Procedures & surgery prices at AdventHealth Shawnee Mission

Shawnee Mission, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,055.13 $1,055.13 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $5,126.83 $5,126.83 6.0×
Ablation renal tumor unilateral perq cryotherapy (50593) $45,048.13 $45,048.13 4.5×
Abltj 1/> lvr tum prq rf (47382) $15,095.52 $15,095.52 2.6×
Amniocentesis diagnostic (59000) $1,052.62 $1,052.62 1.2×
Amputation Finger/Thumb (26951) $9,149.36 $9,149.36 3.0×
Analyze infusn pump+reprogram (62368) $1,777.46 $1,777.46 6.1×
Anoscopy diagnostic (46600) $111.28 $111.28 0.9×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $1,103.15 $1,103.15 7.2×
Application cast elbow finger short arm (29075) $1,804.03 $1,804.03 6.8×
Application Cast Finger (29086) $1,056.24 $1,056.24 6.9×
Application cast shoulder hand long arm (29065) $1,212.10 $1,212.10 4.6×
Application Finger Splint Dynamic (29131) $804.35 $804.35 14.4×
Application finger splint static (29130) $840.56 $840.56 6.7×
Application long arm splint shoulder hand (29105) $1,196.10 $1,196.10 7.8×
Application long leg splint thigh ankle/toes (29505) $2,055.34 $2,055.34 13.4×
Application Of Rigid Total Contact Leg Cast (29445) $1,322.71 $1,322.71 5.0×
Application Short Arm Splint Dynamic (29126) $911.12 $911.12 7.2×
Application short arm splint forearm-hand static (29125) $950.09 $950.09 7.5×
Application short leg splint calf foot (29515) $1,216.90 $1,216.90 7.9×
Apply short leg cast (29405) $1,804.03 $1,804.03 6.8×
Arterial puncture (36600) $1,244.20 $1,244.20 9.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,881.97 $1,881.97 6.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,651.87 $2,651.87 4.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $2,326.80 $2,326.80 8.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $3,011.16 $3,011.16 10.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,830.65 $1,830.65 6.3×
Aspir/inj thyroid cyst (60300) $2,677.73 $2,677.73 4.0×
Aspirat/Injection Ganglion Cyst(S) (20612) $1,313.46 $1,313.46 4.5×
Aspiration Bladder Insert Suprapubic Catheter (51102) $7,379.90 $7,379.90 3.7×
Avulsion nail plate partial/complete simple 1 (11730) $960.44 $960.44 5.1×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $6,119.27 $6,119.27 1.0×
Biopsy bone trocar/needle deep (20225) $3,317.16 $3,317.16 2.1×
Biopsy Bone Trocar/Needle Superficial (20220) $3,317.16 $3,317.16 2.1×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $6,346.13 $6,346.13 7.3×
Biopsy muscle percutaneous needle (20206) $2,714.68 $2,714.68 1.7×
Biopsy of uterus lining (58100) $4,942.10 $4,942.10 25.8×
Biopsy pleura percutaneous needle (32400) $2,079.70 $2,079.70 1.3×
Biopsy Salivary Gland,Needle (42400) $2,714.68 $2,714.68 4.0×
Biopsy Soft Tissue Back/Flank Deep (21925) $15,529.10 $15,529.10 9.9×
Biopsy soft tissue neck/thorax (21550) $3,317.16 $3,317.16 2.1×
Biopsy soft tissue of back (21920) $6,289.76 $6,289.76 4.0×
Biopsy soft tissue thigh/knee area superficial (27323) $2,086.51 $2,086.51 1.3×
Biopsy Vaginal Mucosa Simple (57100) $11,541.90 $11,541.90 13.2×
Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) $3,317.16 $3,317.16 2.1×
Bladder Instillation Anticarcinogenic Agent (51720) $1,082.51 $1,082.51 1.6×
Bladder Irrigation Simple (51700) $1,095.80 $1,095.80 4.6×
Bladder Scan (51798) $497.24 $497.24 8.9×
Blood patch (62273) $3,282.54 $3,282.54 4.9×
Blood transfusion service (36430) $2,396.10 $2,396.10 5.7×
Bone marrow aspiration only (38220) $1,389.64 $1,389.64 0.9×
Bone Marrow Biopsy (38221) $1,488.91 $1,488.91 1.0×
Bronchoscopy,Diagnostic W Lavage (31624) $9,569.86 $9,569.86 5.7×
Bx abdl/retroperitoneal mass prq needle (49180) $3,561.83 $3,561.83 2.3×
Bx breast 1st lesion mr imag (19085) $8,299.13 $8,299.13 5.3×
Bx breast 1st lesion strtctc (19081) $10,461.78 $10,461.78 6.7×
Bx breast 1st lesion us imag (19083) $4,250.08 $4,250.08 2.7×
Bx vulva/perineum 1 lesion (56605) $6,346.13 $6,346.13 7.3×
Bx/exc lymph node needle superficial (38505) $2,714.68 $2,714.68 1.7×
Cessj Therapy Cath Removal (37214) $4,715.18 $4,715.18 1.6×
Change Cystostomy Tube Complicated (51710) $6,126.79 $6,126.79 9.3×
Change Cystostomy Tube Simple (51705) $1,011.82 $1,011.82 4.3×
Change g-tube to g-j perc (49446) $4,686.49 $4,686.49 2.6×
Change Ureter Stent, Percut (50382) $9,752.93 $9,752.93 4.9×
