Procedures & surgery prices at Ascension St. John Broken Arrow

Broken Arrow, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,165.69 $3,150.50 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $881.16 $2,381.50 1.0×
Ablation 1/> Liver Tumor Perq Cryoablation (47383) $5,790.50 $15,650 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure
$6,487.77 $17,534.50 0.4×
Ablation renal tumor unilateral perq cryotherapy (50593) $7,111.31 $19,219.75 0.7×
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $7,143.04 $19,305.50 1.0×
Abltj 1/> lvr tum prq rf (47382) $6,242.27 $16,871 1.1×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $1,456.14 $3,935.50 0.7×
Amniocentesis diagnostic (59000) $368.15 $995 0.4×
Amputate metacarpal bone (26910) $3,227.33 $8,722.50 1.0×
Amputation Finger/Thumb (26951) $1,301.20 $3,516.75 0.4×
Amputation of finger/thumb (26952) $1,922.98 $5,197.25 0.6×
Anoscopy diagnostic (46600) $93.89 $253.75 0.7×
Anoscopy W/Rmvl Foreign Body (46608) $496.91 $1,343 0.6×
Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) $657.03 $1,775.75 0.4×
Application cast elbow finger short arm (29075) $193.05 $521.75 0.7×
Application Cast Hand & Lower Forearm Gauntlet (29085) $84.08 $227.25 0.5×
Application finger splint static (29130) $100.73 $272.25 0.8×
Application long arm splint shoulder hand (29105) $112.67 $304.50 0.7×
Application long leg splint thigh ankle/toes (29505) $95.18 $257.25 0.6×
Application short arm splint forearm-hand static (29125) $111.19 $300.50 0.9×
Application short leg splint calf foot (29515) $125.71 $339.75 0.8×
Apply short leg cast (29405) $174.73 $472.25 0.6×
Arterial puncture (36600) $69.01 $186.50 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $269.82 $729.25 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $599.31 $1,619.75 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $382.30 $1,033.25 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $227.37 $614.50 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $196.38 $530.75 0.7×
Aspir/inj thyroid cyst (60300) $386.65 $1,045 0.6×
Aspirat/Injection Ganglion Cyst(S) (20612) $277.59 $750.25 0.9×
Aspiration Bladder Insert Suprapubic Catheter (51102) $3,063.32 $8,279.25 1.5×
Avulsion nail plate partial/complete simple 1 (11730) $105.45 $285 0.5×
Biopsy bone trocar/needle deep (20225) $1,064.12 $2,876 0.7×
Biopsy Bone Trocar/Needle Superficial (20220) $542.98 $1,467.50 0.3×
Biopsy muscle percutaneous needle (20206) $1,907.07 $5,154.25 1.2×
Biopsy of urethra (53200) $2,396.58 $6,477.25 1.2×
Biopsy of uterus lining (58100) $459.54 $1,242 2.4×
Biopsy Pancrea Percutaneous Needle (48102) $719.65 $1,945 0.5×
Biopsy pleura percutaneous needle (32400) $1,907.07 $5,154.25 1.2×
Biopsy Salivary Gland,Needle (42400) $440.21 $1,189.75 0.6×
Biopsy Soft Tissue Back/Flank Deep (21925) $1,196.40 $3,233.50 0.8×
Biopsy soft tissue leg/ankle area deep (27614) $3,297.44 $8,912 1.2×
Biopsy soft tissue neck/thorax (21550) $916.68 $2,477.50 0.6×
Biopsy soft tissue of back (21920) $1,907.07 $5,154.25 1.2×
Biopsy soft tissue thigh/knee area superficial (27323) $1,907.07 $5,154.25 1.2×
Biopsy Spinal Cord Percutaneous Needle (62269) $1,907.07 $5,154.25 1.2×
Biopsy Vaginal Mucosa Simple (57100) $349.37 $944.25 0.4×
Bladder Instillation Anticarcinogenic Agent (51720) $481.56 $1,301.50 0.7×
Bladder Irrigation Simple (51700) $188.15 $508.50 0.8×
Bladder Scan (51798) $95.92 $259.25 1.7×
Blood patch (62273) $402.84 $1,088.75 0.6×
Bone marrow aspiration only (38220) $817.05 $2,208.25 0.5×
Bone Marrow Biopsy (38221) $593.30 $1,603.50 0.4×
Brain Shunt Tube/Reserv Injectn (61070) $668.13 $1,805.75 1.0×
Brnchsc Brushing/Protected Brushings (31623) $1,812.17 $4,897.75 1.1×
Bronchosc dx w/w/o fluor&wash (31622) $2,211.40 $5,976.75 1.3×
Bronchoscopy W/Biopsy(S) (31625) $1,583.69 $4,280.25 0.9×
Bronchoscopy W/Removal Foreign Body (31635) $1,536.52 $4,152.75 0.9×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $910.40 $2,460.53 0.5×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $981.06 $2,651.50 2.6×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,627.16 $9,803.12 1.0×
Bronchoscopy w/tumor excise (31640) $3,799.90 $10,270 1.1×
Bronchoscopy,Diagnostic W Lavage (31624) $1,108.29 $2,995.38 0.6×
Bx abdl/retroperitoneal mass prq needle (49180) $1,141.82 $3,086 0.7×
Bx breast 1st lesion mr imag (19085) $1,628 $4,400 1.0×
Bx breast 1st lesion strtctc (19081) $1,799.31 $4,863 1.1×
Bx breast 1st lesion us imag (19083) $1,799.31 $4,863 1.1×
Bx/exc lymph node needle superficial (38505) $1,124.62 $3,039.50 0.7×
Canthotomy Separate Procedure (67715) $1,128.78 $3,050.75 0.5×
Catheter Aspiration Nasotracheal Spx (31720) $80.94 $218.75 0.4×
Change Cystostomy Tube Complicated (51710) $571.10 $1,543.50 0.9×
Change Cystostomy Tube Simple (51705) $126.17 $341 0.5×
Chemical Cautery Tissue (17250) $195.27 $527.75 1.0×
Chest tube placement (32551) $537.43 $1,452.50 0.4×
Chg Collect Blood From Catheter Venous Nos (36592) $77.05 $208.25 0.6×
