Procedures & surgery prices at Wyckoff Heights Medical Center
Brooklyn, NY · every code in this section with a posted price and a Medicare benchmark.
1139 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
$1,494.44–$3,630 | $1,494.44–$3,630 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,494.44–$4,500 | $1,494.44–$4,500 | varies |
| Ablation 1/> liver tumor perq cryoablation (47383) | $9,345.25 | $9,345.25 | 0.7× |
| Acne surgery (10040) | $449.40 | $449.40 | 1.8× |
| Adding Walker Previously Applied Cast (29440) | $260.93 | $260.93 | 1.3× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $7,500 | $7,500 | 2.9× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $3,000 | $3,000 | 1.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $6,000 | $6,000 | 1.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 4 matching MRF lines |
$2,500–$3,750 | $2,500–$3,750 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $22,500 | $22,500 | 8.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $4,687.50 | $4,687.50 | 1.8× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $11,500 | $11,500 | 4.5× |
| Amniocentesis diagnostic (59000) | $1,170.88 | $1,170.88 | 1.0× |
| Amputation metatarsal with toe single (28810) | $6,000 | $6,000 | 1.5× |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$5,356.65–$9,597.85 | $5,356.65–$9,597.85 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $9,598.85 | $9,598.85 | 2.4× |
| Anal/Urinary Muscle Study (51784) | $257.86 | $257.86 | 1.6× |
| Ankle Arthroscopy/Surgery (29892) unusually low: confirm this is the full procedure |
$3,750 | $3,750 | 0.4× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) | $4,500 | $4,500 | 3.9× |
| Anoscopy diagnostic (46600) | $208.26 | $208.26 | 1.3× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $6,000 | $6,000 | 1.7× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $7,500 | $7,500 | 1.2× |
| Appendectomy (44950) | $4,500 | $4,500 | 0.6× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $260.93 | $260.93 | 1.3× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $260.93 | $260.93 | 1.3× |
| Application cast elbow finger short arm (29075) | $445.55 | $445.55 | 1.3× |
| Application Cast Finger (29086) | $260.93 | $260.93 | 1.3× |
| Application Cast Shoulder Spica (29055) | $445.55 | $445.55 | 1.3× |
| Application Finger Splint Dynamic (29131) | $102.81 | $102.81 | 1.4× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$208.26–$12,000 | $208.26–$12,000 | varies |
| Application long arm splint shoulder hand (29105) | $260.93 | $260.93 | 1.3× |
| Application Long Leg Cast Brace (29358) | $445.55 | $445.55 | 1.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $445.55 | $445.55 | 1.3× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$260.93–$701.28 | $260.93–$701.28 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $445.55 | $445.55 | 1.3× |
| Application of long leg cast (29345) | $445.55 | $445.55 | 1.3× |
| Application of rigid total contact leg cast (29445) | $445.55 | $445.55 | 1.3× |
| Application Short Arm Splint Dynamic (29126) | $208.26 | $208.26 | 1.3× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$208.26–$524.56 | $208.26–$524.56 | varies |
| Application short leg splint calf foot (29515) | $260.93 | $260.93 | 1.3× |
| Application uniplane external fixation system (20690) range across 2 matching MRF lines |
$10,500–$11,903.36 | $10,500–$11,903.36 | varies |
| Apply hand/wrist cast (29085) | $260.93 | $260.93 | 1.3× |
| Apply long arm cast (29065) | $445.55 | $445.55 | 1.3× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$260.93–$1,000 | $260.93–$1,000 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$431.73–$1,119.87 | $431.73–$1,119.87 | varies |
| Apply short leg cast (29425) | $445.55 | $445.55 | 1.3× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) | $5,287.09 | $5,287.09 | 1.3× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$208.26–$264 | $208.26–$264 | varies |
| Arteriovenous Anastomosis Open Direct (36821) | $13,500 | $13,500 | 3.4× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) | $12,000 | $12,000 | 1.7× |
| Artery-vein autograft (36825) | $18,000 | $18,000 | 2.6× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) likely a partial charge, not the full procedure |
$4,500 | $4,500 | 0.3× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) range across 2 matching MRF lines |
$8,000–$8,625 | $8,000–$8,625 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$482.54–$879.75 | $482.54–$879.75 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,172.78 | $1,172.78 | 1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$482.54–$1,478.95 | $482.54–$1,478.95 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$482.54–$933.85 | $482.54–$933.85 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$482.54–$875.70 | $482.54–$875.70 | varies |
| Arthrodesis ankle open (27870) range across 2 matching MRF lines |
$5,250–$18,000 | $5,250–$18,000 | varies |
| Arthrodesis great toe interphalangeal joint (28755) | $10,500 | $10,500 | 1.2× |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 5 matching MRF lines |
$4,000–$8,500 | $4,000–$8,500 | varies |
| Arthrodesis subtalar (28725) range across 2 matching MRF lines |
$12,000–$18,750 | $12,000–$18,750 | varies |
| Arthrodesis triple (28715) | $13,500 | $13,500 | 0.8× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $33,000 | $33,000 | 1.5× |
| Arthroplasty interphalangeal joint each (26535) | $3,000 | $3,000 | 0.7× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $6,000 | $6,000 | 1.5× |
| Arthroplasty Radial Head W/Implant (24366) | $16,500 | $16,500 | 1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $5,356.65 | $5,356.65 | 1.3× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) | $42,000 | $42,000 | 4.6× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $12,000 | $12,000 | 2.9× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $12,000 | $12,000 | 2.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) | $4,875 | $4,875 | 1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 3 matching MRF lines |
$8,250–$12,750 | $8,250–$12,750 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$3,750 | $3,750 | 0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $5,250 | $5,250 | 1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$3,750–$15,000 | $3,750–$15,000 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $25,500 | $25,500 | 1.6× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$3,000–$12,750 | $3,000–$12,750 | varies |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $7,500 | $7,500 | 1.8× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $9,500 | $9,500 | 2.3× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $9,000 | $9,000 | 2.2× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) range across 2 matching MRF lines |
$6,000–$8,250 | $6,000–$8,250 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$998.31–$3,348 | $998.31–$3,348 | varies |
| Aspirate Pleura W/O Imaging (32554) | $998.31 | $998.31 | 1.3× |
| Aspirate/Inj Ganglion Cyst (20612) | $482.54 | $482.54 | 1.3× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $1,149.31 | $1,149.31 | 1.3× |
| Aspiration and/or injection thyroid cyst (60300) | $1,149.31 | $1,149.31 | 1.3× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,306.93 | $3,306.93 | 1.3× |
| Aspiration Bladder Needle (51100) | $491.47 | $491.47 | 1.6× |
| Aspiration bladder trocar/intracatheter (51101) | $1,699.19 | $1,699.19 | 1.6× |
| Av Fistula Revision Open (36832) | $11,250 | $11,250 | 1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$331.66–$4,500 | $331.66–$4,500 | varies |
| Biopsy Abdominal Mass (49180) range across 4 matching MRF lines |
$469.80–$5,763 | $469.80–$5,763 | varies |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$3,750–$4,379.13 | $3,750–$4,379.13 | varies |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$1,799.46–$4,793.33 | $1,799.46–$4,793.33 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
$1,500–$2,598.65 | $1,500–$2,598.65 | varies |
| Biopsy External Auditory Canal (69105) | $3,091.96 | $3,091.96 | 1.6× |
| Biopsy external ear (69100) | $390.74 | $390.74 | 1.3× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$2,598.65–$5,763 | $2,598.65–$5,763 | varies |
| Biopsy nail unit (11755) range across 3 matching MRF lines |
$1,149.31–$2,250 | $1,149.31–$2,250 | varies |
| Biopsy Nasopharynx Visible Lesion Simple (42804) range across 2 matching MRF lines |
$5,052.63–$7,500 | $5,052.63–$7,500 | varies |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$9,000–$16,500 | $9,000–$16,500 | varies |
| Biopsy of conjunctiva (68100) | $6,901.83 | $6,901.83 | 2.3× |
| Biopsy of floor of mouth (41108) | $2,598.65 | $2,598.65 | 1.3× |
| Biopsy of lip (40490) | $390.74 | $390.74 | 1.3× |
| Biopsy of liver, needle; percutaneous (47000) range across 3 matching MRF lines |
$2,598.65–$6,160 | $2,598.65–$6,160 | varies |
| Biopsy of penis; deep structures (54105) | $7,500 | $7,500 | 2.1× |
| Biopsy Oropharynx (42800) | $2,498.38 | $2,498.38 | 1.3× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,598.65 | $2,598.65 | 1.3× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) | $4,510.18 | $4,510.18 | 1.0× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $2,250 | $2,250 | 1.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $3,750 | $3,750 | 1.8× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $2,250 | $2,250 | 1.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $9,000 | $9,000 | 4.4× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $835.30 | $835.30 | 1.2× |
| Biopsy Tongue Posterior One-Third (41105) range across 2 matching MRF lines |
$5,052.63–$6,000 | $5,052.63–$6,000 | varies |
| Biopsy Vaginal Mucosa Extensive (57105) | $3,000 | $3,000 | 0.7× |
| Biopsy Vaginal Mucosa Simple (57100) | $1,170.88 | $1,170.88 | 1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 3 matching MRF lines |
$1,170.88–$3,000 | $1,170.88–$3,000 | varies |
| Biopsy, vestibule of mouth (40808) | $835.30 | $835.30 | 1.2× |
| Biopsy/removal lymph nodes (38510) | $16,500 | $16,500 | 3.4× |
| Bladder instillation anticarcinogenic agent (51720) | $2,500 | $2,500 | 2.9× |
| Bladder Irrigation (51700) | $491.47 | $491.47 | 1.6× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$102.81–$245 | $102.81–$245 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $5,250 | $5,250 | 2.0× |
| Blepharotomy drainage abscess eyelid (67700) | $483.13 | $483.13 | 1.2× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$733.07–$2,474.25 | $733.07–$2,474.25 | varies |
| Blood/Lymph System Procedure (38999) | $733.07 | $733.07 | 1.3× |
| Bone Graft Any Donor Area Major/Large (20902) range across 2 matching MRF lines |
$5,500–$11,903.36 | $5,500–$11,903.36 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) unusually low: confirm this is the full procedure |
$4,500 | $4,500 | 0.5× |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$2,598.65–$4,027.12 | $2,598.65–$4,027.12 | varies |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$302.67–$11,250 | $302.67–$11,250 | varies |
| Breast augmentation with implant (19325) | $15,000 | $15,000 | 1.5× |
| Breast Reduction (19318) range across 4 matching MRF lines |
$4,500–$48,000 | $4,500–$48,000 | varies |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $12,000 | $12,000 | 2.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $5,721.02 | $5,721.02 | 1.2× |
| Bronchoscopy Clear Airways (31645) | $1,500 | $1,500 | 0.7× |
| Bronchoscopy W/Biopsy(S) (31625) range across 2 matching MRF lines |
$1,500–$3,300 | $1,500–$3,300 | varies |
| Bronchoscopy W/Excision Tumor (31640) | $5,721.02 | $5,721.02 | 1.2× |