Chemical Cautery Tissue (17250) $851.80 $851.80 4.5×
Chemodenerv 1 extremity 1-4 (64642) $5,168.69 $5,168.69 7.7×
Chemodenerv Musc Migraine (64615) $2,728.09 $2,728.09 9.4×
Chemodenerv Musc Neck Dyston (64616) $1,645.78 $1,645.78 5.7×
Chemodenerv trunk musc 1-5 (64646) $4,117.25 $4,117.25 6.2×
Chemodenerv trunk musc 6/> (64647) $4,742.51 $4,742.51 7.1×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $2,728.09 $2,728.09 9.4×
Chest tube placement (32551) $3,270.97 $3,270.97 2.2×
Chg Collect Blood From Catheter Venous Nos (36592) $479.75 $479.75 3.8×
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $5,860.99 $5,860.99 3.0×
Cholecystostomy,Percutaneous, Complete (47490) $6,208.86 $6,208.86 1.8×
Circumcision (54150) $11,956.07 $11,956.07 6.0×
Circumcision Neonate (54160) $7,164.55 $7,164.55 10.9×
Close Rx Fingr Articular Fx,Manip (26742) $9,956.38 $9,956.38 6.5×
Closed Rx Humer Epicondylr Fx,Manip (24565) $10,050.30 $10,050.30 6.6×
Closed Rx Med Malleolus Fx,Manip (27762) $10,050.30 $10,050.30 6.6×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $9,956.38 $9,956.38 6.5×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $10,050.30 $10,050.30 6.6×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $9,956.38 $9,956.38 6.5×
Closed treat wrist dislocation (25660) $1,538.48 $1,538.48 6.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $2,113.80 $2,113.80 9.1×
Closed treatment pst malleolus fracture w/manj (27768) $10,050.30 $10,050.30 6.6×
Closed Treatment Ulnar Styloid Fracture (25650) $1,538.48 $1,538.48 6.6×
Closed tx ankle dislocation w/o anesthesia (27840) $2,113.80 $2,113.80 9.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $10,050.30 $10,050.30 6.6×
Closed tx calcaneal fracture w/o manipulation (28400) $1,538.48 $1,538.48 6.6×
Closed tx knee dislocation w/anesthesia (27552) $8,724.07 $8,724.07 5.7×
Closed tx knee dislocation w/o anesthesia (27550) $439.14 $439.14 1.9×
Closed tx metatarsal fracture w/o manipulation (28470) $1,538.48 $1,538.48 6.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $10,050.30 $10,050.30 6.6×
Closed tx patellar dislocation w/o anesthesia (27560) $2,113.80 $2,113.80 9.1×
Closed tx radial head/neck fx w/manipulation (24655) $9,956.38 $9,956.38 6.5×
Closed tx radial head/neck fx w/o manipulation (24650) $1,538.48 $1,538.48 6.6×
Closed tx radial shaft fracture w/manipulation (25505) $10,050.30 $10,050.30 6.6×
Closed tx septal&nose fx (21337) $19,145.81 $19,145.81 6.1×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $9,603.22 $9,603.22 6.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $4,070.08 $4,070.08 17.4×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $1,543.19 $1,543.19 6.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $2,628.95 $2,628.95 11.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $12,407.60 $12,407.60 8.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $2,628.95 $2,628.95 11.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $16,601.76 $16,601.76 10.9×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $1,538.48 $1,538.48 6.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,538.48 $1,538.48 6.6×
Cltx dstl fibular fx lat malls w/manj (27788) $3,044.05 $3,044.05 13.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $3,044.05 $3,044.05 13.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $9,956.38 $9,956.38 6.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $10,019.82 $10,019.82 6.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $634.31 $634.31 2.7×
Cltx grter humeral tuberosity fx w/manipulation (23625) $10,050.30 $10,050.30 6.6×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,804.03 $1,804.03 6.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $439.14 $439.14 1.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,924.13 $1,924.13 8.2×
Cltx metacarpal fx w/manipulation each bone (26605) $1,651.49 $1,651.49 7.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $1,651.49 $1,651.49 7.1×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $1,924.13 $1,924.13 8.2×
Cltx metatarsophlngl jt dislc w/o anes (28630) $439.14 $439.14 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,986.42 $1,986.42 8.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $1,538.48 $1,538.48 6.6×