Cholecystostomy,Percutaneous, Complete (47490) $1,424.41 $3,849.75 0.4×
Circumcision (54150) $149.02 $402.75 0.1×
Cisternal/Lateral C1-C2 Puncture W/Injection (61055) $421.43 $1,139 1.4×
Clearance of tear duct (68530) $267.70 $723.50 0.9×
Close Rx Fingr Articular Fx,Manip (26742) $1,314.24 $3,552 0.8×
Closed Rx Gr Tuberosity Hum Fx (23620) $241.43 $652.50 1.0×
Closed Rx Humer Epicondylr Fx,Manip (24565) $1,314.24 $3,552 0.8×
Closed Rx Humeral Supracondylar Fx (24530) $132.09 $357 0.6×
Closed Rx Mandible Fx+Manipulatn (21451) $728.07 $1,967.75 0.5×
Closed Rx Med Malleolus Fx (27760) $132.18 $357.25 0.6×
Closed Rx Med Malleolus Fx,Manip (27762) $1,533 $4,143.25 1.0×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $1,314.24 $3,552 0.8×
Closed rx prox/neck femur fx,manip (27232) $1,505.99 $4,070.25 1.0×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $441.32 $1,192.75 0.3×
Closed Rx Radial Shaft Fx (25500) $197.40 $533.50 0.8×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $1,314.24 $3,552 0.8×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $1,314.24 $3,552 0.8×
Closed Rx Tibia Shaft Fx (27750) $128.48 $347.25 0.5×
Closed Rx Tibial Plateau Fx (27530) $119.70 $323.50 0.5×
Closed Rx Trauma Hip Disloc,Anesth (27252) $1,066.25 $2,881.75 0.7×
Closed Rx Trimalleolar Fx (27816) $132.37 $357.75 0.6×
Closed Treatment Coccygeal Fracture (27200) $188.05 $508.25 0.8×
Closed treatment nasal fracture w/stabilization (21320) $1,888.11 $5,103 0.6×
Closed treatment of broken top of shin bone at knee (27538) $197.49 $533.75 0.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $266.40 $720 1.1×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $188.05 $508.25 0.8×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $122.01 $329.75 0.5×
Closed treatment of talus fracture; without manipulation (28430) $188.05 $508.25 0.8×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $117.85 $318.50 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $318.66 $861.25 1.3×
Closed treatment pst malleolus fracture w/manj (27768) $1,314.24 $3,552 0.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $188.05 $508.25 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $119.51 $323 0.5×
Closed tx ankle dislocation w/o anesthesia (27840) $239.02 $646 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,314.24 $3,552 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $197.40 $533.50 0.8×
Closed tx calcaneal fracture w/o manipulation (28400) $129.41 $349.75 0.5×
Closed tx femoral fracture prox head w/o manj (27267) $1,172.99 $3,170.25 0.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $377.40 $1,020 1.6×
Closed tx knee dislocation w/o anesthesia (27550) $239.02 $646 1.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,345.88 $3,637.50 0.9×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $483.22 $1,306 0.9×
Closed tx metatarsal fracture w/o manipulation (28470) $123.95 $335 0.5×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,428.48 $3,860.75 0.9×
Closed tx nasal fracture w/o stabilization (21315) $916.49 $2,477 0.6×
Closed tx patellar dislocation w/anesthesia (27562) $1,142.93 $3,089 4.8×
Closed tx patellar dislocation w/o anesthesia (27560) $139.03 $375.75 0.6×
Closed tx patellar fracture w/o manipulation (27520) $197.40 $533.50 0.8×
Closed tx radial head/neck fx w/manipulation (24655) $1,314.24 $3,552 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $123.77 $334.50 0.5×
Closed tx radial shaft fracture w/manipulation (25505) $1,314.24 $3,552 0.8×
Closed tx scapular fracture w/o manipulation (23570) $123.58 $334 0.5×
Closed tx septal&nose fx (21337) $1,861.19 $5,030.25 0.6×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $379.81 $1,026.50 1.6×
Closed tx talotarsal joint dislc w/o anes (28570) $130.43 $352.50 0.5×
Closed Tx Talus Fracture W/Manipulation (28435) $1,314.24 $3,552 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $112.30 $303.50 0.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,314.24 $3,552 0.8×
Closed tx ulnar fracture prox end w/o manipulate (24670) $188.05 $508.25 0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $197.40 $533.50 0.8×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $315.52 $852.75 1.4×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $730.75 $1,975 1.4×
Clsd tx acromioclavicular dislc w/manipulation (23545) $379.81 $1,026.50 1.6×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $117.66 $318 0.5×
Clsd tx clavicular fracture w/manipulation (23505) $660.82 $1,786 0.4×
Clsd tx clavicular fracture w/o manipulation (23500) $129.41 $349.75 0.5×
Clsd tx fx orbit except blowout w/o manipulation (21400) $460.19 $1,243.75 0.9×
