Procedures & surgery prices at Children's of Alabama

Birmingham, AL · every code in this section with a posted price and a Medicare benchmark.

1004 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,555.22 $3,616.79 1.9×
Ablate inf turbinate submuc (30802) $3,107.44 $7,226.62 2.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure
$3,671.19 $8,537.64 0.2×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) $3,070.31 $7,140.26 2.2×
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $3,671.19 $8,537.64 0.6×
Acne Surgery (10040) $344.07 $800.16 1.9×
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $4,704.76 $10,941.31 2.5×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $4,681.67 $10,887.61 2.5×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $3,300.16 $7,674.78 1.7×
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $4,954.46 $11,522 2.6×
Amputate metacarpal bone (26910) $5,447.50 $12,668.60 1.8×
Amputation Finger/Thumb (26951) $2,787.12 $6,481.68 0.9×
Amputation follow-up surgery (25907) $7,725.69 $17,966.71 2.6×
Analyze infusn pump+reprogram (62368) $308.35 $717.10 1.1×
Ankle arthroscopy/surgery (29892) $7,217.69 $16,785.33 1.1×
Ankle arthroscopy/surgery (29894) $7,931.78 $18,446.01 2.7×
Ankle Scope,Excis Osteochon Defct (29891) $7,485.96 $17,409.21 2.5×
Anoplasty, plastic operation for stricture; adult (46700) $2,832.95 $6,588.25 1.1×
Anterior Tibial Tubercleplasty (27418) $13,159.70 $30,603.95 2.0×
Appl Interdental Fixation Device Non-Fx/Dislc (21110) $4,218.15 $9,809.64 3.0×
Application cast elbow finger short arm (29075) $330.09 $767.64 1.3×
Application Cast Finger (29086) $193.67 $450.39 1.3×
Application Cast Hand & Lower Forearm Gauntlet (29085) $193.67 $450.39 1.3×
Application cast shoulder hand long arm (29065) $330.09 $767.64 1.3×
Application finger splint static (29130) $157.01 $365.13 1.3×
Application Hip Spica Cast 1 Leg (29305) $330.09 $767.64 1.3×
Application long arm splint shoulder hand (29105) $193.67 $450.39 1.3×
Application Long Leg Cast Walker/Ambulatory Type (29355) $330.09 $767.64 1.3×
Application long leg splint thigh ankle/toes (29505) $193.67 $450.39 1.3×
Application of cylinder cast (thigh to ankle) (29365) $330.09 $767.64 1.3×
Application of hip spica cast; one and one-half spica or both legs (29325) $330.09 $767.64 1.3×
Application of long leg cast (29345) $330.09 $767.64 1.3×
Application Of Rigid Total Contact Leg Cast (29445) $330.09 $767.64 1.3×
Application Short Arm Splint Dynamic (29126) $157.01 $365.13 1.3×
Application short arm splint forearm-hand static (29125) $157.01 $365.13 1.3×
Application short leg splint calf foot (29515) $193.67 $450.39 1.3×
Apply long leg cast brace (29358) $330.09 $767.64 1.3×
Apply of clubfoot cast (29450) $193.67 $450.39 1.3×
Apply patella tendon bearing cast (29435) $330.09 $767.64 1.3×
Apply short leg cast (29405) $330.09 $767.64 1.3×
Apply short leg cast (29425) $330.09 $767.64 1.3×
Aqueous shunt to extraocular reservoir (66180) $6,203.73 $14,427.29 1.3×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) $24,245.24 $56,384.28 4.8×
Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) $8,164.16 $18,986.41 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $506.17 $1,177.13 1.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,036.48 $2,410.41 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $506.17 $1,177.13 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,036.48 $2,410.41 3.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $506.17 $1,177.13 1.8×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $11,646.48 $27,084.84 1.8×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) $10,099.94 $23,488.23 3.4×
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $10,858.84 $25,253.12 3.6×
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $6,876.91 $15,992.81 2.3×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $7,715.40 $17,942.80 2.6×
Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) $7,525.02 $17,500.05 2.5×
Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) $8,323.54 $19,357.07 2.8×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $6,252.95 $14,541.75 2.1×
Arthroscopy, knee, surgical; with lateral release (29873) $10,995.41 $25,570.73 3.7×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $4,244.60 $9,871.17 1.4×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $8,905.13 $20,709.60 3.0×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $6,638.93 $15,439.37 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $8,436.53 $19,619.83 1.3×
Arthrotomy Knee W/Synovial Biopsy Only (27330) $2,811.65 $6,538.72 0.9×
Arthrotomy W/Biopsy Hip Joint (27052) $2,841.30 $6,607.66 1.9×
Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) $3,778.54 $8,787.31 1.3×
Aspir/inj thyroid cyst (60300) $1,143.95 $2,660.34 1.8×
Aspirat/Injection Ganglion Cyst(S) (20612) $506.17 $1,177.13 1.8×
Avulsion nail plate partial/complete simple 1 (11730) $138.08 $321.12 0.8×
Biopsy Bone Open Deep (20245) $8,965.24 $20,849.40 3.4×
Biopsy bone trocar/needle deep (20225) $3,671.19 $8,537.64 2.4×
Biopsy Bone Trocar/Needle Superficial (20220) $1,328.86 $3,090.37 0.9×
Biopsy muscle deep (20205) $9,564.99 $22,244.17 3.6×
Biopsy muscle percutaneous needle (20206) $1,328.86 $3,090.37 0.9×
Biopsy Nerve (64795) $2,894.52 $6,731.44 1.6×
Biopsy of mouth lesion (40808) $1,933.24 $4,495.91 3.9×
Biopsy of penis (54100) $1,180.44 $2,745.20 0.8×
Biopsy soft tissue neck/thorax (21550) $3,572.07 $8,307.14 2.4×
Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) $4,274.45 $9,940.58 2.8×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $3,601.14 $8,374.74 2.5×
Blood patch (62273) $1,800.07 $4,186.20 2.8×
Blood transfusion service (36430) $968.70 $2,252.78 2.4×
Blood/Lymph System Procedure (38999) $6,082.68 $14,145.76 15.1×
Bone graft, any donor area; minor or small (eg, dowel or button) (20900) $8,190.35 $19,047.32 1.2×
Bone marrow aspiration only (38220) $2,500.02 $5,814.01 1.7×
Bone Marrow Biopsy (38221) $2,500.02 $5,814.01 1.7×
Bone marrow harvest allogen (38230) $3,601.14 $8,374.74 2.5×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $3,310.91 $7,699.78 1.0×
Bronchosc dx w/w/o fluor&wash (31622) $3,601.97 $8,376.67 2.2×
Bronchoscopy,Diagnostic W Lavage (31624) $3,455.14 $8,035.20 2.1×
Bx abdl/retroperitoneal mass prq needle (49180) $2,688.70 $6,252.80 1.8×
Bx anorectal wall anal approach (45100) $3,099.88 $7,209.02 1.2×
Bx/exc lymph node needle superficial (38505) $2,417.90 $5,623.03 1.6×
Canthotomy Separate Procedure (67715) $3,767 $8,760.47 1.7×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $8,360.64 $19,443.34 2.8×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $3,196.53 $7,433.79 1.1×
Capsulorrhaphy anterior w/labral repair (23455) $6,538.27 $15,205.27 1.0×
Capsulotomy Midfoot W/Tendon Lengthening (28261) $11,646.74 $27,085.45 7.9×
Cataract surgery complex (66982) $5,935 $13,802.32 2.8×
Change Cystostomy Tube Complicated (51710) $831.07 $1,932.73 1.3×
Change Cystostomy Tube Simple (51705) $420.27 $977.38 1.8×
Change g-tube to g-j perc (49446) $1,415 $3,290.70 0.8×
Chemical Cautery Tissue (17250) $344.07 $800.16 1.9×
Chemodenerv 1 extrem 5/> mus (64644) $916.13 $2,130.53 1.4×
Chemodenerv 1 extremity 1-4 (64642) $916.13 $2,130.53 1.4×
Chemodenerv Musc Migraine (64615) $916.13 $2,130.53 3.3×
Chemodenerv Musc Neck Dyston (64616) $916.13 $2,130.53 3.3×
Chemodenerv trunk musc 1-5 (64646) $916.13 $2,130.53 1.4×
Chemodenervation internal anal sphincter (46505) $2,630.40 $6,117.21 2.4×
Chemodenervation of eccrine glands; both axillae (64650) $916.13 $2,130.53 3.3×
Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) $955.06 $2,221.06 3.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $916.13 $2,130.53 3.3×
Chest tube placement (32551) $5,358.11 $12,460.71 3.7×
Chg Collect Blood From Catheter Venous Nos (36592) $123.49 $287.19 1.0×
Circum 28 days or older (54161) $4,131.70 $9,608.61 2.2×
Circumcision (54150) $4,131.70 $9,608.61 2.2×
Claviculectomy; partial (23120) $8,436.53 $19,619.83 2.8×
Close mastoid fistula (69700) $5,004.61 $11,638.62 3.5×
Closed Rx Humer Epicondylr Fx,Manip (24565) $934.87 $2,174.11 0.6×
Closed Rx Humeral Supracondylar Fx (24530) $934.87 $2,174.11 4.1×
Closed Rx Med Malleolus Fx (27760) $934.87 $2,174.11 4.1×
Closed Rx Med Malleolus Fx,Manip (27762) $934.87 $2,174.11 0.6×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $934.87 $2,174.11 0.6×
Closed rx prox/neck femur fx,manip (27232) $934.87 $2,174.11 0.6×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $934.87 $2,174.11 0.6×