| Bronchoscopy W/Removal Foreign Body (31635) | $2,763.24 | $2,763.24 | 1.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $7,500 | $7,500 | 1.6× |
| Bronchoscopy/Needle Bx Each (31629) | $3,300 | $3,300 | 0.7× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) | $3,000 | $3,000 | 0.8× |
| Bx breast 1st lesion mr imag (19085) range across 2 matching MRF lines |
$2,598.65–$6,050 | $2,598.65–$6,050 | varies |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$2,598.65–$7,367.73 | $2,598.65–$7,367.73 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$2,598.65–$5,127.30 | $2,598.65–$5,127.30 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $2,598.65 | $2,598.65 | 1.3× |
| Bx Cervix (57500) | $1,170.88 | $1,170.88 | 1.0× |
| Bx/exc lymph node open deep axillary node (38525) | $7,000 | $7,000 | 1.4× |
| Bx/exc lymph node open superficial (38500) | $8,250 | $8,250 | 1.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) range across 4 matching MRF lines |
$5,356.65–$8,500 | $5,356.65–$8,500 | varies |
| Capsulotomy Posterior Capsular Release Knee (27435) | $9,000 | $9,000 | 2.2× |
| Carpal Tunnel Surgery (64721) | $3,000 | $3,000 | 1.2× |
| Cataract surg w/iol 1 stage (66983) | $6,000 | $6,000 | 2.1× |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$4,500–$6,000 | $4,500–$6,000 | varies |
| Cerclage cervix pregnancy vaginal (59320) range across 2 matching MRF lines |
$3,000–$6,000 | $3,000–$6,000 | varies |
| Cessj Therapy Cath Removal (37214) | $5,529.12 | $5,529.12 | 1.4× |
| Change Cystostomy Tube Complicated (51710) | $1,062.54 | $1,062.54 | 1.2× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$491.47–$5,625 | $491.47–$5,625 | varies |
| Change of Windpipe Airway (31502) | $390.74 | $390.74 | 1.3× |
| Change ureter stent percut (50382) | $3,306.93 | $3,306.93 | 1.3× |
| Chemical Cautery Tissue (17250) | $331.66 | $331.66 | 1.3× |
| Chemodenerv Musc Migraine (64615) | $925.57 | $925.57 | 2.4× |
| Chest tube placement (32551) | $2,597.15 | $2,597.15 | 1.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $5,876.12 | $5,876.12 | 1.3× |
| Circumcision 28 days or older (54161) | $6,000 | $6,000 | 2.3× |
| Circumcision Neonate (54160) | $4,500 | $4,500 | 5.2× |
| Circumcision w/clamp/oth dev w/block (54150) | $3,000 | $3,000 | 1.1× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,572.47 | $2,572.47 | 1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,572.47 | $2,572.47 | 1.3× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$208.26–$304.44 | $208.26–$304.44 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $3,000 | $3,000 | 0.7× |
| Closed rx talotarsal disloc,anesth (28575) | $9,598.85 | $9,598.85 | 2.4× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,572.47 | $2,572.47 | 1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $380.67 | $380.67 | 1.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $380.67 | $380.67 | 1.2× |
| Closed Treatment Sesamoid Fracture (28530) | $380.67 | $380.67 | 1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $380.67 | $380.67 | 1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$380.67–$3,750 | $380.67–$3,750 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,572.47 | $2,572.47 | 1.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
$380.67–$4,500 | $380.67–$4,500 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $380.67 | $380.67 | 1.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $2,572.47 | $2,572.47 | 1.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $380.67 | $380.67 | 1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) | $380.67 | $380.67 | 1.2× |
| Closed tx mandibular fracture w/manipulation (21451) | $2,498.38 | $2,498.38 | 1.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $835.30 | $835.30 | 1.2× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) | $9,393.32 | $9,393.32 | 1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $380.67 | $380.67 | 1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,572.47 | $2,572.47 | 1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,498.38 | $2,498.38 | 1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$5,052.63–$6,000 | $5,052.63–$6,000 | varies |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) | $5,052.63 | $5,052.63 | 1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) | $380.67 | $380.67 | 1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $380.67 | $380.67 | 1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) | $2,572.47 | $2,572.47 | 1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,572.47 | $2,572.47 | 1.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $380.67 | $380.67 | 1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$2,572.47–$3,000 | $2,572.47–$3,000 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $380.67 | $380.67 | 1.2× |
| Closed tx septal&nose fx (21337) | $5,052.63 | $5,052.63 | 1.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $380.67 | $380.67 | 1.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$380.67–$709.65 | $380.67–$709.65 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$2,572.47–$4,734.65 | $2,572.47–$4,734.65 | varies |
| Closed tx talus fracture w/o manipulation (28430) | $380.67 | $380.67 | 1.2× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 2 matching MRF lines |
$709.65–$5,000 | $709.65–$5,000 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $709.65 | $709.65 | 2.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $380.67 | $380.67 | 1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $2,572.47 | $2,572.47 | 1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $380.67 | $380.67 | 1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $380.67 | $380.67 | 1.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $390.74 | $390.74 | 1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $380.67 | $380.67 | 1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $380.67 | $380.67 | 1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$2,572.47–$13,500 | $2,572.47–$13,500 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$380.67–$1,386.67 | $380.67–$1,386.67 | varies |
| Clsr Lacrimal Punctum Plug Each (68761) range across 3 matching MRF lines |
$483.13–$966.26 | $483.13–$966.26 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $380.67 | $380.67 | 1.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $380.67 | $380.67 | 1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $380.67 | $380.67 | 1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $380.67 | $380.67 | 1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $380.67 | $380.67 | 1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $380.67 | $380.67 | 1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $380.67 | $380.67 | 1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$2,572.47–$4,375 | $2,572.47–$4,375 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) range across 2 matching MRF lines |
$3,000–$4,500 | $3,000–$4,500 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $380.67 | $380.67 | 1.2× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,049.76 | $1,049.76 | 0.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $380.67 | $380.67 | 1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $380.67 | $380.67 | 1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $380.67 | $380.67 | 1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$380.67–$5,250 | $380.67–$5,250 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $380.67 | $380.67 | 1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $380.67 | $380.67 | 1.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $380.67 | $380.67 | 1.2× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $380.67 | $380.67 | 1.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $380.67 | $380.67 | 1.2× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$445.56–$785.70 | $445.56–$785.70 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$380.67–$709.65 | $380.67–$709.65 | varies |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $1,331.06 | $1,331.06 | 0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $445.55 | $445.55 | 1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $380.67 | $380.67 | 1.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $5,674 | $5,674 | 2.8× |
| Cltx Medial Ankle Fx (27760) | $380.67 | $380.67 | 1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $380.67 | $380.67 | 1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $380.67 | $380.67 | 1.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$2,572.47–$4,734.65 | $2,572.47–$4,734.65 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $380.67 | $380.67 | 1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $380.67 | $380.67 | 1.2× |
| Cltx post hip arthrp dislc req anes (27266) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) | $380.67 | $380.67 | 1.2× |
| Cltx prox fibula/shft fx w/manj (27781) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) | $380.67 | $380.67 | 1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $380.67 | $380.67 | 1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $380.67 | $380.67 | 1.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,572.52 | $2,572.52 | 1.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $380.67 | $380.67 | 1.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $380.67 | $380.67 | 1.2× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $9,598.85 | $9,598.85 | 2.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $380.67 | $380.67 | 1.2× |
| Cltx tibial shaft fx w/o manipulation (27750) | $380.67 | $380.67 | 1.2× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $380.67 | $380.67 | 1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,572.47 | $2,572.47 | 1.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $380.67 | $380.67 | 1.2× |
| Collect Blood From Catheter Venous Nos (36592) | $207.75 | $207.75 | 1.3× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$30.24–$201.98 | $30.24–$201.98 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$4,500–$9,000 | $4,500–$9,000 | varies |
| Colonoscopy thru stoma (44388) | $9,000 | $9,000 | 7.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $4,500 | $4,500 | 3.0× |
| Colonoscopy w/fb removal (45379) | $3,000 | $3,000 | 2.0× |
| Colonoscopy W/Resection (45390) range across 2 matching MRF lines |
$2,250–$5,000 | $2,250–$5,000 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,125–$2,000 | $1,125–$2,000 | varies |
| Colpocleisis (le fort type) (57120) | $3,500 | $3,500 | 0.6× |
| Colpopexy extraperitoneal (57282) | $7,500 | $7,500 | 0.8× |
| Colpopexy vaginal intraperitoneal approach (57283) | $4,875 | $4,875 | 0.5× |
| Colporrhaphy (57200) range across 2 matching MRF lines |
$3,000–$4,845.72 | $3,000–$4,845.72 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 3 matching MRF lines |
$520.89–$4,500 | $520.89–$4,500 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) | $520.89 | $520.89 | 1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) | $314.64 | $314.64 | 1.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $520.89 | $520.89 | 1.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $4,500 | $4,500 | 1.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 2 matching MRF lines |
$5,088.29–$7,500 | $5,088.29–$7,500 | varies |
| Colposcopy entire vagina w/cervix if present (57420) | $520.89 | $520.89 | 1.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $1,170.88 | $1,170.88 | 1.0× |
| Colpotomy; with exploration (57000) | $6,000 | $6,000 | 1.5× |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$1,500–$4,500 | $1,500–$4,500 | varies |
| Combined anteroposterior colporrhaphy; (57260) | $5,250 | $5,250 | 0.8× |
| Complex Cystometrogram (51726) | $491.47 | $491.47 | 1.6× |