Cltx post hip arthrp dislc w/o anes (27265) $2,628.95 $2,628.95 11.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $10,050.30 $10,050.30 6.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $2,113.80 $2,113.80 9.1×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $10,050.30 $10,050.30 6.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $10,050.30 $10,050.30 6.6×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,931.32 $1,931.32 6.7×
Colposcopy cervix upper/adjacent vagina (57452) $1,178.33 $1,178.33 6.2×
Colposcopy entire vagina w/cervix if present (57420) $1,033.51 $1,033.51 3.6×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $1,931.32 $1,931.32 6.7×
Colposcopy vulva (56820) $1,414 $1,414 7.4×
Colposcopy vulva w/biopsy (56821) $2,317.58 $2,317.58 8.0×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $2,052.77 $2,052.77 7.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $2,317.58 $2,317.58 2.7×
Complete replacement picc rs&i (36584) $6,971.78 $6,971.78 4.7×
Complex Drainage, Wound (10180) $20,591.52 $20,591.52 7.5×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $518.45 $518.45 2.6×
Control Nasal Hemorrhage Anterior Complex (30903) $1,037.12 $1,037.12 8.2×
Control Nasal Hemorrhage Anterior Simple (30901) $1,074.92 $1,074.92 8.5×
Control Oropharyngeal Hemorrhage Simple (42960) $1,744.03 $1,744.03 3.4×
Convert nephrostomy catheter (50434) $5,147.12 $5,147.12 2.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $5,601.19 $5,601.19 3.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $1,035.86 $1,035.86 8.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,557.29 $1,557.29 6.9×
Cysto W/Simple Removal Stone & Stent (52310) $10,296.76 $10,296.76 5.2×
Cystoscopy w/complex removal stone & stent (52315) $12,677.64 $12,677.64 6.4×
Cystourethroscopy (52000) $3,517.68 $3,517.68 5.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,474.22 $1,474.22 3.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,546.62 $1,546.62 4.0×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,742.84 $1,742.84 2.5×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $5,293.12 $5,293.12 3.4×
Declot vascular device (36593) $1,885.06 $1,885.06 6.0×
Delivery placenta separate procedure (59414) $6,249.60 $6,249.60 2.0×
Destroy cerv/thor facet jnt (64633) $4,643.83 $4,643.83 2.5×
Destroy lumb/sac facet jnt (64635) $9,428.20 $9,428.20 5.1×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $6,274.62 $6,274.62 7.5×
Destruction neurolytic agt genicular nerve w/img (64624) $7,628.23 $7,628.23 4.1×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,560.48 $1,560.48 2.3×
Divisn plantar fascia/muscle (28250) $13,968.08 $13,968.08 4.5×
Drain bladder by trocar/cath (51101) $6,894.98 $6,894.98 8.5×
Drain Ext Ear Absc/Blood,Complic (69005) $10,122.14 $10,122.14 6.5×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $5,584.39 $5,584.39 8.3×
Drain/inj small joint/bursa w/us (20604) $2,326.80 $2,326.80 8.0×
Drainage abscess/hematoma nasal int approach (30000) $1,557.29 $1,557.29 6.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $762.70 $762.70 1.1×
Drainage Finger Abscess Complicated (26011) $10,122.14 $10,122.14 6.5×
Drainage Finger Abscess Simple (26010) $1,480.74 $1,480.74 7.8×
Drainage mouth roof lesion (42000) $1,758.89 $1,758.89 7.8×
Drainage of eyelid abscess (67700) $1,911.53 $1,911.53 6.4×
Drainage of gum lesion (41800) $1,139.04 $1,139.04 9.0×
Drainage of hematoma/fluid (10140) $5,166.16 $5,166.16 3.3×
Drainage of scrotal wall abscess (55100) $11,470.98 $11,470.98 7.3×
Draw blood off venous device (36591) $231.47 $231.47 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,266.29 $1,266.29 3.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,070.74 $1,070.74 5.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $538.57 $538.57 2.8×
Dry Needling 3+ Muscles (20561) $365.40 $365.40 13.3×
Dx bone marrow bx & aspir (38222) $6,867.47 $6,867.47 2.5×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $4,145.23 $4,145.23 2.1×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $5,669.06 $5,669.06 2.9×
Evacuation of subungual hematoma (11740) $277.34 $277.34 2.2×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,923.16 $1,923.16 5.0×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $2,104.01 $2,104.01 3.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $7,480.81 $7,480.81 6.6×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,170.50 $1,170.50 0.3×