Closed Rx Radial Shaft Fx (25500) $934.87 $2,174.11 4.1×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $934.87 $2,174.11 0.6×
Closed Rx Spontaneous Hip Disloc (27256) $934.87 $2,174.11 4.1×
Closed Rx Tibia Shaft Fx (27750) $934.87 $2,174.11 4.1×
Closed Rx Tibial Plateau Fx (27530) $934.87 $2,174.11 4.1×
Closed Rx Trauma Hip Disloc,Anesth (27252) $2,077.36 $4,831.06 1.4×
Closed Rx Trimalleolar Fx (27816) $934.87 $2,174.11 4.1×
Closed treatment nasal fracture w/stabilization (21320) $229.38 $533.44 0.1×
Closed treatment of broken top of shin bone at knee (27538) $934.87 $2,174.11 4.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $934.87 $2,174.11 4.1×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $934.87 $2,174.11 4.1×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $934.87 $2,174.11 4.1×
Closed treatment of talus fracture; without manipulation (28430) $934.87 $2,174.11 4.1×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $934.87 $2,174.11 4.1×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $934.87 $2,174.11 4.1×
Closed Treatment Ulnar Styloid Fracture (25650) $934.87 $2,174.11 4.1×
Closed tx ankle dislocation w/o anesthesia (27840) $934.87 $2,174.11 4.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $934.87 $2,174.11 0.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $934.87 $2,174.11 4.1×
Closed tx calcaneal fracture w/o manipulation (28400) $934.87 $2,174.11 4.1×
Closed tx femoral fracture prox head w manip (27268) $934.87 $2,174.11 0.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $934.87 $2,174.11 4.1×
Closed tx knee dislocation w/o anesthesia (27550) $934.87 $2,174.11 4.1×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $4,493.58 $10,450.20 0.8×
Closed tx metatarsal fracture w/o manipulation (28470) $934.87 $2,174.11 4.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $934.87 $2,174.11 0.6×
Closed tx patellar dislocation w/anesthesia (27562) $2,109 $4,904.66 9.3×
Closed tx patellar dislocation w/o anesthesia (27560) $934.87 $2,174.11 4.1×
Closed tx radial head/neck fx w/manipulation (24655) $934.87 $2,174.11 0.6×
Closed tx radial head/neck fx w/o manipulation (24650) $934.87 $2,174.11 4.1×
Closed tx radial shaft fracture w/manipulation (25505) $934.87 $2,174.11 0.6×
Closed tx scapular fracture w/o manipulation (23570) $934.87 $2,174.11 4.1×
Closed Tx Talus Fracture W/Manipulation (28435) $934.87 $2,174.11 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $243.71 $566.77 1.1×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $934.87 $2,174.11 0.6×
Closed tx ulnar fracture prox end w/o manipulate (24670) $934.87 $2,174.11 4.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $934.87 $2,174.11 4.1×
Closure of gastrostomy surgical (43870) $4,411.96 $10,260.38 1.3×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $233.78 $543.67 1.1×
Clsd tx clavicular fracture w/o manipulation (23500) $215 $500 1.0×
Clsd tx pelvic ring fx w/o manipulation (27197) $934.87 $2,174.11 4.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $934.87 $2,174.11 4.1×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $934.87 $2,174.11 0.6×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $934.87 $2,174.11 4.1×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $934.87 $2,174.11 4.1×
Cltx dstl fibular fx lat malls w/manj (27788) $934.87 $2,174.11 4.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $934.87 $2,174.11 4.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $934.87 $2,174.11 4.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $934.87 $2,174.11 4.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $934.87 $2,174.11 4.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $934.87 $2,174.11 0.6×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $934.87 $2,174.11 0.6×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $934.87 $2,174.11 4.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $934.87 $2,174.11 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $934.87 $2,174.11 4.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $934.87 $2,174.11 4.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $934.87 $2,174.11 4.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $934.87 $2,174.11 4.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $934.87 $2,174.11 0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $934.87 $2,174.11 4.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $934.87 $2,174.11 4.1×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $934.87 $2,174.11 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $934.87 $2,174.11 4.1×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $934.87 $2,174.11 0.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $934.87 $2,174.11 4.1×
Cltx metacarpal fx w/manipulation each bone (26605) $934.87 $2,174.11 4.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $934.87 $2,174.11 4.1×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,109 $4,904.66 1.4×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $934.87 $2,174.11 4.1×
Cltx metatarsophlngl jt dislc w/o anes (28630) $934.87 $2,174.11 4.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $934.87 $2,174.11 4.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $934.87 $2,174.11 4.1×
Cltx prox fibula/shft fx w/o manj (27780) $934.87 $2,174.11 4.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $934.87 $2,174.11 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $934.87 $2,174.11 4.1×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $934.87 $2,174.11 0.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $934.87 $2,174.11 0.6×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $934.87 $2,174.11 0.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $934.87 $2,174.11 0.6×
Colporrhaphy suture injury vagina (57200) $4,196.07 $9,758.31 1.4×
Colpotomy; with exploration (57000) $5,326.97 $12,388.30 1.8×
Complete replacement picc rs&i (36584) $2,366.60 $5,503.71 1.6×
Complex Cystometrogram (51726) $799.68 $1,859.72 3.5×
Complex Uroflowmetry (51741) $799.68 $1,859.72 4.0×
Composite skin graft (15760) $4,121.01 $9,583.75 2.2×
Contour cranial bone lesion (21181) $3,252.56 $7,564.10 0.6×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $637.33 $1,482.16 3.3×
Control Nasal Hemorrhage Anterior Simple (30901) $233.78 $543.67 1.9×
Control nose/throat bleeding (42972) $4,373.06 $10,169.90 1.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $5,358.11 $12,460.71 3.5×
Correction of bunion (28299) $7,835.88 $18,222.98 1.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $7,542.25 $17,540.12 2.5×
Create eardrum opening (69436) $1,832.73 $4,262.17 1.3×
Create Tear Sac-Nasal Fistula (68720) $3,950.43 $9,187.05 1.1×
Cysto inc fulg/rescj urtl valves/folds (52400) $2,895.71 $6,734.21 0.9×
Cysto w/tx ureteropelvic junction stricture (52342) $4,241.31 $9,863.51 1.3×
Cysto w/ureter stricture tx (52341) $5,122.65 $11,913.13 1.6×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $4,817.30 $11,203.03 1.5×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $4,264.54 $9,917.54 1.3×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) $6,179.65 $14,371.29 1.3×
Cystometrogram W/Vp&Up (51729) $799.68 $1,859.72 1.3×
Cystoscopy implant stent (52282) $8,615.05 $20,035 2.7×
Cystostomy Cystotomy W/Drainage (51040) $6,672.13 $15,516.58 3.5×
Cystourethroscopy (52000) $2,563.56 $5,961.76 4.0×
Cystourethroscopy w/rmvl ureteral calculus (52320) $6,878.05 $15,995.46 2.1×
Cystourethroscopy with direct vision internal urethrotomy (52276) $5,980.45 $13,908.03 3.1×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) $4,021.51 $9,352.36 1.2×
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $4,950.53 $11,512.85 1.5×
Dcmprn fasct leg ant&/lat compartments only (27600) $4,981.53 $11,584.96 1.7×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $791.13 $1,839.83 1.2×
Debride nail 1-5 (11720) $138.08 $321.12 2.6×
Debridement Mastoidectomy Cavity Simple (69220) $233.78 $543.67 1.3×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,111.06 $4,909.44 1.4×
Declot vascular device (36593) $637.58 $1,482.75 2.1×
Decompression; unspecified nerve(s) (specify) (64722) $4,786.20 $11,130.70 2.7×
Delay flap f/c/c/n/ax/g/h/f (15620) $3,335.78 $7,757.62 1.8×
Delay flap/sctj flap eyelids nose ears/lips (15630) $3,116.50 $7,247.68 1.7×
Destruc Benign/Premal,15+ Lesions (17004) $344.07 $800.16 0.9×
Destruction benign lesions 15 or more (17111) $344.07 $800.16 1.9×
Destruction Benign Lesions Up To 14 (17110) $344.07 $800.16 1.9×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) $2,310.39 $5,372.99 3.4×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) $2,310.39 $5,372.99 1.2×