| Complex drainage wound (10180) | $4,379.13 | $4,379.13 | 1.2× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,250 | $2,250 | 0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $208.26 | $208.26 | 1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$208.26–$540 | $208.26–$540 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $835.30 | $835.30 | 1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 3 matching MRF lines |
$2,598.65–$4,873 | $2,598.65–$4,873 | varies |
| Cornea Scraping Diagnostic Smear &/Culture (65430) | $1,180.53 | $1,180.53 | 2.1× |
| Correction hammertoe (28285) range across 12 matching MRF lines |
$2,700–$10,500 | $2,700–$10,500 | varies |
| Correction of trichiasis; epilation, by forceps only (67820) | $208.26 | $208.26 | 1.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 4 matching MRF lines |
$3,000–$10,500 | $3,000–$10,500 | varies |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | $10,500 | $10,500 | 2.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) range across 2 matching MRF lines |
$5,700–$15,000 | $5,700–$15,000 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) range across 2 matching MRF lines |
$11,903.36–$13,500 | $11,903.36–$13,500 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
$3,750–$6,000 | $3,750–$6,000 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) range across 2 matching MRF lines |
$4,500–$16,500 | $4,500–$16,500 | varies |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$835.30–$10,500 | $835.30–$10,500 | varies |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) | $15,000 | $15,000 | 2.2× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) | $390.74 | $390.74 | 1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $208.26 | $208.26 | 1.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $390.74 | $390.74 | 1.3× |
| Curettage postpartum (59160) | $4,845.72 | $4,845.72 | 1.2× |
| Curette/treat cornea (65435) | $1,495.66 | $1,495.66 | 1.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 3 matching MRF lines |
$3,000–$7,500 | $3,000–$7,500 | varies |
| Cysto w/destruction of lesions (52214) | $7,500 | $7,500 | 1.7× |
| Cysto w/insert ureteral stent (52332) range across 3 matching MRF lines |
$3,000–$6,000 | $3,000–$6,000 | varies |
| Cysto w/removal of tumors small (52234) | $5,000 | $5,000 | 1.1× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$3,306.93–$6,000 | $3,306.93–$6,000 | varies |
| Cysto w/ureter stricture tx (52341) | $5,000 | $5,000 | 1.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $6,000 | $6,000 | 1.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) | $3,750 | $3,750 | 0.9× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 2 matching MRF lines |
$2,250–$3,000 | $2,250–$3,000 | varies |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) | $4,500 | $4,500 | 0.7× |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$9,000–$15,000 | $9,000–$15,000 | varies |
| Cystometrogram W/Vp&Up (51729) | $1,062.54 | $1,062.54 | 1.2× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) | $6,750 | $6,750 | 0.6× |
| Cystostomy Cystotomy W/Drainage (51040) | $3,000 | $3,000 | 1.1× |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$1,062.54–$6,750 | $1,062.54–$6,750 | varies |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $7,500 | $7,500 | 1.7× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $12,000 | $12,000 | 1.8× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | $3,000 | $3,000 | 0.7× |
| Cystourethroscopy with biopsy (52204) | $7,500 | $7,500 | 2.9× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $6,000 | $6,000 | 2.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $967.30 | $967.30 | 1.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$638.37–$4,379.13 | $638.37–$4,379.13 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 2 matching MRF lines |
$1,149.31–$1,167.90 | $1,149.31–$1,167.90 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,149.31 | $1,149.31 | 1.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$967.30–$7,500 | $967.30–$7,500 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$102.81–$236.18 | $102.81–$236.18 | varies |
| Debride nail 6 or more (11721) range across 4 matching MRF lines |
$102.81–$347 | $102.81–$347 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$2,598.65–$10,500 | $2,598.65–$10,500 | varies |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $835.30 | $835.30 | 1.2× |
| Debridement Mastoidectomy Cavity Simple (69220) | $331.66 | $331.66 | 1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$638.37–$1,500 | $638.37–$1,500 | varies |
| Declot vascular device (36593) | $471.44 | $471.44 | 1.1× |
| Decompression of tibia nerve (28035) | $4,875 | $4,875 | 2.0× |
| Destr W Neurolytic; Celiac Plexus (64680) | $4,383.36 | $4,383.36 | 4.0× |
| Destroy cerv/thor facet jnt (64633) | $3,243.02 | $3,243.02 | 1.3× |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,250–$3,243.02 | $2,250–$3,243.02 | varies |
| Destruc retinal lesn,photocoag (67210) | $929.48 | $929.48 | 1.4× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$331.66–$3,750 | $331.66–$3,750 | varies |
| Destruction Benign Lesions 15/> (17111) | $331.66 | $331.66 | 1.3× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $482.54 | $482.54 | 1.3× |
| Destruction Lesions Vulva Extensive (56515) | $6,000 | $6,000 | 2.3× |
| Destruction Lesions Vulva Simple (56501) | $3,163.36 | $3,163.36 | 1.2× |
| Destruction Premalignant Lesion 15/> (17004) | $638.37 | $638.37 | 1.3× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$331.66–$681.90 | $331.66–$681.90 | varies |
| Dilate Urethra Stricture (53600) | $2,000 | $2,000 | 6.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$3,000–$4,845.72 | $3,000–$4,845.72 | varies |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) | $11,250 | $11,250 | 1.6× |
| Drain ant chmbr,remv vitreous (65810) | $2,155.80 | $2,155.80 | 0.7× |
| Drain Cerebro Spinal Fluid (62272) | $1,172.78 | $1,172.78 | 1.3× |
| Drain/inj small joint/bursa w/us (20604) | $482.54 | $482.54 | 1.3× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$934.32–$3,000 | $934.32–$3,000 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,149.31 | $1,149.31 | 1.3× |
| Drainage Finger Abscess Complicated (26011) | $2,598.65 | $2,598.65 | 1.3× |
| Drainage Mouth Roof Lesion (42000) | $217.91 | $217.91 | 0.7× |
| Drainage of eye (65800) | $6,747.30 | $6,747.30 | 2.3× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$331.66–$3,000 | $331.66–$3,000 | varies |
| Drainage of gum lesion (41800) | $208.26 | $208.26 | 1.3× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$2,598.65–$6,750 | $2,598.65–$6,750 | varies |
| Drainage of rectal abscess (45005) | $1,915.20 | $1,915.20 | 1.3× |
| Drainage of scrotal wall abscess (55100) | $2,598.65 | $2,598.65 | 1.3× |
| Drainage of scrotum (54700) | $3,306.93 | $3,306.93 | 1.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) | $5,000 | $5,000 | 1.2× |
| Draw Blood Off Venous Device (36591) | $201.98 | $201.98 | 1.2× |
| Dressing Change Under Anesthesia (15852) | $967.30 | $967.30 | 1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$1,149.31–$1,357 | $1,149.31–$1,357 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$626.70–$638.37 | $626.70–$638.37 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$325.37–$331.66 | $325.37–$331.66 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$331.66–$714 | $331.66–$714 | varies |
| Dstrj Lesion Anus Extensive (46924) | $4,500 | $4,500 | 1.3× |
| Dstrj lesion anus simple surg excision (46922) | $6,000 | $6,000 | 1.7× |
| Dstrj lesion choroid pc 1/> sess (67220) | $537.70 | $537.70 | 0.8× |
| Dstrj Lesion Penis Simple Chemical (54050) | $3,000 | $3,000 | 5.9× |
| Dstrj lesion penis simple surg excision (54060) | $3,163.36 | $3,163.36 | 1.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$150.38–$1,520.38 | $150.38–$1,520.38 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$3,951.63–$4,648.70 | $3,951.63–$4,648.70 | varies |
| Dx Bronchoscope/Lavage (31624) | $1,500 | $1,500 | 0.7× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$3,750–$6,000 | $3,750–$6,000 | varies |
| Dx gastr intub w/asp spec (43754) | $488.79 | $488.79 | 1.8× |
| Dx Laryngoscopy Excl Nb (31525) | $2,763.24 | $2,763.24 | 1.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,000 | $3,000 | 1.3× |
| Egd control bleeding any (43255) | $2,250 | $2,250 | 0.9× |
| Egd endo mucosal resection (43254) | $1,500 | $1,500 | 0.6× |
| Egd Flexible Foreign Body Removal (43247) | $3,750 | $3,750 | 3.3× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $3,000 | $3,000 | 1.3× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$2,999.79–$9,000 | $2,999.79–$9,000 | varies |
| Egd remove lesion snare (43251) | $2,000 | $2,000 | 0.8× |
| Egd Varices Ligation (43244) | $3,000 | $3,000 | 1.3× |
| Electro-Uroflowmetry First (51741) | $257.86 | $257.86 | 1.0× |
| Endocervical curettage (57505) range across 2 matching MRF lines |
$1,170.88–$1,500 | $1,170.88–$1,500 | varies |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $9,750 | $9,750 | 1.6× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$314.64–$1,657.16 | $314.64–$1,657.16 | varies |
| Endoscopic plantar fasciotomy (29893) | $5,356.65 | $5,356.65 | 1.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 3 matching MRF lines |
$3,750–$5,250 | $3,750–$5,250 | varies |
| Epidural Blood Patch (62273) | $3,000 | $3,000 | 3.4× |
| Episiotomy or vaginal repair (59300) | $4,845.72 | $4,845.72 | 1.2× |
| Ercp ea duct/ampulla dilate (43277) | $4,500 | $4,500 | 0.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $4,500 | $4,500 | 0.9× |
| Ercp remove forgn body duct (43275) | $4,500 | $4,500 | 1.9× |
| Escharotomy; initial incision (16035) | $1,181.98 | $1,181.98 | 2.3× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $3,000 | $3,000 | 1.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $3,000 | $3,000 | 1.3× |
| Evacuation of subungual hematoma (11740) | $208.26 | $208.26 | 1.3× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $3,000 | $3,000 | 1.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) range across 3 matching MRF lines |
$3,000–$9,000 | $3,000–$9,000 | varies |
| Exc abdl tum deep 5 cm/> (22901) | $25,500 | $25,500 | 7.0× |
| Exc arm/elbow les sc < 3 cm (24075) | $11,250 | $11,250 | 5.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$1,149.31–$4,875 | $1,149.31–$4,875 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$2,598.65–$3,000 | $2,598.65–$3,000 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $3,000 | $3,000 | 1.5× |
| Exc Back Tum Deep 5 Cm/> (21933) | $10,500 | $10,500 | 2.9× |
| Exc back tum deep < 5 cm (21932) | $6,000 | $6,000 | 1.7× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) | $18,000 | $18,000 | 2.4× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $15,000 | $15,000 | 3.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $13,500 | $13,500 | 15.3× |
| Exc Face Les Sbq 2 Cm/> (21012) | $9,000 | $9,000 | 4.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$1,149.31–$3,000 | $1,149.31–$3,000 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$1,149.31–$11,250 | $1,149.31–$11,250 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $4,500 | $4,500 | 5.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $3,000 | $3,000 | 1.5× |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 3 matching MRF lines |
$3,000–$6,000 | $3,000–$6,000 | varies |
| Exc Frenum Labial/Buccal (40819) range across 2 matching MRF lines |
