Procedures & surgery prices at CHI Health St. Elizabeth

Lincoln, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $726.50 $1,453 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $726.50 $1,453 0.8×
Ablation 1/> Liver Tumor Perq Cryoablation (47383)
unusually low: confirm this is the full procedure
$4,661.50 $9,323 0.4×
Ablation renal tumor unilateral perq cryotherapy (50593)
unusually low: confirm this is the full procedure
$4,972 $9,944 0.5×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) $598 $1,196 0.4×
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $5,178.50 $10,357 0.7×
Abltj 1/> lvr tum prq rf (47382)
unusually low: confirm this is the full procedure
$3,035.50 $6,071 0.5×
Acne Surgery (10040) $140.50 $281 0.7×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $2,226.50 $4,453 1.0×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $2,151 $4,302 1.0×
Amniocentesis diagnostic (59000) $451 $902 0.5×
Amniocentesis therapeutic (59001) $295 $590 0.9×
Amputate metacarpal bone (26910) $300.50 $601 0.1×
Amputation Finger/Thumb (26951) $1,236 $2,472 0.4×
Amputation of finger/thumb (26952) $1,841.50 $3,683 0.5×
Amputation toe interphalangeal joint (28825) $1,061 $2,122 0.3×
Analyze infusn pump+reprogram (62368) $671 $1,342 2.1×
Analyze spine infus pump (62367) $351 $702 1.1×
Anoscopy control bleeding (46614) $766 $1,532 0.6×
Anoscopy diagnostic (46600) $207.50 $415 1.5×
Anoscopy W/Rmvl Foreign Body (46608) $552.50 $1,105 0.6×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $187.50 $375 1.1×
Application cast elbow finger short arm (29075) $237.75 $475.50 0.8×
Application Cast Hand & Lower Forearm Gauntlet (29085) $210 $420 1.2×
Application cast shoulder hand long arm (29065) $204.50 $409 0.7×
Application finger splint static (29130) $147.50 $295 1.1×
Application Hip Spica Cast 1 Leg (29305) $513 $1,026 1.8×
Application long arm splint shoulder hand (29105) $217 $434 1.3×
Application long leg splint thigh ankle/toes (29505) $322.50 $645 1.9×
Application of hip spica cast; one and one-half spica or both legs (29325) $621 $1,242 2.1×
Application of long leg cast (29345) $226 $452 0.8×
Application Of Rigid Total Contact Leg Cast (29445) $209 $418 0.7×
Application short arm splint forearm-hand static (29125) $180.50 $361 1.3×
Application short leg splint calf foot (29515) $169.25 $338.50 1.0×
Apply multlay comprs arm/hand (29584) $172.50 $345 1.0×
Apply short leg cast (29405) $210.50 $421 0.7×
Arterial puncture (36600) $127.50 $255 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $204 $408 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $469.50 $939 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $306 $612 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $469.50 $939 1.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $182 $364 0.6×
Aspir/inj thyroid cyst (60300) $578 $1,156 0.8×
Aspirat/Injection Ganglion Cyst(S) (20612) $303.50 $607 1.0×
Aspiration Bladder Insert Suprapubic Catheter (51102) $1,330 $2,660 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $323 $646 1.6×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure
$2,467 $4,934 0.4×
Biliary Endoscopy Percut,Dil Strict (47555)
likely a partial charge, not the full procedure
$1,975 $3,950 0.3×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure
$393 $786 0.0×
Biopsy Bone Open Deep (20245) $1,427 $2,854 0.5×
Biopsy bone open superficial (20240) $2,162 $4,324 0.7×
Biopsy bone trocar/needle deep (20225) $1,740.50 $3,481 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,656 $3,312 1.0×
Biopsy external ear (69100) $182 $364 0.7×
Biopsy muscle percutaneous needle (20206) $1,012.50 $2,025 0.6×
Biopsy of floor of mouth (41108) $812 $1,624 0.5×
Biopsy of uterus lining (58100) $204.50 $409 1.0×
Biopsy Pancrea Percutaneous Needle (48102) $752.50 $1,505 0.4×
Biopsy pleura percutaneous needle (32400) $750 $1,500 0.4×
Biopsy Salivary Gland,Needle (42400) $700.50 $1,401 1.0×
Biopsy Spinal Cord Percutaneous Needle (62269) $1,328.50 $2,657 0.8×
Bl exchange/transfuse nb (36450) $265 $530 0.6×
Bl push transfuse 2 yr/< (36440) $1,704 $3,408 3.7×
Bladder Irrigation Simple (51700) $168.50 $337 0.6×
Bladder Scan (51798) $54 $108 0.9×
Blood patch (62273) $522 $1,044 0.7×
Blood transfusion service (36430) $646.50 $1,293 1.4×
Bone marrow aspiration only (38220) $1,177.50 $2,355 0.7×
Bone Marrow Biopsy (38221) $1,291 $2,582 0.8×
Brain Shunt Tube/Reserv Injectn (61070) $375 $750 0.5×
Brnchsc Brushing/Protected Brushings (31623) $1,051 $2,102 0.6×
Bronch ebus samplng 1/2 node (31652) $2,366 $4,732 0.6×
Bronch ebus samplng 3/> node (31653) $2,414.50 $4,829 0.6×
Bronchosc dx w/w/o fluor&wash (31622) $1,446 $2,892 0.8×
Bronchoscopy needle bx trachea main stem&/bron (31629) $1,919 $3,838 0.5×
Bronchoscopy W/Placement Tracheal Stent (31631)
unusually low: confirm this is the full procedure
$2,948 $5,896 0.4×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $1,323 $2,646 0.7×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $1,262 $2,524 3.1×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,389.50 $4,779 0.6×
Bronchoscopy,Diagnostic W Lavage (31624) $1,529 $3,058 0.8×
Bx abdl/retroperitoneal mass prq needle (49180) $1,178 $2,356 0.7×
Bx breast 1st lesion mr imag (19085) $2,347 $4,694 1.4×
Bx breast 1st lesion strtctc (19081) $2,814.25 $5,628.50 1.6×