Clsd tx pelvic ring fx w/o manipulation (27197) $203.59 $550.25 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,066.25 $2,881.75 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $141.53 $382.50 0.6×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,314.24 $3,552 0.8×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $394.98 $1,067.50 1.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,066.25 $2,881.75 0.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $188.05 $508.25 0.8×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $230.88 $624 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $225.24 $608.75 0.9×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $697.17 $1,884.25 0.5×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $197.49 $533.75 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $278.06 $751.50 1.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $141.53 $382.50 0.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $135.42 $366 0.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $115.07 $311 0.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $156.60 $423.25 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $487.94 $1,318.75 0.3×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,314.24 $3,552 0.8×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $227.74 $615.50 1.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $197.49 $533.75 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,293.80 $3,496.75 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $164.65 $445 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $188.05 $508.25 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $122.38 $330.75 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $188.05 $508.25 0.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,673.97 $4,524.25 1.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $133.20 $360 0.6×
Cltx greater trochanteric fx w/o manj (27246) $188.05 $508.25 0.8×
Cltx grter humeral tuberosity fx w/manipulation (23625) $1,279 $3,456.75 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $147.17 $397.75 0.6×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,144.78 $3,094 0.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $225.24 $608.75 0.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,004.09 $2,713.75 0.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $144.21 $389.75 0.6×
Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) $1,288.53 $3,482.50 0.4×
Cltx metacarpal fx w/manipulation each bone (26605) $111.83 $302.25 0.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $131.17 $354.50 0.6×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $217.38 $587.50 0.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,153.85 $3,118.50 0.7×
Cltx metatarsophlngl jt dislc w/o anes (28630) $129.41 $349.75 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $141.53 $382.50 0.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $104.16 $281.50 0.4×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,284.64 $3,472 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $302.66 $818 1.3×
Cltx prox fibula/shft fx w/manj (27781) $1,278.54 $3,455.50 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $188.05 $508.25 0.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,694.23 $4,579 1.1×
Cltx prox tibfib jt dislc w/o anes (27830) $197.40 $533.50 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $146.24 $395.25 0.6×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $1,314.24 $3,552 0.8×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $1,314.24 $3,552 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,314.24 $3,552 0.8×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $197.49 $533.75 0.8×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $198.60 $536.75 0.8×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,428.48 $3,860.75 0.9×
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $227.74 $615.50 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $416.16 $1,124.75 0.3×
Colonoscopy w/fb removal (45379) $1,154.22 $3,119.50 1.0×
Colporrhaphy suture injury vagina (57200) $1,825.12 $4,932.75 0.6×
Complete replacement picc rs&i (36584) $877.73 $2,372.25 0.6×
Complex Drainage, Wound (10180) $1,244.68 $3,364 0.4×
Composite skin graft (15760) $2,156.55 $5,828.50 1.1×
Control Nasal Hemorrhage Anterior Complex (30903) $106.93 $289 0.8×
Control Nasal Hemorrhage Anterior Simple (30901) $106.93 $289 0.8×
Control Oropharyngeal Hemorrhage Simple (42960) $487.48 $1,317.50 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $160.49 $433.75 1.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $130.33 $352.25 0.6×
Curette/treat cornea (65435) $658.69 $1,780.25 0.7×
Cysto Bladder W/Ureteral Catheterization (52005) $1,757.59 $4,750.25 0.9×
Cysto w/ureter stricture tx (52341) $2,708.31 $7,319.75 0.8×
Cystoscopy,Dil Urethral Stricture (52281) $999.19 $2,700.50 0.5×
Cystostomy Cystotomy W/Drainage (51040) $976.15 $2,638.25 0.5×
Cystourethroscopy (52000) $605.78 $1,637.25 0.9×
Cystourethroscopy W/Irrig & Evac Clots (52001) $1,528.84 $4,132 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $555.65 $1,501.75 1.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,379.93 $6,432.25 0.9×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $847.49 $2,290.50 1.2×
