Procedures & surgery prices at Clinch Valley Medical Center

Richlands, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $3,893.08 $9,732.71 4.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $4,233.83 $10,584.57 4.8×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $4,210.26 $10,525.65 2.8×
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) $11,301.62 $28,254.05 3.5×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $5,768.19 $14,420.48 2.9×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $8,610.50 $21,526.26 4.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $9,297.56 $23,243.89 2.9×
Amputation Finger/Thumb (26951) $5,390.38 $13,475.95 1.7×
Amputation foot transmetarsal (28805) $7,219.31 $18,048.28 2.3×
Amputation metatarsal with toe single (28810) $4,188.76 $10,471.89 1.3×
Amputation toe interphalangeal joint (28825) $4,501.36 $11,253.40 1.4×
Amputation toe metatarsophalangeal joint (28820) $5,373.43 $13,433.57 1.7×
Anoscopy; with biopsy, single or multiple (46606) $10,166.16 $25,415.41 8.7×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $369.12 $922.80 2.3×
Application Finger Splint Dynamic (29131) $203.90 $509.75 3.5×
Application finger splint static (29130) $142.08 $355.18 1.1×
Application long arm splint shoulder hand (29105) $671.58 $1,678.95 4.2×
Application of rigid total contact leg cast (29445) $1,124.96 $2,812.39 4.1×
Application Short Arm Splint Dynamic (29126) $252.49 $631.23 1.9×
Application short arm splint forearm-hand static (29125) $154.58 $386.47 1.2×
Apply long leg splint (29505) $633.63 $1,584.07 4.0×
Apply short leg splint (29515) $671.55 $1,678.87 4.2×
Arterial puncture (36600) $29.58 $73.96 0.2×
Arteriovenous Anastomosis Open Direct (36821) $12,344.32 $30,860.80 4.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $655.34 $1,638.35 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,996.93 $4,992.32 6.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $3,610.44 $9,026.10 12.1×
Arthrodesis interphalangeal jt w/wo int fixj (26860) $8,103.06 $20,257.64 2.5×
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) $12,289.29 $30,723.22 1.0×
Arthroplasty glenohumeral joint total shoulder (23472) $22,702.54 $56,756.36 1.3×
Arthroplasty patella w/prosthesis (27438) $22,105.42 $55,263.54 1.8×
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) $14,252.58 $35,631.45 1.1×
Arthroscopy knee synovectomy 2/>compartments (29876) $10,083.18 $25,207.94 3.2×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $14,062.49 $35,156.23 4.4×
Arthroscopy shoulder distal claviculectomy (29824) $6,305.49 $15,763.73 2.0×
Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) $15,364.81 $38,412.03 4.8×
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) $6,173.25 $15,433.12 1.9×
Arthroscopy, knee, surgical; with lateral release (29873) $6,581.94 $16,454.85 2.1×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) $13,255.85 $33,139.62 4.2×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $8,262.02 $20,655.04 1.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $6,280.87 $15,702.17 2.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $6,031.46 $15,078.64 0.9×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $9,026.89 $22,567.23 1.3×
Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) $13,124.32 $32,810.80 4.1×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $26,043.64 $65,109.10 3.7×
Aspirate pleura w/ imaging (32555) $2,792.34 $6,980.86 4.6×
Avulsion nail plate partial/complete simple 1 (11730) $709.33 $1,773.32 3.6×
Biopsy bone trocar/needle deep (20225) $2,732.12 $6,830.29 1.7×
Biopsy Bone Trocar/Needle Superficial (20220) $2,443.20 $6,107.99 1.5×
Biopsy muscle percutaneous needle (20206) $1,434.44 $3,586.09 0.9×
Biopsy Nasopharynx Visible Lesion Simple (42804) $8,735.54 $21,838.86 2.7×
Biopsy Salivary Gland,Needle (42400) $541.14 $1,352.85 0.8×
Biopsy/removal lymph nodes (38525) $18,724.26 $46,810.66 4.9×
