 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $185.50 $371 0.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $185.50 $371 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $180 $360 0.8×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $176.50–$189 $353–$378 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 3 matching MRF lines		 $176.50–$189 $353–$378 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $185.50 $371 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $186.50–$190 $373–$380 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $1,793–$1,919 $3,586–$3,838 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,919 $3,838 1.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $338 $676 1.4×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $185.50 $371 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $2,787–$2,982.50 $5,574–$5,965 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $469 $938 2.0×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $176.50–$185.50 $353–$371 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $341–$365 $682–$730 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $159.50–$167.50 $319–$335 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,809–$1,843.50 $3,618–$3,687 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $295.50 $591 1.2×
Cltx greater humeral tuberosity fx w/o manj (23620) $185.50 $371 0.8×
Cltx Greater Trochanteric Fx W/O Manj (27246) $270.50 $541 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $185.50–$189 $371–$378 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $186.50 $373 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,883 $3,766 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $358.50 $717 1.5×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,883 $3,766 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 3 matching MRF lines		 $358.50–$765.50 $717–$1,531 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 4 matching MRF lines		 $715–$765.50 $1,430–$1,531 varies
Cltx Med Ankle Fx W/Mnpj (27762) $2,309 $4,618 1.5×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $185.50–$189 $371–$378 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $358.50–$365 $717–$730 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $469–$478 $938–$956 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines		 $715–$765.50 $1,430–$1,531 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $185.50–$189 $371–$378 varies
Cltx post hip arthrp dislc req anes (27266) $1,919 $3,838 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $189 $378 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $295.50 $591 1.2×
Cltx prox tibfib jt dislc w/o anes (27830) $277.50 $555 1.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $341–$365 $682–$730 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,883–$1,919 $3,766–$3,838 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,919 $3,838 1.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,809 $3,618 1.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $186.50–$190 $373–$380 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,809 $3,618 1.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $272 $544 1.1×
Cltx tibial fx proximal w/o manipulation (27530) $185.50 $371 0.8×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $185.50–$189 $371–$378 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $2,023–$2,061.50 $4,046–$4,123 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $185.50 $371 0.8×
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines		 $68.50–$73.50 $137–$147 varies
Collection of venous blood by venipuncture (36415)
range across 7 matching MRF lines		 $5.50–$21 $11–$42 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $8,422 $16,844 7.3×
Colonoscopy W/Band Ligation (45398) $6,869 $13,738 6.0×
Colonoscopy w/submucosal inj (45381) $2,634 $5,268 2.3×
Colposcopy cervix vag eltrd conization cervix (57461) $3,925 $7,850 1.3×
Colposcopy entire vagina w/cervix if present (57420) $337.50 $675 1.2×
Complex drainage wound (10180)
range across 4 matching MRF lines		 $2,145.50–$3,381 $4,291–$6,762 varies
Composite Skin Graft (15760) $2,265.50 $4,531 1.1×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $388.50–$396 $777–$792 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 5 matching MRF lines		 $370–$740 $740–$1,480 varies
Control oropharyngeal hemorrhage simple (42960) $600 $1,200 1.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $1,847–$2,068.50 $3,694–$4,137 varies
Correction Everted Punctum Cautery (68705) $368.50 $737 1.2×
Correction of trichiasis; epilation, by forceps only (67820) $167.50 $335 1.3×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $2,996.50 $5,993 1.3×
Create Tear Sac-Nasal Fistula (68720) $4,588 $9,176 1.2×
Csf shunt reprogram (62252)
range across 2 matching MRF lines		 $584.50–$595.50 $1,169–$1,191 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $370–$396 $740–$792 varies
Curettage postpartum (59160) $3,711.50 $7,423 1.2×
Curette/treat cornea (65435) $1,146 $2,292 1.2×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $2,434.50–$2,481 $4,869–$4,962 varies
Cysto calibration dilat urtl strix/stenosis (52281) $2,481 $4,962 1.2×
Cysto w/insert ureteral stent (52332) $4,287 $8,574 1.3×
Cysto w/removal of tumors small (52234) $4,207 $8,414 1.2×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $2,973–$3,029.50 $5,946–$6,059 varies
Cystometrogram W/Vp (51728) $821 $1,642 1.2×
Cystostomy Cystotomy W/Drainage (51040) $2,481 $4,962 1.2×
Cystourethroscopy (52000) $836.50 $1,673 1.3×
Cystourethroscopy inj chemodenervation bladder (52287) $2,434.50 $4,869 1.2×
Cystourethroscopy tx female urethral syndrome (52285) $658 $1,316 1.0×
Cystourethroscopy w/dil bladder general anesth (52260) $2,293 $4,586 1.1×
Cystourethroscopy w/rmvl ureteral calculus (52320) $2,607.50 $5,215 0.8×
Cystourethroscopy with biopsy (52204) $2,434.50 $4,869 1.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $2,420 $4,840 1.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,455.50 $6,911 1.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $931 $1,862 1.4×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $792 $1,584 1.2×
Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) $5,800.50 $11,601 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $651.50–$1,165.50 $1,303–$2,331 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $67–$70.50 $134–$141 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $76.50–$80.50 $153–$161 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $1,629–$2,307 $3,258–$4,614 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $600 $1,200 1.2×
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $97–$98.50 $194–$197 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $310–$854.50 $620–$1,709 varies
Declot vascular device (36593)
range across 4 matching MRF lines		 $381.50–$445.50 $763–$891 varies
Deep Muscle Biopsy (20205) $3,390.50 $6,781 1.2×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,052.50 $4,105 1.0×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $2,299–$2,343 $4,598–$4,686 varies
Dermabrasion superficial any site (15783) $490 $980 1.3×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $2,683.34–$3,163.34 $5,366.67–$6,326.67 varies
Destroy lumb/sac facet jnt (64635)
range across 6 matching MRF lines		 $1,973–$3,665 $3,946–$7,330 varies
Destruc retinal lesn,photocoag (67210) $624 $1,248 1.2×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $267–$280.50 $534–$561 varies
Destruction Benign Lesions 15/> (17111) $290.50 $581 1.5×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $1,017–$4,205 $2,034–$8,410 varies
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $2,359.50 $4,719 1.3×
Destruction by neurolytic agent; plantar common digital nerve (64632)
range across 2 matching MRF lines		 $353–$371 $706–$742 varies
Destruction by neurolytic agent; pudendal nerve (64630) $1,348.50 $2,697 1.6×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $531 $1,062 2.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $531 $1,062 2.8×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $531 $1,062 1.4×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $826 $1,652 1.2×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $826 $1,652 1.2×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $237.50 $475 1.2×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $490 $980 1.3×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $290.50 $581 1.5×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $290.50 $581 1.5×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $290.50 $581 1.5×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $290.50 $581 1.5×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $531 $1,062 1.4×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $531 $1,062 1.4×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $2,414.50–$6,545 $4,829–$13,090 varies
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) $348 $696 1.1×
Destruction of lesion of lid margin (up to 1 cm) (67850) $1,146 $2,292 1.2×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $214.50–$225.50 $429–$451 varies
Diagnostic anoscopy (46601) $160 $320 0.4×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $160 $320 1.3×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $287.50 $575 1.2×
Dilate Urethra Stricture (53620) $789 $1,578 1.2×
Dilate Urethra Stricture (53600) $282 $564 1.2×
Dilation Cervical Canal (57800) $3,711.50 $7,423 1.2×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $405 $810 0.9×
Dilation Salivary Duct (42650) $2,241 $4,482 1.5×
Drain ant chmbr,remv vitreous (65810) $2,834.50 $5,669 1.3×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $846–$862 $1,692–$1,724 varies
Drain Hand Tendon Sheath (26020) $3,907.50 $7,815 1.2×
Drain Spinal Cord Cyst (62268) $1,026 $2,052 1.2×
Drain/inj small joint/bursa w/us (20604) $391 $782 1.3×
Drainage abscess parotid simple (42300) $1,822 $3,644 1.2×
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $600–$611 $1,200–$1,222 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $852–$868 $1,704–$1,736 varies
Drainage external ear abscess/hematoma cmplx (69005) $1,968.50 $3,937 1.2×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $799.50–$814.50 $1,599–$1,629 varies
Drainage Finger Abscess Complicated (26011) $1,980.50 $3,961 1.3×
Drainage of eye (65800)
range across 2 matching MRF lines		 $2,834.50–$2,888.50 $5,669–$5,777 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $269–$274 $538–$548 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $172.50–$185 $345–$370 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $1,192–$1,990.50 $2,384–$3,981 varies
Drainage of hydrocele (55000) $876 $1,752 1.3×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,825–$2,006 $3,650–$4,012 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $2,434.50–$2,481 $4,869–$4,962 varies
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $152–$160 $304–$320 varies
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $605.50 $1,211 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $852–$868 $1,704–$1,736 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 4 matching MRF lines		 $472–$541 $944–$1,082 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $253.50–$333.50 $507–$667 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $235–$258 $470–$516 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $785.50 $1,571 1.1×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $2,281 $4,562 1.2×
Dstrj les/scar vestibule mouth physical meths (40820) $3,734.50 $7,469 1.2×
Dstrj lesion anus simple surg excision (46922) $3,367 $6,734 1.3×
Dstrj lesion penis simple surg excision (54060) $2,265.50 $4,531 1.1×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $531 $1,062 1.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $1,052–$4,205 $2,104–$8,410 varies
Dx Bone Marrow Bx & Aspir (38222) $2,034.50 $4,069 0.7×
Dx Bronchoscope/Wash (31622) $2,138 $4,276 1.3×
Dx Laryngoscopy Excl Nb (31525) $2,098 $4,196 1.2×
Dx laryngoscopy w/oper scope (31526)
range across 2 matching MRF lines		 $2,098–$2,138 $4,196–$4,276 varies
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,084–$1,104.50 $2,168–$2,209 varies
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $2,286–$2,329.50 $4,572–$4,659 varies
Electrical stimulation bone healing noninvasive (20974) $26.50 $53 0.3×
Electro-Uroflowmetry First (51741) $209 $418 1.0×
Electrolysis Epilation Each 30 Minutes (17380) $762.50 $1,525 1.1×
Endocervical curettage (57505) $1,060.50 $2,121 1.2×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $2,803 $5,606 0.9×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,803 $5,606 0.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,803 $5,606 0.9×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $811.50–$862 $1,623–$1,724 varies