Debride nail 1-5 (11720) $110.35 $298.25 1.9×
Debride nail 6 or more (11721) $64.84 $175.25 1.1×
Debride skin musc at fx site (11011) $567.77 $1,534.50 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $406.35 $1,098.25 1.0×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $381.66 $1,031.50 0.5×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,036 $2,800 0.7×
Declot vascular device (36593) $165.58 $447.50 0.5×
Delivery placenta separate procedure (59414) $1,017.13 $2,749 0.3×
Destroy cerv/thor facet jnt (64633) $1,499.15 $4,051.75 0.8×
Destroy internal hemorrhoids (46930) $693.94 $1,875.50 0.6×
Destroy lumb/sac facet jnt (64635) $1,499.15 $4,051.75 0.8×
Destruction Benign Lesions Up To 14 (17110) $104.90 $283.50 0.5×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,661.58 $4,490.75 2.0×
Destruction premalignant lesion 1st (17000) $79.64 $215.25 0.4×
Dilate urethra stricture (53620) $1,310.45 $3,541.75 2.0×
Dilate urethra stricture (53621) $269.73 $729 1.1×
Dilate Urethra Stricture (53600) $254.65 $688.25 1.1×
Dilation Nasolacrimal Duct (68801) $273.99 $740.50 0.6×
Dilation of female urethra including suppository and/or instillation; initial (53660) $207.39 $560.50 1.7×
Drain hand tendon sheath (26020) $1,334.22 $3,606 0.4×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $579.70 $1,566.75 0.9×
Drain spinal cord cyst (62268) $743.05 $2,008.25 0.9×
Drain/inj small joint/bursa w/us (20604) $197.77 $534.50 0.7×
Drainage abscess/hematoma nasal int approach (30000) $326.80 $883.25 1.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $425.59 $1,150.25 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $579.70 $1,566.75 0.9×
Drainage Finger Abscess Complicated (26011) $1,468.35 $3,968.50 0.9×
Drainage Finger Abscess Simple (26010) $178.90 $483.50 0.9×
Drainage mouth roof lesion (42000) $315.33 $852.25 1.4×
Drainage of deep periurethral abscess (53040) $2,186.61 $5,909.75 0.6×
Drainage of eye (65810) $1,833.91 $4,956.50 0.8×
Drainage of eye (65800) $1,095.20 $2,960 0.5×
Drainage of eyelid abscess (67700) $264.55 $715 0.9×
Drainage of gum lesion (41800) $105.64 $285.50 0.8×
Drainage of hematoma/fluid (10140) $1,272.52 $3,439.25 0.8×
Drainage of lymph node abscess or lymphadenitis; simple (38300) $1,062.27 $2,871 0.4×
Drainage of scrotal wall abscess (55100) $1,468.35 $3,968.50 0.9×
Draw blood off venous device (36591) $46.99 $127 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $220.61 $596.25 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $162.15 $438.25 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $148.93 $402.50 0.8×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $213.86 $578 0.5×
Egd flexible foreign body removal (43247) $871.07 $2,354.25 1.0×
Egd place gastrostomy tube (43246) $1,105.28 $2,987.25 0.6×
Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) $2,386.96 $6,451.25 1.2×
Evacuation of subungual hematoma (11740) $64.29 $173.75 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,635.88 $7,124 1.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $854.98 $2,310.75 0.5×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $673.49 $1,820.25 1.0×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $463.33 $1,252.25 0.7×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $1,006.31 $2,719.75 0.6×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,383.71 $3,739.75 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,503.42 $6,766 2.2×
Exc tr-ext b9+marg 0.5 cm or less (11400) $289.06 $781.25 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,338.38 $3,617.25 0.8×
Exchange nephrostomy cath (50435) $881.16 $2,381.50 0.4×
Exchng absc/cst drg cath rad gid spx (49423) $881.16 $2,381.50 0.5×
Excision Chalazion Single (67800) $286.29 $773.75 0.9×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $1,394.16 $3,768 2.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,394.16 $3,768 2.0×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $513.38 $1,387.50 0.8×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $1,006.31 $2,719.75 0.6×
Excision of bartholin's gland or cyst (56740) $2,463.18 $6,657.25 0.8×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $1,006.31 $2,719.75 1.5×
Excision of lesion of tongue without closure (41110) $1,245.05 $3,365 0.4×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $940.45 $2,541.75 0.6×
Excision of lesion other than skin tag </= 0.5 cm (11420) $1,907.07 $5,154.25 1.2×
Excision of nail fold toe (11765) $314.32 $849.50 0.8×
Excision of pilonidal cyst or sinus; simple (11770) $2,379.93 $6,432.25 0.9×
Excision/destruction intranasal lesion int appr (30117) $1,733.17 $4,684.25 0.5×
Expl penetrating wound spx abdomen/flank/back (20102) $2,158.77 $5,834.50 1.1×
Explo/Drain Breast Abscess (19020) $1,931.68 $5,220.75 1.2×
Exploration penetrating wound spx chest (20101) $2,158.77 $5,834.50 1.1×
Exploration penetrating wound spx extremity (20103) $1,040.35 $2,811.75 0.7×