$2,498.38–$3,000 | $2,498.38–$3,000 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$1,500–$2,598.65 | $1,500–$2,598.65 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$1,149.31–$2,250 | $1,149.31–$2,250 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$1,500–$2,698.61 | $1,500–$2,698.61 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines |
$2,500–$6,000 | $2,500–$6,000 | varies |
| Exc hand tum deep < 1.5 cm (26116) | $3,000 | $3,000 | 1.5× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 3 matching MRF lines |
$4,500–$14,500 | $4,500–$14,500 | varies |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $3,750 | $3,750 | 0.9× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $3,000 | $3,000 | 0.9× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $10,500 | $10,500 | 2.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$1,149.31–$3,000 | $1,149.31–$3,000 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$2,598.65–$6,000 | $2,598.65–$6,000 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$4,379.13–$6,000 | $4,379.13–$6,000 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$2,598.65–$3,000 | $2,598.65–$3,000 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $7,500 | $7,500 | 2.1× |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$3,000–$4,500 | $3,000–$4,500 | varies |
| Exc thigh/knee tum dep 5cm/> (27339) range across 2 matching MRF lines |
$3,000–$16,500 | $3,000–$16,500 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$638.37–$1,500 | $638.37–$1,500 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$1,149.31–$3,000 | $1,149.31–$3,000 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$2,598.65–$3,000 | $2,598.65–$3,000 | varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $6,000 | $6,000 | 1.7× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $6,000 | $6,000 | 1.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $4,500 | $4,500 | 1.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $3,000 | $3,000 | 1.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) range across 3 matching MRF lines |
$4,648.70–$9,000 | $4,648.70–$9,000 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $4,500 | $4,500 | 2.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $3,750 | $3,750 | 1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $12,000 | $12,000 | 3.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $10,500 | $10,500 | 5.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $4,500 | $4,500 | 1.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $3,000 | $3,000 | 0.8× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $3,000 | $3,000 | 0.8× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) | $10,500 | $10,500 | 1.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) range across 2 matching MRF lines |
$3,000–$6,000 | $3,000–$6,000 | varies |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) range across 2 matching MRF lines |
$2,250–$6,000 | $2,250–$6,000 | varies |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $5,876.12 | $5,876.12 | 1.3× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$3,306.93–$3,739.75 | $3,306.93–$3,739.75 | varies |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $2,498.38 | $2,498.38 | 1.3× |
| Excise excessive skin arm (15836) range across 2 matching MRF lines |
$11,250–$11,500 | $11,250–$11,500 | varies |
| Excise Wrist Tendon Sheath (25118) | $3,000 | $3,000 | 1.5× |
| Excision Chalazion Multiple Same Lid (67801) | $1,495.66 | $1,495.66 | 1.2× |
| Excision Chalazion Single (67800) | $483.13 | $483.13 | 1.2× |
| Excision Chest Wall Tumor Including Ribs (21601) range across 2 matching MRF lines |
$21,000–$22,500 | $21,000–$22,500 | varies |
| Excision Excessive Skin & Subq Tissue Buttock (15835) | $6,750 | $6,750 | 1.9× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $11,500 | $11,500 | 3.2× |
| Excision External Ear Partial Simple Repair (69110) | $4,500 | $4,500 | 1.2× |
| Excision H/P/P/U Complex Repair (11471) | $3,750 | $3,750 | 1.0× |
| Excision Lesion Tongue W/O Closure (41110) | $3,000 | $3,000 | 0.7× |
| Excision Lingual Frenum Frenectomy (41115) | $6,000 | $6,000 | 3.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,149.31 | $1,149.31 | 1.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $3,000 | $3,000 | 5.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,149.31 | $1,149.31 | 1.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$2,598.65–$4,500 | $2,598.65–$4,500 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $3,750 | $3,750 | 1.1× |
| Excision nasal polyp(s) simple (30110) | $2,498.38 | $2,498.38 | 1.3× |
| Excision of bartholin's gland or cyst (56740) | $9,000 | $9,000 | 2.2× |
| Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) | $9,000 | $9,000 | 1.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $3,000 | $3,000 | 1.5× |
| Excision of gum flap (41821) | $4,500 | $4,500 | 2.3× |
| Excision of hydrocele; unilateral (55040) range across 3 matching MRF lines |
$6,000–$10,500 | $6,000–$10,500 | varies |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $5,500 | $5,500 | 2.3× |
| Excision of pilonidal cyst or sinus; simple (11770) | $7,500 | $7,500 | 2.1× |
| Excision of single external papilla or tag, anus (46220) | $6,000 | $6,000 | 4.0× |
| Excision of vaginal cyst or tumor (57135) | $1,500 | $1,500 | 0.4× |
| Excision olecranon bursa (24105) | $5,250 | $5,250 | 1.3× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $7,500 | $7,500 | 2.1× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) range across 2 matching MRF lines |
$9,000–$14,250 | $9,000–$14,250 | varies |
| Excision soft tissue lesion, external auditory canal (69145) | $3,000 | $3,000 | 0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $9,000 | $9,000 | 4.4× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) range across 5 matching MRF lines |
$1,500–$6,000 | $1,500–$6,000 | varies |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) range across 5 matching MRF lines |
$2,698.52–$4,793.33 | $2,698.52–$4,793.33 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$2,250–$6,000 | $2,250–$6,000 | varies |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) | $11,250 | $11,250 | 3.1× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $6,000 | $6,000 | 3.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $3,000 | $3,000 | 0.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $6,750 | $6,750 | 1.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $10,500 | $10,500 | 2.9× |
| Excision/destruction intranasal lesion int appr (30117) | $5,052.63 | $5,052.63 | 1.2× |
| Excision/destruction lesion pharynx any method (42808) | $5,052.63 | $5,052.63 | 1.2× |
| Excision/Transposition Pterygium W/Grafg (65426) | $3,000 | $3,000 | 1.0× |
| Excision/Transposition Pterygium W/O Graft (65420) | $4,500 | $4,500 | 1.5× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$2,598.65–$4,500 | $2,598.65–$4,500 | varies |
| Exploration of knee joint (27310) | $5,230.40 | $5,230.40 | 1.3× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,149.31–$1,500 | $1,149.31–$1,500 | varies |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) | $1,622.98 | $1,622.98 | 2.4× |
| External cephalic version (59412) | $4,845.72 | $4,845.72 | 1.2× |
| Fasciectomy Palm Only (26121) | $4,500 | $4,500 | 1.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 2 matching MRF lines |
$2,250–$3,000 | $2,250–$3,000 | varies |
| Fasciotomy, foot and/or toe (28008) range across 3 matching MRF lines |
$3,000–$5,356.65 | $3,000–$5,356.65 | varies |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 3 matching MRF lines |
$2,250–$12,000 | $2,250–$12,000 | varies |
| Fetal non-stress test (59025) | $314.64 | $314.64 | 1.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,149.31 | $1,149.31 | 1.3× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $1,149.31 | $1,149.31 | 1.3× |
| Fine needle aspiration without imaging guidance (10021) | $638.37 | $638.37 | 1.3× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,149.31 | $1,149.31 | 1.3× |
| Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
$1,149.31–$2,639 | $1,149.31–$2,639 | varies |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$491.47–$3,000 | $491.47–$3,000 | varies |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $9,000 | $9,000 | 3.5× |
| Fusion of foot bones (28740) range across 5 matching MRF lines |
$3,000–$11,903.36 | $3,000–$11,903.36 | varies |
| Gastrocnemius recession (27687) range across 2 matching MRF lines |
$6,000–$7,500 | $6,000–$7,500 | varies |
| Goniotomy (65820) unusually low: confirm this is the full procedure |
$2,250 | $2,250 | 0.4× |
| Grafting of autologous fat by lipo 50 cc or less (15771) | $3,750 | $3,750 | 0.8× |
| Grafting of autologous soft tiss by direct exc (15769) | $9,000 | $9,000 | 2.0× |
| Guide Cathet Fluid Drainage (10030) | $1,149.31 | $1,149.31 | 1.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) range across 3 matching MRF lines |
$5,625–$11,903.36 | $5,625–$11,903.36 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$6,000–$6,483.94 | $6,000–$6,483.94 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $7,500 | $7,500 | 2.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $6,000 | $6,000 | 1.7× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) | $9,000 | $9,000 | 2.6× |
| Hysteroscopy Biopsy (58558) | $4,500 | $4,500 | 1.1× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) unusually low: confirm this is the full procedure |
$3,000 | $3,000 | 0.5× |
| Hysteroscopy Dx Sep Proc (58555) | $6,000 | $6,000 | 1.5× |
| Hysteroscopy Endometrial Ablation (58563) | $4,500 | $4,500 | 0.7× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) likely a partial charge, not the full procedure |
$1,500 | $1,500 | 0.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $3,000 | $3,000 | 0.7× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) unusually low: confirm this is the full procedure |
$3,000 | $3,000 | 0.5× |
| I&d abscess peritonsillar (42700) | $390.74 | $390.74 | 1.3× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$331.66–$3,000 | $331.66–$3,000 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) range across 3 matching MRF lines |
$2,572.47–$4,311.80 | $2,572.47–$4,311.80 | varies |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $5,230.40 | $5,230.40 | 1.3× |
| I&d perianal abscess superficial (46050) | $1,465.67 | $1,465.67 | 1.3× |
| I&d pilonidal cyst complicated (10081) | $1,149.31 | $1,149.31 | 1.3× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$1,149.31–$2,714 | $1,149.31–$2,714 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $4,379.13 | $4,379.13 | 1.2× |
| Icd Pocket Revision (33223) | $3,163.36 | $3,163.36 | 1.2× |
| Image Cath Fluid Colxn Visc (49405) | $2,598.65 | $2,598.65 | 1.3× |
| Image Cath Fluid Peri/Retro (49406) | $2,598.65 | $2,598.65 | 1.3× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,598.65 | $2,598.65 | 1.3× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$4,500–$6,000 | $4,500–$6,000 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$1,474.41–$3,123.90 | $1,474.41–$3,123.90 | varies |
| Incise finger tendon sheath (26055) | $3,000 | $3,000 | 1.5× |
| Incision & drainage abscess complicated/multiple (10061) | $638.37 | $638.37 | 1.3× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$2,598.65–$3,000 | $2,598.65–$3,000 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$638.37–$4,500 | $638.37–$4,500 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$270.60–$314.64 | $270.60–$314.64 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$520.89–$4,500 | $520.89–$4,500 | varies |
| Incision bone cortex foot (28005) | $4,500 | $4,500 | 1.1× |
| Incision extensor tendon sheath wrist (25000) | $3,000 | $3,000 | 1.5× |