Episiotomy or vaginal repair (59300) $3,711.50 $7,423 1.2×
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $110.50–$118.50 $221–$237 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,968.50 $3,937 1.2×
Exc arm/elbow les sc < 3 cm (24075) $2,106 $4,212 1.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $520.50 $1,041 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $1,759.50–$1,847.50 $3,519–$3,695 varies
Exc Back Les Sc < 3 Cm (21930) $2,280.50 $4,561 1.4×
Exc Back Tum Deep 5 Cm/> (21933) $4,611 $9,222 1.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $811 $1,622 1.2×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,013.50 $2,027 1.5×
Exc Face Les Sbq 2 Cm/> (21012) $2,106 $4,212 1.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $520.50 $1,041 0.8×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $520.50 $1,041 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $959.50 $1,919 1.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $959.50 $1,919 0.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $959.50 $1,919 0.6×
Exc Forearm Les Sc 3 Cm/> (25071) $2,280.50 $4,561 1.4×
Exc Frenum Labial/Buccal (40819) $1,822 $3,644 1.2×
Exc ganglion wrist recurrent (25112) $1,883 $3,766 1.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,825–$1,860 $3,650–$3,720 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $913.50–$959.50 $1,827–$1,919 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $913.50–$977.50 $1,827–$1,955 varies
Exc Hand Les Sc < 1.5 Cm (26115) $2,106 $4,212 1.3×
Exc hand tum deep < 1.5 cm (26116) $1,968.50 $3,937 1.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $894.50 $1,789 0.9×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,809 $3,618 1.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,809 $3,618 1.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,734.50 $7,469 1.2×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)
range across 2 matching MRF lines		 $3,734.50–$3,805.50 $7,469–$7,611 varies
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,173 $4,346 1.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 4 matching MRF lines		 $913.50–$5,523.67 $1,827–$11,047.33 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $1,759.50–$1,847.50 $3,519–$3,695 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,381 $6,762 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,914.50 $3,829 1.2×
Exc Skin Benig >4cm Face,Facial (11446) $3,178.50 $6,357 1.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,028 $4,056 1.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $7,859 $15,718 5.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,448.50 $2,897 1.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $520.50–$530.50 $1,041–$1,061 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $495.50–$520.50 $991–$1,041 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,847.50 $3,695 1.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $8,255 $16,510 3.0×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,851.50 $7,703 1.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,980.50 $3,961 1.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,028 $4,056 1.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,106 $4,212 1.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,106 $4,212 1.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $3,338.50 $6,677 1.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,111 $6,222 1.1×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,291 $4,582 1.2×
Excis Mouth Mucosa/Sub,No Repair (40810) $4,350.50 $8,701 1.4×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,813.50 $3,627 1.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $811 $1,622 1.2×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $2,775.50 $5,551 1.2×
Excision Bone Mandible (21025) $7,008.50 $14,017 1.2×
Excision Chalazion Multiple Same Lid (67801) $1,146 $2,292 1.2×
Excision Chalazion Single (67800) $391 $782 1.3×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,381 $6,762 1.2×
Excision H/P/P/U Complex Repair (11471) $3,381 $6,762 1.2×
Excision H/P/P/U Simple/Intermediate Repair (11470) $3,381 $6,762 1.2×
Excision lesion conjunctiva > 1 cm (68115) $2,922.50 $5,845 1.3×
Excision Lingual Frenum Frenectomy (41115) $1,822 $3,644 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $792 $1,584 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $426.50 $853 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $531 $1,062 1.4×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $931 $1,862 1.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $811 $1,622 1.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,028 $4,056 1.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,446.50 $2,893 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $958 $1,916 0.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,013.50 $2,027 1.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,013.50 $2,027 1.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $906 $1,812 0.6×
Excision malignant tumor mandible (21044) $10,472.50 $20,945 1.8×
Excision nasal polyp(s) simple (30110) $1,822 $3,644 1.2×
Excision of bartholin's gland or cyst (56740) $3,711.50 $7,423 1.2×
Excision of chalazion; multiple, different lids (67805) $391 $782 1.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,883 $3,766 1.2×
Excision of pilonidal cyst or sinus; simple (11770) $16,967 $33,934 6.1×
Excision of single external papilla or tag, anus (46220) $1,551.50 $3,103 1.4×
Excision of vaginal cyst or tumor (57135) $3,711.50 $7,423 1.2×
Excision olecranon bursa (24105) $4,048 $8,096 1.3×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $3,381–$15,185 $6,762–$30,370 varies
Excision synovial cyst popliteal space (27345) $3,908 $7,816 1.2×
Excision tendon finger flexor/extensor each (26180) $1,883 $3,766 1.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $2,106–$9,245 $4,212–$18,490 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,390.50 $6,781 1.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,968.50 $3,937 1.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,106 $4,212 1.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,106 $4,212 1.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,968.50 $3,937 1.2×