Destruction of skin lesions (17106) $2,310.39 $5,372.99 6.2×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,800.07 $4,186.20 2.8×
Dilat rct strix spx under anes oth/thn local (45910) $2,549.96 $5,930.14 2.3×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $3,464.88 $8,057.85 4.2×
Dilation Esophagus Guide Wire (43453) $3,576.09 $8,316.49 2.0×
Dilation of anal sphincter (45905) $2,254.66 $5,243.39 2.1×
Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) $151.54 $352.41 1.2×
Divisn plantar fascia/muscle (28250) $10,971.90 $25,516.04 3.7×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $233.78 $543.67 0.4×
Drain outer ear canal lesion (69020) $233.78 $543.67 0.4×
Drain/inj small joint/bursa w/us (20604) $1,036.48 $2,410.41 3.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $233.78 $543.67 0.4×
Drainage Finger Abscess Complicated (26011) $5,310.92 $12,350.98 3.5×
Drainage Finger Abscess Simple (26010) $344.07 $800.16 1.9×
Drainage mouth roof lesion (42000) $233.78 $543.67 1.1×
Drainage of eye (65800) $8,049.35 $18,719.41 3.8×
Drainage of eyelid abscess (67700) $663.24 $1,542.41 2.3×
Drainage of gum lesion (41800) $233.78 $543.67 1.9×
Drainage of hematoma/fluid (10140) $2,310.38 $5,372.98 1.5×
Drainage of lymph node abscess or lymphadenitis; simple (38300) $2,004.64 $4,661.95 0.8×
Drainage of salivary cyst (42409) $1,689.89 $3,929.98 0.6×
Drainage of scrotal wall abscess (55100) $2,384.33 $5,544.95 1.6×
Draw blood off venous device (36591) $123.49 $287.19 1.0×
Dressing change under anesthesia (15852) $2,657.32 $6,179.82 3.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $791.13 $1,839.84 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $393.37 $914.81 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $393.37 $914.81 2.1×
Dry Needling 3+ Muscles (20561) $68.03 $158.22 2.6×
Dstrj lesion anus simple surg excision (46922) $2,747.03 $6,388.45 1.1×
Dstrj lesion penis simple surg excision (54060) $2,746.70 $6,387.68 1.5×
Dx bone marrow bx & aspir (38222) $2,500.02 $5,814.01 0.9×
Eardrum revision (69450) $3,790.99 $8,816.26 1.3×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $287.10 $667.67 2.4×
Endoscopic Injection/Implant (51715) $6,796.13 $15,804.96 2.1×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $23,644.93 $54,988.21 2.2×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $3,575.86 $8,315.96 1.9×
Epiphyseal Arrest Dist Rad or Ulna (25450) $21,574.03 $50,172.16 7.2×
Esophagoscopy flex biopsy (43202) $4,988.79 $11,601.83 2.8×
Esophagoscopy flexible transnasal with biopsy (43198) $2,012.84 $4,681.03 2.4×
Esophagoscopy flexible transoral diagnostic (43200) $2,597.27 $6,040.17 3.1×
Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) $4,362.21 $10,144.68 2.5×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $3,316.54 $7,712.88 1.9×
Evacuation of subungual hematoma (11740) $138.08 $321.12 1.1×
Evaluation of very long chain acyl-coenzyme a (coa) dehydrogenase (vlcad) white blood cell enzyme activity in whole… (0257U) $1,225.50 $2,850 1.7×
Exam of jaw joint using an endoscope|BILATERAL PROCEDURE |DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (29804) $7,350.38 $17,093.91 2.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,417.90 $5,623.03 1.6×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $3,730.44 $8,675.42 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $937.63 $2,180.54 1.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,417.90 $5,623.03 1.6×
Exc frenum labial/buccal (40819) $1,911.60 $4,445.58 1.3×
Exc hydrocele sprmatic cord uni spx (55500) $3,177.24 $7,388.92 1.0×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $6,120.78 $14,234.37 2.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $3,305.92 $7,688.19 2.2×
Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) $14,615.95 $33,990.58 2.7×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $937.63 $2,180.54 1.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $937.63 $2,180.54 2.5×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $937.63 $2,180.54 1.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $937.63 $2,180.54 1.4×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $3,259.60 $7,580.47 2.2×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $2,842.60 $6,610.70 1.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,720.73 $8,652.87 2.5×
Exc tr-ext b9+marg 0.5 cm or less (11400) $937.63 $2,180.54 1.4×
Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) $4,183.32 $9,728.64 2.8×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $4,687.36 $10,900.84 1.8×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $4,719.30 $10,975.11 1.8×
Exc varicocele/ligation spermatic veins spx (55530) $7,222.45 $16,796.39 2.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $5,300.98 $12,327.86 1.6×
Exchange intraocular lens (66986) $7,035.94 $16,362.66 3.3×
Exchange nephrostomy cath (50435) $3,176.21 $7,386.54 1.7×
Exchange transfusion, blood; other than newborn (36455) $968.70 $2,252.78 2.4×
Exchng absc/cst drg cath rad gid spx (49423) $1,555.22 $3,616.79 0.9×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $2,660.09 $6,186.25 1.8×
Excise cutaneous neurofibroma (64788) $5,025.11 $11,686.30 2.8×
Excise excess skin & tissue (15839) $8,559.36 $19,905.49 3.2×
Excise Inferior Turbinate (30130) $3,799.80 $8,836.74 1.3×
Excise parotid gland/lesion (42410) $6,277.43 $14,598.67 1.2×
Excise/repair mouth lesion (40812) $6,120.78 $14,234.37 4.3×
Excision benign tumor/cyst mandible encl & curt (21040) $8,310.18 $19,326.01 2.7×
Excision brach clft cyst,superficial (42810) $3,153.83 $7,334.49 1.0×
Excision external ear partial simple repair (69110) $3,921.95 $9,120.81 1.5×
Excision hydrocele bilateral (55041) $3,206.69 $7,457.42 1.0×
Excision Lingual Frenum Frenectomy (41115) $215 $500 0.2×
Excision Multiple External Papillae/Tags Anus (46230) $3,046.16 $7,084.11 1.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $937.63 $2,180.54 1.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $937.63 $2,180.54 1.4×
Excision of benign tumor or cyst of facial bone other than mandible (21030)
unusually low: confirm this is the full procedure
$2,537.64 $5,901.48 0.5×
Excision of ganglion, wrist (dorsal or volar); recurrent (25112) $3,023.57 $7,031.55 2.1×
Excision of gum lesion (41828) $2,537.64 $5,901.48 1.8×
Excision of hydrocele; unilateral (55040) $3,464.37 $8,056.68 1.1×
Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) $6,120.78 $14,234.37 2.0×
Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) $6,386.96 $14,853.40 2.1×
Excision of lesion of tongue without closure (41110) $1,933.24 $4,495.90 0.6×
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $3,667.39 $8,528.82 2.5×
Excision of lingual tonsil (42870) $7,768.92 $18,067.25 1.4×
Excision of local lesion of epididymis (54830) $3,377.58 $7,854.84 1.0×
Excision of mouth lesion (41116) $3,192.63 $7,424.73 1.1×
Excision of nail fold toe (11765) $138.08 $321.12 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $2,849.09 $6,625.80 1.1×
Excision of single external papilla or tag, anus (46220) $2,426.60 $5,643.26 2.2×
Excision of sublingual salivary cyst (ranula) (42408) $3,724.13 $8,660.76 1.2×
Excision of submandibular (submaxillary) gland (42440) $9,401.64 $21,864.29 1.7×
Excision of thyroglossal duct cyst or sinus; recurrent (60281) $12,360.32 $28,744.93 2.2×
Excision of Umbilicus (49250) $3,739.65 $8,696.86 1.1×
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) $5,877.81 $13,669.32 1.1×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) $3,914.83 $9,104.25 1.3×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638) $10,100.60 $23,489.77 1.5×
Excision pilonidal cyst/sinus complicated (11772) $2,529.77 $5,883.18 1.0×
Excision/curettage cyst/tumor femur w/allograft (27356) $14,290.23 $33,233.09 1.2×
Excision/curettage cyst/tumor radius/ulna (25120) $6,491.13 $15,095.64 2.2×
Excision/destruction intranasal lesion int appr (30117) $3,161.95 $7,353.37 1.0×
Expl penetrating wound spx abdomen/flank/back (20102) $2,111.06 $4,909.44 1.1×
Exploration for undescended testis (inguinal or scrotal area) (54550) $2,535.62 $5,896.79 0.8×
Exploration of ankle joint (27612) $5,554.70 $12,917.89 1.9×
Exploration of hip joint (27033) $17,237.04 $40,086.13 2.6×
Exploration penetrating wound spx extremity (20103) $791.13 $1,839.83 0.5×
Explore sinus remove polyps (31032) $5,981.70 $13,910.94 1.1×
Explore/treat ankle joint (27620) $7,586.91 $17,643.97 2.5×
Explore/treat elbow joint (24101) $13,116.63 $30,503.80 4.4×