Biopsy/removal lymph nodes (38510) $12,290.99 $30,727.48 3.2×
Bladder instillation anticarcinogenic agent (51720) $6,369.68 $15,924.20 9.4×
Bladder Irrigation Simple (51700) $481.13 $1,202.82 2.0×
Blood transfusion service (36430) $546.64 $1,366.60 1.3×
Blood/Lymph System Procedure (38999) $1,485.92 $3,714.79 3.5×
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) $8,621.68 $21,554.19 1.2×
Bone marrow aspiration only (38220) $555.79 $1,389.48 0.3×
Bone Marrow Biopsy (38221) $555.79 $1,389.48 0.3×
Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) $4,496.10 $11,240.25 2.6×
Brnchsc Brushing/Protected Brushings (31623) $2,865.75 $7,164.38 1.7×
Bronch ebus samplng 1/2 node (31652) $8,471.59 $21,178.98 2.3×
Bronchosc dx w/w/o fluor&wash (31622) $3,781.10 $9,452.74 2.2×
Bronchoscopy,Diagnostic W Lavage (31624) $5,404.63 $13,511.58 3.1×
Bx abdl/retroperitoneal mass prq needle (49180) $1,049.66 $2,624.14 0.7×
Bx anorectal wall anal approach (45100) $16,670.12 $41,675.29 6.2×
Bx breast 1st lesion strtctc (19081) $3,144.51 $7,861.27 2.0×
Bx breast 1st lesion us imag (19083) $6,936.70 $17,341.75 4.3×
Bx/exc lymph node needle superficial (38505) $1,631.50 $4,078.75 1.0×
Cataract surgery complex (66982) $7,695.73 $19,239.32 3.4×
Change of cystostomy tube simple (51705) $281.29 $703.22 1.2×
Circum 28 days or older (54161) $10,393.72 $25,984.31 5.1×
Claviculectomy partial (23120) $11,365.65 $28,414.14 3.6×
Closed Rx Gr Tuberosity Hum Fx (23620) $752.67 $1,881.68 3.1×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,855.25 $4,638.13 1.2×
Closed tx ankle dislocation w/o anesthesia (27840) $2,971.60 $7,428.99 12.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,931.26 $7,328.15 1.9×
Closed tx radial&ulnar shaft fractures w/manj (25565) $1,863.76 $4,659.39 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $637.07 $1,592.68 2.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $8,558.73 $21,396.83 5.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $6,431.62 $16,079.04 26.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $593.62 $1,484.06 0.4×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $631.67 $1,579.18 2.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $360.92 $902.31 0.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $655.34 $1,638.35 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $577.51 $1,443.78 2.4×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $557.56 $1,393.91 2.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $680.68 $1,701.71 2.8×
Cltx post hip arthrp dislc req anes (27266) $7,685.29 $19,213.23 4.9×
Cltx post hip arthrp dislc w/o anes (27265) $7,300.20 $18,250.49 30.3×
Cltx prox fibula/shft fx w/manj (27781) $360.92 $902.31 0.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $607.33 $1,518.32 0.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $6,304.62 $15,761.55 26.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $702.54 $1,756.34 0.4×
Collect Blood From Catheter Venous Nos (36592) $135.96 $339.89 1.0×
Colonoscopy flex w/blln dilat (45386) $3,337.93 $8,344.82 2.9×
Colonoscopy flex w/inj submuc (45381) $2,562.32 $6,405.80 2.2×
Colonoscopy stoma w/biopsy (44389) $6,431.44 $16,078.60 5.5×
Colonoscopy thru stoma (44388) $2,519.52 $6,298.79 2.8×
Colonoscopy w/ablation (45388) $4,158.50 $10,396.26 3.6×
Colonoscopy w/band ligation (45398) $5,929.17 $14,822.92 5.1×
Colonoscopy, flexible; with control of bleeding, any method (45382) $4,327.07 $10,817.68 3.7×
Colonoscopy, flexible; with endoscopic mucosal resection (45390) $5,105.89 $12,764.73 1.9×
Conization of cervix (57522) $6,912.33 $17,280.83 2.2×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $302.31 $755.77 1.5×
Control Nasal Hemorrhage Anterior Complex (30903) $594.92 $1,487.30 4.6×
Control Nasal Hemorrhage Anterior Simple (30901) $1,116.41 $2,791.02 8.6×