Exchange nephrostomy cath (50435) $5,941.85 $5,941.85 3.0×
Exchng absc/cst drg cath rad gid spx (49423) $3,422.37 $3,422.37 1.9×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $9,000.55 $9,000.55 13.4×
Excision of nail fold toe (11765) $778.12 $778.12 2.0×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $19,616.87 $19,616.87 12.9×
Explo/Drain Breast Abscess (19020) $4,294.74 $4,294.74 2.7×
Exploration penetrating wound spx extremity (20103) $8,384.04 $8,384.04 5.4×
External Cephalic Version (59412) $4,240.94 $4,240.94 1.4×
Fetal Contraction Stress Test (59020) $2,165.82 $2,165.82 11.3×
Fetal non-stress test (59025) $783.22 $783.22 4.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $4,193.78 $4,193.78 6.3×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $2,830.80 $2,830.80 4.2×
Fluoro exam of g/colon tube (49465) $528.62 $528.62 2.3×
Guide Cathet Fluid Drainage (10030) $6,386.59 $6,386.59 9.5×
I&D Abscess Peritonsillar (42700) $1,881.73 $1,881.73 8.4×
I&d abscess simple (10060) $1,066.06 $1,066.06 5.6×
I&d epididymis tstis&/scrotal space (54700) $11,956.07 $11,956.07 6.0×
I&d perianal abscess superficial (46050) $5,732.80 $5,732.80 6.5×
I&d pilonidal cyst simple (10080) $3,789.56 $3,789.56 5.7×
I&D Upper Arm/Elbow Bursa (23931) $8,013.36 $8,013.36 5.1×
Image Cath Fluid Colxn Visc (49405) $3,192.80 $3,192.80 2.0×
Image Cath Fluid Peri/Retro (49406) $3,398.19 $3,398.19 2.2×
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure
$2,183.92 $2,183.92 0.4×
Incision & drainage abscess complicated/multiple (10061) $2,173.33 $2,173.33 5.6×
Incision & drainage pilonidal cyst complicated (10081) $6,137.17 $6,137.17 9.2×
Incision & removal foreign body subq tiss compl (10121) $14,542.76 $14,542.76 9.3×
Incision & removal foreign body subq tiss simple (10120) $1,172.66 $1,172.66 3.0×
Incision and drainage of bartholin's gland abscess (56420) $1,795.04 $1,795.04 9.4×
Incision and drainage of vulva or perineal abscess (56405) $2,511.12 $2,511.12 8.7×
Incision of lingual frenum (41010) $10,568.12 $10,568.12 7.2×
Incision of rectal abscess (46040) $7,480.81 $7,480.81 6.6×
Incision thrombosed hemorrhoid external (46083) $1,008.90 $1,008.90 4.3×
Incisional biopsy skin single lesion (11106) $1,205.98 $1,205.98 1.7×
Initial tx 1st degree burn local tx (16000) $444.29 $444.29 2.3×
Inj paravert f jnt c/t 1 lev (64490) $4,163.56 $4,163.56 5.0×
Inj tendon sheath/ligament (20550) $1,502.75 $1,502.75 5.2×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,915.96 $1,915.96 2.3×
Inj,Anes Agent,Femoral Nerve,Single (64447) $3,821.48 $3,821.48 5.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,374.86 $3,374.86 4.0×
Inject Nerv Blck,Axillary Nerv (64417) $2,661.59 $2,661.59 3.2×
Inject Nerv Blck,Celiac Plexus (64530) $2,908.56 $2,908.56 3.5×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $1,915.96 $1,915.96 2.9×
Inject Nerv Blck,Intercost,Multpl (64421) $2,105.24 $2,105.24 2.5×
Inject Nerv Blck,Intercostal,One (64420) $2,326.87 $2,326.87 3.5×
Inject Nerv Blck,Paravert Sympath (64520) $2,285.30 $2,285.30 2.7×
Inject Nerv Blck,Pudendal (64430) $2,405.44 $2,405.44 2.9×
Inject Rx Celiac Plexus Nerve (64680) $5,147.70 $5,147.70 6.1×
Inject Tendon Origin/Insert (20551) $1,493.21 $1,493.21 5.1×
Injection aa&/strd genicular nrv branches w/img (64454) $1,915.96 $1,915.96 2.9×
Injection aa&/strd suprascapular nerve (64418) $1,915.96 $1,915.96 2.9×
Injection aa&/strd trigeminal nerve each branch (64400) $1,915.96 $1,915.96 6.6×
Injection anes other peripheral nerve/branch (64450) $885.98 $885.98 1.3×
Injection Anes Superior Hypogastric Plexus (64517) $5,439.84 $5,439.84 6.5×
Injection for identification of sentinel node (38792) $5,505.76 $5,505.76 14.5×
Injection Rx Extremity Pseudoaneurysm (36002) $736.43 $736.43 1.2×
Injection single/mlt trigger point 1/2 muscles (20552) $1,652.80 $1,652.80 5.7×
Injection single/mlt trigger point 3/> muscles (20553) $1,909.04 $1,909.04 6.6×
Injection therapeutic carpal tunnel (20526) $2,252.41 $2,252.41 7.8×
Injection, anesthetic agent; greater occipital nerve (64405) $1,915.96 $1,915.96 6.6×
Injection, intralesional; up to and including 7 lesions (11900) $2,262.23 $2,262.23 11.9×
Ins cath ren art 1st bilat (36252) $10,159.87 $10,159.87 3.4×