Extensive ankle/heel surgery (27647) $13,707.23 $31,877.29 4.6×
Extraction of lens (66940) $4,395.20 $10,221.40 2.1×
Face bone graft (21210) $8,868.38 $20,624.13 1.6×
Fasciotomy foot and/or toe (28008) $5,342.99 $12,425.55 1.8×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,328.86 $3,090.37 2.1×
Fine needle aspiration without imaging guidance (10021) $1,328.86 $3,090.37 3.6×
Fix ectropion,entensv lid repair (67917) $7,901.62 $18,375.87 3.6×
Fixation of knee joint (27570) $4,440.55 $10,326.86 3.0×
Fluoro exam of g/colon tube (49465) $254.03 $590.76 1.2×
Fracture nasal inferior turbinate(s), therapeutic (30930) $4,415.92 $10,269.59 1.5×
Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) $3,739.85 $8,697.33 2.0×
Frmj direct/tube pedicle w/wo tr scalp arms/legs (15572) $8,005.46 $18,617.36 2.5×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $4,121.01 $9,583.75 2.2×
Fusion Finger Joint (26860) $7,140.52 $16,605.86 2.4×
Fusion of foot bones (28735) $14,343.98 $33,358.10 1.2×
Fusion of knuckle joint (26516) $3,568.28 $8,298.32 1.2×
Gastrocnemius Recession (27687) $4,138.45 $9,624.30 1.4×
Gingivectomy, excision gingiva, each quadrant (41820) $2,377.53 $5,529.15 0.8×
Graft ear crtlg autogenous nose/ear (21235) $3,691.07 $8,583.89 0.7×
Guide Cathet Fluid Drainage (10030) $2,310.38 $5,372.98 3.6×
Harvest stem cell concentrte (38215) $3,601.14 $8,374.74 8.9×
Hem genetic bld do 60 genes (0272U) $91.17 $212.03 0.1×
Hem vw factor&clgn iii bndg (0279U) $120.96 $281.30 10.5×
Hem Vwd Propeptide Ag Lvl (0281U) $250.26 $582 14.5×
Hemiphalangectomy/interphalangeal joint exc toe (28160) $6,011.72 $13,980.74 2.0×
Hemorrhoidectomy external complete (46250) $3,129.47 $7,277.84 1.2×
Hymenotomy Simple Incision (56442) $2,460.59 $5,722.30 0.8×
Hypospad repr,2nd stage,free graft (54316) $9,490.69 $22,071.37 1.1×
I&D Abscess Peritonsillar (42700) $233.78 $543.67 1.1×
I&d abscess simple (10060) $344.07 $800.16 1.9×
I&d epididymis tstis&/scrotal space (54700) $3,292.34 $7,656.61 1.7×
I&d perianal abscess superficial (46050) $3,099.88 $7,209.02 3.6×
I&d pilonidal cyst simple (10080) $344.07 $800.16 0.5×
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) $4,734.79 $11,011.13 5.7×
Image Cath Fluid Colxn Visc (49405) $1,555.22 $3,616.79 1.0×
Image Cath Fluid Peri/Retro (49406) $1,555.22 $3,616.79 1.0×
Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) $1,555.22 $3,616.79 1.0×
Impl oi implt skull perq attachment esp (69714) $18,113.36 $42,124.10 1.5×
Implant cochlear device (69930) $24,336.12 $56,595.64 0.8×
Implant neurostim arrays (61886) $96,935.04 $225,430.33 3.4×
Impression & Preparation Auricular Prosthesis (21086) $691.12 $1,607.26 0.2×
Incise wrist/forearm tendon (25290) $6,491.13 $15,095.64 2.2×
Incision & drainage abscess complicated/multiple (10061) $344.07 $800.16 0.9×
Incision & drainage pilonidal cyst complicated (10081) $2,310.38 $5,372.98 3.6×
Incision & removal foreign body subq tiss compl (10121) $2,417.90 $5,623.03 1.6×
Incision & removal foreign body subq tiss simple (10120) $344.07 $800.16 0.9×
Incision and drainage of bartholin's gland abscess (56420) $415.12 $965.39 2.2×
Incision and drainage of vulva or perineal abscess (56405) $415.12 $965.39 1.5×
Incision bone cortex foot (28005) $3,347.24 $7,784.28 1.1×
Incision labial frenum frenotomy (40806) $215 $500 0.4×
Incision of achilles tendon (27605) $4,544.56 $10,568.75 3.1×
Incision of eardrum (69421) $2,407.75 $5,599.43 0.8×
Incision of eye (65850) $8,310.97 $19,327.84 3.9×
Incision of lingual frenum (41010) $1,062.54 $2,471.02 0.7×
Incision of rectal abscess (46045) $4,728.16 $10,995.72 1.9×
Incision of rectal abscess (46040) $2,655.28 $6,175.06 2.4×
Incision of urethra (53000) $3,427.49 $7,970.91 1.8×
Incision of urethra (53020) $2,212.10 $5,144.41 1.2×
Inj tendon sheath/ligament (20550) $506.17 $1,177.13 1.8×
Inj,Anes Agent,Brachial Plexus,Single (64415) $2,441.04 $5,676.84 3.0×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,036.48 $2,410.41 1.6×
Inject Nerv Blck,Celiac Plexus (64530) $3,290.28 $7,651.80 4.1×
Inject Nerv Blck,Intercost,Multpl (64421) $5,310.66 $12,350.37 6.6×
Inject Nerv Blck,Intercostal,One (64420) $916.13 $2,130.53 1.4×
Inject Nerv Blck,Paravert Sympath (64520) $4,484.27 $10,428.52 5.5×
Inject Rx Celiac Plexus Nerve (64680) $2,441.04 $5,676.84 3.0×
Injection aa&/strd genicular nrv branches w/img (64454) $916.13 $2,130.53 1.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,036.48 $2,410.41 1.6×
Injection anes other peripheral nerve/branch (64450) $916.13 $2,130.53 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $2,441.04 $5,676.84 3.0×
Injection Rx Extremity Pseudoaneurysm (36002) $282.05 $655.93 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $506.17 $1,177.13 1.8×
Injection, anesthetic agent; greater occipital nerve (64405) $916.13 $2,130.53 3.3×
Injection, Intralesional; More Than 7 Lesions (11901) $344.07 $800.16 1.9×
Injection, intralesional; up to and including 7 lesions (11900) $344.07 $800.16 1.9×
Ins cath ren art 1st bilat (36252) $8,663.56 $20,147.81 3.0×
Ins cath ren art 1st unilat (36251) $4,975.70 $11,571.40 1.7×
Ins cath ren art 2nd+ unilat (36253) $8,663.56 $20,147.81 1.7×
Ins endovas vena cava filtr (37191) $7,525.59 $17,501.38 1.5×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $15,048.42 $34,996.32 1.6×
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) $17,464.69 $40,615.56 1.8×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $17,464.70 $40,615.57 1.8×
Ins/Rep Subq Defibrillator (33270) $52,364.27 $121,777.38 1.8×
Insert 1 electrode pm-defib (33216)
unusually low: confirm this is the full procedure
$3,575.86 $8,315.96 0.5×
Insert Bladder Cath Complex (51703) $151.54 $352.41 1.3×
Insert Drug Implant Device (11981) $344.07 $800.16 2.8×
Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) $1,415 $3,290.70 0.8×
Insert Gastrostomy Tube Percutaneous (49440) $1,415 $3,290.70 0.8×
Insert hepatic shunt (tips) (37182) $12,403.03 $28,844.25 0.7×
Insert non-tunnel cv cath (36556) $18,146.29 $42,200.66 6.3×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $2,366.60 $5,503.71 0.8×
Insert picc cath (36569) $2,366.60 $5,503.71 1.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $5,500.50 $12,791.87 3.8×
Insert Temp Bladder Cath (51702) $151.54 $352.41 1.2×
Insert tunneled cv cath (36561) $5,132.25 $11,935.46 1.8×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $4,622.53 $10,750.06 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $151.54 $352.41 1.2×
Insertion indwelling tunneled pleural catheter (32550) $5,358.11 $12,460.71 1.6×
Insertion of cannula (36810) $7,286.77 $16,945.97 2.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,366.60 $5,503.71 1.6×
Insertion picc w/rs&i < 5 yr (36572) $2,366.60 $5,503.71 4.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $17,464.70 $40,615.57 2.3×
Insj io lens prosthesis not w/concurrent rmvl (66985) $6,174.49 $14,359.27 2.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $13,963.68 $32,473.68 4.8×
Insj tunneled ctr vad w/subq port under 5 yr (36560) $4,424.18 $10,288.78 1.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,622.53 $10,750.06 1.6×
Insj/rplcmt defib w/lead(s) (33249) $52,364.27 $121,777.38 1.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure
$3,575.86 $8,315.96 0.5×
Intraoral i&d tongue/floor submndblr space (41008) $2,630.45 $6,117.33 0.9×
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $3,842.84 $8,936.84 2.7×
Intro cath dialysis circuit w/trluml balo angiop (36902) $7,525.59 $17,501.38 1.4×
Intubation endotracheal emergency procedure (31500) $1,911.99 $4,446.49 8.8×
Irrigate corpora cavernosa for priapism (54220) $475.80 $1,106.52 2.1×
Knee arthroscopy/surgery (29887) $11,297.21 $26,272.59 1.7×
Knee arthroscopy/surgery (29883) $11,961.52 $27,817.50 4.0×
Knee arthroscopy/surgery (29885) $6,104.31 $14,196.07 0.9×
Knee arthroscopy/surgery (29876) $5,253.58 $12,217.62 1.8×
Knee arthroscopy/surgery (29851) $6,013.17 $13,984.12 4.1×
Knee arthroscopy/surgery (29886) $11,794.62 $27,429.35 3.9×
Lap ing hernia repair init (49650) $3,517.80 $8,180.93 0.6×
Laparo ligate spermatic vein (55550) $4,661.30 $10,840.23 0.8×
Laparoscopy biopsy (49321) $4,323.93 $10,055.65 0.8×
Laparoscopy gastrostomy (43653) $8,316.40 $19,340.46 1.5×
Laparoscopy Remove Adnexa (58661) $3,991.92 $9,283.54 0.7×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $3,946.66 $9,178.29 0.7×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $3,423.80 $7,962.32 0.6×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $8,546.42 $19,875.39 1.5×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) $6,988.24 $16,251.73 1.3×