| Incision of Foot Tendon (28234) | $4,734.65 | $4,734.65 | 2.4× |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$2,438.12–$4,876.24 | $2,438.12–$4,876.24 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,915.20–$6,000 | $1,915.20–$6,000 | varies |
| Incision&drainage bursa foot (28001) | $2,166.72 | $2,166.72 | 1.1× |
| Incisional biopsy skin single lesion (11106) range across 4 matching MRF lines |
$98.95–$3,750 | $98.95–$3,750 | varies |
| Induced abortion, by dilation and evacuation (59841) | $3,000 | $3,000 | 0.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $587.83 | $587.83 | 2.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,500–$1,520.38 | $1,500–$1,520.38 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,520.38–$3,000 | $1,520.38–$3,000 | varies |
| Inject Intravitreal Pharmcologic (67028) range across 2 matching MRF lines |
$313.30–$1,195.50 | $313.30–$1,195.50 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$482.54–$1,500 | $482.54–$1,500 | varies |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$696.22–$7,000 | $696.22–$7,000 | varies |
| Injection into spinal artery (62294) | $1,520.38 | $1,520.38 | 1.4× |
| Injection medication/other subst tenon capsule (67515) | $483.13 | $483.13 | 1.2× |
| Injection single tendon origin/insertion (20551) range across 4 matching MRF lines |
$482.54–$489.30 | $482.54–$489.30 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $482.54 | $482.54 | 1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) | $482.54 | $482.54 | 1.3× |
| Injection therapeutic carpal tunnel (20526) | $482.54 | $482.54 | 1.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $9,750 | $9,750 | 8.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,172.78 | $1,172.78 | 1.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) | $331.66 | $331.66 | 1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) | $413 | $413 | 1.6× |
| Ins endovas vena cava filtr (37191) | $8,807.36 | $8,807.36 | 1.3× |
| Ins/Rep Subq Defibrillator (33270) | $86,316 | $86,316 | 2.2× |
| Insert 1 Electrode Pm-Defib (33216) | $15,068.26 | $15,068.26 | 1.5× |
| Insert Bladder Cath Complex (51703) | $257.86 | $257.86 | 1.6× |
| Insert cath pleura w/ image (32557) | $2,597.15 | $2,597.15 | 1.3× |
| Insert cath pleura w/o image (32556) | $2,999.79 | $2,999.79 | 1.3× |
| Insert Drug Implant Device (11981) | $208.26 | $208.26 | 1.3× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,999.79 | $2,999.79 | 1.3× |
| Insert Heart Pm Atrial (33206) | $19,203.98 | $19,203.98 | 1.5× |
| Insert Heart Pm Ventricular (33207) | $19,203.98 | $19,203.98 | 1.5× |
| Insert hepatic shunt (tips) (37182) | $18,197.81 | $18,197.81 | 0.8× |
| Insert Nasal Septal Button (30220) | $2,498.38 | $2,498.38 | 1.3× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$5,287.09–$5,360.99 | $5,287.09–$5,360.99 | varies |
| Insert Pacing Lead & Connect (33224) | $19,203.98 | $19,203.98 | 1.5× |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$314.64–$389 | $314.64–$389 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,597.15 | $2,597.15 | 1.3× |
| Insert pulse gen dual leads (33213) | $19,203.98 | $19,203.98 | 1.5× |
| Insert Pulse Gen Sngl Lead (33212) | $15,068.26 | $15,068.26 | 1.5× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$208.26–$730.10 | $208.26–$730.10 | varies |
| Insert tun ip cath perc (49418) | $5,876.12 | $5,876.12 | 1.3× |
| Insert tunneled cv cath (36561) range across 4 matching MRF lines |
$5,287.09–$10,500 | $5,287.09–$10,500 | varies |
| Insert tunneled cv cath (36563) | $8,807.36 | $8,807.36 | 1.3× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $9,249.57 | $9,249.57 | 1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $208.26 | $208.26 | 1.3× |
| Insertion indwelling tunneled pleural catheter (32550) | $5,876.12 | $5,876.12 | 1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,597.15 | $2,597.15 | 1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$15,068.26–$20,887.65 | $15,068.26–$20,887.65 | varies |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $15,068.26 | $15,068.26 | 1.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$5,287.09–$5,360.99 | $5,287.09–$5,360.99 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $5,360.99 | $5,360.99 | 1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,597.15 | $2,597.15 | 1.3× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $15,068.26 | $15,068.26 | 1.5× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $5,287.09 | $5,287.09 | 1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$1,500–$5,360.99 | $1,500–$5,360.99 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $60,666.45 | $60,666.45 | 1.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $15,068.26 | $15,068.26 | 1.5× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $15,068.26 | $15,068.26 | 1.5× |
| Insrt heart pm atrial & vent (33208) range across 2 matching MRF lines |
$19,203.98–$29,470.50 | $19,203.98–$29,470.50 | varies |
| Insrt Pulse Gen W/Dual Leads (33230) | $42,589.36 | $42,589.36 | 1.5× |
| Insrt Pulse Gen W/Mult Leads (33231) | $60,666.45 | $60,666.45 | 1.5× |
| Interdental fixation (21110) | $2,498.38 | $2,498.38 | 1.3× |
| Interdental Wiring Other Than Fracture (21497) | $2,498.38 | $2,498.38 | 1.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $638.37 | $638.37 | 1.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $638.37 | $638.37 | 1.3× |
| Intranasal Biopsy (30100) | $2,498.38 | $2,498.38 | 1.3× |
| Intro cath dialysis circuit (36901) range across 2 matching MRF lines |
$2,597.15–$7,500 | $2,597.15–$7,500 | varies |
| Intro Gastrointestinal Tube (44500) | $1,494.44 | $1,494.44 | 1.3× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$390.74–$1,157.74 | $390.74–$1,157.74 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $929.48 | $929.48 | 1.4× |
| Labyrinthotomy Transcanal (69801) | $2,498.38 | $2,498.38 | 1.3× |
| Lam facetec & foramot lumbar (63047) | $7,500 | $7,500 | 0.8× |
| Lap paraesophag hern repair (43281) | $9,000 | $9,000 | 0.7× |
| Laparoscopic myomectomy (58545) | $24,000 | $24,000 | 3.2× |
| Laparoscopy aspiration (49322) | $6,750 | $6,750 | 0.9× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $4,500 | $4,500 | 0.6× |
| Laparoscopy fimbrioplasty (58672) | $4,500 | $4,500 | 0.6× |
| Laparoscopy salpingostomy (58673) range across 3 matching MRF lines |
$4,500–$19,500 | $4,500–$19,500 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 3 matching MRF lines |
$4,500–$15,000 | $4,500–$15,000 | varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $19,500 | $19,500 | 1.5× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) unusually low: confirm this is the full procedure |
$5,250 | $5,250 | 0.4× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $4,500 | $4,500 | 0.6× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$4,500–$7,500 | $4,500–$7,500 | varies |
| Laparoscopy, surgical, appendectomy (44970) unusually low: confirm this is the full procedure |
$3,000 | $3,000 | 0.4× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) unusually low: confirm this is the full procedure |
$5,625 | $5,625 | 0.4× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) | $15,000 | $15,000 | 1.1× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) | $16,500 | $16,500 | 1.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) range across 2 matching MRF lines |
$7,500–$15,000 | $7,500–$15,000 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $9,000 | $9,000 | 1.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$9,000–$12,000 | $9,000–$12,000 | varies |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) | $4,875 | $4,875 | 0.6× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) unusually low: confirm this is the full procedure |
$5,250 | $5,250 | 0.4× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $9,000 | $9,000 | 1.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $4,500 | $4,500 | 0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
$4,500–$10,500 | $4,500–$10,500 | varies |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $9,000 | $9,000 | 1.9× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) unusually low: confirm this is the full procedure |
$5,625 | $5,625 | 0.4× |
| Laryngoscopy and dilation (31528) | $10,500 | $10,500 | 2.3× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) | $10,500 | $10,500 | 2.3× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$304.03–$584.64 | $304.03–$584.64 | varies |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $2,205.85 | $2,205.85 | 4.5× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $694.21 | $694.21 | 1.4× |
| Laser Surgery,Sever Vitreous Strands (67031) | $929.48 | $929.48 | 1.4× |
| Laser vaporization of prostate (52648) | $12,000 | $12,000 | 1.8× |
| Late closure of wound (13160) | $4,500 | $4,500 | 1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $8,250 | $8,250 | 0.9× |
| Ligamentous reconstruction knee intra-articular (27428) | $14,250 | $14,250 | 0.9× |
| Ligation of a-v fistula (37607) | $4,500 | $4,500 | 1.1× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $5,625 | $5,625 | 1.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $2,500 | $2,500 | 0.6× |
| Low Back Disk Surgery (63030) range across 2 matching MRF lines |
$12,000–$13,500 | $12,000–$13,500 | varies |
| Lsh uterus 250 g or less (58541) unusually low: confirm this is the full procedure |
$4,875 | $4,875 | 0.4× |
| Lsh w/t/o uterus above 250 g (58544) unusually low: confirm this is the full procedure |
$6,000 | $6,000 | 0.5× |
| Lysis Intranasal Synechia (30560) | $835.30 | $835.30 | 1.2× |
| Lysis of labial adhesions (56441) | $3,000 | $3,000 | 0.7× |
| Manipulation Elbow Under Anesthesia (24300) | $4,500 | $4,500 | 2.2× |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$3,000–$18,000 | $3,000–$18,000 | varies |
| Marsupialization of bartholin's gland cyst (56440) | $4,500 | $4,500 | 1.1× |
| Marsupialization of urethral diverticulum, male or female Facility (53240) | $7,500 | $7,500 | 1.7× |
| Mastectomy for gynecomastia (19300) | $24,000 | $24,000 | 4.9× |
| Mastectomy partial (19301) range across 5 matching MRF lines |
$5,250–$15,000 | $5,250–$15,000 | varies |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$6,000–$9,000 | $6,000–$9,000 | varies |
| Mastopexy (19316) range across 3 matching MRF lines |
$5,000–$14,250 | $5,000–$14,250 | varies |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) unusually low: confirm this is the full procedure |
$3,750 | $3,750 | 0.5× |
| Metatarsectomy (28140) | $1,800 | $1,800 | 0.4× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) | $6,901.83 | $6,901.83 | 2.3× |
| Muscle-skin graft trunk (15734) | $9,000 | $9,000 | 2.0× |
| Myelography Lumbar Injection (62304) | $1,321.34 | $1,321.34 | 1.4× |
| N Block Inj Plantar Digit (64455) | $482.54 | $482.54 | 1.3× |
| Nasal Endoscopy Dx (31231) | $304.03 | $304.03 | 1.2× |
| Nasal/Orogastric W/Tube Plmt (43752) | $501.25 | $501.25 | 0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$2,763.24–$7,500 | $2,763.24–$7,500 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $2,763.24 | $2,763.24 | 1.2× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $4,500 | $4,500 | 0.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) range across 3 matching MRF lines |
$5,000–$8,500 | $5,000–$8,500 | varies |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) range across 2 matching MRF lines |
$4,500–$6,000 | $4,500–$6,000 | varies |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) | $4,500 | $4,500 | 0.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $6,375 | $6,375 | 0.7× |
| Needle Biopsy Lymph Nodes (38505) range across 4 matching MRF lines |
$2,598.65–$7,000 | $2,598.65–$7,000 | varies |