Excision/curettage cyst/tumor phalanx finger (26210) $1,883 $3,766 1.2×
Excision/destruction intranasal lesion int appr (30117) $3,811 $7,622 1.2×
Excision/Transposition Pterygium W/Grafg (65426) $2,775.50 $5,551 1.2×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $2,157.50–$2,309 $4,315–$4,618 varies
Explo/Drain Breast Abscess (19020) $1,980.50 $3,961 1.3×
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $3,907.50–$3,981.50 $7,815–$7,963 varies
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,487.50–$1,516 $2,975–$3,032 varies
External cephalic version (59412) $3,711.50 $7,423 1.2×
Extraction of lens (66940) $2,834.50 $5,669 1.3×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,834.50 $5,669 1.3×
Eye surgery procedure (67299) $2,834.50 $5,669 1.3×
Fasciectomy Palm Only (26121) $3,907.50 $7,815 1.2×
Fasciotomy palmar open partial (26045) $3,907.50 $7,815 1.2×
Fasciotomy, foot and/or toe (28008) $12,413 $24,826 4.0×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $255.50–$260.50 $511–$521 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $490–$499.50 $980–$999 varies
Fluoro exam of g/colon tube (49465) $493 $986 2.2×
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $784–$839 $1,568–$1,678 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,265.50 $4,531 1.1×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,411 $4,822 1.2×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,265.50 $4,531 1.1×
Fusion Finger Joint (26860) $30,035 $60,070 9.6×
Gstr Rstcv Px Trnsorl Esg W/Argon Plasma Coagj (43889) $10,522 $21,044 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $1,091–$3,787.34 $2,182–$7,574.67 varies
Hysteroscopy Biopsy (58558) $3,693 $7,386 1.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $260–$278.50 $520–$557 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $235–$264.50 $470–$529 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,390.50 $6,781 1.2×
I&d forearm/wrist bursa (25031) $1,809 $3,618 1.2×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $1,117–$1,138 $2,234–$2,276 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $879.50–$896.50 $1,759–$1,793 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $837.50–$896.50 $1,675–$1,793 varies
Implant neuroelectrodes (63650) $14,083.34 $28,166.67 2.3×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $4,225.50 $8,451 0.2×
Impression & Preparation Oral Surgical Splint (21085) $298 $596 1.3×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $445.50–$454 $891–$908 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $1,793–$1,883 $3,586–$3,766 varies
Incision & drainage abscess complicated/multiple (10061)
range across 5 matching MRF lines		 $449.50–$509.50 $899–$1,019 varies
Incision & drainage leg/ankle infected bursa (27604) $3,643 $7,286 1.2×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,740–$1,773 $3,480–$3,546 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $427.50–$10,037 $855–$20,074 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $443–$474.50 $886–$949 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $403.50–$432 $807–$864 varies
Incision Drainage Lacrimal Sac (68420) $2,775.50 $5,551 1.2×
Incision extensor tendon sheath wrist (25000) $1,883 $3,766 1.2×
Incision of eardrum (69421) $3,734.50 $7,469 1.2×
Incision of labial frenum (frenotomy) (40806) $733.50 $1,467 1.4×
Incision of lingual frenum (frenotomy) (41010) $2,241 $4,482 1.5×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,668–$1,700 $3,336–$3,400 varies
Incision of urethra (53020) $2,002 $4,004 1.0×
Incisional biopsy skin single lesion (11106) $723 $1,446 1.0×
Induced abortion dilation and curettage (59840) $3,711.50 $7,423 1.2×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $253.50–$258 $507–$516 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $1,325–$3,523.34 $2,650–$7,046.67 varies
Inj W/Fluor Eval Cv Device (36598) $389.50 $779 1.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,231 $2,462 1.5×
Inject Intravitreal Pharmcologic (67028) $445.50 $891 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines		 $399.50–$2,135 $799–$4,270 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,159 $2,318 1.4×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $2,783–$3,431 $5,566–$6,862 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $1,963.34–$2,323.34 $3,926.67–$4,646.67 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $874.50–$2,585 $1,749–$5,170 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $949.50 $1,899 1.4×
Injection Anes Agent Sphenopalatine Ganglion (64505) $443 $886 1.5×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $994.50–$1,044.50 $1,989–$2,089 varies
Injection enzyme palmar fascial cord (20527) $353 $706 1.2×
Injection for identification of sentinel node (38792) $653 $1,306 1.7×
Injection medication/other subst tenon capsule (67515) $348 $696 1.1×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $359–$377 $718–$754 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $414–$828 $828–$1,656 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $414–$828 $828–$1,656 varies
Injection therapeutic carpal tunnel (20526) $435 $870 1.5×
Injection, anesthetic agent; brachial plexus, single (64415) $1,118.50 $2,237 1.3×
Injection, anesthetic agent; femoral nerve, single (64447) $1,058.50 $2,117 1.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $981.67–$1,058.50 $1,963.33–$2,117 varies
Injection, intralesional; up to and including 7 lesions (11900) $237 $474 1.2×
Injx Anterior Chamber Eye Medication Spx (66030) $2,834.50 $5,669 1.3×
Ins Vag Brachytx Device (57156) $383.50 $767 1.3×
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure		 $10,482 $20,964 0.3×
Insert 1 Electrode Pm-Defib (33216) $4,071 $8,142 0.5×
Insert and remove bone pin (20650) $3,981.50 $7,963 1.3×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $187.50–$209 $375–$418 varies
Insert cath pleura w/ image (32557) $257 $514 0.2×
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $452.50–$3,306 $905–$6,612 varies
Insert cervical dilator (59200) $172 $344 0.6×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $172.50–$181.50 $345–$363 varies
Insert Nasal Septal Button (30220) $1,822 $3,644 1.2×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines		 $2,078–$2,803 $4,156–$5,606 varies
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure		 $4,988.50 $9,977 0.5×