Control Oropharyngeal Hemorrhage Simple (42960) $14,312.07 $35,780.17 27.2×
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) $35,347.11 $88,367.77 2.8×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,227.02 $8,067.56 2.0×
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) $22,539.30 $56,348.24 4.2×
Cysto Bladder W/Ureteral Catheterization (52005) $6,235.41 $15,588.52 3.1×
Cysto calibration dilat urtl strix/stenosis (52281) $7,539.10 $18,847.76 3.7×
Cysto w/destruction of lesions (52214) $3,651.42 $9,128.54 1.1×
Cysto w/insert ureteral stent (52332) $13,454.91 $33,637.27 3.9×
Cysto w/removal of tumors small (52234) $17,358.03 $43,395.08 5.0×
Cysto W/Simple Removal Stone & Stent (52310) $10,721.02 $26,802.55 5.3×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $8,293.68 $20,734.21 2.4×
Cysto/uretero w/lithotripsy (52356) $12,880.78 $32,201.96 2.5×
Cystouretero & or pyeloscope (52351) $7,381.58 $18,453.95 2.1×
Cystourethroscopy (52000) $5,568.93 $13,922.33 8.2×
Cystourethroscopy w/dest &/rmvl med bladder tum (52235) $17,775.45 $44,438.63 5.2×
Cystourethroscopy w/dil bladder general anesth (52260) $7,181.58 $17,953.95 3.5×
Cystourethroscopy with biopsy (52204) $6,029.80 $15,074.51 3.0×
Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) $12,514.88 $31,287.19 6.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,302.74 $5,756.86 0.8×
Debride tissue/muscle (11043) $1,052.65 $2,631.63 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,032.70 $2,581.74 2.6×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,838.10 $7,095.24 1.8×
Declot vascular device (36593) $538.60 $1,346.50 1.7×
Decomp forearm,1 compart,w/o debride (25020) $7,704.59 $19,261.47 4.9×
Decompression of lower leg (27600) $11,264.36 $28,160.89 3.5×
Destruction anal lesion(s) (46924) $9,189.06 $22,972.66 3.4×
Destruction Benign Lesions Up To 14 (17110) $4,057.18 $10,142.96 20.7×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $3,919.43 $9,798.57 5.7×
Diagnostic sigmoidoscopy (45330) $2,101.30 $5,253.26 2.3×
Dilate urethra stricture (53600) $629.16 $1,572.89 2.6×
Dilation and curettage (58120) $10,771.26 $26,928.16 3.4×
Dissection, deep jugular node(s) Facility (38542) $17,121.86 $42,804.64 2.9×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $584.89 $1,462.22 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $779.56 $1,948.90 1.1×
Drainage Finger Abscess Complicated (26011) $5,878.40 $14,696.01 3.6×
Drainage of gum lesion (41800) $648.28 $1,620.71 5.0×
Drainage of hematoma/fluid (10140) $610.25 $1,525.64 0.4×
Draw blood off venous device (36591) $77.49 $193.73 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $484.36 $1,210.89 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $803.89 $2,009.72 4.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $664.04 $1,660.10 3.4×
Dx bone marrow bx & aspir (38222) $3,311.04 $8,277.61 1.2×
Dx laryngoscopy w/oper scope (31526) $3,057.80 $7,644.51 1.8×
Egd balloon dilation esophagus <30 mm diam (43249) $3,593.78 $8,984.46 1.9×
Egd band ligation esophgeal/gastric varices (43244) $3,600.81 $9,002.02 1.9×
Egd control bleeding any (43255) $3,238.33 $8,095.83 1.7×
Egd dilate stricture (43245) $2,988.83 $7,472.08 1.6×
Egd flexible foreign body removal (43247) $4,758.61 $11,896.52 5.4×
Egd guide wire insertion (43248) $2,572.25 $6,430.62 2.9×
Egd place gastrostomy tube (43246) $3,526.66 $8,816.66 1.9×
Egd remove lesion snare (43251) $6,916.22 $17,290.56 3.7×
Endovenous rf 1st vein (36475) $15,051.40 $37,628.49 4.9×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $2,813.73 $7,034.33 1.5×
Esophagogastroduodenoscopy submucosal injection (43236) $1,629.69 $4,074.22 1.8×
Evacuation of subungual hematoma (11740) $874.42 $2,186.05 6.7×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $3,142.66 $7,856.66 2.0×
Exc abdl tum deep 5 cm/> (22901) $4,275.46 $10,688.64 1.5×