Laryngoscop w/arytenoidectom (31560) $4,705.45 $10,942.91 0.7×
Laryngoscopy Direct Aspiration (31515) $10,689.79 $24,859.97 29.9×
Laryngoscopy Flexible Diagnostic (31575) $233.78 $543.67 1.3×
Laryngoscopy w/exc of tumor (31540) $9,612.85 $22,355.47 2.8×
Laryngoscopy w/fb & op scope (31531) $3,369.67 $7,836.45 1.0×
Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) $1,599.74 $3,720.32 1.0×
Laryngoscopy,dirct,op scop,remv ary (31561) $4,393.97 $10,218.53 0.7×
Laryngoscopy,Direct,Diagnostic (31525) $3,797.75 $8,831.98 2.3×
Larynscop w/tumr exc + scope (31541) $4,338.03 $10,088.44 1.3×
Laser treatment of retina (67040) $7,162.70 $16,657.45 1.9×
Late closure of wound (13160) $2,111.06 $4,909.44 0.7×
Lateral retinacular release open (27425) $11,740.11 $27,302.59 3.9×
Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services (27394) $4,575.78 $10,641.35 0.7×
Lengthening of hand tendon (26478) $10,643.35 $24,751.98 3.6×
Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) $3,567.24 $8,295.90 1.2×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $11,649.04 $27,090.78 1.8×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) $9,427.34 $21,924.04 0.8×
Litholapaxy smpl/sm <2.5 cm (52317) $6,688.80 $15,555.35 2.1×
Liver Biopsy (47000) $2,870.26 $6,675.04 1.9×
Lysis of labial adhesions (56441) $3,577.12 $8,318.90 1.2×
Lysis/excision penile postcircumcision adhesions (54162) $4,131.70 $9,608.61 2.2×
Manipulation Ankle Under General Anesthesia (27860) $2,000.73 $4,652.86 0.7×
Mastectomy gynecomastia (19300) $6,690.22 $15,558.65 1.9×
Mastectomy simple complete (19303) $4,588.98 $10,672.04 0.8×
Mastoidectomy (69501) $7,356.01 $17,107 1.4×
Mech remov pericath obstr cv dev via ven access (36595) $1,538.24 $3,577.31 0.5×
Middle ear exploration through postauricular or ear canal incision (69440) $1,768.33 $4,112.39 0.6×
Muscle transfer shoulder/arm (23395) $5,638.53 $13,112.85 0.8×
Muscle transfers (23397) $4,708.86 $10,950.84 0.7×
Muscle/tendon transfer upper arm/elbow single (24301) $5,316.12 $12,363.08 0.8×
Myelography Lumbar Injection (62305) $1,233.79 $2,869.28 1.7×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $233.78 $543.67 1.3×
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) $9,392.12 $21,842.14 1.5×
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) $7,486.23 $17,409.84 1.2×
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) $10,321.02 $24,002.36 1.6×
Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) $8,562.57 $19,912.94 2.5×
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) $17,088.93 $39,741.70 2.6×
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) $8,236.88 $19,155.54 1.3×
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) $6,948.06 $16,158.26 1.1×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $2,307.82 $5,367.03 1.4×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $4,095.99 $9,525.55 2.5×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $1,415 $3,290.70 3.5×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $287.10 $667.67 1.3×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $2,416.15 $5,618.96 2.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $68.03 $158.22 2.6×
Nerve graft hand or foot (64896) $27,233.24 $63,333.11 3.4×
Nerve palsy muscle graft (15841) $21,005.63 $48,850.31 6.5×
Neuroplasty digital 1/both same digit (64702) $6,836.24 $15,898.23 3.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $250 $581.40 0.6×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $1,935 $4,500 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $3,073.31 $7,147.24 3.8×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,222.24 $7,493.58 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,800.07 $4,186.20 2.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,800.07 $4,186.20 2.8×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $799.68 $1,859.72 1.3×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $799.68 $1,859.72 1.3×
Open rx distal radius fx, intra-articular, 2 frag (25608) $5,275.11 $12,267.70 0.8×
Open rx mandible fx+dental fix (21462) $26,443.01 $61,495.38 4.9×
Open Treatment Bimalleolar Ankle Fracture (27814) $11,496.15 $26,735.23 1.7×
Open Treatment Humeral Condylar Fracture (24579)
unusually low: confirm this is the full procedure
$3,754.82 $8,732.15 0.3×
Open Treatment Medial Malleolus Fracture (27766) $4,362.11 $10,144.44 0.7×
Open treatment of acromioclavicular dislocation, acute or chronic; (23550) $15,361.66 $35,724.80 2.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $10,164.86 $23,639.21 1.5×
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) $5,479.32 $12,742.61 0.8×
Open Treatment Radial Shaft Fracture (25515) $5,127.92 $11,925.39 0.8×
Open tx carpal scaphoid navicular fracture (25628) $4,815.50 $11,198.84 0.7×
Open Tx Distal Phalangeal Fracture Each (26765) $7,413.20 $17,239.98 2.5×
Open tx fracture great toe/phalanx/phalanges (28505) $4,059.82 $9,441.44 1.4×
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure
$5,266.79 $12,248.36 0.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $4,290.11 $9,976.99 1.4×
Open tx phalangeal shaft fracture prox/middle ea (26735) $4,534.84 $10,546.13 1.5×
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) $6,479.53 $15,068.67 1.0×
Open/Perq Place Stent Same (37238) $23,084.96 $53,685.96 2.2×
Open/Perq Placement Intravascular Stent Initial (37236) $23,084.96 $53,685.96 2.2×
Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) $6,347.57 $14,761.78 2.1×
Orbitotomy w/o bone flap w/removal lesion (67412) $3,404.06 $7,916.43 1.6×
Orchiectomy radical tumor inguinal approach (54530) $5,778.03 $13,437.28 1.8×
Osteotomy Phalanx Finger Each (26567) $6,347.57 $14,761.78 2.1×
Osteotomy Radius Distal Third (25350) $13,554.81 $31,522.82 2.0×
Palatop cl palate soft&/hard palate only (42200) $5,652.04 $13,144.28 1.0×
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) $12,337.68 $28,692.28 2.3×
Palatoplasty cleft palate major revj (42215) $3,311.01 $7,700.02 0.6×
Parotid duct diversion (42509) $23,977.02 $55,760.52 4.4×
Parotid duct divert,bilat (42507) $7,612.11 $17,702.57 1.4×
Part Remv Femur/Prox Tib/Fib (27360) $5,213.72 $12,124.94 1.7×
Partial excision bone talus/calcaneus (28120) $7,485.96 $17,409.21 2.5×
Partial Excision Distal Phalanx Finger (26236) $3,485.06 $8,104.78 2.4×
Partial Excision Proximal/Middle Phalanx Finger (26235) $8,028.40 $18,670.69 5.5×
Partial hymenectomy or revision of hymenal ring (56700) $2,558.42 $5,949.81 0.9×
Ped Whl Gen Mthyltn Alys 50+ (0318U) $1,935 $4,500 1.1×
Pelvic exam under anesthesia (57410) $415.12 $965.39 0.1×
Penis plastic surgery (54360) $2,658.43 $6,182.39 0.8×
Percut Cath Occlusn Non Cns Lesn (61626) $23,649.23 $54,998.21 2.2×
Percut Mech Thrombectomy, Venous (37187) $7,525.59 $17,501.38 0.7×
Percut Mech Thrombectomy, Venous, Repeat (37188) $7,525.59 $17,501.38 2.6×
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $3,651.10 $8,490.92 1.2×
Pericardiocentesis W/Imaging (33016) $2,004.67 $4,662.03 1.4×
Perm Occlusion/Embolization,Percut,Cns (61624) $23,649.23 $54,998.21 1.4×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $3,051.72 $7,097.03 2.1×
Perq p-art revsc 1 nm nt uni (33900) $18,097.62 $42,087.49 1.7×
Perq p-art revsc st 1st abnor connj unilateral (33902) $18,097.62 $42,087.49 1.1×
Perq p-art revsc st 1st nml native connj bi (33901) $18,097.62 $42,087.49 1.7×
Perq replacement gtube not req revj gstrst trc (43762) $420.27 $977.38 1.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,728.76 $4,020.38 2.7×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $23,084.96 $53,685.96 1.4×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $12,403.03 $28,844.25 1.2×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,525.59 $17,501.38 1.4×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $3,572.07 $8,307.14 1.2×
Photopheresis, extracorporeal (36522) $8,803.52 $20,473.31 2.2×
Place Cath Subclavian Art (36225) $8,663.56 $20,147.81 3.0×
Place Cath Vertebral Art (36226) $8,663.56 $20,147.81 1.7×
Placement of needle for intraosseous infusion (36680) $506.17 $1,177.13 1.2×
Placement of seton (46020) $2,161.40 $5,026.52 0.9×
Plastic repair of salivary duct, sialodochoplasty; primary or simple (42500) $9,981.22 $23,212.16 1.8×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $5,300.98 $12,327.86 1.0×
Plmt nephrostomy cath prq new access rs&i (50432) $3,176.21 $7,386.54 1.7×
Plmt nephroureteral cath prq new access rs&i (50433) $6,191.45 $14,398.73 1.9×
Pr tenotomy prq achilles tendon spx general anes (27606) $3,319.07 $7,718.77 1.1×