Exploration Penetrating Wound Spx Neck (20100) $543.07 $1,467.75 1.0×
Fine needle aspiration orbital contents (67415) $1,115 $3,013.50 0.5×
Fine needle aspiration without imaging guidance (10021) $191.94 $518.75 0.5×
Fixation of knee joint (27570) $1,188.07 $3,211 0.8×
Fixation of shoulder (23700) $1,854.53 $5,012.25 1.2×
Fluid pressure muscle (20950) $579.70 $1,566.75 0.9×
Fluoro exam of g/colon tube (49465) $219.78 $594 1.0×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $1,160.51 $3,136.50 0.6×
Gastric Intubation/Aspiration, Therapeutic (43753) $186.20 $503.25 0.9×
Guide Cathet Fluid Drainage (10030) $1,261.42 $3,409.25 1.9×
Hemorrhoidectomy external complete (46250) $2,503.42 $6,766 0.9×
I&d absc rtrphrngl/parapharyngeal intraoral (42720) $1,814.67 $4,904.50 0.6×
I&D Abscess Peritonsillar (42700) $369.72 $999.25 1.6×
I&d abscess simple (10060) $238.65 $645 1.2×
I&d epididymis tstis&/scrotal space (54700) $1,313.50 $3,550 0.7×
I&d perianal abscess superficial (46050) $1,410.90 $3,813.25 1.6×
I&d pilonidal cyst simple (10080) $183.71 $496.50 0.3×
I&d submucosal abscess rectum (45005) $1,318.50 $3,563.50 1.1×
Image Cath Fluid Colxn Visc (49405) $817.05 $2,208.25 0.5×
Image Cath Fluid Peri/Retro (49406) $864.04 $2,335.25 0.5×
Incision & drainage abscess complicated/multiple (10061) $313.30 $846.75 0.8×
Incision & drainage pilonidal cyst complicated (10081) $1,468.35 $3,968.50 2.2×
Incision & removal foreign body subq tiss compl (10121) $923.34 $2,495.50 0.6×
Incision & removal foreign body subq tiss simple (10120) $429.94 $1,162 1.1×
Incision and drainage of bartholin's gland abscess (56420) $79.46 $214.75 0.4×
Incision and drainage of vulva or perineal abscess (56405) $168.72 $456 0.6×
Incision of rectal abscess (46045) $1,262.35 $3,411.75 0.5×
Incision of rectal abscess (46040) $1,301.57 $3,517.75 1.1×
Incision thrombosed hemorrhoid external (46083) $186.48 $504 0.8×
Initial tx 1st degree burn local tx (16000) $86.58 $234 0.4×
Inj paravert f jnt c/t 1 lev (64490) $992.80 $2,683.25 1.2×
Inj tendon sheath/ligament (20550) $208.03 $562.25 0.7×
Inj,Anes Agent,Brachial Plexus,Single (64415) $582.84 $1,575.25 0.7×
Inj,Anes Agent,Femoral Nerve,Single (64447) $372.41 $1,006.50 0.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $642.60 $1,736.75 0.8×
Inject Nerv Blck,Axillary Nerv (64417) $545.20 $1,473.50 0.6×
Inject Nerv Blck,Celiac Plexus (64530) $342.71 $926.25 0.4×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $573.59 $1,550.25 0.8×
Inject Nerv Blck,Intercostal,One (64420) $375.27 $1,014.25 0.6×
Inject Nerv Blck,Paravert Sympath (64520) $342.71 $926.25 0.4×
Inject Rx Celiac Plexus Nerve (64680) $664.89 $1,797 0.8×
Injection aa&/strd brach plex cont nfs cath img (64416) $822.14 $2,222 1.0×
Injection aa&/strd sciatic nerve w/img gdn (64445) $854.89 $2,310.50 1.3×
Injection aa&/strd sciatic nrv cont nfs cath img (64446) $1,233.21 $3,333 1.4×
Injection aa&/strd suprascapular nerve (64418) $599.31 $1,619.75 0.9×
Injection aa&/strd trigeminal nerve each branch (64400) $227.83 $615.75 0.8×
Injection anes other peripheral nerve/branch (64450) $555.19 $1,500.50 0.8×
Injection for identification of sentinel node (38792) $503.66 $1,361.25 1.3×
Injection Rx Extremity Pseudoaneurysm (36002) $843.97 $2,281 1.4×
Injection single/mlt trigger point 1/2 muscles (20552) $263.90 $713.25 0.9×
Injection single/mlt trigger point 3/> muscles (20553) $319.77 $864.25 1.1×
Injection therapeutic carpal tunnel (20526) $212.01 $573 0.7×
Injection, anesthetic agent; greater occipital nerve (64405) $381.38 $1,030.75 1.3×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $605.69 $1,637 2.1×
Injection, intralesional; up to and including 7 lesions (11900) $159.19 $430.25 0.8×
Injx Anterior Chamber Eye Medication Spx (66030) $1,455.77 $3,934.50 0.7×
Insert Bladder Cath Complex (51703) $190.55 $515 1.5×
Insert Gastrostomy Tube Percutaneous (49440) $804.47 $2,174.25 0.4×
Insert non-tunnel cv cath (36556) $1,018.15 $2,751.75 0.3×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $1,030.45 $2,785 0.3×
Insert pessary/other device (57160) $177.42 $479.50 0.9×
Insert picc cath (36569) $1,159.86 $3,134.75 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,127.39 $3,047 0.7×
Insert Temp Bladder Cath (51702) $113.78 $307.50 0.9×
Insert tunneled cv cath (36561) $1,720.69 $4,650.50 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $103.14 $278.75 0.8×
Insertion indwelling tunneled pleural catheter (32550) $1,662.23 $4,492.50 0.5×
Insertion of cannula (36800)
unusually low: confirm this is the full procedure
$2,016.78 $5,450.75 0.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,161.15 $3,138.25 0.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure
$2,494.54 $6,742 0.3×
Interdental wiring (21497) $810.12 $2,189.50 0.5×
Intro Gastrointestinal Tube (44500) $481 $1,300 0.6×
Intubation endotracheal emergency procedure (31500) $263.53 $712.25 1.2×