Exc arm/elbow les sc < 3 cm (24075) $5,741.28 $14,353.20 3.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $5,209.24 $13,023.11 3.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $6,872.55 $17,181.38 9.9×
Exc Frenum Labial/Buccal (40819) $3,036.07 $7,590.18 2.0×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $6,040.39 $15,100.97 8.7×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $5,630 $14,075.01 14.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $8,506.93 $21,267.32 12.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $27,879.43 $69,698.58 17.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,250.92 $8,127.31 1.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $11,744.23 $29,360.58 7.3×
Exc thigh/knee les sc 3 cm/> (27337) $4,275.46 $15,333.69 1.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $5,061.54 $12,653.86 3.1×
Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) $6,172.43 $15,431.08 3.8×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $7,555.24 $18,888.11 2.7×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $20,472.62 $51,181.56 7.2×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $5,630 $14,075.01 3.5×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $28,501.44 $71,253.59 10.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $5,953.55 $14,883.88 3.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $4,275.46 $10,688.64 1.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $4,275.46 $10,688.64 2.7×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $8,982.17 $29,615.57 3.2×
Exchange nephrostomy cath (50435) $1,400.52 $3,501.30 0.7×
Excise/repair mouth lesion (40812) $3,053.45 $7,633.64 2.0×
Excision Lesion Cornea Xcp Pterygium (65400) $2,729.52 $6,823.80 2.8×
Excision lesion meniscus/capsule knee (27347) $7,575.68 $18,939.20 2.4×
Excision Lingual Frenum Frenectomy (41115) $3,072.65 $7,681.63 2.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $13,520.60 $33,801.50 19.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,032.70 $2,581.75 2.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $8,533.05 $21,332.62 12.4×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $4,210.79 $10,526.97 6.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $3,545.50 $8,863.74 2.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $3,250.92 $8,127.31 2.0×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $3,381.82 $8,454.56 4.9×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $3,794.87 $9,487.19 5.5×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $7,268.06 $18,170.15 4.6×
Excision of hydrocele unilateral (55040) $14,772.35 $36,930.88 4.2×
Excision of pilonidal cyst or sinus; simple (11770) $13,075.20 $32,688 4.6×
Excision of spermatocele, with or without epididymectomy Facility (54840) $13,619.46 $34,048.66 6.7×
Excision olecranon bursa (24105) $5,081.89 $12,704.72 1.6×
Excision pilonidal cyst/sinus complicated (11772) $10,529.52 $26,323.79 3.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $17,103.77 $42,759.42 10.6×
Excision, nasal polyp(s), simple Facility (30110) $3,057.80 $7,644.51 2.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $5,953.55 $14,883.88 2.1×
Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) $6,847.60 $17,119 4.2×
Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) $4,275.46 $10,688.64 1.5×
Excision/destruction intranasal lesion int appr (30117) $5,402.32 $13,505.80 1.7×
Exploration maxillary sinus (31020) $3,171.87 $7,929.68 1.0×
Explore & Treat Metacarpo-Phal Jt (26075) $4,863.65 $12,159.13 1.5×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,624.57 $9,061.43 1.1×
Fetal non-stress test (59025) $546.94 $1,367.36 2.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $4,065.50 $10,163.74 5.9×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $3,081.67 $7,704.18 4.5×
Fine needle aspiration without imaging guidance (10021) $2,820.73 $7,051.82 7.1×
Fixation of shoulder (23700) $5,096.30 $12,740.74 3.2×