Bx breast 1st lesion us imag (19083) $1,585.50 $3,171 0.9×
Bx/exc lymph node needle superficial (38505) $991.50 $1,983 0.6×
Catheter Aspiration Nasotracheal Spx (31720) $38 $76 0.2×
Cessj Therapy Cath Removal (37214) $3,099 $6,198 0.9×
Change Cystostomy Tube Complicated (51710) $601.50 $1,203 0.8×
Change Cystostomy Tube Simple (51705) $180.50 $361 0.7×
Change g-tube to g-j perc (49446) $931 $1,862 0.5×
Change Ureter Stent, Percut (50382) $2,957 $5,914 1.4×
Chemical Cautery Tissue (17250) $172.50 $345 0.8×
Chest tube placement (32551) $636.25 $1,272.50 0.4×
Chg Collect Blood From Catheter Venous Nos (36592) $88.25 $176.50 0.6×
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $987 $1,974 0.5×
Cholecystostomy,Percutaneous, Complete (47490) $1,643.50 $3,287 0.4×
Circumcision (54150) $164.50 $329 0.1×
Close Rx Fingr Articular Fx,Manip (26742) $1,449.50 $2,899 0.9×
Closed Rx Humer Epicondylr Fx,Manip (24565) $1,593.50 $3,187 1.0×
Closed Rx Humeral Supracondylar Fx (24530) $183 $366 0.7×
Closed Rx Mandible Fx+Manipulatn (21451) $383 $766 0.2×
Closed Rx Med Malleolus Fx,Manip (27762) $888.50 $1,777 0.5×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $204.50 $409 0.1×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,488.50 $2,977 0.9×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $1,467 $2,934 0.9×
Closed Treatment Coccygeal Fracture (27200) $133 $266 0.5×
Closed treatment nasal fracture w/stabilization (21320) $1,466.50 $2,933 0.4×
Closed treatment of broken top of shin bone at knee (27538) $176 $352 0.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $165 $330 0.6×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $191 $382 0.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $255 $510 1.0×
Closed treatment pst malleolus fracture w/manj (27768) $320 $640 0.2×
Closed Treatment Sesamoid Fracture (28530) $176 $352 0.7×
Closed Treatment Sternum Fracture (21820) $119.50 $239 0.5×
Closed Treatment Ulnar Styloid Fracture (25650) $227.50 $455 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $254 $508 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,167 $2,334 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $411.50 $823 1.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $389.50 $779 0.2×
Closed tx nasal fracture w/o stabilization (21315) $1,132.50 $2,265 0.7×
Closed tx patellar dislocation w/o anesthesia (27560) $281 $562 1.1×
Closed tx patellar fracture w/o manipulation (27520) $373 $746 1.5×
Closed tx radial head/neck fx w/manipulation (24655) $1,537 $3,074 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $1,267.50 $2,535 0.8×
Closed tx septal&nose fx (21337) $1,528.50 $3,057 0.4×
Closed tx talotarsal joint dislc w/o anes (28570) $176 $352 0.7×
Closed Tx Talus Fracture W/Manipulation (28435) $212.50 $425 0.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $132 $264 0.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,569 $3,138 0.9×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $240 $480 1.0×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $640 $1,280 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,617 $3,234 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $419 $838 1.6×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $336.50 $673 1.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $302.50 $605 1.2×
Cltx dstl fibular fx lat malls w/manj (27788) $231.50 $463 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $173.50 $347 0.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $422.50 $845 1.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $667 $1,334 0.4×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,636 $3,272 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $888.50 $1,777 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $304.50 $609 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $234.50 $469 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,109.50 $2,219 0.7×
Cltx grter humeral tuberosity fx w/manipulation (23625) $1,927.50 $3,855 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $242 $484 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $261.50 $523 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $150.50 $301 0.6×
Cltx metacarpal fx w/manipulation each bone (26605) $472.50 $945 1.8×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $217 $434 0.8×
Cltx metatarsophlngl jt dislc w/o anes (28630) $246 $492 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $421.50 $843 1.6×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $962.50 $1,925 0.6×
Cltx post hip arthrp dislc w/o anes (27265) $204.50 $409 0.8×
Cltx prox tibfib jt dislc w/o anes (27830) $176 $352 0.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $347.50 $695 1.4×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $190.50 $381 0.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,874.50 $3,749 1.1×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $176 $352 0.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $154 $308 0.6×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,321 $2,642 0.8×
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $134.50 $269 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,367.50 $2,735 0.8×
Colporrhaphy suture injury vagina (57200) $1,423.50 $2,847 0.4×