Preputial Stretching (54450) $799.68 $1,859.72 3.5×
Prim art mech thrombectomy (37184) $12,403.03 $28,844.25 0.7×
Probe nasolacrimal duct (68810) $2,821.58 $6,561.81 9.7×
Proctopexy Perineal Approach (45541) $5,126.26 $11,921.53 2.0×
Proctosigmoidoscopy removal (45308) $2,477.33 $5,761.23 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $5,300.98 $12,327.86 1.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $5,300.98 $12,327.86 1.6×
Prq skel fixj sprcndylr/transcndylr humeral fx (24538) $11,178.67 $25,996.91 1.7×
Punch biopsy skin single lesion (11104) $937.63 $2,180.54 2.5×
Puncture Aspiration (10160) $344.07 $800.16 0.9×
Quadricepsplasty (eg, Bennett or Thompson type) (27430) $11,194.66 $26,034.09 1.7×
Rbc depletion of harvest (38212) $968.70 $2,252.78 2.4×
Rbc DNA gntyp 12 bld grp gen (0282U) $91.17 $212.03 0.1×
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) $3,878.17 $9,018.99 0.6×
Rebuild eardrum structures (69637) $8,577.12 $19,946.78 1.6×
Rebuild eardrum structures (69633) $7,341.72 $17,073.77 1.4×
Rebuild eardrum structures (69632) $7,292.56 $16,959.45 1.3×
Rebuild outer ear canal (69320) $7,504.25 $17,451.75 1.4×
Rebuild outer ear canal (69310) $8,056.52 $18,736.10 1.5×
Reconstr disloc patella w mscl adv (27422) $13,159.70 $30,603.95 2.0×
Reconstruct cleft palate (42220) $19,371.59 $45,050.20 3.6×
Reconstruct cleft palate (42210) $14,110.86 $32,815.96 2.6×
Reconstruct extra finger (26587) $4,643.31 $10,798.40 1.6×
Reconstruct finger joint (26545) $4,232.28 $9,842.51 1.4×
Reconstruct urethra/penis (54352) $5,914.75 $13,755.24 1.2×
Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) $6,211.33 $14,444.96 2.1×
Reconstruction of chin (21121) $28,618.76 $66,555.27 9.4×
Reconstruction of urethra (54324) $4,578.85 $10,648.49 1.4×
Reconstruction of urethra (54322) $3,071.64 $7,143.34 1.0×
Reconstruction of urethra (54326) $3,107.58 $7,226.93 1.0×
Reconstruction of urethra (54308) $5,601.23 $13,026.12 1.1×
Reconstruction of urethra (54312) $5,968.92 $13,881.20 1.9×
Reconstruction of urethra (54318) $4,980.77 $11,583.19 1.5×
Reconstruction Toe Polydactyly (28344) $3,639.28 $8,463.45 1.2×
Reduce testis torsion (54600) $4,332.78 $10,076.24 1.3×
Reduction of Large Breast (19318) $13,008.87 $30,253.19 2.1×
Reduction of rectal prolapse (45900) $2,630.40 $6,117.21 3.1×
Release i-p jt contracture (26525) $4,158.09 $9,669.97 2.8×
Release Intrinsic Muscles Hand Each Muscle (26593) $6,596.46 $15,340.61 2.2×
Release wrist/forearm tendon (25295) $4,863.11 $11,309.55 1.6×
Relocation of skin pocket for pacemaker (33222) $3,575.86 $8,315.96 1.9×
Rem endovas vena cava filter (37193) $7,525.59 $17,501.38 2.6×
Removal biliary drg cath (47537) $420.27 $977.38 0.5×
Removal fb intranasal (30300) $233.78 $543.67 1.9×
Removal Foreign Body Deep Thigh/Knee (27372) $4,275.98 $9,944.13 1.6×
Removal foreign body foot deep (28192) $3,671.19 $8,537.64 2.4×
Removal foreign body foot subcutaneous (28190) $937.63 $2,180.54 1.4×
Removal foreign body pharynx (42809) $233.78 $543.67 0.6×
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,013.39 $4,682.31 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $233.78 $543.67 4.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $233.78 $543.67 4.3×
Removal impacted vag fb spx w/anes oth/thn local (57415) $5,340.50 $12,419.77 1.8×
Removal Implant Deep (20680) $4,314.44 $10,033.59 1.6×
Removal Implant From Finger/Hand (26320) $1,937.03 $4,504.73 1.3×
Removal Implant Superficial Separate Procedure (20670) $666.43 $1,549.83 0.4×
Removal Implantable Contraceptive Capsules (11976) $937.63 $2,180.54 1.4×
Removal Implantable Defib Pulse Generator Only (33241) $14,712.28 $34,214.60 4.3×
Removal of adenoids (42835) $2,647.30 $6,156.51 0.9×
Removal of adenoids (42831) $2,869.06 $6,672.22 0.9×
Removal of adenoids (42830) $2,224.24 $5,172.64 0.7×
Removal of adenoids (42836) $3,745.25 $8,709.89 1.2×
Removal of external bone stabilizing device under anesthesia (20694) $3,230.70 $7,513.25 2.2×
Removal of frontal sinus (31080) $10,117.47 $23,529 1.9×
Removal of Head of Radius (24130) $4,691.72 $10,910.98 1.6×
Removal of humerus lesion (23150) $11,712.22 $27,237.72 3.9×
Removal of humerus lesion (23156) $6,576.55 $15,294.30 1.0×
Removal of intrauterine device (iud) (58301) $415.12 $965.39 1.5×
Removal of kneecap (27350) $3,835.09 $8,918.81 0.6×
Removal of lens material (66840) $6,584.32 $15,312.40 3.1×
Removal of nail bed (11750) $937.63 $2,180.54 2.5×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $344.07 $800.16 1.9×
Removal of testis (54520) $4,020.05 $9,348.96 1.2×
Removal of tonsils (42825)
unusually low: confirm this is the full procedure
$2,496.13 $5,804.95 0.5×
Removal of tonsils (42826) $2,847.19 $6,621.37 0.9×
Removal of urethra (53215) $3,575.17 $8,314.36 0.7×
Removal ppm generator only (33233) $14,712.28 $34,214.60 1.9×
Removal subq cardiac rhythm monitor (33286) $3,575.86 $8,315.96 5.5×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,657.32 $6,179.82 1.4×
Removal Tunneled Intraperitoneal Catheter (49422) $3,071.75 $7,143.61 1.1×
Removal/bivalving full arm/full leg cast (29705) $330.09 $767.64 1.3×
Removal/bivalving gauntlet boot/body cast (29700) $330.09 $767.64 1.3×
Remove anal fist subq (46270) $2,449.18 $5,695.76 1.0×
Remove Brain Cavity Fluid (61020) $916.13 $2,130.53 1.1×
Remove coronoid process (21070) $7,107.62 $16,529.35 1.3×
Remove drug implant device (11982) $344.07 $800.16 0.8×
Remove eye/insert implant (65103) $17,718.83 $41,206.58 4.9×
Remove Eyelid Foreign Body (67938) $663.24 $1,542.41 2.3×
Remove femur lesion (27355) $4,747.10 $11,039.76 1.6×
Remove intrvas foreign body (37197) $7,525.59 $17,501.38 2.6×
Remove iris and lesion (66600) $4,858.73 $11,299.38 1.3×
Remove Pilonidal Cyst Exten (11771) $3,219.31 $7,486.77 1.2×
Remove renal tube w/fluoro (50389) $799.68 $1,859.72 1.3×
Remove shoulder foreign body (23330) $3,055.59 $7,106.02 2.0×
Remove thyroid duct lesion (60280) $6,406.65 $14,899.19 1.2×
Remove tissue expander (11971) $3,539.18 $8,230.65 1.3×
Remove wrist tendon lesion (25111) $3,019.34 $7,021.71 2.1×
Remove/graft bone lesion (24116) $10,099.94 $23,488.23 1.5×
Remove/graft foot lesion (28103) $8,443.76 $19,636.64 1.3×
Remv cartilage for graft nasal (20912) $7,098.08 $16,507.16 2.2×
Remv Ext Canal F.B.,Gen Anesth (69205) $1,758.39 $4,089.29 1.2×
Remv Ext Canal Foreign Body (69200) $233.78 $543.67 1.9×
Remv F.B.,Eye,Superf Conjunc (65205) $153.05 $355.92 1.3×
Remv&replc cvd gen mult lead (33264) $52,364.27 $121,777.38 1.8×
Remv&replc cvd gen sing lead (33262) $52,364.27 $121,777.38 2.6×
Remv&replc pm gen dual lead (33228) $17,464.70 $40,615.57 1.8×
Remv/revisn shldr/hip spica cast (29710) $330.09 $767.64 1.3×
Renal biopsy (50200) $4,250.62 $9,885.16 2.8×
Repair brow defect (67900) $3,796.05 $8,828.03 1.7×
Repair Choanal Atresia Intranasal (30540) $4,083.22 $9,495.87 0.8×
Repair cleft hand deformity (26580) $6,759.94 $15,720.80 2.3×
Repair cleft lip/nasal (40720) $4,307.33 $10,017.04 1.4×
Repair cleft lip/nasal (40700) $8,900.02 $20,697.71 1.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $937.63 $2,180.54 1.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $937.63 $2,180.54 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $937.63 $2,180.54 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $937.63 $2,180.54 2.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $937.63 $2,180.54 2.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $937.63 $2,180.54 2.5×
Repair complex trunk 1.1-2.5 cm (13100) $937.64 $2,180.55 1.4×
Repair complex trunk 2.6-7.5 cm (13101) $651.66 $1,515.48 1.0×
Repair extensor tendon finger w/o graft each (26418) $3,387.42 $7,877.74 2.3×
Repair eyelid defect (67902) $4,342.70 $10,099.30 1.2×
Repair eyelid defect (67904) $3,339.87 $7,767.15 1.5×
Repair eyelid defect (67901) $3,438.12 $7,995.64 1.6×
Repair finger tendon (26432) $3,651.11 $8,490.96 2.5×
Repair finger/hand tendon (26350) $6,836.24 $15,898.23 2.3×
Repair flex tendon,zone 2,secon,hand,ea (26357) $5,819.31 $13,533.28 1.9×
Repair foot dislocation (28585) $6,754.80 $15,708.83 1.0×
Repair forearm tendon/muscle (25270) $4,863.11 $11,309.55 1.6×
Repair forearm tendon/muscle (25260) $11,275.39 $26,221.83 3.8×
Repair hand joint with graft (26542) $6,825.28 $15,872.74 2.3×
Repair hand tendon (26410) $4,863.11 $11,309.55 3.3×
Repair humerus with graft (24435) $9,433.94 $21,939.40 0.8×
Repair inguinal hernia, sliding, any age (49525) $5,671.98 $13,190.64 1.7×