Insert pessary/other device (57160) $255.50 $511 1.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $2,004.50–$2,040.50 $4,009–$4,081 varies
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure		 $4,988.50 $9,977 0.5×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $86.50–$97 $173–$194 varies
Insert tunneled cv cath (36561) $13,601 $27,202 4.5×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $4,922 $9,844 0.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $84–$93 $168–$186 varies
Insertion indwelling tunneled pleural catheter (32550) $3,255 $6,510 0.9×
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) $10,061 $20,122 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $1,600.50–$1,713 $3,201–$3,426 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure		 $3,143.50 $6,287 0.4×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
unusually low: confirm this is the full procedure		 $3,003 $6,006 0.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $2,803–$2,856.50 $5,606–$5,713 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 5 matching MRF lines		 $1,710–$2,079.50 $3,420–$4,159 varies
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $2,409 $4,818 1.1×
Insj Subq Impltbl Dfb Elctrd (33271)
unusually low: confirm this is the full procedure		 $3,003 $6,006 0.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $2,803–$2,856.50 $5,606–$5,713 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $6,386.50–$7,041.67 $12,773–$14,083.33 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure		 $3,082.50 $6,165 0.4×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure		 $3,003 $6,006 0.4×
Insrt heart pm atrial & vent (33208)
unusually low: confirm this is the full procedure		 $4,943.50 $9,887 0.5×
Interdental fixation (21110) $1,783.50 $3,567 1.2×
Interdental Wiring Other Than Fracture (21497) $1,856.50 $3,713 1.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $472–$499.50 $944–$999 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056) $449 $898 1.2×
Intraoral i&d tongue/floor submndblr space (41008) $4,103 $8,206 1.3×
Intro Gastrointestinal Tube (44500) $534 $1,068 0.6×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $1,397.50–$1,495.50 $2,795–$2,991 varies
Iridotomy/irridectomy laser surg per session (66761) $754 $1,508 1.4×
Irrigation of corpora cavernosa for priapism (54220) $287.50 $575 1.2×
Laparoscopy, surgical, appendectomy (44970) $15,977 $31,954 2.8×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $9,959 $19,918 1.0×
Laryngoplasty Medialization Unliateral (31591) $7,008.50 $14,017 1.2×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $4,375.50 $8,751 1.2×
Laryngoscopy diagnostic (31505) $235 $470 1.2×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $4,375.50 $8,751 1.2×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $875.50–$892 $1,751–$1,784 varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $2,098 $4,196 1.2×
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 2 matching MRF lines		 $2,037–$2,076 $4,074–$4,152 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $2,098 $4,196 1.2×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $459 $918 1.2×
Late closure of wound (13160) $2,695 $5,390 0.8×
Lateral Canthopexy (21282) $3,734.50 $7,469 1.2×
Ligation of hemorrhoids (46946) $3,160 $6,320 1.2×
Low Back Disk Surgery (63030) $5,642.50 $11,285 0.8×
Lyse chest fibrin init day (32561) $759.50 $1,519 1.3×
Lysis of labial adhesions (56441) $3,711.50 $7,423 1.2×
Lysis/excision penile postcircumcision adhesions (54162) $2,434.50 $4,869 1.2×
Maniplatn palar fascial crd post inj single cord (26341) $272 $544 1.1×
Manipulation knee joint under general anesthesia (27570) $1,809 $3,618 1.2×
Middle ear surgery proc unlisted (69799) $273 $546 1.2×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $762.50 $1,525 1.1×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $762.50 $1,525 1.1×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $2,775.50 $5,551 1.2×
Myringoplasty (69620) $3,624 $7,248 1.1×
N Block Inj Celiac Pelus (64530) $1,325 $2,650 1.6×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $851.50–$894 $1,703–$1,788 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $981.67–$1,161.67 $1,963.33–$2,323.33 varies
N Block Inj Plantar Digit (64455) $343.50 $687 1.2×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $210–$214 $420–$428 varies
Nasal surgery procedure (30999) $278.50 $557 1.2×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $472–$505.50 $944–$1,011 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $495.50 $991 1.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,138 $4,276 1.3×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,098 $4,196 1.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,138 $4,276 1.3×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $2,098 $4,196 1.2×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $282 $564 1.2×
Needle Biopsy Lymph Nodes (38505) $1,217.50 $2,435 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $47.50 $95 1.7×
Needle insertion w/o injection 3 or more muscles (20561) $57 $114 2.1×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,359.50 $4,719 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $534–$561 $1,068–$1,122 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $340–$364 $680–$728 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,255 $6,510 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 8 matching MRF lines		 $437–$1,963.34 $874–$3,926.67 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $779–$2,382 $1,558–$4,764 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,016.50 $2,033 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 4 matching MRF lines		 $1,038.50–$2,297 $2,077–$4,594 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465) $1,368.50 $2,737 0.7×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $1,368.50 $2,737 0.7×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $518–$628.50 $1,036–$1,257 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $464 $928 1.2×
Njx Sclrsnt Spider Veins (36468) $518 $1,036 1.3×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $340–$520 $680–$1,040 varies
Onc pncrs DNA&mrna seq 74 (0313U) $975 $1,950 0.3×
Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) $2,481 $4,962 0.8×
Open treatment fracture distal tibia only (27827) $7,416 $14,832 0.6×