Ins cath ren art 1st unilat (36251) $6,705.92 $6,705.92 2.2×
Ins cath ren art 2nd+ unilat (36253) $7,766.82 $7,766.82 1.5×
Ins endovas vena cava filtr (37191) $9,498.32 $9,498.32 1.8×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $22,411.21 $22,411.21 2.3×
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) $22,411.21 $22,411.21 2.3×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $44,766.60 $44,766.60 4.5×
Ins vag brachytx device (57156) $7,511.79 $7,511.79 26.0×
Ins/Rep Subq Defibrillator (33270) $54,865.74 $54,865.74 1.8×
Insert 1 electrode pm-defib (33216) $12,806.42 $12,806.42 1.6×
Insert Bladder Cath Complex (51703) $1,892.50 $1,892.50 15.5×
Insert cervical dilator (59200) $3,693.40 $3,693.40 12.8×
Insert Gastrostomy Tube Percutaneous (49440) $5,106.16 $5,106.16 2.8×
Insert hepatic shunt (tips) (37182) $18,199.82 $18,199.82 1.0×
Insert non-tunnel cv cath (36556) $4,537.56 $4,537.56 1.5×
Insert pacing lead & connect (33224) $15,482.53 $15,482.53 1.6×
Insert pessary/other device (57160) $1,268.51 $1,268.51 6.6×
Insert picc cath (36569) $7,295.93 $7,295.93 4.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $8,606.75 $8,606.75 5.8×
Insert picvad cath (36570) $17,713.48 $17,713.48 5.9×
Insert Temp Bladder Cath (51702) $581.70 $581.70 4.6×
Insert tun ip cath perc (49418) $20,426.89 $20,426.89 6.0×
Insert tunneled cv cath (36561) $9,730.04 $9,730.04 3.3×
Insert,Non-Indwelling Bladder Catheter (51701) $806.28 $806.28 6.4×
Insertion indwelling tunneled pleural catheter (32550) $20,429.20 $20,429.20 6.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $6,832.51 $6,832.51 4.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $13,008.61 $13,008.61 1.7×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $24,037.71 $24,037.71 5.1×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) $16,338.77 $16,338.77 2.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $10,161.90 $10,161.90 3.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $10,313.83 $10,313.83 3.5×
Insj/rplcmt defib w/lead(s) (33249) $32,025.10 $32,025.10 1.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $12,806.42 $12,806.42 1.6×
Intraoral i&d tongue/floor lingual (41000) $3,355.33 $3,355.33 6.6×
Intraoral i&d tongue/floor masticator space (41009) $3,355.33 $3,355.33 6.6×
Intraoral i&d tongue/floor submental space (41007) $9,603.22 $9,603.22 6.5×
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $1,134.24 $1,134.24 0.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $35,693.42 $35,693.42 3.3×
Intro cath dialysis circuit w/trluml balo angiop (36902) $19,382.10 $19,382.10 3.6×
Intubation endotracheal emergency procedure (31500) $549.76 $549.76 2.5×
Irrigate corpora cavernosa for priapism (54220) $1,504.67 $1,504.67 6.4×
Laryngoscopy Flexible Diagnostic (31575) $763.35 $763.35 4.0×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $4,648.48 $4,648.48 12.6×
Laryngoscopy indirect w/removal foreign body (31511) $2,034.51 $2,034.51 10.8×
Liver Biopsy (47000) $3,561.83 $3,561.83 2.3×
Lyse Chest Fibrin Init Day (32561) $2,050.84 $2,050.84 3.5×
Lyse Chest Fibrin Subq Day (32562) $2,050.84 $2,050.84 3.5×
Myelography Lumbar Injection (62305) $12,963.20 $12,963.20 17.5×
Myelography Lumbar Injection (62304) $5,952.19 $5,952.19 8.0×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $6,642.80 $6,642.80 9.0×
Myelography via lumbar injection rs&i thoracic (62303) $3,420.62 $3,420.62 4.6×
Nasal surgery procedure (30999) $721.72 $721.72 3.2×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $512.47 $512.47 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $333.90 $333.90 12.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $2,231.05 $2,231.05 5.4×
Njx anes stellate ganglion crv sympathetic (64510) $1,472.75 $1,472.75 1.8×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,744.24 $2,744.24 0.8×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,626.25 $4,626.25 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $5,628.60 $5,628.60 6.7×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $3,056.14 $3,056.14 4.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $3,361.74 $3,361.74 5.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $3,056.14 $3,056.14 4.6×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $4,119.46 $4,119.46 6.2×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $319.27 $319.27 0.5×