Complete replacement picc rs&i (36584) $832 $1,664 0.5×
Complex Drainage, Wound (10180) $1,669.50 $3,339 0.6×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $274.50 $549 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $169.50 $339 1.2×
Control Nasal Hemorrhage Anterior Simple (30901) $247.50 $495 1.8×
Control Oropharyngeal Hemorrhage Simple (42960) $154.50 $309 0.3×
Conversion ext bil drg cath (47535) $1,905.50 $3,811 0.5×
Convert nephrostomy catheter (50434) $1,610.50 $3,221 0.7×
Cordocentesis (59012) $336.50 $673 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,257 $2,514 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $547.50 $1,095 4.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $199.50 $399 0.8×
Cystourethroscopy (52000) $872.50 $1,745 1.2×
Cystourethroscopy W/Irrig & Evac Clots (52001) $1,515.50 $3,031 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $414.50 $829 1.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,220 $2,440 0.4×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $847 $1,694 1.2×
Debride nail 1-5 (11720) $105.50 $211 1.7×
Debride nail 6 or more (11721) $71.50 $143 1.2×
Debride skin musc at fx site (11011) $1,191.50 $2,383 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $783.50 $1,567 1.9×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $790.50 $1,581 1.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,375.50 $2,751 0.8×
Declot vascular device (36593) $281.50 $563 0.8×
Delivery placenta separate procedure (59414) $1,684.50 $3,369 0.5×
Destroy cerv/thor facet jnt (64633) $1,797 $3,594 0.9×
Destruction by neurolytic agent, intercostal nerve (64620) $3,907 $7,814 4.3×
Destruction neurolytic agt genicular nerve w/img (64624) $1,566.50 $3,133 0.8×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) $564 $1,128 0.7×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) $1,224 $2,448 0.6×
Destruction of skin lesions (17106) $406 $812 1.0×
Destruction premalignant lesion 1st (17000) $132.50 $265 0.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $674 $1,348 0.9×
Dil urethra,female,subsequent (53661) $132.50 $265 1.0×
Dilate urethra stricture (53620) $445.50 $891 0.6×
Dilate urethra stricture (53621) $212 $424 0.8×
Dilation of female urethra including suppository and/or instillation; initial (53660) $126.50 $253 0.9×
Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) $144.50 $289 1.0×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $3,035.50 $6,071 1.6×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $719.50 $1,439 1.0×
Drain/inj small joint/bursa w/us (20604) $298 $596 0.9×
Drainage Abscess/Hematoma Nasal Septum (30020) $415.50 $831 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $279.50 $559 0.4×
Drainage Finger Abscess Complicated (26011) $1,041.50 $2,083 0.6×
Drainage Finger Abscess Simple (26010) $274.50 $549 1.3×
Drainage mouth roof lesion (42000) $293.50 $587 1.2×
Drainage of deep periurethral abscess (53040) $2,737.50 $5,475 0.7×
Drainage of eye (65800) $1,145.50 $2,291 0.5×
Drainage of eyelid abscess (67700) $303.50 $607 0.9×
Drainage of gum lesion (41800) $194 $388 1.4×
Drainage of hematoma/fluid (10140) $877 $1,754 0.5×
Drainage of mouth lesion (41017) $864 $1,728 0.3×
Drainage of ovarian cyst(s) (58800) $1,951 $3,902 0.6×
Drainage of scrotal wall abscess (55100) $1,408 $2,816 0.8×
Draw blood off venous device (36591) $110.50 $221 0.8×
Dressing change under anesthesia (15852) $424 $848 0.6×
Drg absc cst hmtma vestibule mouth comp (40801) $191 $382 0.3×
Drg privesical/prevesical space absc (51080) $2,185 $4,370 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $396.50 $793 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $315.50 $631 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $176.75 $353.50 0.8×
Dstrj les/scar vestibule mouth physical meths (40820) $92 $184 0.0×
Dstrj lesion anus simple chemical (46900) $92.50 $185 0.2×
Dx bone marrow bx & aspir (38222) $263.50 $527 0.1×
Egd flexible foreign body removal (43247) $1,357.50 $2,715 1.4×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $564 $1,128 1.8×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $15,492 $30,984 1.3×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $2,762.50 $5,525 0.8×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,886 $5,772 0.9×
Endoven ther chem adhes 1st (36482) $3,638.50 $7,277 0.6×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $941.50 $1,883 0.4×
Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) $1,553 $3,106 0.4×
Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) $2,607 $5,214 1.2×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,607 $5,214 1.2×
Episiotomy or vaginal repair (59300) $1,984.50 $3,969 0.6×
Ercp w/sphincterotomy/papillotomy (43262) $2,397 $4,794 0.6×
Escharotomy initial incision (16035) $336.50 $673 0.8×
Evacuation of subungual hematoma (11740) $69 $138 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,220 $2,440 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $719 $1,438 1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,269 $2,538 0.7×
Exc frenum labial/buccal (40819) $1,147 $2,294 0.7×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $810 $1,620 1.1×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $252.50 $505 0.6×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $496 $992 0.7×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $1,269 $2,538 0.7×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $1,116 $2,232 0.7×