Fluoro exam of g/colon tube (49465) $601.10 $1,502.75 2.6×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $6,646.53 $16,616.34 3.3×
Fusion of foot bones (28740) $20,463.35 $51,158.38 2.9×
Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) $5,563.46 $13,908.64 1.7×
Hemorrhoidectomy (46255) $9,910.61 $24,776.53 3.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $13,988.72 $34,971.81 5.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $17,553 $43,882.51 6.5×
Hysteroscopy biopsy (58558) $7,345 $18,362.49 2.3×
Hysteroscopy removal leiomyomata (58561) $7,320.24 $18,300.60 1.5×
Hysteroscopy w endometrial ablation (58563) $9,004.17 $22,510.43 1.8×
I&D Abscess Peritonsillar (42700) $2,144.25 $5,360.63 9.3×
I&d abscess simple (10060) $632.10 $1,580.26 3.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $3,831.98 $9,579.96 1.2×
I&d pilonidal cyst simple (10080) $9,006.30 $22,515.75 13.0×
I&d vulva/perineal abscess (56405) $350.33 $875.83 1.2×
Image Cath Fluid Peri/Retro (49406) $2,788.32 $6,970.79 1.7×
Incise external hemorrhoid (46083) $594.50 $1,486.25 2.4×
Incise finger tendon sheath (26055) $6,074.16 $15,185.39 3.9×
Incision & drainage abscess complicated/multiple (10061) $647.61 $1,619.02 1.6×
Incision & removal foreign body subq tiss simple (10120) $1,555.38 $3,888.46 3.9×
Incision and drainage of bartholin's gland abscess (56420) $703.25 $1,758.12 3.6×
Incision and drainage perianal abscess superficial (46050) $1,395 $3,487.51 1.5×
Incision of eardrum (69421) $3,702.98 $9,257.45 1.1×
Incision of lingual frenum (frenotomy) (41010) $2,267.41 $5,668.52 1.5×
Incision of rectal abscess (46040) $773.16 $1,932.90 0.7×
Initial tx 1st degree burn local tx (16000) $616.24 $1,540.60 3.1×
Inj,Anes Agent,Brachial Plexus,Single (64415) $5,494.38 $13,735.95 6.4×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $645.47 $1,613.68 0.9×
Injection aa&/strd trigeminal nerve each branch (64400) $701.83 $1,754.59 2.3×
Insert cath pleura w/ image (32557) $2,459.15 $6,147.88 1.6×
Insert gastrostomy tube percutaneous (49440) $1,831.19 $4,577.98 1.0×
Insert non-tunnel cv cath (36556) $1,658.23 $4,145.59 0.5×
Insert Temp Bladder Cath (51702) $97.37 $243.42 0.8×
Insert tun ip cath perc (49418) $10,618.90 $26,547.25 3.0×
Insert tunneled cv cath (36561) $3,451.70 $8,629.24 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $898.25 $2,245.62 6.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,852.97 $24,632.43 1.2×
Insj picc rs&i 5 yr+ (36573) $1,278.28 $3,123.31 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,506.45 $6,266.13 0.8×
Intro cath dialysis circuit (36901) $563.10 $1,407.75 0.4×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $13,945.16 $34,862.89 1.2×
Intro cath dialysis circuit w/trluml balo angiop (36902) $6,821.16 $17,052.89 1.2×
Intubation endotracheal emergency procedure (31500) $2,366.36 $5,915.89 10.2×
Irrigation maxillary sinus (31000) $2,488.41 $6,221.04 10.8×
Knee Arthroscopy/Surgery (29879) $10,076.58 $25,191.46 3.2×
Lap ing hernia repair init (49650) $46,813.15 $117,032.88 7.9×
Lap insert tunnel ip cath (49324) $22,506.37 $56,265.93 3.8×
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) $27,751.11 $69,377.78 4.7×
Laparoscopy appendectomy (44970) $20,739.67 $51,849.17 3.5×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $32,303.88 $80,759.69 3.1×
Laparoscopy w/rmvl adnexal structures (58661) $11,399.40 $28,498.49 1.9×
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) $15,102.04 $37,755.10 2.6×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $33,897.29 $84,743.22 3.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) $36,837.23 $92,093.07 3.6×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $37,754.83 $94,387.08 6.4×
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) $15,155.66 $37,889.14 2.6×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $11,067.54 $27,668.84 1.9×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $16,236.15 $40,590.38 2.8×