| Needle Biopsy Pancreas (48102) | $2,598.65 | $2,598.65 | 1.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 3 matching MRF lines |
$6,000–$16,500 | $6,000–$16,500 | varies |
| Nipple/areola reconstruction (19350) | $7,500 | $7,500 | 1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $5,876.12 | $5,876.12 | 1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $5,876.12 | $5,876.12 | 1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,500–$1,520.38 | $1,500–$1,520.38 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $3,000 | $3,000 | 3.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$1,172.78–$3,000 | $1,172.78–$3,000 | varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 2 matching MRF lines |
$6,375–$12,000 | $6,375–$12,000 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) | $4,500 | $4,500 | 0.6× |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 3 matching MRF lines |
$9,000–$19,500 | $9,000–$19,500 | varies |
| Open treatment calcaneal fracture (28415) range across 2 matching MRF lines |
$11,903.36–$12,000 | $11,903.36–$12,000 | varies |
| Open treatment metatarsal fracture each (28485) range across 4 matching MRF lines |
$11,568.43–$15,000 | $11,568.43–$15,000 | varies |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $19,500 | $19,500 | 2.2× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $15,000 | $15,000 | 1.7× |
| Open Treatment Radial Shaft Fracture (25515) | $16,500 | $16,500 | 1.8× |
| Open Treatment Tarsal Bone Dislocation (28555) | $11,903.36 | $11,903.36 | 1.3× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $4,500 | $4,500 | 1.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 3 matching MRF lines |
$6,750–$16,500 | $6,750–$16,500 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 3 matching MRF lines |
$6,750–$8,250 | $6,750–$8,250 | varies |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) range across 2 matching MRF lines |
$3,750–$18,000 | $3,750–$18,000 | varies |
| Open Tx Humeral Epicondylar Fracture (24575) | $12,000 | $12,000 | 0.7× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) | $12,000 | $12,000 | 1.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 3 matching MRF lines |
$4,500–$18,000 | $4,500–$18,000 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$5,230.40–$6,000 | $5,230.40–$6,000 | varies |
| Open Tx Radial Head/Neck Fracture Prosth (24666) | $24,000 | $24,000 | 1.5× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) | $8,625 | $8,625 | 1.0× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | $19,500 | $19,500 | 2.2× |
| Open tx ulnar fx proximal end (24685) | $12,000 | $12,000 | 1.3× |
| Open/Perq Place Stent 1St (37236) | $18,551.45 | $18,551.45 | 1.3× |
| Open/Perq Place Stent Same (37238) | $18,551.45 | $18,551.45 | 1.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$13,500–$21,000 | $13,500–$21,000 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 3 matching MRF lines |
$6,750–$15,000 | $6,750–$15,000 | varies |
| Orchiectomy radical tumor inguinal approach (54530) range across 2 matching MRF lines |
$10,500–$12,000 | $10,500–$12,000 | varies |
| Orchiopexy Ingun/Scrot Appr (54640) | $6,000 | $6,000 | 1.3× |
| Ostc prtl exostc/condylc metar head (28288) range across 2 matching MRF lines |
$3,750–$5,250 | $3,750–$5,250 | varies |
| Ostectomy calcaneus (28118) range across 3 matching MRF lines |
$4,875–$8,000 | $4,875–$8,000 | varies |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $7,500 | $7,500 | 1.8× |
| Ostectomy, complete excision; first metatarsal head (28111) | $3,000 | $3,000 | 0.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) range across 3 matching MRF lines |
$5,700–$7,500 | $5,700–$7,500 | varies |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) unusually low: confirm this is the full procedure |
$4,500 | $4,500 | 0.5× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) | $10,500 | $10,500 | 1.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) | $8,500 | $8,500 | 0.9× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 3 matching MRF lines |
$5,356.65–$6,750 | $5,356.65–$6,750 | varies |
| Osteotomy calcaneus w/wo internal fixation (28300) range across 4 matching MRF lines |
$4,125–$11,903.36 | $4,125–$11,903.36 | varies |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) | $8,250 | $8,250 | 0.9× |
| Osteotomy Tibia (27705) | $10,500 | $10,500 | 1.2× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $4,500 | $4,500 | 0.7× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) | $6,747.30 | $6,747.30 | 2.3× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) range across 2 matching MRF lines |
$9,000–$16,500 | $9,000–$16,500 | varies |
| Part remv talus or calcaneus (28120) range across 3 matching MRF lines |
$5,250–$11,250 | $5,250–$11,250 | varies |
| Partial Excision Distal Phalanx Finger (26236) | $2,572.47 | $2,572.47 | 1.3× |
| Partial removal of thyroid (60220) range across 3 matching MRF lines |
$9,000–$15,000 | $9,000–$15,000 | varies |
| Partial removal of toe (28160) | $3,000 | $3,000 | 0.7× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) range across 2 matching MRF lines |
$13,500–$15,000 | $13,500–$15,000 | varies |
| Partical Excision Bone Phalanx Toe (28124) range across 5 matching MRF lines |
$1,500–$4,500 | $1,500–$4,500 | varies |
| Penile Injection (54235) | $1,214 | $1,214 | 3.9× |
| Percut Ablate Liver Rf (47382) | $9,345.25 | $9,345.25 | 1.2× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $18,551.45 | $18,551.45 | 1.3× |
| Percut Drain/Inject Renal Cyst (50390) | $3,141 | $3,141 | 3.6× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $5,250 | $5,250 | 1.3× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) | $4,409.68 | $4,409.68 | 1.1× |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$2,597.15–$2,677.55 | $2,597.15–$2,677.55 | varies |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $4,500 | $4,500 | 1.1× |
| Peritoneal Lavage (49084) | $1,494.44 | $1,494.44 | 1.3× |
| Perq av fistula creation uxtr single access (36836) range across 3 matching MRF lines |
$4,500–$12,000 | $4,500–$12,000 | varies |
| Perq dev breast 1st mr guide (19287) | $1,149.31 | $1,149.31 | 1.3× |
| Perq dev breast 1st strtctc (19283) range across 2 matching MRF lines |
$1,149.31–$3,000 | $1,149.31–$3,000 | varies |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$1,149.31–$4,500 | $1,149.31–$4,500 | varies |
| Perq device breast 1st imag (19281) range across 5 matching MRF lines |
$1,149.31–$8,250 | $1,149.31–$8,250 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $5,230.40 | $5,230.40 | 1.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $9,153.92 | $9,153.92 | 1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$11,568.43–$24,331 | $11,568.43–$24,331 | varies |
| Perq Vertebral Augmentation (22513) | $11,568.43 | $11,568.43 | 1.3× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) | $936.60 | $936.60 | 0.8× |
| Place Cath Subclavian Art (36225) | $5,287.09 | $5,287.09 | 1.3× |
| Place Cath Thoracic Aorta (36221) | $5,287.09 | $5,287.09 | 1.3× |
| Place Cath Vertebral Art (36226) | $8,807.36 | $8,807.36 | 1.3× |
| Placement of needle for intraosseous infusion (36680) | $501.25 | $501.25 | 0.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $7,503.86 | $7,503.86 | 1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $3,306.93 | $3,306.93 | 1.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $3,500 | $3,500 | 0.6× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $6,901.83 | $6,901.83 | 2.3× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) range across 3 matching MRF lines |
$929.48–$2,944.93 | $929.48–$2,944.93 | varies |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,876.12 | $5,876.12 | 1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $5,876.12 | $5,876.12 | 1.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $3,000 | $3,000 | 0.7× |
| Prq skel fixj femoral fx prox end neck (27235) | $7,500 | $7,500 | 0.8× |
| Prq skel fixj metar fx w/manj (28476) range across 2 matching MRF lines |
$4,500–$5,356.65 | $4,500–$5,356.65 | varies |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) | $7,500 | $7,500 | 0.8× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 2 matching MRF lines |
$3,000–$6,000 | $3,000–$6,000 | varies |
| Pseudoaneurysm Injection Trt (36002) | $998.31 | $998.31 | 1.3× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$638.37–$1,500 | $638.37–$1,500 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$638.37–$1,500 | $638.37–$1,500 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$1,149.31–$1,918.60 | $1,149.31–$1,918.60 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $3,000 | $3,000 | 3.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) | $3,000 | $3,000 | 0.7× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) unusually low: confirm this is the full procedure |
$4,071.43 | $4,071.43 | 0.4× |
| Reconstruction Nail Bed W/Graft (11762) | $3,163.36 | $3,163.36 | 1.2× |
| Release foot/toe nerve (64726) | $6,000 | $6,000 | 2.5× |
| Release of big toe (28240) | $4,875 | $4,875 | 1.2× |
| Relieve Pressure on Nerve(S) (64722) | $2,250 | $2,250 | 0.9× |
| Relocation Pocket Pacemaker (33222) | $3,163.36 | $3,163.36 | 1.2× |
| Rem Endovas Vena Cava Filter (37193) | $5,287.09 | $5,287.09 | 1.3× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) range across 2 matching MRF lines |
$1,494.44–$1,765 | $1,494.44–$1,765 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) | $21,000 | $21,000 | 5.8× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,149.31 | $1,149.31 | 1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$2,598.65–$3,000 | $2,598.65–$3,000 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$102.81–$3,000 | $102.81–$3,000 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$102.81–$317.91 | $102.81–$317.91 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $4,845.72 | $4,845.72 | 1.2× |
| Removal Implant Deep (20680) range across 4 matching MRF lines |
$4,000–$7,500 | $4,000–$7,500 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 4 matching MRF lines |
$2,598.65–$3,222 | $2,598.65–$3,222 | varies |
| Removal implantable contraceptive capsules (11976) | $1,149.31 | $1,149.31 | 1.3× |
| Removal of adenoids (42831) | $9,000 | $9,000 | 2.2× |
| Removal of anal fissure (46200) | $4,500 | $4,500 | 1.3× |
| Removal of bladder cyst (51500) | $4,500 | $4,500 | 0.6× |
| Removal of foreign body from pharynx (42809) | $501.25 | $501.25 | 0.9× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) | $6,747.30 | $6,747.30 | 2.3× |
| Removal of heel spur (28119) range across 4 matching MRF lines |
$5,356.65–$18,000 | $5,356.65–$18,000 | varies |
| Removal of implanted material, anterior segment of eye (65920) | $13,774.82 | $13,774.82 | 4.8× |
| Removal of mammary implant material (19330) | $18,000 | $18,000 | 3.7× |
| Removal of nail bed (11750) range across 6 matching MRF lines |
$638.37–$6,750 | $638.37–$6,750 | varies |
| Removal of sesamoid bone (28315) | $3,000 | $3,000 | 0.7× |
| Removal of sperm cord lesion (55520) | $5,250 | $5,250 | 1.2× |
| Removal of tonsils (42825) | $7,500 | $7,500 | 1.0× |
| Removal of tonsils (42826) | $10,500 | $10,500 | 2.5× |
| Removal of tunneled intraperitoneal catheter (49422) | $5,287.09 | $5,287.09 | 1.3× |
| Removal or bivalving full arm or full leg cast (29705) | $492.60 | $492.60 | 1.4× |
| Removal Pacemaker Electrode (33235) | $6,359.82 | $6,359.82 | 1.4× |
| Removal ppm generator only (33233) | $15,068.26 | $15,068.26 | 1.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$331.66–$4,500 | $331.66–$4,500 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$1,149.31–$3,000 | $1,149.31–$3,000 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) range across 2 matching MRF lines |