Exc Skin Benig >4 Cm Face,Facial (11446) $1,958 $3,916 0.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,743.50 $3,487 1.0×
Exc tr-ext b9+marg 0.5 cm or less (11400) $496 $992 0.7×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,905.50 $3,811 0.5×
Exchange nephrostomy cath (50435) $1,795.75 $3,591.50 0.8×
Exchng absc/cst drg cath rad gid spx (49423) $1,002.25 $2,004.50 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $633.50 $1,267 1.5×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $195.50 $391 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $100 $200 0.0×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $547 $1,094 0.7×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $734.50 $1,469 1.0×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $511 $1,022 0.3×
Excision of lesion other than skin tag </= 0.5 cm (11420) $512 $1,024 0.3×
Excision of nail fold toe (11765) $212.50 $425 0.5×
Excision of vaginal cyst or tumor (57135) $5,050.50 $10,101 1.5×
Excision, nasal polyp(s), simple (30110) $850.50 $1,701 0.5×
External Cephalic Version (59412) $2,215.50 $4,431 0.7×
Fetal Contraction Stress Test (59020) $136.50 $273 0.7×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $644 $1,288 2.0×
Fetal non-stress test (59025) $157.50 $315 0.8×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $551 $1,102 0.7×
Fine needle aspiration without imaging guidance (10021) $226 $452 0.5×
Fixation of knee joint (27570) $1,155.50 $2,311 0.7×
Fluid pressure muscle (20950) $843.50 $1,687 1.1×
Fluoro exam of g/colon tube (49465) $160.50 $321 0.6×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,306 $2,612 0.6×
Gastric Intubation/Aspiration, Therapeutic (43753) $297 $594 1.3×
Guide Cathet Fluid Drainage (10030) $2,127 $4,254 2.9×
Hemiphalangectomy/interphalangeal joint exc toe (28160) $1,869 $3,738 0.6×
I&D Abscess Peritonsillar (42700) $260.50 $521 1.1×
I&d abscess simple (10060) $246 $492 1.2×
I&d epididymis tstis&/scrotal space (54700) $290.50 $581 0.1×
I&d perianal abscess superficial (46050) $551.50 $1,103 0.6×
I&d pilonidal cyst simple (10080) $382.50 $765 0.5×
I&D Upper Arm/Elbow Bursa (23931) $1,268.50 $2,537 0.7×
Image Cath Fluid Colxn Visc (49405) $2,125.50 $4,251 1.2×
Image Cath Fluid Peri/Retro (49406) $2,726 $5,452 1.6×
Incision & drainage abscess complicated/multiple (10061) $428 $856 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,823.50 $3,647 0.6×
Incision & drainage pilonidal cyst complicated (10081) $764.50 $1,529 1.0×
Incision & removal foreign body subq tiss compl (10121) $1,917 $3,834 1.1×
Incision & removal foreign body subq tiss simple (10120) $461 $922 1.1×
Incision and drainage of bartholin's gland abscess (56420) $136.50 $273 0.7×
Incision and drainage of vulva or perineal abscess (56405) $165 $330 0.5×
Incision bone cortex foot (28005) $2,024 $4,048 0.6×
Incision of lingual frenum (41010) $1,007.50 $2,015 0.6×
Incision of rectal abscess (46040) $1,198 $2,396 1.0×
Incision thrombosed hemorrhoid external (46083) $337 $674 1.3×
Incisional biopsy skin single lesion (11106) $578.50 $1,157 0.8×
Initial tx 1st degree burn local tx (16000) $132.50 $265 0.6×
Inj paravert f jnt c/t 1 lev (64490) $1,353.50 $2,707 1.5×
Inj,Anes Agent,Femoral Nerve,Single (64447) $880.50 $1,761 1.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,201 $2,402 1.3×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $316.50 $633 1.0×
Inject Nerv Blck,Celiac Plexus (64530) $1,399.50 $2,799 1.5×
Inject Nerv Blck,Intercost,Multpl (64421) $793.50 $1,587 0.9×
Inject Nerv Blck,Intercostal,One (64420) $797.50 $1,595 1.1×
Inject Nerv Blck,Pudendal (64430) $675.50 $1,351 0.7×
Inject Rx Celiac Plexus Nerve (64680) $1,183.50 $2,367 1.3×
Inject Sinus Tract Theraputic (20500) $515.50 $1,031 0.3×
Inject Tendon Origin/Insert (20551) $247.50 $495 0.8×
Injection aa&/strd genicular nrv branches w/img (64454) $569.50 $1,139 0.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $542.50 $1,085 0.7×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,086.50 $2,173 1.5×
Injection aa&/strd trigeminal nerve each branch (64400) $417.50 $835 1.3×
Injection anes other peripheral nerve/branch (64450) $529 $1,058 0.7×
Injection Anes Superior Hypogastric Plexus (64517) $77.50 $155 0.1×
Injection for identification of sentinel node (38792) $475 $950 1.1×
Injection Rx Extremity Pseudoaneurysm (36002) $520 $1,040 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $208 $416 0.7×
Injection(s) spider veins (36468) $1,076.50 $2,153 2.6×
Injection, anesthetic agent; greater occipital nerve (64405) $389 $778 1.2×
Injection, Intralesional; More Than 7 Lesions (11901) $186 $372 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $140.50 $281 0.7×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,877 $3,754 2.0×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $572.50 $1,145 0.6×
Ins cath ren art 1st bilat (36252) $2,544 $5,088 0.8×
Ins cath ren art 1st unilat (36251) $2,317 $4,634 0.7×
Ins cath ren art 2nd+ bilat (36254) $3,093.50 $6,187 0.9×
Ins cath ren art 2nd+ unilat (36253) $6,444.50 $12,889 1.1×
Ins endovas vena cava filtr (37191) $6,144.50 $12,289 1.1×