Laryngoscopy flexible diagnostic (31575) $217.66 $544.16 1.1×
Laryngoscopy w/biopsy (31535) $9,745.06 $24,362.66 2.7×
Laryngoscopy w/bx op scope (31536) $5,087.29 $12,718.22 1.4×
Laryngoscopy w/exc of tumor (31540) $5,166.85 $12,917.12 1.4×
Larynscop w/tumr exc + scope (31541) $5,319.60 $13,299.01 1.5×
Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) $13,504.10 $33,760.25 2.6×
Late closure of wound (13160) $3,831.98 $9,579.96 1.1×
Lateral retinacular release open (27425) $7,504.45 $18,761.13 2.4×
Ligation of a-v fistula (37607) $5,832.94 $14,582.36 1.9×
Litholapaxy comp/lg > 2.5 cm (52318) $12,777.94 $31,944.86 3.7×
Litholapaxy smpl/sm <2.5 cm (52317) $11,615.57 $29,038.94 3.4×
Lithotripsy (50590) $23,786.82 $59,467.04 6.9×
Liver Biopsy (47000) $1,952.76 $4,881.89 1.2×
Manipulation knee joint under general anesthesia (27570) $2,478.62 $6,196.54 1.6×
Mastectomy partial (19301) $22,669.15 $56,672.88 5.9×
Mastectomy simple complete (19303) $17,004.99 $42,512.48 2.6×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $1,997.05 $4,992.63 2.6×
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
unusually low: confirm this is the full procedure
$3,083.58 $7,708.94 0.4×
Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) $2,488.41 $6,221.04 1.4×
Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) $6,460.90 $16,152.24 3.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $857.38 $2,143.46 2.1×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $739.47 $1,848.67 3.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,957.15 $4,892.88 0.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $2,744.67 $6,861.68 4.0×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $1,316.08 $3,290.20 1.9×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
unusually low: confirm this is the full procedure
$3,342.29 $8,355.73 0.5×
Open thrombect av fistula (36831) $14,627.18 $36,567.94 2.7×
Open Treatment Bimalleolar Ankle Fracture (27814) $7,790.24 $19,475.60 1.1×
Open treatment metatarsal fracture each (28485) $10,129.16 $25,322.91 1.4×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $11,365.65 $28,414.14 1.6×
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) $13,663.92 $34,159.80 1.9×
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) $17,460.08 $43,650.21 1.4×
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) $10,818.10 $27,045.25 1.5×
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) $13,194.96 $32,987.39 1.9×
Open treatment posterior malleolus fracture (27769) $9,867.28 $24,668.21 1.4×
Open Treatment Proximal Humeral Fracture (23615) $11,301.62 $28,254.05 0.9×
Open tx carpal scaphoid navicular fracture (25628) $12,288.76 $30,721.90 1.7×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $6,746.44 $16,866.11 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $1,284.27 $3,210.67 0.4×
Open Tx Distal Tibiofibular Joint Disruption (27829) $8,882.48 $22,206.20 1.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $12,364.41 $30,911.04 3.9×
Open tx phalangeal shaft fracture prox/middle ea (26735) $9,647.98 $24,119.95 3.0×
Open tx ulnar fx proximal end (24685) $16,388.11 $40,970.27 2.3×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $16,668.88 $42,786.31 2.4×
Orchiectomy radical tumor inguinal approach (54530) $18,711.36 $46,778.40 5.4×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $20,543.97 $51,359.93 2.9×
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) $20,543.97 $51,359.93 2.9×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) $5,081.89 $12,704.72 1.6×
Partial removal of hand bone (26230) $4,863.65 $12,159.13 1.5×
Partical Excision Bone Phalanx Toe (28124) $3,494.03 $8,735.08 1.1×
Percut Drain/Inject Renal Cyst (50390) $887.12 $2,217.80 1.3×