Obstructive material removal from gi tube (49460) $2,723.10 $2,723.10 3.2×
Open/Perq Place Stent Same (37238) $16,311.32 $16,311.32 1.5×
Open/Perq Placement Intravascular Stent Initial (37236) $16,311.32 $16,311.32 1.5×
Percut Drain/Inject Renal Cyst (50390) $3,501.13 $3,501.13 5.2×
Percut Mech Thrombectomy, Venous (37187) $11,185.33 $11,185.33 1.0×
Percut Mech Thrombectomy, Venous, Repeat (37188) $11,185.33 $11,185.33 3.7×
Pericardiocentesis W/Imaging (33016) $2,418.99 $2,418.99 1.6×
Perq dev breast 1st mr guide (19287) $2,342.46 $2,342.46 3.5×
Perq dev breast 1st strtctc (19283) $6,807.37 $6,807.37 10.2×
Perq dev breast 1st us imag (19285) $3,171.65 $3,171.65 4.7×
Perq device breast 1st imag (19281) $8,299.13 $8,299.13 5.3×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $2,083.73 $2,083.73 1.4×
Perq replacement gtube not req revj gstrst trc (43762) $287.60 $287.60 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $3,234.24 $3,234.24 4.8×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $43,147.59 $43,147.59 2.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $26,836.28 $26,836.28 2.5×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $9,201.60 $9,201.60 1.7×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $21,781.64 $21,781.64 3.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $21,781.35 $21,781.35 3.2×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $10,844 $10,844 3.5×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $10,843.84 $10,843.84 3.5×
Place Cath Subclavian Art (36225) $9,322.17 $9,322.17 3.1×
Place Cath Thoracic Aorta (36221) $9,322.17 $9,322.17 3.1×
Place Cath Vertebral Art (36226) $9,322.17 $9,322.17 1.8×
Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) $5,183.20 $5,183.20 4.0×
Placement needle pelvic organ radioelement appl (55920) $26,892.93 $26,892.93 5.7×
Placement of needle for intraosseous infusion (36680) $1,119.64 $1,119.64 2.6×
Plmt interstitial dev radiat tx prostate 1/mult (55876) $4,923.55 $4,923.55 3.8×
Plmt nephrostomy cath prq new access rs&i (50432) $5,167.78 $5,167.78 2.6×
Plmt nephroureteral cath prq new access rs&i (50433) $6,803.16 $6,803.16 2.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $8,556.49 $8,556.49 2.6×
Plmt urtrl stent prq pre-existing nfros tract (50693) $5,109.77 $5,109.77 1.5×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $6,669.41 $6,669.41 2.0×
Preputial Stretching (54450) $1,353.58 $1,353.58 5.7×
Prim art mech thrombectomy (37184) $14,269.89 $14,269.89 0.8×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,911.35 $1,911.35 2.9×
Prq impltj neurostimulator eltrd peripheral nrv (64555) $27,958.40 $27,958.40 4.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $8,932.13 $8,932.13 2.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $8,932.13 $8,932.13 2.6×
Punch biopsy skin single lesion (11104) $677.52 $677.52 1.8×
Puncture Aspiration (10160) $931.14 $931.14 2.4×
Puncture Aspiration Cyst Breast (19000) $1,618.98 $1,618.98 2.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $5,250.03 $5,250.03 2.8×
Relocation of skin pocket for pacemaker (33222) $4,145.23 $4,145.23 2.1×
Rem endovas vena cava filter (37193) $19,565.35 $19,565.35 6.5×
Removal biliary drg cath (47537) $4,690.69 $4,690.69 5.5×
Removal fb intranasal (30300) $906.71 $906.71 7.2×
Removal Foreign Body Foot Complicated (28193) $10,122.14 $10,122.14 6.5×
Removal foreign body foot deep (28192) $12,209.96 $12,209.96 7.8×
Removal foreign body foot subcutaneous (28190) $4,072.24 $4,072.24 6.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $10,862.40 $10,862.40 6.9×
Removal foreign body pharynx (42809) $155.24 $155.24 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $527.24 $527.24 9.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $267.08 $267.08 4.8×
Removal Implantable Defib Pulse Generator Only (33241) $8,394.08 $8,394.08 2.4×
Removal of arm foreign body (24200) $10,122.14 $10,122.14 6.5×
Removal of indwelling tunneled pleural catheter with cuff (32552) $4,226.65 $4,226.65 7.1×
Removal of intrauterine device (iud) (58301) $2,104.14 $2,104.14 7.3×
Removal of nail bed (11750) $1,354.66 $1,354.66 3.5×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $1,638.14 $1,638.14 8.6×
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $1,131.22 $1,131.22 0.6×