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) $7,746.50 $15,493 0.7×
Ins Pm Pls Gen W/Exist Single Lead (33212) $7,823.50 $15,647 0.9×
Ins vag brachytx device (57156) $256 $512 0.8×
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure
$5,510.50 $11,021 0.2×
Insert 1 electrode pm-defib (33216)
likely a partial charge, not the full procedure
$389 $778 0.0×
Insert Bladder Cath Complex (51703) $189.50 $379 1.4×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,460.50 $2,921 1.2×
Insert cervical dilator (59200) $228.50 $457 0.7×
Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) $2,086.50 $4,173 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $1,605 $3,210 0.8×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure
$1,619 $3,238 0.1×
Insert non-tunnel cv cath (36556) $855.50 $1,711 0.3×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $2,080.50 $4,161 0.6×
Insert picc cath (36569) $1,456 $2,912 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $757 $1,514 0.5×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure
$6,685.50 $13,371 0.3×
Insert Temp Bladder Cath (51702) $74 $148 0.5×
Insert tun ip cath perc (49418) $3,336.50 $6,673 0.9×
Insert tunneled cv cath (36561) $2,172 $4,344 0.7×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure
$1,231.50 $2,463 0.2×
Insert,Non-Indwelling Bladder Catheter (51701) $114 $228 0.8×
Insertion indwelling tunneled pleural catheter (32550) $1,890.50 $3,781 0.5×
Insertion of defibrillator electrode (33271) $5,865.50 $11,731 0.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $786.50 $1,573 0.5×
Insertion picc w/rs&i < 5 yr (36572) $582.50 $1,165 0.9×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
likely a partial charge, not the full procedure
$284 $568 0.1×
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) $25,581 $51,162 1.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,591.50 $5,183 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,003.50 $6,007 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure
$3,253.50 $6,507 0.4×
Insrt pulse gen w/dual leads (33230) $22,761 $45,522 1.0×
Insrt pulse gen w/mult leads (33231) $22,761 $45,522 0.7×
Intraoral i&d tongue/floor submndblr space (41008) $2,780.50 $5,561 0.8×
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $1,133 $2,266 0.7×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $6,459 $12,918 0.5×
Intro cath dialysis circuit w/trluml balo angiop (36902) $5,666 $11,332 1.0×
Intro Gastrointestinal Tube (44500) $1,031.50 $2,063 1.1×
Intubation endotracheal emergency procedure (31500) $386.25 $772.50 1.6×
Irrigate corpora cavernosa for priapism (54220) $165 $330 0.6×
Laryngoscopy Direct Aspiration (31515) $301.50 $603 0.7×
Laryngoscopy Flexible Diagnostic (31575) $281 $562 1.4×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $769.50 $1,539 1.9×
Laryngoscopy Indirect Diagnostic Spx (31505) $142 $284 0.7×
Laryngoscopy,Direct,Diagnostic (31525) $1,167.50 $2,335 0.6×
Late closure of wound (13160) $347 $694 0.1×
Liver Biopsy (47000) $1,293 $2,586 0.8×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,252 $2,504 0.8×
Mech remov pericath obstr cv dev via ven access (36595) $366.50 $733 0.1×
Myelography Lumbar Injection (62305) $1,299.50 $2,599 1.6×
Myelography Lumbar Injection (62304) $1,299.50 $2,599 1.6×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $720.50 $1,441 0.9×
Myelography via lumbar injection rs&i thoracic (62303) $680 $1,360 0.8×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $669 $1,338 3.2×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $228.50 $457 0.1×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $257 $514 0.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $162 $324 0.4×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $219 $438 0.8×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,238.50 $4,477 0.6×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $428.50 $857 0.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,353.50 $2,707 1.5×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $883 $1,766 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,044 $2,088 1.4×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $2,843 $5,686 3.9×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $2,843 $5,686 3.9×
Njx Sclrsnt 1 Incmptnt Vein (36470) $316 $632 0.7×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $202.50 $405 0.5×
Obstructive material removal from gi tube (49460) $401.50 $803 0.4×
Open thrombect av fistula (36831) $3,607.50 $7,215 0.6×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $348 $696 0.1×
Open Tx Distal Phalangeal Fracture Each (26765) $2,348.50 $4,697 0.7×
Open tx interphalangeal joint dislocation (26785) $2,003 $4,006 0.6×
Open/Perq Place Stent Same (37238) $7,359 $14,718 0.6×
Open/Perq Placement Intravascular Stent Initial (37236) $6,373.50 $12,747 0.5×
Partial Excision Distal Phalanx Finger (26236) $1,808 $3,616 1.1×
Partial Removal Foot Fascia (28060) $1,574.50 $3,149 0.5×
Partical Excision Bone Phalanx Toe (28124) $1,808 $3,616 0.5×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $122.50 $245 0.1×
Percut Cath Occlusn Non Cns Lesn (61626) $9,778 $19,556 0.8×
Percut Drain/Inject Renal Cyst (50390) $562.50 $1,125 0.8×
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure
$5,746.50 $11,493 0.5×