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) $11,145.79 $27,864.48 1.6×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $4,375.37 $10,938.42 1.4×
Perq dev breast 1st us imag (19285) $5,105.58 $12,763.96 7.4×
Perq replacement gtube not req revj gstrst trc (43762) $599.48 $1,498.69 2.5×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $785.76 $1,964.39 1.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $21,631.66 $54,079.15 3.1×
Perq Vertebral Augmentation (22513) $21,588.87 $53,972.17 3.0×
Placement of needle for intraosseous infusion (36680) $1,952.68 $4,881.70 4.5×
Plmt nephrostomy cath prq new access rs&i (50432) $10,501.40 $26,253.51 5.1×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,354.94 $8,387.34 1.0×
Plmt urtrl stent prq pre-existing nfros tract (50693) $3,354.94 $8,387.34 1.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,354.94 $8,387.34 1.0×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $386.95 $967.38 1.0×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $7,504.45 $18,761.13 1.1×
Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) $2,952.31 $7,380.77 0.9×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) $20,288.43 $50,721.07 2.9×
Removal foreign body intranasal (30300) $4,695.33 $11,738.32 36.2×
Removal foreign body, intranasal; requiring general anesthesia (30310) $6,461.59 $16,153.97 2.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $613.71 $1,534.27 10.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $3,257.52 $8,143.81 56.6×
Removal implant deep (20680) $9,105.32 $22,763.30 3.2×
Removal of adenoids (42830) $3,614.13 $9,035.32 1.1×
Removal of bone for graft (20902) $12,289.02 $30,722.56 1.7×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $3,615.34 $9,038.35 3.1×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $627.18 $1,567.94 1.4×
Removal of implant from finger or hand (26320) $9,713.74 $24,284.36 6.0×
Removal of nail bed (11750) $1,055.89 $2,639.74 2.7×
Removal of tonsils (42825) $6,472.70 $16,181.75 1.1×
Removal of tonsils (42826) $6,135.53 $15,338.83 1.9×
Removal of tunneled intraperitoneal catheter (49422) $3,067.50 $7,668.76 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $6,104.02 $15,260.05 31.2×
Removal subcutaneous cardiac rhythm monitor (33286) $2,058.35 $5,145.88 3.0×
Remove drug implant device (11982) $3,851.78 $9,629.46 8.8×
Remove ext hem groups 2+ (46250) $11,303.32 $28,258.29 4.2×
Remove Lower Leg Bone Lesion (27635) $9,354.68 $23,386.70 2.9×
Remove Pilonidal Cyst Exten (11771) $12,542.40 $31,356.01 4.4×
Remove&replace pm gen singl (33227) $7,387.33 $18,468.32 0.9×
Remv Ext Canal F.B.,Gen Anesth (69205) $1,962.32 $4,905.81 1.2×
Remv Ext Canal Foreign Body (69200) $546.46 $1,366.14 4.2×
Remv F.B.,Eye,Superf Conjunc (65205) $625.23 $1,563.07 4.8×
Remv&replc pm gen dual lead (33228) $9,601.41 $24,003.52 0.9×
Renal Biopsy Percutaneous (50200) $2,797.52 $6,993.79 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $8,498.92 $21,247.30 21.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $3,321.22 $8,303.05 8.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $751.39 $1,878.48 1.9×
Repair extensor tendon finger w/o graft each (26418) $11,436.54 $28,591.35 7.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $32,974.86 $82,437.15 9.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,179.81 $2,949.52 3.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $2,896.56 $7,241.40 7.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $703.36 $1,758.41 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $802.64 $2,006.60 2.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $388.50 $971.26 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $694.08 $1,735.19 1.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $653.24 $1,633.09 1.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $918.49 $2,296.23 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $636.33 $1,590.83 1.6×
Repair of humerus (24430)