Repair initial femoral hernia, any age; reducible (49550) $4,919.13 $11,439.84 1.5×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,094.61 $7,196.77 0.9×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $791.13 $1,839.83 2.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $791.13 $1,839.83 2.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $791.13 $1,839.83 2.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $791.13 $1,839.83 2.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $791.13 $1,839.83 2.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $791.13 $1,839.83 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $791.13 $1,839.83 2.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $791.13 $1,839.83 2.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $791.13 $1,839.83 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $791.13 $1,839.83 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $791.13 $1,839.83 2.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $791.13 $1,839.83 2.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $872.77 $2,029.69 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $791.13 $1,839.83 2.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $791.13 $1,839.83 0.4×
Repair kneecap tendon (27380) $4,817.38 $11,203.21 0.7×
Repair Laceration Palate </2 Cm (42180) $1,933.24 $4,495.91 3.9×
Repair mouth/nose fistula (30600) $8,994.52 $20,917.48 1.7×
Repair nasal septal perforations (30630) $4,768.16 $11,088.74 1.6×
Repair nasal vestibular stenosis (30465) $6,990.58 $16,257.17 1.3×
Repair nonunion hand (26546) $5,728.19 $13,321.37 0.9×
Repair nonunion radius/ulna w autogrft (25405) $15,700.72 $36,513.30 2.4×
Repair of defect with autograft; radius OR ulna (25425) $25,799.61 $59,999.10 3.9×
Repair of eardrum structures (69631) $4,095.60 $9,524.64 0.8×
Repair of foot bones (28320) $10,831.42 $25,189.36 0.9×
Repair of humerus (24430)
unusually low: confirm this is the full procedure
$4,327.70 $10,064.42 0.4×
Repair of hydrocele (55060) $3,370.32 $7,837.96 1.0×
Repair of leg tendon each (27658) $13,707.23 $31,877.29 4.6×
Repair of nail bed (11760) $138.08 $321.12 0.2×
Repair of nasal septum (30520) $4,014.67 $9,336.44 1.3×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) $4,662.24 $10,842.43 0.7×
Repair of penis (54440) $3,699.83 $8,604.25 1.1×
Repair of web finger (26562) $7,060.10 $16,418.82 2.4×
Repair of web finger (26561) $4,482.50 $10,424.43 1.5×
Repair palate (42235)
likely a partial charge, not the full procedure
$425.76 $990.14 0.1×
Repair penis (54380) $6,829.21 $15,881.89 3.6×
Repair radius & ulna (25415) $6,752.07 $15,702.50 1.0×
Repair Retinal Detachment Scleral Buckling (67107) $8,819.80 $20,511.17 2.3×
Repair Tongue Laceration (41250) $233.78 $543.67 0.6×
Repair webbed toe(s) (28345) $6,196.31 $14,410.02 4.2×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $9,574.06 $22,265.26 1.4×
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $6,406.50 $14,898.83 2.1×
Repair/graft hand tendon (26352) $6,484.95 $15,081.29 1.0×
Repair/graft wrist bone (25440) $8,440.79 $19,629.75 1.3×
Replace duod/jej tube perc (49451) $1,415 $3,290.70 1.7×
Replace eye fluid (67025) $8,049.35 $18,719.41 3.8×
Replace g/c tube perc (49450) $1,415 $3,290.70 1.7×
Replace Tissue Expander (11970) $5,941.29 $13,816.95 0.9×
Replacement gastro-jejunostomy tube percutaneous (49452) $1,415 $3,290.70 1.7×
Repos Previously Implanted Subq Implantable Dfb (33273) $3,575.86 $8,315.96 1.0×
Reposition gastrostomy tube (43761) $536.82 $1,248.43 2.3×
Reposition pacing-defib lead (33215) $3,575.86 $8,315.96 1.2×
Repositioning io lens prosthesis req inc spx (66825) $5,506.01 $12,804.68 2.6×
Reprgrmg Programmable Cerebrospinal Shunt (62252) $81.11 $188.63 0.3×
Rerepair ing hernia reduce (49520) $3,077.64 $7,157.32 0.9×
Resect face/scalp tum < 2 cm (21015) $4,577.63 $10,645.65 1.7×
Resection or transplantation of long tendon of biceps (23440) $4,195.32 $9,756.55 0.6×
Resection, partial or complete, phalangeal base, each toe (28126) $4,179.23 $9,719.13 1.4×
Revise external ear (69300) $3,833.48 $8,915.06 1.3×
Revise eye muscle (67311) $2,898.10 $6,739.76 1.3×
Revise eye muscle (67314) $3,160.14 $7,349.14 1.5×
Revise eye muscle(s) (67318) $3,383.78 $7,869.25 1.6×
Revise knuckle joint (26530) $5,601.92 $13,027.73 0.8×
Revise middle ear & mastoid (69642) $6,974.11 $16,218.86 1.3×
Revise middle ear & mastoid (69646) $10,590.19 $24,628.34 2.0×
Revise middle ear & mastoid (69644) $10,895.07 $25,337.38 2.0×
Revise middle ear & mastoid (69643) $9,427.39 $21,924.16 1.7×
Revise middle ear & mastoid (69645) $11,069.14 $25,742.18 2.0×
Revise middle ear & mastoid (69641) $6,786.18 $15,781.82 1.3×
Revise penis/urethra (54328) $6,286.38 $14,619.49 1.9×
Revise radius & ulna (25365) $26,347.94 $61,274.28 2.2×
Revise thumb tendon (26490) $6,169.74 $14,348.23 2.1×
Revise thumb tendon (26496) $12,830.53 $29,838.44 4.3×
Revise two eye muscles (67316) $4,381.26 $10,188.97 2.0×
Revise Urethra, 1st Stage (53400) $4,122.07 $9,586.20 0.8×
Revise wrist/forearm tendon (25280) $10,834.16 $25,195.73 3.6×
Revise/graft eyelid lining (68320) $2,570.23 $5,977.27 1.2×
Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services (69601) $9,674.49 $22,498.81 1.8×
Revision of arm tendon (24310) $5,316.12 $12,363.08 1.8×
Revision of colostomy simple (44340) $2,716.93 $6,318.44 0.8×
Revision of eyelid (67882) $3,558.14 $8,274.74 1.6×
Revision of foot (28116) $4,040.45 $9,396.40 1.4×
Revision of foot and ankle (28262) $7,696.79 $17,899.50 1.2×
Revision of humerus (24400) $6,100.11 $14,186.30 0.9×
Revision of lower leg tendon (27685) $3,463.07 $8,053.64 1.2×
Revision of penis (54300) $3,499.20 $8,137.68 1.1×
Revision of penis (54304) $7,152.42 $16,633.54 2.2×
Revision of scrotum (55175) $3,504.79 $8,150.68 1.1×
Revision of urethra (53450) $3,139.96 $7,302.24 1.0×
Revision or removal of cranial neurostimulator pulse generator or receiver (61888)
unusually low: confirm this is the full procedure
$3,671.21 $8,537.69 0.4×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $4,558.80 $10,601.85 1.4×
Rhinoplasty, Primary; Including Major Septal Repair (30420) $5,613.02 $13,053.53 1.0×
Rhinp Dfrm Colum Lngth Tip Septum Osteot (30462) $8,911.02 $20,723.30 1.6×
Rib cartilage graft (21230) $9,351.37 $21,747.37 1.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $233.78 $543.67 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $153.05 $355.92 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $159.54 $371.02 1.3×
Rmvl fecal impaction/fb spx under anes (45915) $3,099.88 $7,209.02 2.8×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $3,479.16 $8,091.06 1.3×
Rmvl of subq defibrillator (33272) $3,575.86 $8,315.96 1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,575.86 $8,315.95 1.0×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $3,575.86 $8,315.96 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,166.04 $5,037.31 1.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $3,100.32 $7,210.06 5.4×
Rmvl vitreous ant appr partial removal (67005) $6,085.71 $14,152.82 2.9×
Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) $6,616.92 $15,388.18 3.1×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $344.07 $800.16 0.8×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $3,670.38 $8,535.76 1.2×
Rplcmt cath ctr vad subq port/pmp (36578) $4,818.98 $11,206.92 1.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $3,530.71 $8,210.94 2.5×
Rplcmt compl tun ctr vad w/subq port (36582) $4,736.46 $11,015.02 1.6×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,622.53 $10,750.06 1.6×
Rplmct osseointegrate implnt w/o mastoidectomy (69717) $14,996.59 $34,875.79 2.3×
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) $3,575.46 $8,315.02 0.6×
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) $5,254.86 $12,220.61 1.8×
Rpr Ing Hernia Baby, Reduc (49495) $3,363.44 $7,821.94 1.0×
Rpr ing hernia init blocked (49501) $3,153.21 $7,333.04 1.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $233.78 $543.67 1.1×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $233.78 $543.67 1.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,933.24 $4,495.91 3.9×
Rpr Lip Full Thickness Vermilion Only (40650) $1,933.24 $4,495.91 3.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,933.24 $4,495.91 1.4×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $10,980.52 $25,536.09 2.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,538.24 $3,577.31 2.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,182.58 $9,726.92 1.4×
Rpsg previously placed cvc under fluor gdnce (36597) $1,538.24 $3,577.31 1.1×
Sclerotx Fluid Collection (49185) $1,555.22 $3,616.79 1.0×