Irrigate corpora cavernosa for priapism (54220) $224.59 $607 0.9×
Laryngoscopy Flexible Diagnostic (31575) $229.40 $620 1.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $447.15 $1,208.50 1.2×
Laryngoscopy Indirect Diagnostic Spx (31505) $95.83 $259 0.5×
Laryngoscopy indirect w/removal foreign body (31511) $238.65 $645 1.2×
Laryngoscopy W/Foreign Body Removal (31530) $2,423.50 $6,550 1.4×
Laryngoscopy,Direct,Diagnostic (31525) $2,256.91 $6,099.75 1.3×
Late closure of wound (13160) $2,433.40 $6,576.75 0.7×
Ligation or biopsy temporal artery (37609) $1,044.33 $2,822.50 0.7×
Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) $3,071.93 $8,302.50 1.0×
Liver Biopsy (47000) $1,141.82 $3,086 0.7×
Marsup Bartholin Gland Cyst (56440) $2,162.84 $5,845.50 0.7×
Myelography Lumbar Injection (62305) $911.87 $2,464.50 1.2×
Myelography Lumbar Injection (62304) $849.61 $2,296.25 1.1×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $690.14 $1,865.25 0.9×
Myelography via lumbar injection rs&i thoracic (62303) $715.86 $1,934.75 0.9×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $139.12 $376 0.7×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $1,258.46 $3,401.25 0.7×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $107.30 $290 0.2×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $403.02 $1,089.25 1.7×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $222.46 $601.25 0.9×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $375.64 $1,015.25 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,915.42 $7,879.50 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $992.80 $2,683.25 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $660.73 $1,785.75 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $516.89 $1,397 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $660.73 $1,785.75 1.0×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $702.35 $1,898.25 1.0×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $702.35 $1,898.25 1.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $213.86 $578 0.5×
Obstructive material removal from gi tube (49460) $714.47 $1,931 0.8×
Open treatment interphalangeal joint dislocation (28675) $1,633.64 $4,415.25 0.5×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,679.52 $4,539.25 0.5×
Open Tx Distal Phalangeal Fracture Each (26765) $2,930.49 $7,920.25 0.9×
Open tx interphalangeal joint dislocation (26785) $3,238.80 $8,753.50 1.0×
Open tx phalangeal shaft fracture prox/middle ea (26735) $1,391.29 $3,760.25 0.4×
Partial Excision Distal Phalanx Finger (26236) $767.01 $2,073 0.5×
Partical Excision Bone Phalanx Toe (28124) $1,633.64 $4,415.25 0.5×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $833.70 $2,253.25 0.6×
Perc Radiofreq Ablate Renal Tumor (50592) $6,242.27 $16,871 1.1×
Percut Drain/Inject Renal Cyst (50390) $685.43 $1,852.50 1.0×
Peritoneal Lavage (49084) $965.15 $2,608.50 1.1×
Perq dev breast 1st mr guide (19287) $803.18 $2,170.75 1.2×
Perq dev breast 1st strtctc (19283) $270.66 $731.50 0.4×
Perq dev breast 1st us imag (19285) $257.61 $696.25 0.4×
Perq device breast 1st imag (19281) $270.66 $731.50 0.2×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $1,200.74 $3,245.25 0.8×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $4,113.48 $11,117.50 2.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $6,899.39 $18,647 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $711.33 $1,922.50 1.0×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $2,318.70 $6,266.75 0.7×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $2,318.70 $6,266.75 0.7×
Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) $1,549.19 $4,187 1.2×
Placement of needle for intraosseous infusion (36680) $160.86 $434.75 0.4×
Plmt interstitial dev radiat tx prostate 1/mult (55876) $1,549.84 $4,188.75 1.2×
Plmt nephrostomy cath prq new access rs&i (50432) $2,118.25 $5,725 1.1×
Preputial Stretching (54450) $174.73 $472.25 0.7×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,773.89 $7,497 1.0×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $346.88 $937.50 0.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $633.07 $1,711 0.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $2,915.42 $7,879.50 0.8×
Puncture Aspiration (10160) $191.94 $518.75 0.5×
Puncture Aspiration Cyst Breast (19000) $305.62 $826 0.4×
Puncture/clear windpipe (31612) $2,427.76 $6,561.50 0.8×
Pvb thoracic single inj site (64461) $514.58 $1,390.75 0.8×
Reconstruction of nail bed with graft (11762) $1,694.60 $4,580 0.9×
Reduction of rectal prolapse (45900) $657.12 $1,776 0.7×
Removal fb intranasal (30300) $53.84 $145.50 0.4×
Removal foreign body foot deep (28192) $1,006.86 $2,721.25 0.6×
Removal foreign body foot subcutaneous (28190) $716.78 $1,937.25 1.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,376.49 $3,720.25 0.9×
Removal foreign body pharynx (42809) $348.36 $941.50 0.8×
Removal foreign body upper arm/elbow deep (24201) $1,647.80 $4,453.50 0.6×