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,654.50 $9,309 1.4×
Percutaneous diskectomy (62287) $306.50 $613 0.2×
Pericardiocentesis W/Imaging (33016) $372.50 $745 0.2×
Peritoneal Lavage (49084) $642 $1,284 0.7×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$2,200.50 $4,401 0.1×
Perq dev breast 1st mr guide (19287) $860.50 $1,721 1.2×
Perq dev breast 1st strtctc (19283) $1,195 $2,390 1.6×
Perq dev breast 1st us imag (19285) $1,082.50 $2,165 1.5×
Perq device breast 1st imag (19281) $1,032.50 $2,065 0.6×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $1,434 $2,868 0.9×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $444.50 $889 0.2×
Perq replacement gtube not req revj gstrst trc (43762) $285 $570 1.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $406.50 $813 0.6×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)
unusually low: confirm this is the full procedure
$8,385.50 $16,771 0.4×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $7,592.50 $15,185 0.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $3,966 $7,932 0.7×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $6,448.50 $12,897 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,086.50 $14,173 0.9×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $2,660.50 $5,321 0.8×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $2,660.50 $5,321 0.8×
Photopheresis, extracorporeal (36522) $4,517.50 $9,035 1.0×
Place Cath Subclavian Art (36225) $2,808 $5,616 0.9×
Place Cath Thoracic Aorta (36221) $2,808 $5,616 0.9×
Place Cath Vertebral Art (36226) $3,691.50 $7,383 0.6×
Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) $712 $1,424 0.5×
Placement of needle for intraosseous infusion (36680) $442.50 $885 1.0×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $4,893.50 $9,787 0.7×
Plmt Bile Duct Stent Prq Existing Access (47538)
unusually low: confirm this is the full procedure
$2,909 $5,818 0.5×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
unusually low: confirm this is the full procedure
$2,909 $5,818 0.5×
Plmt bile duct stent prq new access w/sep cath (47540)
unusually low: confirm this is the full procedure
$2,909 $5,818 0.5×
Plmt interstitial dev radiat tx prostate 1/mult (55876) $2,086 $4,172 1.5×
Plmt nephrostomy cath prq new access rs&i (50432) $1,732 $3,464 0.8×
Plmt nephroureteral cath prq new access rs&i (50433) $1,717.50 $3,435 0.5×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $2,843 $5,686 0.8×
Plmt urtrl stent prq pre-existing nfros tract (50693) $2,028 $4,056 0.6×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,843 $5,686 0.8×
Preputial Stretching (54450) $180.50 $361 0.7×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure
$8,127.50 $16,255 0.4×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $1,763.50 $3,527 0.6×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $915 $1,830 0.9×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $322.50 $645 0.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $1,313.50 $2,627 0.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $1,313.50 $2,627 0.4×
Punch biopsy skin single lesion (11104) $306.50 $613 0.7×
Puncture Aspiration (10160) $223.50 $447 0.5×
Puncture Aspiration Cyst Breast (19000) $420 $840 0.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,492 $2,984 0.7×
Rem endovas vena cava filter (37193) $5,100 $10,200 1.6×
Removal biliary drg cath (47537) $1,905.50 $3,811 2.0×
Removal fb intranasal (30300) $170.50 $341 1.2×
Removal Foreign Body Deep Thigh/Knee (27372) $1,446 $2,892 0.5×
Removal Foreign Body Foot Complicated (28193) $516.50 $1,033 0.3×
Removal foreign body foot deep (28192) $1,414.50 $2,829 0.8×
Removal foreign body foot subcutaneous (28190) $616.50 $1,233 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $872 $1,744 0.5×
Removal foreign body pharynx (42809) $377.50 $755 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $88.25 $176.50 1.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $61.50 $123 1.0×
Removal impacted vag fb spx w/anes oth/thn local (57415) $708.50 $1,417 0.2×
Removal Implantable Defib Pulse Generator Only (33241) $1,553 $3,106 0.4×
Removal of arm foreign body (24200) $789.50 $1,579 0.5×
Removal of heel spur (28119) $1,574.50 $3,149 0.5×
Removal of indwelling tunneled pleural catheter with cuff (32552) $520 $1,040 0.8×
Removal of infusion pump (36262) $4,125 $8,250 1.1×
Removal of intrauterine device (iud) (58301) $208.50 $417 0.7×
Removal of nail bed (11750) $280.50 $561 0.7×
Removal of salivary stone (42335) $1,912 $3,824 0.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $196.50 $393 0.9×
Removal Tunneled Intraperitoneal Catheter (49422) $4,535.50 $9,071 1.4×
Removal/bivalving full arm/full leg cast (29705) $150 $300 0.5×
Removal/bivalving gauntlet boot/body cast (29700) $182 $364 0.6×
Remove foreign body from eye (65210) $170.50 $341 0.4×
Remove intrvas foreign body (37197) $2,545 $5,090 0.8×
Remove renal tube w/fluoro (50389) $462 $924 0.6×
Remove shoulder foreign body (23330) $681.50 $1,363 0.4×
Remove Ureter Stent, Percut (50384) $1,338.50 $2,677 0.6×
Remv Ext Canal Foreign Body (69200) $148.50 $297 1.1×
Remv F.B.,Eye,Superf Conjunc (65205) $264 $528 1.9×
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure
$8,165 $16,330 0.4×
Renal biopsy (50200) $1,331 $2,662 0.8×