$967.30–$3,163.36 | $967.30–$3,163.36 | varies |
| Removal, under anesthesia, of external fixation system (20694) range across 2 matching MRF lines |
$3,000–$6,750 | $3,000–$6,750 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $445.55 | $445.55 | 1.3× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$501.25–$3,000 | $501.25–$3,000 | varies |
| Remove Elctrd Transvenously (33244) | $6,359.82 | $6,359.82 | 1.4× |
| Remove foreign body from eye (65265) | $6,747.30 | $6,747.30 | 2.3× |
| Remove foreign body from eye (65235) | $3,835.36 | $3,835.36 | 1.3× |
| Remove foreign body from eye (65205) | $208.26 | $208.26 | 1.3× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$520.89–$2,000 | $520.89–$2,000 | varies |
| Remove Nasal Foreign Body (30300) | $208.26 | $208.26 | 1.3× |
| Remove prostate regrowth (52630) | $5,625 | $5,625 | 0.8× |
| Remove Pulse Generator (33241) | $6,359.82 | $6,359.82 | 1.4× |
| Remove renal tube w/fluoro (50389) | $6,670.67 | $6,670.67 | 7.7× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$3,000–$6,000 | $3,000–$6,000 | varies |
| Remove&replace pm gen singl (33227) | $15,068.26 | $15,068.26 | 1.5× |
| Remove/Insert Drug Implant (11983) | $679.49 | $679.49 | 1.2× |
| Remv cartilage for graft nasal (20912) | $12,000 | $12,000 | 2.7× |
| Remv&replc cvd gen dual lead (33263) | $42,589.36 | $42,589.36 | 1.5× |
| Remv&replc cvd gen mult lead (33264) | $60,666.45 | $60,666.45 | 1.5× |
| Remv&replc cvd gen sing lead (33262) | $42,589.36 | $42,589.36 | 1.5× |
| Remv&replc pm gen dual lead (33228) | $19,203.98 | $19,203.98 | 1.5× |
| Remv&replc pm gen mult leads (33229) | $34,397.20 | $34,397.20 | 1.4× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$2,598.65–$5,906 | $2,598.65–$5,906 | varies |
| Reopen fallopian tube (58350) | $4,500 | $4,500 | 0.7× |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$9,750–$13,500 | $9,750–$13,500 | varies |
| Repair Blood Vessel Direct Hand Finger (35207) | $5,287.09 | $5,287.09 | 1.3× |
| Repair blood vessel lesion (35190) | $8,807.36 | $8,807.36 | 1.3× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $18,750 | $18,750 | 2.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $967.30 | $967.30 | 1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $967.30 | $967.30 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$638.37–$888 | $638.37–$888 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$967.30–$1,413.78 | $967.30–$1,413.78 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $967.30 | $967.30 | 1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $967.30 | $967.30 | 1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) | $2,250 | $2,250 | 2.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $2,000 | $2,000 | 2.2× |
| Repair detached retina (67105) | $929.48 | $929.48 | 1.4× |
| Repair Entropion Extensive (67924) | $5,250 | $5,250 | 1.8× |
| Repair extensor tendon finger w/o graft each (26418) range across 3 matching MRF lines |
$1,500–$15,000 | $1,500–$15,000 | varies |
| Repair Eyelid Wound (67935) | $6,901.83 | $6,901.83 | 2.3× |
| Repair Finger Tendon (26433) | $3,000 | $3,000 | 0.7× |
| Repair Finger/Hand Tendon (26350) range across 2 matching MRF lines |
$7,500–$8,691.59 | $7,500–$8,691.59 | varies |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $6,000 | $6,000 | 1.5× |
| Repair Foot Dislocation (28615) range across 2 matching MRF lines |
$11,903.36–$13,000 | $11,903.36–$13,000 | varies |
| Repair Hallux Rigidus (28289) | $13,500 | $13,500 | 3.3× |
| Repair Hand Tendon (26410) | $1,434.52 | $1,434.52 | 0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $7,500 | $7,500 | 1.7× |
| Repair initial femoral hernia, any age; reducible (49550) | $3,750 | $3,750 | 0.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $10,500 | $10,500 | 2.3× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) | $7,500 | $7,500 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$638.37–$3,000 | $638.37–$3,000 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $638.37 | $638.37 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $638.37 | $638.37 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $638.37 | $638.37 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $638.37 | $638.37 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$320.01–$967.30 | $320.01–$967.30 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$638.37–$5,250 | $638.37–$5,250 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$638.37–$5,250 | $638.37–$5,250 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$967.30–$1,413.78 | $967.30–$1,413.78 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $3,163.36 | $3,163.36 | 1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $638.37 | $638.37 | 1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$638.37–$1,500 | $638.37–$1,500 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$638.37–$3,000 | $638.37–$3,000 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $967.30 | $967.30 | 1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $638.37 | $638.37 | 1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $3,163.36 | $3,163.36 | 1.2× |
| Repair iris ciliary body (66680) | $4,500 | $4,500 | 1.6× |
| Repair lead pace-defib dual (33220) | $6,359.82 | $6,359.82 | 1.4× |
| Repair Lead Pace-Defib One (33218) | $6,359.82 | $6,359.82 | 1.4× |
| Repair Nonunion/Malunion Tarsal Bones (28320) range across 2 matching MRF lines |
$4,000–$4,687.50 | $4,000–$4,687.50 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$967.30–$3,000 | $967.30–$3,000 | varies |
| Repair Rotator Cuff Chronic (23412) | $13,500 | $13,500 | 1.5× |
| Repair secondary achilles tendon w/wo graft (27654) range across 3 matching MRF lines |
$4,875–$8,250 | $4,875–$8,250 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 2 matching MRF lines |
$5,250–$28,500 | $5,250–$28,500 | varies |
| Repair Toe Dislocation (28645) | $5,356.65 | $5,356.65 | 1.3× |
| Repair tongue laceration (41252) | $390.74 | $390.74 | 1.3× |
| Repair tongue laceration (41250) | $501.25 | $501.25 | 0.9× |
| Repair Tooth Socket (41874) | $6,750 | $6,750 | 1.6× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 3 matching MRF lines |
$5,000–$16,500 | $5,000–$16,500 | varies |
| Repair/graft achilles tendon (27652) | $22,500 | $22,500 | 2.5× |
| Repair/Revise Wrist Joint (25320) | $12,000 | $12,000 | 1.3× |
| Replace g/c tube perc (49450) | $1,494.44 | $1,494.44 | 1.3× |
| Replacement Tissue Expander W/Permanent Implant (11970) range across 2 matching MRF lines |
$5,000–$9,000 | $5,000–$9,000 | varies |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $6,359.82 | $6,359.82 | 1.4× |
| Reposition Gastrostomy Tube (43761) | $491.47 | $491.47 | 1.6× |
| Reposition L Ventric Lead (33226) | $5,287.09 | $5,287.09 | 1.3× |
| Reposition Pacing-Defib Lead (33215) | $5,287.09 | $5,287.09 | 1.3× |
| Rerepair ing hernia reduce (49520) | $6,000 | $6,000 | 1.3× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | $3,000 | $3,000 | 0.7× |
| Resection/transplantation long tendon biceps (23440) range across 2 matching MRF lines |
$5,250–$7,500 | $5,250–$7,500 | varies |
| Retrobulbar injection (67500) | $884.35 | $884.35 | 2.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $31,500 | $31,500 | 2.0× |
| Revise external ear (69300) | $10,500 | $10,500 | 2.5× |
| Revise eyelashes (67825) | $483.13 | $483.13 | 1.2× |
| Revise Hand/Foot Nerve (64704) range across 2 matching MRF lines |
$3,000–$4,500 | $3,000–$4,500 | varies |
| Revise ulnar nerve at wrist (64719) | $6,750 | $6,750 | 2.8× |
| Revision of big toe (28310) range across 2 matching MRF lines |
$3,000–$11,903.36 | $3,000–$11,903.36 | varies |
| Revision of foot (28116) | $13,500 | $13,500 | 3.3× |
| Revision of foot and ankle (28262) unusually low: confirm this is the full procedure |
$4,071.43 | $4,071.43 | 0.4× |
| Revision of foot fascia (28250) | $5,625 | $5,625 | 1.4× |
| Revision of lower leg tendon (27685) range across 4 matching MRF lines |
$2,700–$8,500 | $2,700–$8,500 | varies |
| Revision of reconstructed breast (19380) range across 3 matching MRF lines |
$3,750–$16,500 | $3,750–$16,500 | varies |
| Revision Peri-Implant Capsule Breast (19370) | $9,000 | $9,000 | 1.8× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) | $23,455.16 | $23,455.16 | 1.0× |
| Rhinoplasty primary w/major septal repair (30420) | $12,000 | $12,000 | 1.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,185.20 | $1,185.20 | 1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 2 matching MRF lines |
$2,598.65–$3,000 | $2,598.65–$3,000 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $501.25 | $501.25 | 0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $208.26 | $208.26 | 1.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $501.25 | $501.25 | 0.9× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) | $2,498.38 | $2,498.38 | 1.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $6,359.82 | $6,359.82 | 1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$2,597.15–$4,500 | $2,597.15–$4,500 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
$998.31–$1,500 | $998.31–$1,500 | varies |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $3,000 | $3,000 | 1.0× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $445.55 | $445.55 | 1.3× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$491.47–$817.50 | $491.47–$817.50 | varies |
| Rplc gtube revj gstrst trc (43763) | $491.47 | $491.47 | 1.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,597.15 | $2,597.15 | 1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,597.15 | $2,597.15 | 1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 2 matching MRF lines |
$4,500–$5,287.09 | $4,500–$5,287.09 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $4,500 | $4,500 | 0.6× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $4,500 | $4,500 | 1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $13,500 | $13,500 | 1.7× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $19,500 | $19,500 | 2.4× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $10,500 | $10,500 | 1.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $7,500 | $7,500 | 1.0× |
| Rpr blood vessel direct lower extremity (35226) | $1,149.31 | $1,149.31 | 1.3× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $5,356.65 | $5,356.65 | 1.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $331.66 | $331.66 | 1.3× |
| Rpr flexor tendon leg secondary w/o graft each (27659) range across 2 matching MRF lines |
$3,750–$11,903.36 | $3,750–$11,903.36 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $967.30 | $967.30 | 1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $390.74 | $390.74 | 1.3× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) unusually low: confirm this is the full procedure |
$3,750 | $3,750 | 0.4× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) | $2,155.80 | $2,155.80 | 0.7× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) range across 3 matching MRF lines |
$3,750–$7,500 | $3,750–$7,500 | varies |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) | $5,625 | $5,625 | 0.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) range across 2 matching MRF lines |
$3,000–$3,750 | $3,000–$3,750 | varies |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) range across 2 matching MRF lines |
$1,500–$3,000 | $1,500–$3,000 | varies |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) range across 2 matching MRF lines |