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,232.95 $6,035 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $49.58 $134 0.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $56.98 $154 1.0×
Removal impacted vag fb spx w/anes oth/thn local (57415) $1,159.40 $3,133.50 0.4×
Removal Implant From Finger/Hand (26320) $1,510.80 $4,083.25 1.0×
Removal Implant Superficial Separate Procedure (20670) $1,108.06 $2,994.75 0.7×
Removal of arm foreign body (24200) $1,582.95 $4,278.25 1.0×
Removal of fixation device (20665) $348.36 $941.50 0.8×
Removal of intrauterine device (iud) (58301) $113.31 $306.25 0.4×
Removal of nail bed (11750) $503.29 $1,360.25 1.3×
Removal of salivary stone (42330) $1,805.60 $4,880 0.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $155.49 $420.25 0.8×
Removal Tunneled Intraperitoneal Catheter (49422) $2,103.36 $5,684.75 0.7×
Removal/bivalving full arm/full leg cast (29705) $235.78 $637.25 0.9×
Removal/bivalving gauntlet boot/body cast (29700) $120.07 $324.50 0.4×
Remove Eyelid Foreign Body (67938) $217.93 $589 0.7×
Remove foreign body from eye (65235) $1,206.57 $3,261 0.5×
Remove foreign body from eye (65210) $348.36 $941.50 0.8×
Remove shoulder foreign body (23330) $617.07 $1,667.75 0.4×
Remv Ext Canal F.B.,Gen Anesth (69205) $1,036.83 $2,802.25 0.7×
Remv Ext Canal Foreign Body (69200) $56.52 $152.75 0.4×
Remv F.B.,Eye,Superf Conjunc (65205) $93.70 $253.25 0.7×
Renal biopsy (50200) $1,141.82 $3,086 0.7×
Repair Blood Vessel Direct Hand Finger (35207) $2,453.56 $6,631.25 0.8×
Repair Blood Vessel Direct Upper Extremity (35206) $2,298.16 $6,211.25 0.8×
Repair blood vessel lesion (35190)
unusually low: confirm this is the full procedure
$1,880.62 $5,082.75 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $503.02 $1,359.50 0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $289.99 $783.75 0.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $200.45 $541.75 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $262.52 $709.50 0.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $314.32 $849.50 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $250.03 $675.75 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $250.03 $675.75 0.4×
Repair Extensor Tendon Finger W/Graft Each (26420) $1,492.40 $4,033.50 0.5×
Repair extensor tendon finger w/o graft each (26418) $1,922.98 $5,197.25 1.2×
Repair eyelid wound (67930) $1,154.86 $3,121.25 0.5×
Repair finger/hand tendon (26350) $1,492.40 $4,033.50 0.5×
Repair finger/hand tendon (26370) $1,627.63 $4,399 0.5×
Repair forearm tendon/muscle (25260) $3,279.59 $8,863.75 1.0×
Repair hand tendon (26410) $1,554.46 $4,201.25 1.0×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $236.25 $638.50 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $176.95 $478.25 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $176.95 $478.25 0.5×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $203.41 $549.75 0.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $159.93 $432.25 0.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $138.38 $374 0.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $312.65 $845 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $203.87 $551 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $215.62 $582.75 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $262.79 $710.25 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $375.09 $1,013.75 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $216.27 $584.50 0.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $215.62 $582.75 0.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $368.61 $996.25 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $292.58 $790.75 0.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,550.02 $4,189.25 0.8×
Repair of eye socket wound (65290) $2,963.70 $8,010 0.8×
Repair of nail bed (11760) $193.60 $523.25 0.3×
Repair of urethra injury (53502) $2,738.46 $7,401.25 0.8×
Repair of windpipe (31750) $2,894.60 $7,823.25 0.5×
Repair Tongue Laceration (41250) $132 $356.75 0.3×
Repair/graft hand tendon (26352)
likely a partial charge, not the full procedure
$1,561.12 $4,219.25 0.2×
Repair/graft hand tendon (26372) $5,703.55 $15,415 0.8×
Replace duod/jej tube perc (49451) $865.06 $2,338 1.0×
Replace g/c tube perc (49450) $872.28 $2,357.50 1.0×
Replacement gastro-jejunostomy tube percutaneous (49452) $643.89 $1,740.25 0.7×
Reposition gastrostomy tube (43761) $512.12 $1,384.12 2.1×
Reprgrmg Programmable Cerebrospinal Shunt (62252) $296.93 $802.50 1.0×
Revision of colostomy simple (44340) $1,776.74 $4,802 0.5×
Revision of penis (54435) $4,367.48 $11,804 1.3×
Revision of penis (54420) $1,609.22 $4,349.25 0.5×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,079.48 $2,917.50 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $838.33 $2,265.75 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $132.83 $359 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $110.91 $299.75 0.9×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $2,354.50 $6,363.50 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,237.28 $3,344 0.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $871.17 $2,354.50 1.4×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,063.20 $2,873.50 0.7×