Scrotal exploration (55110) $4,131.70 $9,608.61 1.3×
Secondary urethral surgery (54340) $3,728.93 $8,671.94 1.2×
Secondary urethral surgery (54344) $4,502.98 $10,472.04 0.5×
Secondary urethral surgery (54348) $4,125.59 $9,594.39 0.8×
Severing ads ant seg incal spx ant synechiae (65870) $4,954.33 $11,521.70 2.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,580.64 $6,001.50 2.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $344.07 $800.16 1.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $344.07 $800.16 1.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $344.07 $800.16 1.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $344.07 $800.16 1.9×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $344.07 $800.16 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $344.07 $800.16 1.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $344.07 $800.16 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $344.07 $800.16 1.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $344.07 $800.16 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $344.07 $800.16 1.9×
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $5,549.85 $12,906.62 5.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $393.36 $914.80 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $393.36 $914.80 2.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $393.36 $914.80 2.1×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $393.36 $914.80 2.1×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $393.36 $914.80 2.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $393.36 $914.80 2.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $393.36 $914.80 2.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $393.36 $914.80 2.1×
Skin Tissue Procedure (17999) $344.07 $800.16 1.9×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $8,663.56 $20,147.81 1.7×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $8,663.56 $20,147.81 3.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $8,663.56 $20,147.81 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $393.36 $914.80 2.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $393.36 $914.80 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $393.36 $914.80 1.1×
Spinal puncture lumbar diagnostic (62270) $1,800.07 $4,186.20 2.8×
Spinal Puncture Therapeutic (62272) $1,800.07 $4,186.20 2.8×
Strabismus recession/rescj 2 hrzntl musc (67312) $3,242.24 $7,540.08 0.9×
Strapping elbow/wrist (29260) $75.18 $174.84 1.4×
Strapping hand/finger (29280) $75.18 $174.84 1.4×
Strapping shoulder (29240) $75.18 $174.84 0.6×
Strapping thorax (29200) $75.18 $174.84 0.5×
Strapping toes (29550) $75.18 $174.84 1.4×
Strapping unna boot (29580) $770.35 $1,791.51 5.2×
Suction assisted lipectomy upper extremity (15878) $3,297.42 $7,668.43 1.7×
Surgical closure tracheostomy or fistula; without plastic repair (31820) $10,526.58 $24,480.43 3.5×
Suspension of testis (54640) $3,598.55 $8,368.72 1.1×
Suspension of testis (54620) $3,884.75 $9,034.31 1.2×
Suture Digital Nerve Hand/Foot 1 Nerve (64831) $10,356.12 $24,084 5.8×
Suture of; brachial plexus (64861) $21,405.46 $49,780.14 12.0×
T-cell depletion of harvest (38210) $3,601.14 $8,374.74 8.9×
Tangential biopsy skin single lesion (11102) $937.63 $2,180.54 2.5×
Tendon lengthening upper arm/elbow ea tendon (24305) $10,834.16 $25,195.73 3.6×
Tenolysis ext tendon,hand/finger,ea (26445) $3,306.48 $7,689.48 1.1×
Tenolysis flexor tendon palm/finger each tendon (26440) $4,534.84 $10,546.13 3.1×
Tenotomy Adductor Hip Open (27001) $7,412.30 $17,237.92 2.5×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $2,810.72 $6,536.56 0.9×
Tenotomy, extensor, hand or finger, open, each tendon (26460) $6,405.23 $14,895.88 4.4×
Tenotomy, flexor, finger, open, each tendon (26455) $4,158.09 $9,669.97 2.8×
Thaw preserved stem cells (38208) $3,601.14 $8,374.74 8.9×
Ther Apheresis,Plasma Pheresis (36514) $3,601.14 $8,374.74 2.5×
Ther Apheresis,Red Blood Cells (36512) $3,601.14 $8,374.74 2.5×
Ther Apheresis,White Blood Cells (36511) $3,601.14 $8,374.74 2.5×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $2,885.32 $6,710.04 5.0×
Throat Surgery Procedure (42999) $4,204.26 $9,777.36 19.4×
Thrombolytic Venous Therapy (37212) $7,525.59 $17,501.38 2.6×
Tibial arthroscopy/surgery (29855) $5,159.88 $11,999.72 0.8×
Tibial arthroscopy/surgery (29856) $11,488.77 $26,718.06 1.0×
Tis trnfr trunk 10.1-30sqcm (14001) $3,623.92 $8,427.72 1.9×
Tissue expander placement breast reconstruction (19357) $7,099.38 $16,510.18 0.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,874.05 $6,683.84 0.9×
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) $4,685.56 $10,896.64 0.7×
Trach Tube Change (31502) $233.78 $543.67 1.1×
Tracheobrnchsc Thru Est Trachs Inc (31615) $3,797.18 $8,830.64 7.7×
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure
$1,143.95 $2,660.34 0.2×
Transfer Any Pedicle Flap Any Location (15650) $4,781.54 $11,119.85 2.5×
Transfer of tendon to restore intrinsic function-all 4 fingers 26498 (26498) $12,830.53 $29,838.44 4.3×
Transplant forearm tendon (25312) $12,830.53 $29,838.44 4.3×
Transplant forearm tendon (25310) $4,903.04 $11,402.42 1.6×
Transurethral incision of prostate (52450) $4,273.22 $9,937.71 1.3×
Treat elbow fracture (24635) $4,195.32 $9,756.55 0.6×
Treat Finger Fracture Each (26727) $7,294.70 $16,964.43 2.4×
Treat Fracture Radius & Ulna (25560) $934.87 $2,174.11 4.1×
Treat fracture radius/ulna (25575) $5,728.52 $13,322.14 0.9×
Treat fx distal radial (25606) $3,661.73 $8,515.65 1.2×
Treat fx rad extra-articul (25607) $6,986.38 $16,247.39 1.1×
Treat humerus fracture (24500) $934.87 $2,174.11 4.1×
Treat humerus fracture (24577) $934.87 $2,174.11 0.6×
Treat humerus fracture (23600) $934.87 $2,174.11 4.1×
Treat knee fracture (27532) $934.87 $2,174.11 0.3×
Treat Lower Leg Fracture (27827) $8,573.84 $19,939.15 0.7×
Treat Metatarsal Fracture (28475) $934.87 $2,174.11 4.1×
Treat radius fracture (24665) $4,419.53 $10,277.97 0.7×
Treat thumb fracture (26665) $3,680.93 $8,560.30 1.2×
Treat ulnar fracture (24685) $4,072.93 $9,471.92 0.6×
Treat wrist bone fracture (25622) $934.87 $2,174.11 4.1×
Treat Wrist Bone Fracture (25630) $934.87 $2,174.11 4.1×
Treatment closed elbow dislocation req anes (24605) $2,077.36 $4,831.06 1.4×
Treatment closed elbow dislocation w/o anes (24600) $934.87 $2,174.11 4.1×
Treatment of ankle fracture (27822) $7,931.78 $18,446.01 1.2×
Treatment of ankle fracture (27792) $11,484.43 $26,707.97 1.7×
Treatment of bone cyst (20615) $1,036.48 $2,410.41 1.6×
Treatment of retinal lesion (67227) $3,235.77 $7,525.05 0.9×
Trim skin lesion (11055) $344.07 $800.16 1.9×
Trlml balo angiop open/perq img s&i 1st art (37246) $7,525.59 $17,501.38 1.4×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $7,525.59 $17,501.38 1.4×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $3,601.14 $8,374.74 8.9×
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $3,601.14 $8,374.74 8.9×
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure
$8,803.52 $20,473.31 0.2×
Trnsplj autologous hematopoietic cells per donor (38241) $3,601.14 $8,374.74 2.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $3,224.38 $7,498.57 2.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $791.13 $1,839.83 1.2×
Tx superficial wound dehiscence w/packing (12021) $791.13 $1,839.83 2.1×
Unlisted Procedure Casting/Strapping (29799) $193.67 $450.39 1.3×
Unlisted procedure foot or toes (28899) $934.87 $2,174.11 4.1×
Unlisted Procedure Lungs & Pleura (32999) $2,004.67 $4,662.03 3.5×
Unlisted Procedure Nervous System (64999) $935.60 $2,175.80 3.3×
Unlisted Procedure Rectum (45999) $3,231.62 $7,515.39 3.8×
Unlisted Procedure Vascular Surgery (37799) $4,568.32 $10,624.01 8.0×
Unlisted procedure, forearm or wrist (25999) $934.87 $2,174.11 4.1×
Unlisted procedure, hands or fingers (26989) $934.87 $2,174.11 4.1×
Urology Surgery Procedure (53899) $3,176.21 $7,386.54 13.9×
Vasc embolize/occlude artery (37242) $23,084.96 $53,685.96 1.4×
Vasc Embolize/Occlude Bleed (37244) $23,084.96 $53,685.96 2.2×
Vasc embolize/occlude organ (37243) $23,084.96 $53,685.96 2.2×
Vasc embolize/occlude venous (37241) $23,084.96 $53,685.96 2.2×
Vitrectomy mechanical pars plana (67036) $5,872.80 $13,657.68 1.6×
Vulvectomy simple partial (56620) $2,946.94 $6,853.35 1.0×
Vw factor type 2b eval plsm (0283U) $318.63 $741 17.3×
Vw factor type 2n eval plsm (0284U) $456.66 $1,062 26.4×
Wash harvest stem cells (38209) $3,601.14 $8,374.74 8.9×
Wedging of cast (29740) $330.09 $767.64 1.3×
Windowing of cast (29730) $193.67 $450.39 1.3×
Xfer single deep low leg tendon (27691) $5,504.51 $12,801.18 0.8×