$4,125–$6,375 | $4,125–$6,375 | varies |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) | $6,747.30 | $6,747.30 | 2.3× |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) | $6,747.30 | $6,747.30 | 2.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $331.66 | $331.66 | 1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $638.37 | $638.37 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $331.66 | $331.66 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $331.66 | $331.66 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $331.66 | $331.66 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $638.37 | $638.37 | 1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $331.66 | $331.66 | 1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $638.37 | $638.37 | 1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $638.37 | $638.37 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$331.66–$829.13 | $331.66–$829.13 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $331.66 | $331.66 | 1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$331.66–$785 | $331.66–$785 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $331.66 | $331.66 | 1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$331.66–$663.32 | $331.66–$663.32 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $331.66 | $331.66 | 1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$331.66–$624 | $331.66–$624 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $6,000 | $6,000 | 2.3× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$1,125–$3,163.36 | $1,125–$3,163.36 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$1,000–$3,163.36 | $1,000–$3,163.36 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$1,500–$6,503.40 | $1,500–$6,503.40 | varies |
| Skin Tissue Procedure (17999) range across 3 matching MRF lines |
$331.66–$3,750 | $331.66–$3,750 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$3,163.36–$10,500 | $3,163.36–$10,500 | varies |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $8,807.36 | $8,807.36 | 1.3× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $5,287.09 | $5,287.09 | 1.3× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $8,807.36 | $8,807.36 | 1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
$3,500–$5,250 | $3,500–$5,250 | varies |
| Slitting of prepuce (54001) | $3,306.93 | $3,306.93 | 1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$331.66–$2,100 | $331.66–$2,100 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $638.37 | $638.37 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $638.37 | $638.37 | 1.3× |
| Sphincterotomy anal division sphincter spx (46080) | $4,500 | $4,500 | 1.3× |
| Spinal puncture lumbar diagnostic (62270) | $1,172.78 | $1,172.78 | 1.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $6,000 | $6,000 | 2.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) range across 3 matching MRF lines |
$3,750–$5,250 | $3,750–$5,250 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$260.93–$738.90 | $260.93–$738.90 | varies |
| Strapping elbow or wrist (29260) | $102.81 | $102.81 | 1.4× |
| Strapping hand/finger (29280) | $102.81 | $102.81 | 1.4× |
| Strapping knee (29530) | $208.26 | $208.26 | 1.3× |
| Strapping shoulder (29240) | $208.26 | $208.26 | 1.3× |
| Strapping toes (29550) | $102.81 | $102.81 | 1.4× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$260.93–$548.31 | $260.93–$548.31 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $501.25 | $501.25 | 0.9× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$6,000–$6,375 | $6,000–$6,375 | varies |
| Suction assisted lipectomy; trunk (15877) | $8,250 | $8,250 | 1.9× |
| Suction assisted lipectomy; upper extremity (15878) | $8,250 | $8,250 | 3.2× |
| Surg tx anal fistula subq (46270) | $4,500 | $4,500 | 1.3× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $2,161.80 | $2,161.80 | 0.7× |
| Suture 1 nerve hand/foot common sensory nerve (64834) | $4,500 | $4,500 | 1.1× |
| Suture digital nerve hand/foot 1 nerve (64831) range across 2 matching MRF lines |
$1,500–$3,000 | $1,500–$3,000 | varies |
| Suture infrapatellar tendon primary (27380) | $15,000 | $15,000 | 1.7× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) | $14,250 | $14,250 | 1.6× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) range across 2 matching MRF lines |
$3,000–$4,500 | $3,000–$4,500 | varies |
| Tangential biopsy skin single lesion (11102) | $331.66 | $331.66 | 0.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $53,275.46 | $53,275.46 | 1.5× |
| Temporary Closure Eyelids Suture (67875) | $1,570.41 | $1,570.41 | 1.3× |
| Tenolysis flexor tendon palm&finger each tendo (26442) | $2,500 | $2,500 | 0.6× |
| Tenolysis flexor tendon palm/finger each tendon (26440) range across 2 matching MRF lines |
$3,000–$4,500 | $3,000–$4,500 | varies |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $5,356.65 | $5,356.65 | 1.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines |
$2,572.52–$5,250 | $2,572.52–$5,250 | varies |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 2 matching MRF lines |
$5,356.65–$8,625 | $5,356.65–$8,625 | varies |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $3,000 | $3,000 | 1.5× |
| Ther Apheresis,Red Blood Cells (36512) | $2,519.14 | $2,519.14 | 1.3× |
| Therapeutic plasma exchange (36514) | $2,519.14 | $2,519.14 | 1.3× |
| Thoracoscopy w/bx pleura (32609) | $12,000 | $12,000 | 1.6× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) likely a partial charge, not the full procedure |
$1,500 | $1,500 | 0.1× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $12,000 | $12,000 | 0.5× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) | $12,000 | $12,000 | 1.7× |
| Thyroid biopsy (60100) | $1,149.31 | $1,149.31 | 1.3× |
| Thyroidectomy, total or complete (60240) range across 3 matching MRF lines |
$9,000–$18,000 | $9,000–$18,000 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $4,500 | $4,500 | 1.7× |
| Tissue Expander Placement Breast Reconstruction (19357) range across 2 matching MRF lines |
$6,000–$15,000 | $6,000–$15,000 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $6,000 | $6,000 | 1.4× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$390.74–$24,000 | $390.74–$24,000 | varies |
| Total Knee Arthroplasty (27447) range across 3 matching MRF lines |
$14,250–$24,000 | $14,250–$24,000 | varies |
| Trabeculoplasty by laser surgery (65855) | $955.19 | $955.19 | 1.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $390.74 | $390.74 | 1.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $2,498.38 | $2,498.38 | 1.3× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) range across 2 matching MRF lines |
$4,845.72–$5,000 | $4,845.72–$5,000 | varies |
| Transur electr resection of prostate (52601) | $6,000 | $6,000 | 0.9× |
| Treat Big Toe Fracture (28505) | $5,356.83 | $5,356.83 | 1.3× |
| Treat ectopic pregnancy (59151) | $4,500 | $4,500 | 0.6× |
| Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
$3,000–$7,500 | $3,000–$7,500 | varies |
| Treat Fx Rad Extra-Articul (25607) | $10,500 | $10,500 | 1.2× |
| Treat Hand Bone Lesion (26034) | $1,500 | $1,500 | 0.7× |
| Treat Humerus Fracture (24505) | $2,572.47 | $2,572.47 | 1.3× |
| Treat humerus fracture (23600) | $380.67 | $380.67 | 1.2× |
| Treat kneecap dislocation (27566) | $12,000 | $12,000 | 1.3× |
| Treat Kneecap Fracture (27524) | $9,000 | $9,000 | 1.0× |
| Treat Knuckle Dislocation (26700) | $380.67 | $380.67 | 1.2× |
| Treat metacarpal fracture (26607) | $5,230.40 | $5,230.40 | 1.3× |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$380.67–$12,750 | $380.67–$12,750 | varies |
| Treat Thumb Dislocation (26641) | $380.67 | $380.67 | 1.2× |
| Treat Thumb Fracture (26645) | $2,572.47 | $2,572.47 | 1.3× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$625.72–$709.65 | $625.72–$709.65 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $2,572.47 | $2,572.47 | 1.3× |
| Treatment closed elbow dislocation w/o anes (24600) | $380.67 | $380.67 | 1.2× |
| Treatment extensive retinopathy photocoagulation (67228) range across 2 matching MRF lines |
$929.48–$3,671.79 | $929.48–$3,671.79 | varies |
| Treatment of foot infection (28003) | $5,356.65 | $5,356.65 | 1.3× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$331.66–$5,250 | $331.66–$5,250 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$331.66–$667.60 | $331.66–$667.60 | varies |
| Trim skin lesions over 4 (11057) | $331.66 | $331.66 | 1.3× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$102.81–$132 | $102.81–$132 | varies |
| Trluml Balo Angiop 1St Art (37246) | $9,153.92 | $9,153.92 | 1.3× |
| Trluml Balo Angiop 1St Vein (37248) range across 2 matching MRF lines |
$4,500–$12,168.24 | $4,500–$12,168.24 | varies |
| Trurl rescj postop bladder neck contracture (52640) | $6,000 | $6,000 | 1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $4,500 | $4,500 | 1.3× |
| Tx Gastro Intub W/Asp (43753) | $488.79 | $488.79 | 1.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$3,000–$4,845.72 | $3,000–$4,845.72 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) | $3,000 | $3,000 | 0.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $4,734.65 | $4,734.65 | 2.4× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) range across 2 matching MRF lines |
$4,500–$6,750 | $4,500–$6,750 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $2,572.47 | $2,572.47 | 1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$1,810.93–$3,621.86 | $1,810.93–$3,621.86 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $638.37 | $638.37 | 1.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 2 matching MRF lines |
$2,572.47–$4,734.65 | $2,572.47–$4,734.65 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 3 matching MRF lines |
$380.67–$761.34 | $380.67–$761.34 | varies |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $2,498.38 | $2,498.38 | 1.3× |
| Tympanostomy general anesthesia (69436) | $3,000 | $3,000 | 1.5× |
| Unlisted laparoscopy procedure oviduct ovary (58679) unusually low: confirm this is the full procedure |
$3,750 | $3,750 | 0.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $7,500 | $7,500 | 1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | $6,000 | $6,000 | 0.8× |
| Unlisted Procedure Casting/Strapping (29799) | $260.93 | $260.93 | 1.3× |
| Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
$372.53–$380.67 | $372.53–$380.67 | varies |
| Unlisted Procedure Leg/Ankle (27899) | $8,500 | $8,500 | 27.6× |
| Unlisted procedure liver (47399) | $4,500 | $4,500 | 5.1× |
| Unlisted procedure nervous system (64999) | $482.54 | $482.54 | 1.3× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $390.74 | $390.74 | 1.3× |
| Unlisted px female genital system nonobstetrical (58999) | $314.64 | $314.64 | 1.2× |
| Upgrade of pacemaker system (33214) | $19,203.98 | $19,203.98 | 1.5× |
| Vaginal Delivery After Cesarean Delivery (59612) | $4,845.72 | $4,845.72 | 1.2× |
| Vaginal delivery only (59409) | $4,845.72 | $4,845.72 | 1.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $13,500 | $13,500 | 2.2× |
| Vasc Embolize/Occlude Organ (37243) | $18,551.45 | $18,551.45 | 1.3× |
| Vasc embolize/occlude venous (37241) | $18,551.45 | $18,551.45 | 1.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $4,500 | $4,500 | 1.7× |
| Venous Mech Thrombectomy (37187) | $13,289.67 | $13,289.67 | 0.9× |
| Vulvectomy simple partial (56620) | $9,000 | $9,000 | 2.2× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$638.37–$671.36 | $638.37–$671.36 | varies |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$967.30–$3,750 | $967.30–$3,750 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 3 matching MRF lines |
$1,000–$3,163.36 | $1,000–$3,163.36 | varies |
| Xfer Single Deep Low Leg Tendon (27691) range across 2 matching MRF lines |
$4,875–$18,000 | $4,875–$18,000 | varies |
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.