Rpr blood vessel direct lower extremity (35226) $688.85 $1,861.75 1.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $365.47 $987.75 1.6×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $821.03 $2,219 3.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $605.41 $1,636.25 1.2×
Rpr Lip Full Thickness Vermilion Only (40650) $890.87 $2,407.75 1.7×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $890.87 $2,407.75 0.6×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $828.52 $2,239.25 1.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,022.72 $8,169.50 1.0×
Sclerotx Fluid Collection (49185) $1,261.42 $3,409.25 0.8×
Simple drainage of abscess of saliva gland (42300) $957.38 $2,587.50 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $191.94 $518.75 0.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $107.30 $290 0.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $125.34 $338.75 0.6×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $216.08 $584 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $136.16 $368 0.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $102.49 $277 0.5×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $223.85 $605 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $129.50 $350 0.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $275.56 $744.75 1.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $178.34 $482 0.9×
Skin sub graft face/nk/hf/g (15275) $1,192.42 $3,222.75 1.7×
Skin tissue rearrangement (14040) $2,004.20 $5,416.75 1.0×
Skn sub grft f/n/hf/g child (15277) $1,255.13 $3,392.25 0.6×
Small Bowel Endoscopy (44373) $816.96 $2,208 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $146.43 $395.75 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $201.10 $543.50 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $161.78 $437.25 0.4×
Spinal puncture lumbar diagnostic (62270) $507.55 $1,371.75 0.7×
Spinal Puncture Therapeutic (62272) $735.84 $1,988.75 1.1×
Strapping ankle (29540) $89.36 $241.50 0.6×
Strapping elbow/wrist (29260) $88.15 $238.25 1.6×
Strapping hand/finger (29280) $76.87 $207.75 1.4×
Strapping Hip (29520) $114.33 $309 0.9×
Strapping knee (29530) $93.52 $252.75 0.7×
Strapping shoulder (29240) $126.82 $342.75 1.0×
Strapping thorax (29200) $111.37 $301 0.7×
Strapping toes (29550) $78.90 $213.25 1.4×
Strapping unna boot (29580) $127.65 $345 0.8×
Subconjunctival injection (68200) $73.54 $198.75 0.2×
Suture Eyelid Wound,Full Thick (67935) $1,627.17 $4,397.75 0.7×
Suture/repair testicular injury (54670) $1,709.40 $4,620 0.5×
Ther Apheresis,Plasma Pheresis (36514) $278.70 $753.25 0.2×
Ther Apheresis,Platelets (36513) $1,317.85 $3,561.75 3.1×
Ther Apheresis,Red Blood Cells (36512) $2,015.21 $5,446.50 1.3×
Ther Apheresis,White Blood Cells (36511) $3,793.52 $10,252.75 2.5×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $483.59 $1,307 0.8×
Thoracentesis needle/cath pleura w/o imaging (32554) $761.65 $2,058.50 1.3×
Thyroid biopsy (60100) $803.18 $2,170.75 1.2×
Trach Tube Change (31502) $152.16 $411.25 0.7×
Tracheostomy emergency cricothyroid membrane (31605) $1,183.26 $3,198 5.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,242.46 $3,358 0.8×
Treat finger dislocation (26775) $1,233.58 $3,334 4.6×
Treat Fracture Radius & Ulna (25560) $141.53 $382.50 0.6×
Treat humerus fracture (24500) $197.40 $533.50 0.8×
Treat humerus fracture (23600) $132.18 $357.25 0.6×
Treat knuckle dislocation (26715) $1,437.27 $3,884.50 0.5×
Treat Metatarsal Fracture (28475) $172.88 $467.25 0.7×
Treat pleurodesis w/agent (32560) $524.57 $1,417.75 0.9×
Treat Thumb Fx/Disloc,Manip (26645) $1,314.24 $3,552 0.8×
Treat Vaginal Bleeding (57180) $142.27 $384.50 0.7×
Treat wrist bone fracture (25622) $106.38 $287.50 0.4×
Treat Wrist Bone Fracture (25630) $197.40 $533.50 0.8×
Treatment closed elbow dislocation req anes (24605) $1,066.25 $2,881.75 0.7×
Treatment closed elbow dislocation w/o anes (24600) $142.64 $385.50 0.6×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $188.05 $508.25 0.8×
Trim skin lesion (11055) $182.78 $494 0.9×
Trim skin lesions 2 to 4 (11056) $182.78 $494 0.9×
Trimming Of Nondystrophic Nails, Any Number (11719) $120.25 $325 2.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,974.25 $8,038.50 1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,226.18 $3,314 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $583.03 $1,575.75 0.8×
Tx superficial wound dehiscence w/packing (12021) $265.85 $718.50 0.7×
Unlisted procedure humerus/elbow (24999) $135.14 $365.25 0.6×
Vaginal delivery only (59409) $968.66 $2,618 0.3×
Venipuncture (36415) $8.97 $24.25 1.0×
Ventricular puncture previous burr hole w/inj (61026) $459.45 $1,241.75 0.7×
Wound Prep F/N/Hf/G (15004) $892.44 $2,412 2.3×