Open tx interphalangeal joint dislocation (26785) $3,981.50 $7,963 1.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,643 $7,286 1.2×
Orbital implant removal/revision (67560) $4,675.50 $9,351 1.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,371.50 $6,743 1.1×
Parathyroidectomy or exploration of parathyroid(s); (60500) $7,008.50 $14,017 1.2×
Part remv talus or calcaneus (28120) $4,137.67 $8,275.33 1.3×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $1,883–$1,919 $3,766–$3,838 varies
Partial hymenectomy or revision of hymenal ring (56700) $3,711.50 $7,423 1.2×
Pericardiocentesis W/Imaging (33016)
range across 3 matching MRF lines		 $796–$867 $1,592–$1,734 varies
Perineoplasty rpr perineum nonobstetrical spx (56810) $3,720.50 $7,441 1.2×
Perq Cervicothoracic Inject (22510) $3,643 $7,286 1.2×
Perq dev breast 1st us imag (19285) $1,225 $2,450 1.8×
Perq device breast 1st imag (19281) $1,202 $2,404 0.8×
Perq Lumbosacral Injection (22511) $3,643 $7,286 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $852 $1,704 1.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $5,642.50–$14,537.50 $11,285–$29,075 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $5,642.50–$11,423 $11,285–$22,846 varies
Photopheresis extracorporeal (36522) $5,460 $10,920 1.3×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $1,146 $2,292 1.2×
Place Amniotic Membrane Ocular Surface Sutured (65779) $4,588 $9,176 1.2×
Place Rt Device/Marker Pros (55876) $1,559.50 $3,119 1.2×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $498.50–$508 $997–$1,016 varies
Placement of seton (46020) $3,367 $6,734 1.3×
Plastic Repair Canaliculi (68700)
range across 2 matching MRF lines		 $2,775.50–$2,828.50 $5,551–$5,657 varies
Probe lacrimal canaliculi w/wo irrigation (68840) $348 $696 1.1×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $2,996.50 $5,993 1.3×
Probing nasolacrimal duct (68810) $364.50 $729 1.2×
Proctopexy Perineal Approach (45541) $3,437 $6,874 1.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,091 $2,182 1.2×
Proctosgmdsc rigid w/dilation (45303) $1,421.50 $2,843 1.2×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 2 matching MRF lines		 $710–$727.50 $1,420–$1,455 varies
Prostatic microwave thermotx (53850) $2,513.50 $5,027 0.7×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $3,538.50 $7,077 0.6×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $493–$528 $986–$1,056 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $212.50–$665.50 $425–$1,331 varies
Puncture Aspiration Cyst Breast (19000) $839 $1,678 1.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $862 $1,724 1.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $4,925–$5,465 $9,850–$10,930 varies
Rbc DNA gntyp 12 bld grp gen (0282U) $370.50 $741 0.5×
Rcnstj Eyelid Full Thickness Second Stage (67975) $2,775.50 $5,551 1.2×
Reconstruct extra finger (26587) $3,981.50 $7,963 1.3×
Reduction Overcorrection Ptosis (67909) $2,630 $5,260 1.2×
Relocation Pocket Pacemaker (33222) $2,058 $4,116 1.0×
Removal Anal Seton Other Marker (46030) $1,375.50 $2,751 1.2×
Removal Embedded Foreign Body Eyelid (67938) $354.50 $709 1.2×
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $838–$897 $1,676–$1,794 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $2,280.50–$2,324 $4,561–$4,648 varies
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $3,851.50–$3,925 $7,703–$7,850 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $87–$174 $174–$348 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $149.50–$160 $299–$320 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,827.50 $7,655 1.2×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $3,337.50–$7,265 $6,675–$14,530 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $2,106–$2,146 $4,212–$4,292 varies
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines		 $886.50–$931 $1,773–$1,862 varies
Removal of implant from finger or hand (26320) $1,968.50 $3,937 1.2×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $745.50–$4,492 $1,491–$8,984 varies
Removal of tunneled intraperitoneal catheter (49422) $2,803 $5,606 0.9×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $361–$368 $722–$736 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $142.50–$3,873.67 $285–$7,747.33 varies
Removal Submand Stone,Complicated (42335) $3,734.50 $7,469 1.2×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,411 $4,822 1.2×
Removal/bivalving gauntlet boot/body cast (29700) $302.50 $605 1.1×
Remove Brain Cavity Fluid (61020) $1,026 $2,052 1.2×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $241.50–$258.50 $483–$517 varies
Remove foreign body from eye (65235) $1,945.50 $3,891 0.9×
Remove foreign body from eye (65205)
range across 4 matching MRF lines		 $144–$385.50 $288–$771 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $179.50–$192.50 $359–$385 varies
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $172.50–$185 $345–$370 varies
Remove Tendon Sheath Lesion (26160) $2,083.50 $4,167 1.4×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $575–$604 $1,150–$1,208 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $762.50–$777 $1,525–$1,554 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $707–$720.50 $1,414–$1,441 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $518–$640.50 $1,036–$1,281 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $737.50–$751.50 $1,475–$1,503 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $785.50 $1,571 2.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $746.50–$799 $1,493–$1,598 varies
Repair complex trunk 1.1-2.5 cm (13100) $784 $1,568 1.1×
Repair complex trunk 2.6-7.5 cm (13101)
range across 3 matching MRF lines		 $702–$2,707.88 $1,404–$5,415.75 varies
Repair detached retina (67105) $710 $1,420 1.3×
Repair Ectropion Excision Tarsal Wedge (67916) $2,756 $5,512 1.2×
Repair Ectropion Extensive (67917) $2,540 $5,080 1.1×
Repair Ectropion Suture (67914) $658 $1,316 0.3×
Repair Elbow Perc (24357) $3,907.50 $7,815 1.2×
Repair Entropion Extensive (67924) $2,996.50 $5,993 1.3×
Repair Entropion Suture (67921) $2,775.50 $5,551 1.2×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,883–$1,919 $3,766–$3,838 varies
Repair Finger Tendon (26433) $3,907.50 $7,815 1.2×