Reopen Fallopian Tube,Transcerv Cath (58345) $708.50 $1,417 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $444.50 $889 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $484 $968 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $285.50 $571 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $623.50 $1,247 1.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $412 $824 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $435 $870 1.0×
Repair complex trunk 1.1-2.5 cm (13100) $438.50 $877 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $510.50 $1,021 0.7×
Repair elbow perc (24357) $2,369 $4,738 0.7×
Repair extensor tendon finger w/o graft each (26418) $1,230.50 $2,461 0.7×
Repair finger/hand tendon (26350) $2,512.50 $5,025 0.7×
Repair forearm tendon/muscle (25270) $2,421.50 $4,843 0.7×
Repair forearm tendon/muscle (25260) $2,590.50 $5,181 0.8×
Repair hand tendon (26410) $1,504 $3,008 0.9×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $561 $1,122 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $356.50 $713 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $488 $976 1.2×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $595.50 $1,191 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $527 $1,054 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $541.50 $1,083 1.3×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $639.50 $1,279 1.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $378 $756 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $293 $586 0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $316.50 $633 0.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $331.50 $663 0.4×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $513 $1,026 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $584 $1,168 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $334.50 $669 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $549 $1,098 1.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $903.50 $1,807 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $524.50 $1,049 1.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $933.50 $1,867 0.4×
Repair Laceration Palate </2 Cm (42180) $342.50 $685 0.6×
Repair lead pace-defib dual (33220) $2,369 $4,738 0.6×
Repair lead pace-defib one (33218) $1,553 $3,106 0.4×
Repair Of Foot Tendon (28208) $844 $1,688 0.2×
Repair of nail bed (11760) $194 $388 0.3×
Repair salivary duct (42505)
unusually low: confirm this is the full procedure
$2,700 $5,400 0.4×
Repair Tongue Laceration (41250) $136.50 $273 0.3×
Replace duod/jej tube perc (49451) $1,273 $2,546 1.4×
Replace g/c tube perc (49450) $417.50 $835 0.4×
Replacement gastro-jejunostomy tube percutaneous (49452) $963 $1,926 1.0×
Repos Previously Implanted Subq Implantable Dfb (33273) $2,208.50 $4,417 0.6×
Reposition gastrostomy tube (43761) $371.50 $743 1.4×
Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) $3,932.50 $7,865 1.2×
Resection, condyle(s), distal end of phalanx, each toe (28153) $2,024 $4,048 0.6×
Revision of tips (37183) $8,397.50 $16,795 1.4×
Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) $1,925 $3,850 0.9×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,436 $4,872 1.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $129 $258 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $280 $560 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $291.50 $583 2.1×
Rmvl of subq defibrillator (33272) $4,136.50 $8,273 1.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $544.50 $1,089 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $544.50 $1,089 0.8×
Rplcmt cath ctr vad subq port/pmp (36578) $2,173.50 $4,347 0.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $832 $1,664 0.5×
Rplcmt compl tun ctr vad w/subq port (36582) $3,558.50 $7,117 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,471 $4,942 0.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,153.50 $4,307 1.3×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $445.50 $891 0.6×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $579 $1,158 2.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $647.50 $1,295 1.2×
Rpr Lip Full Thickness Vermilion Only (40650) $647.50 $1,295 1.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $853.50 $1,707 0.5×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $780.50 $1,561 1.2×
Rpsg previously placed cvc under fluor gdnce (36597) $891 $1,782 0.5×
Sclerotx Fluid Collection (49185) $2,843 $5,686 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $175 $350 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $205 $410 1.0×
Simple biopsy of growth of throat behind nose (42804) $402.50 $805 0.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $349 $698 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $231 $462 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $226.75 $453.50 1.1×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $362.50 $725 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $249.25 $498.50 1.2×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $323.50 $647 1.6×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $409 $818 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $171.25 $342.50 0.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $286 $572 1.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $240.50 $481 1.2×