Removal ppm generator only (33233) $8,546.33 $8,546.33 1.1×
Removal subq cardiac rhythm monitor (33286) $3,313.93 $3,313.93 4.9×
Removal Tunneled Intraperitoneal Catheter (49422) $9,148.13 $9,148.13 3.1×
Remove drug implant device (11982) $3,304.40 $3,304.40 7.8×
Remove Eyelid Foreign Body (67938) $292.77 $292.77 1.0×
Remove foreign body from eye (65210) $1,401.14 $1,401.14 3.3×
Remove renal tube w/fluoro (50389) $1,833.52 $1,833.52 2.8×
Remove spine infusion device (62365) $25,348.62 $25,348.62 7.8×
Remove Ureter Stent, Percut (50384) $9,836.03 $9,836.03 5.0×
Remove&replace pm gen singl (33227) $33,426.45 $33,426.45 4.3×
Remv Ext Canal Foreign Body (69200) $875.21 $875.21 6.9×
Remv F.B.,Eye,Superf Conjunc (65205) $700.88 $700.88 5.6×
Remv&replc cvd gen dual lead (33263) $46,797.05 $46,797.05 2.2×
Remv&replc cvd gen mult lead (33264) $74,281.37 $74,281.37 2.5×
Remv&replc pm gen dual lead (33228) $27,577.45 $27,577.45 2.8×
Remv&replc pm gen mult leads (33229) $56,824.97 $56,824.97 3.1×
Renal biopsy (50200) $3,561.83 $3,561.83 2.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $4,060.31 $4,060.31 5.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $4,060.31 $4,060.31 5.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,367.57 $1,367.57 3.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,707.10 $1,707.10 4.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $3,668.70 $3,668.70 9.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $4,077.50 $4,077.50 10.6×
Repair complex trunk 2.6-7.5 cm (13101) $11,480.77 $11,480.77 16.4×
Repair elbow perc (24357) $13,309.42 $13,309.42 4.3×
Repair extensor tendon finger w/o graft each (26418) $2,648.04 $2,648.04 1.7×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $4,297.72 $4,297.72 11.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $2,412.42 $2,412.42 6.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $2,835.06 $2,835.06 7.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $3,058.26 $3,058.26 7.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $3,129.49 $3,129.49 8.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $4,327.21 $4,327.21 6.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $2,289.95 $2,289.95 5.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $3,084.85 $3,084.85 8.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $3,379.64 $3,379.64 4.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $3,241.38 $3,241.38 8.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $2,032.57 $2,032.57 5.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $2,551.91 $2,551.91 6.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $3,792.05 $3,792.05 5.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $2,753.38 $2,753.38 7.2×
Repair Laceration Palate </2 Cm (42180) $3,355.33 $3,355.33 6.6×
Repair of nail bed (11760) $729.32 $729.32 1.0×
Repair Tongue Laceration (41250) $968.59 $968.59 2.3×
Replace duod/jej tube perc (49451) $1,234.98 $1,234.98 1.4×
Replace g/c tube perc (49450) $2,762.71 $2,762.71 3.2×
Replacement gastro-jejunostomy tube percutaneous (49452) $4,011.97 $4,011.97 4.7×
Reposition pacing-defib lead (33215) $8,359.11 $8,359.11 2.8×
Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) $5,860.99 $5,860.99 3.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $5,261.99 $5,261.99 6.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,171.26 $1,171.26 2.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $1,418.84 $1,418.84 11.3×
Rmvl fecal impaction/fb spx under anes (45915) $14,600.30 $14,600.30 12.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $16,992.37 $16,992.37 6.2×
Rmvl of subq defibrillator (33272) $8,546.33 $8,546.33 2.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $4,417.33 $4,417.33 1.2×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $5,696.72 $5,696.72 1.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,156.50 $1,156.50 0.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,570.60 $2,570.60 4.3×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $4,668.61 $4,668.61 11.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $10,426.44 $10,426.44 7.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,771.96 $1,771.96 0.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $3,355.33 $3,355.33 6.6×