Repair Hand Tendon (26410) $1,764 $3,528 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $466.50–$499.50 $933–$999 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $466.50–$499.50 $933–$999 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $490–$499.50 $980–$999 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $490–$499.50 $980–$999 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $707 $1,414 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $402.50–$431 $805–$862 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $466.50–$499.50 $933–$999 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 3 matching MRF lines		 $723–$777 $1,446–$1,554 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $466.50–$499.50 $933–$999 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $402.50–$431 $805–$862 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $423–$499.50 $846–$999 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $723 $1,446 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $466.50–$499.50 $933–$999 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $2,566.50 $5,133 1.3×
Repair intrinsic muscles hand each muscle (26591) $3,907.50 $7,815 1.2×
Repair Laceration Palate </2 Cm (42180) $613.50 $1,227 1.2×
Repair Laceration Palate >2 Cm/Complex (42182) $7,142 $14,284 1.3×
Repair lead pace-defib dual (33220) $3,045 $6,090 0.8×
Repair Lead Pace-Defib One (33218) $3,045 $6,090 0.8×
Repair Nonunion Hand (26546) $5,642.50 $11,285 0.8×
Repair of nail bed (11760)
range across 4 matching MRF lines		 $702–$751.50 $1,404–$1,503 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,981.50 $7,963 1.3×
Repair tongue laceration (41252) $278.50 $557 1.2×
Repair tongue laceration (41250) $505.50 $1,011 1.2×
Replace duodenostomy/jejunostomy tube perq (49451) $1,154.50 $2,309 1.3×
Replace g/c tube perc (49450) $1,084 $2,168 1.2×
Repos Previously Implanted Subq Implantable Dfb (33273) $3,045 $6,090 0.8×
Reposition Gastrostomy Tube (43761) $524.50 $1,049 2.2×
Reposition Pacing-Defib Lead (33215) $2,911.50 $5,823 1.0×
Retrobulbar injection (67500) $312.50 $625 1.0×
Revise eyelashes (67825) $348 $696 1.1×
Revision of lower leg tendon (27685) $3,643 $7,286 1.2×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $5,051 $10,102 1.5×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $3,538.50 $7,077 0.6×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $13,325 $26,650 4.0×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,249 $6,498 1.0×
Revj/rpr oprative wound anterior segment (66250) $2,775.50 $5,551 1.2×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $4,649.50 $9,299 0.9×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $4,649.50 $9,299 0.9×
Rhinoplasty Secondary Minor Revision (30430) $7,008.50 $14,017 1.2×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $2,775.50 $5,551 1.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $1,032–$1,104.50 $2,064–$2,209 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $1,968.50–$2,006 $3,937–$4,012 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $360–$385.50 $720–$771 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 4 matching MRF lines		 $324.50–$358 $649–$716 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $386.50–$448.50 $773–$897 varies
Rmvl FB/Dacryolith Lacrimal Passages (68530) $328.50 $657 1.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,198.50 $6,397 1.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,968.50 $3,937 1.2×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $2,834.50 $5,669 1.3×
Rmvl of subq implantable defibrillator electrode (33272) $3,045 $6,090 0.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines		 $2,359.50–$6,662.50 $4,719–$13,325 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,047–$8,255 $2,094–$16,510 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $720–$732.50 $1,440–$1,465 varies
Rmvl/revj sling stress incontinence (57287) $3,756 $7,512 1.2×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $391–$418.50 $782–$837 varies
Rplcmt cath ctr vad subq port/pmp (36578) $2,803 $5,606 0.9×
Rplcmt compl tun ctr vad w/subq port (36582) $2,803 $5,606 0.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,803 $5,606 0.9×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $3,773 $7,546 1.0×
Rpr blood vessel direct lower extremity (35226) $880 $1,760 1.3×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $2,816.50 $5,633 1.2×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,662 $5,324 1.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $225.50–$241.50 $451–$483 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $278.50 $557 1.2×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $2,888.50 $5,777 1.3×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $2,828.50 $5,657 1.2×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110)
range across 2 matching MRF lines		 $2,834.50–$2,888.50 $5,669–$5,777 varies
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $2,834.50 $5,669 1.3×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $8,275.34 $16,550.67 2.6×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines		 $720–$732.50 $1,440–$1,465 varies
Severing Adhesions Anterior Segment Laser Spx (65860) $697 $1,394 1.3×
Severing tarsorrhaphy (67710) $1,140 $2,280 1.2×
Shave skin lesion 0.5 cm/< (11300) $449 $898 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $225.50 $451 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $225.50 $451 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $225.50 $451 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $290.50 $581 1.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $225.50 $451 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $225.50 $451 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $225.50 $451 1.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $434.50 $869 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $214.50–$230 $429–$460 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $214.50–$230 $429–$460 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $225.50–$230 $451–$460 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $402.50–$431 $805–$862 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $402.50–$431 $805–$862 varies
Skin Full Grft Face/Genit/Hf (15240) $2,265.50 $4,531 1.1×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $2,098–$2,203 $4,196–$4,406 varies
Skin sub graft trnk/arm/leg (15271) $2,251.50 $4,503 3.2×
Skin sub grft t/arm/lg child (15273) $398 $796 0.2×
Skin Tissue Procedure (17999) $235 $470 1.2×