Skin pinch graft (15050) $465 $930 0.6×
Skin splt grft trnk/arm/leg (15100) $2,155 $4,310 1.0×
Skin sub graft face/nk/hf/g (15275) $1,270.50 $2,541 1.7×
Skin sub graft trnk/arm/leg (15271) $1,270.50 $2,541 1.7×
Skin Sub Grft T/Arm/Lg Child (15273) $2,198 $4,396 1.0×
Skin Tissue Procedure (17999) $107.50 $215 0.5×
Skin tissue rearrangement (14040) $2,854 $5,708 1.3×
Skn sub grft f/n/hf/g child (15277) $1,270.50 $2,541 0.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
unusually low: confirm this is the full procedure
$2,808 $5,616 0.5×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $2,808 $5,616 0.9×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $4,406.50 $8,813 0.8×
Slitting of prepuce (54001) $2,086 $4,172 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $198.50 $397 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $255 $510 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $271.50 $543 0.6×
Spinal puncture lumbar diagnostic (62270) $519 $1,038 0.7×
Spinal Puncture Therapeutic (62272) $461.50 $923 0.6×
Strapping ankle (29540) $127.50 $255 0.8×
Strapping elbow/wrist (29260) $152.50 $305 2.5×
Strapping hand/finger (29280) $166.50 $333 2.7×
Strapping knee (29530) $71.50 $143 0.5×
Strapping shoulder (29240) $264 $528 1.9×
Strapping toes (29550) $61 $122 1.0×
Strapping unna boot (29580) $119 $238 0.7×
Suture Eyelid Wound,Full Thick (67935) $2,571 $5,142 1.0×
Suture facial nerve extracranial (64864)
likely a partial charge, not the full procedure
$1,096 $2,192 0.1×
Tangential biopsy skin single lesion (11102) $144.50 $289 0.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,354.50 $2,709 0.8×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $1,199 $2,398 0.7×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,077 $4,154 1.2×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $3,813.50 $7,627 0.8×
Ther Apheresis,Plasma Pheresis (36514) $2,095.75 $4,191.50 1.3×
Ther Apheresis,Platelets (36513) $309 $618 0.7×
Therapeutic pneumothorax (32960) $481.50 $963 0.7×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $569.50 $1,139 0.8×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $539.50 $1,079 0.8×
Thoracentesis needle/cath pleura w/o imaging (32554) $518 $1,036 0.8×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $3,099 $6,198 0.9×
Thrombolytic Art Therapy (37211) $3,162 $6,324 0.5×
Thrombolytic Therapy, Stroke (37195) $309.50 $619 0.9×
Thrombolytic Venous Therapy (37212) $3,162 $6,324 1.0×
Thyroid biopsy (60100) $776 $1,552 1.1×
Trach Tube Change (31502) $131 $262 0.5×
Tracheobrnchsc Thru Est Trachs Inc (31615) $241 $482 0.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $891 $1,782 0.6×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $331 $662 1.0×
Transfusion intrauterine fetal (36460) $596 $1,192 1.3×
Treat humerus fracture (24577) $1,547.50 $3,095 0.9×
Treat pleurodesis w/agent (32560) $481.50 $963 0.7×
Treat Vaginal Bleeding (57180) $249 $498 1.2×
Treatment closed elbow dislocation w/o anes (24600) $437 $874 1.7×
Trim skin lesion (11055) $139.25 $278.50 0.7×
Trim skin lesions 2 to 4 (11056) $165 $330 0.8×
Trim skin lesions over 4 (11057) $298.50 $597 1.4×
Trimming Of Nondystrophic Nails, Any Number (11719) $101.25 $202.50 1.7×
Trlml balo angiop open/perq img s&i 1st art (37246) $5,270.50 $10,541 0.9×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $5,861 $11,722 1.0×
Trnsplj allogeneic hematopoietic cells per donor (38240)
unusually low: confirm this is the full procedure
$25,725 $51,450 0.4×
Trnsplj autologous hematopoietic cells per donor (38241) $1,034 $2,068 0.6×
Trurl drainage prostatic abscess (52700) $2,693 $5,386 0.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,440 $2,880 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $398 $796 0.5×
Tx superficial wound dehiscence w/packing (12021) $305.50 $611 0.7×
Unlisted Procedure Biliary Tract (47999) $1,323.50 $2,647 1.4×
Unlisted Procedure Breast (19499) $1,495 $2,990 0.4×
Unlisted Procedure Dentoalveolar Structures (41899) $225 $450 0.9×
Unlisted procedure femur or knee (27599) $236 $472 0.9×
Unlisted procedure foot or toes (28899) $1,547 $3,094 6.0×
Unlisted procedure leg/ankle (27899) $2,379 $4,758 9.3×
Unlisted procedure maternity care & delivery (59899) $126.50 $253 0.6×
Unlisted Procedure Rectum (45999) $746 $1,492 0.8×
Unlisted Procedure Trachea Bronchi (31899) $126.50 $253 0.6×
Unlisted Procedure Vascular Surgery (37799) $372.50 $745 0.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,514 $3,028 1.6×
Unlisted procedure, hands or fingers (26989) $1,430.50 $2,861 5.6×
Urology Surgery Procedure (53899) $1,929 $3,858 7.4×
Vaginal delivery only (59409) $1,422.75 $2,845.50 0.4×
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure
$8,715.50 $17,431 0.5×
Vasc Embolize/Occlude Bleed (37244) $6,879 $13,758 0.6×
Vasc embolize/occlude organ (37243) $6,691 $13,382 0.6×
Vasc embolize/occlude venous (37241) $6,024 $12,048 0.5×
Venipuncture (36415) $43.25 $86.50 4.6×
Venipuncture Cutdown Younger Than 1 Year (36420) $202 $404 1.5×
Venipuncture, cutdown; age 1 or over (36425) $45.50 $91 0.1×
Ventricular puncture previous burr hole w/inj (61026) $427.50 $855 0.6×
Wound Prep F/N/Hf/G (15004) $764 $1,528 1.8×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $1,389 $2,778 1.8×