Rpr Lip Full Thickness Vermilion Only (40650) $3,772.42 $3,772.42 7.4×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $4,628.77 $4,628.77 3.2×
Rpsg prev implted car ven sys l ventr eltrd (33226) $5,660.53 $5,660.53 1.9×
Rpsg previously placed cvc under fluor gdnce (36597) $6,388.98 $6,388.98 4.3×
Sclerotx Fluid Collection (49185) $3,741.62 $3,741.62 2.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $1,322.60 $1,322.60 7.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $1,378.38 $1,378.38 7.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,784.72 $1,784.72 9.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $2,238.88 $2,238.88 11.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $1,255.84 $1,255.84 6.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $4,029.92 $4,029.92 21.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $2,061.82 $2,061.82 10.9×
Skin sub graft face/nk/hf/g (15275) $5,195.59 $5,195.59 7.4×
Skin sub graft trnk/arm/leg (15271) $3,493.78 $3,493.78 5.0×
Skin Sub Grft T/Arm/Lg Child (15273) $2,864.07 $2,864.07 1.5×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $9,322.17 $9,322.17 1.8×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $6,954.75 $6,954.75 2.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $1,649.46 $1,649.46 8.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $2,652.25 $2,652.25 6.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $3,242.68 $3,242.68 8.4×
Spinal puncture lumbar diagnostic (62270) $1,560.48 $1,560.48 2.3×
Spinal Puncture Therapeutic (62272) $3,692.96 $3,692.96 5.5×
Strapping ankle (29540) $537.76 $537.76 3.5×
Strapping hand/finger (29280) $546.91 $546.91 9.8×
Strapping Hip (29520) $415.51 $415.51 3.3×
Strapping knee (29530) $415.51 $415.51 3.3×
Strapping shoulder (29240) $415.51 $415.51 3.3×
Strapping toes (29550) $415.51 $415.51 7.4×
Strapping unna boot (29580) $1,214.69 $1,214.69 7.9×
Tangential biopsy skin single lesion (11102) $677.52 $677.52 1.8×
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) $82,303.63 $82,303.63 3.0×
Tcat insj/rpl perm leadless pacemaker rv w/img (33274) $54,027.22 $54,027.22 3.0×
Ther Apheresis,Plasma Pheresis (36514) $4,390.55 $4,390.55 3.0×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $4,149.55 $4,149.55 6.2×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $6,134.21 $6,134.21 10.3×
Thoracentesis needle/cath pleura w/o imaging (32554) $2,570.89 $2,570.89 4.3×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $1,520.86 $1,520.86 0.5×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure
$1,077.52 $1,077.52 0.2×
Thrombolytic Venous Therapy (37212) $11,861.95 $11,861.95 4.0×
Thyroid biopsy (60100) $2,601.54 $2,601.54 3.9×
Trach Tube Change (31502) $1,557.29 $1,557.29 6.9×
Transcatheter biopsy (37200) $6,435.43 $6,435.43 1.2×
Treat humerus fracture (24500) $1,673.45 $1,673.45 7.2×
Treat humerus fracture (23600) $1,538.48 $1,538.48 6.6×
Treat wrist bone fracture (25635) $10,050.30 $10,050.30 6.6×
Treat wrist bone fracture (25622) $1,586.62 $1,586.62 6.8×
Treat Wrist Bone Fracture (25630) $1,571.17 $1,571.17 6.7×
Treatment closed elbow dislocation req anes (24605) $10,492.56 $10,492.56 6.9×
Treatment closed elbow dislocation w/o anes (24600) $2,113.80 $2,113.80 9.1×
Trim skin lesion (11055) $870.29 $870.29 4.6×
Trim skin lesions 2 to 4 (11056) $1,299.62 $1,299.62 6.8×
Trim skin lesions over 4 (11057) $1,897.22 $1,897.22 10.0×
Trimming Of Nondystrophic Nails, Any Number (11719) $490.72 $490.72 8.8×
Trlml balo angiop open/perq img s&i 1st art (37246) $19,116.66 $19,116.66 3.5×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $8,359.11 $8,359.11 1.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $4,475.52 $4,475.52 6.4×
Unlisted Procedure Dentoalveolar Structures (41899) $1,232.85 $1,232.85 5.5×
Unlisted Procedure Nervous System (64999) $1,290.95 $1,290.95 4.4×
Vaginal delivery only (59409) $7,489.39 $7,489.39 2.4×
Vasc embolize/occlude artery (37242) $19,507.12 $19,507.12 1.1×
Vasc Embolize/Occlude Bleed (37244) $19,445.19 $19,445.19 1.8×
Vasc embolize/occlude organ (37243) $19,507.12 $19,507.12 1.8×
Vasc embolize/occlude venous (37241) $19,507.12 $19,507.12 1.8×
Venipuncture (36415) $50.79 $50.79 5.4×
Wound Prep F/N/Hf/G (15004) $1,588.85 $1,588.85 4.1×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $1,588.85 $1,588.85 2.3×