Skn sub grft f/n/hf/g child (15277) $2,161 $4,322 1.1×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,476 $8,952 0.9×
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $2,682.50–$2,733.50 $5,365–$5,467 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $402.50–$431 $805–$862 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $466.50–$499.50 $933–$999 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $466.50–$499.50 $933–$999 varies
Snip Incision Lacrimal Punctum (68440) $348 $696 1.1×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $463.50–$581 $927–$1,162 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $120.50–$127 $241–$254 varies
Strapping elbow or wrist (29260) $225 $450 4.0×
Strapping hand/finger (29280) $120.50 $241 2.1×
Strapping knee (29530) $225 $450 1.8×
Strapping shoulder (29240) $93 $186 0.7×
Strapping toes (29550)
range across 2 matching MRF lines		 $127–$129 $254–$258 varies
Strapping Unna Boot (29580)
range across 8 matching MRF lines		 $179–$829 $358–$1,658 varies
Subconjunctival injection (68200) $496 $992 1.2×
Subcutaneous Hormone Pellet Implantation (11980) $496 $992 1.2×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $237 $474 1.2×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $762.50 $1,525 1.1×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $762.50 $1,525 1.1×
Suprachoroidal space njx pharmacologic agent (67516) $424 $848 1.3×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $3,734.50 $7,469 1.2×
Suture digital nerve hand/foot 1 nerve (64831) $2,404.50 $4,809 1.3×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $256–$269 $512–$538 varies
Temporary Closure Eyelids Suture (67875) $1,146 $2,292 1.2×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $3,907.50 $7,815 1.2×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,883 $3,766 1.2×
Tenotomy Percutaneous Single Each Digit (26060) $1,883 $3,766 1.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,867 $3,734 1.2×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $3,907.50 $7,815 1.2×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,883 $3,766 1.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,010 $4,020 1.3×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $19,739 $39,478 1.6×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $437–$467.50 $874–$935 varies
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $792–$823.50 $1,584–$1,647 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,265.50 $4,531 1.1×
Tissue Expander Placement Breast Reconstruction (19357) $8,162 $16,324 0.6×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,907.50 $7,815 1.2×
Tooth extraction (41899)
range across 2 matching MRF lines		 $273–$278.50 $546–$557 varies
Trabeculoplasty by laser surgery (65855) $754 $1,508 1.4×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $3,711.50 $7,423 1.2×
Tracheobrnchsc Thru Est Trachs Inc (31615) $600 $1,200 1.2×
Tracheostomy planned (31600)
range across 2 matching MRF lines		 $520.50–$3,810.50 $1,041–$7,621 varies
Transur electr resection of prostate (52601) $4,931 $9,862 1.0×
Treat Hip Socket Fracture (27222) $254.50 $509 1.1×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $186.50–$190 $373–$380 varies
Treat Humerus Fracture (24505) $1,731 $3,462 1.1×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $185.50–$189 $371–$378 varies
Treat knee fracture (27532) $3,643 $7,286 1.2×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $751–$765.50 $1,502–$1,531 varies
Treat Metatarsal Fracture (28475) $276.50 $553 1.2×
Treat Tail Bone Fracture (27200) $266 $532 1.1×
Treat Thumb Fracture (26645) $1,883 $3,766 1.2×
Treat toe dislocation (28630) $308.50 $617 1.3×
Treat vagina infection (57150) $78.50 $157 1.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,919 $3,838 1.2×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $469–$478 $938–$956 varies
Treatment of retina (67141)
range across 2 matching MRF lines		 $348–$354.50 $696–$709 varies
Trim skin lesion (11055)
range across 4 matching MRF lines		 $231–$484.50 $462–$969 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $266–$279.50 $532–$559 varies
Trim skin lesions over 4 (11057) $352.50 $705 1.8×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $70.50–$76 $141–$152 varies
Tx Gastro Intub W/Asp (43753)
range across 3 matching MRF lines		 $370.50–$396.50 $741–$793 varies
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $3,756–$3,827.50 $7,512–$7,655 varies
Tx open tendon flexor toe 1 tendon spx (28232) $2,083.50 $4,167 1.4×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,867 $3,734 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $514.50–$524.50 $1,029–$1,049 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $490–$499.50 $980–$999 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $185.50 $371 0.8×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,822 $3,644 1.2×
Tympanoplasty (69631) $7,008.50 $14,017 1.2×
Tympanostomy general anesthesia (69436) $1,822 $3,644 1.2×
Unlisted Procedure Casting/Strapping (29799) $201 $402 1.3×
Unlisted procedure colon (45399)
range across 2 matching MRF lines		 $1,091–$1,112 $2,182–$2,224 varies
Unlisted procedure femur or knee (27599) $272 $544 1.1×
Unlisted Procedure Hands/Fingers (26989) $466 $932 2.0×
Unlisted Procedure Intestine (44799) $1,574.50 $3,149 1.8×
Unlisted procedure lacrimal system (68899) $348 $696 1.1×
Unlisted procedure larynx (31599) $273 $546 1.2×
Unlisted Procedure Leg/Ankle (27899) $301 $602 1.3×
Unlisted Procedure Muscskeletal System General (20999) $277.50 $555 1.2×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $538–$576 $1,076–$1,152 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $278.50 $557 1.2×
Unlisted Procedure Rectum (45999) $1,112 $2,224 1.2×
Unlisted procedure spine (22899) $272 $544 1.1×
Unlisted procedure stomach (43999) $1,084 $2,168 1.2×
Unlisted Procedure Tongue Floor Mouth (41599) $273 $546 1.2×
Unlisted Procedure Vascular Surgery (37799) $759.50 $1,519 1.3×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $234–$238.50 $468–$477 varies
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure		 $4,988.50 $9,977 0.5×
Urine Flow Measurement (51736) $152.50 $305 1.2×
Vaginal delivery only (59409)
range across 3 matching MRF lines		 $2,275.50–$2,435 $4,551–$4,870 varies
Wedge excision skin nail fold (11765) $434.50 $869 1.1×

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.