likely a partial charge, not the full procedure
$666.21 $1,665.53 0.1×
Repair of nail bed (11760) $7,157.64 $17,894.10 9.9×
Repair of nasal septum (30520) $3,170.88 $7,927.20 1.0×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) $4,044.07 $10,110.18 0.6×
Repair of shoulder (23420) $16,413.63 $41,034.08 2.3×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $16,914.76 $42,286.89 2.7×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $6,888.15 $17,220.38 1.0×
Repair, primary, disrupted ligament, ankle; collateral (27695) $6,746.44 $16,866.11 1.0×
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) $9,354.68 $23,386.70 1.3×
Revis reconst shoulder joint (23473) $22,702.54 $56,756.36 1.8×
Revise ulnar nerve at elbow (64718) $9,631.75 $24,079.38 5.1×
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) $28,938.04 $72,345.10 2.3×
Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) $10,304.43 $25,761.07 1.9×
Rhinoplasty, primary; including major septal repair Facility (30420) $16,316.31 $40,790.78 2.8×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $682.82 $1,707.04 1.6×
Rmvl Lens Material Phacofragmentation Aspir (66850) $8,061.86 $20,154.64 3.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $490.74 $1,226.86 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $642.22 $1,605.54 1.0×
Rmvl Vitreous Ant Appr Partial Removal (67005) $8,061.86 $20,154.64 3.6×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,046.98 $5,117.45 0.7×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $30,165.83 $75,414.58 5.1×
Rpr aa hernia 1st < 3 cm reducible (49591) $15,362.03 $38,405.07 4.4×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $17,407.85 $43,519.62 3.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $13,339.25 $31,136.04 2.3×
Rpr Lip Full Thickness Vermilion Only (40650) $708.88 $1,772.21 1.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,441.71 $3,604.27 1.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,763.64 $9,409.09 3.2×
Sigmoidoscopy w/biopsy (45331) $21,783.26 $54,458.15 24.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $650.19 $1,625.48 3.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $680 $1,700.01 3.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,142.02 $2,855.06 5.8×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $599.50 $1,498.76 3.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $656.75 $1,641.88 3.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $720.84 $1,802.11 3.7×
Skin splt grft trnk/arm/leg (15100) $16,451.14 $41,127.84 8.2×
Skin sub graft face/nk/hf/g (15275) $1,173.07 $2,932.68 1.6×
Skin sub graft trnk/arm/leg (15271) $1,218.86 $3,047.16 1.7×
Skin tissue rearrangement (14040) $3,494.03 $8,735.08 1.7×
Skn splt a-grft fac/nck/hf/g (15120) $10,530.26 $26,325.66 3.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $633.72 $1,584.31 3.2×
Spine Surgery Procedure Unlisted (22899) $1,478.65 $3,696.63 6.1×
Strapping knee (29530) $609.20 $1,523.01 4.7×
Strapping toes (29550) $653.40 $1,633.51 11.4×
Strapping unna boot (29580) $369.12 $552.84 2.3×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $2,488.41 $6,221.04 0.8×
Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) $6,275.79 $15,689.48 2.0×
Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) $4,018.94 $10,047.34 1.3×
Tenotomy flexor finger open each tendon (26455) $4,863.65 $12,159.13 3.1×
Tnot elbow lateral/medial debride open tdn rpr (24359) $9,449.74 $23,624.35 3.0×
Tongue and mouth surg unlisted (41599) $3,057.80 $7,644.51 13.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $6,606.13 $16,515.32 2.0×
Total hip arthroplasty (27130) $21,713.24 $54,283.11 1.7×
Total Knee Arthroplasty (27447) $32,577.08 $81,442.70 2.6×
Tracheotomy tube change (31502) $646.18 $1,615.46 2.8×
Transur electr resection of prostate (52601) $23,141.31 $57,853.27 4.4×
Treat Elbow Fracture (24635) $14,793.04 $36,982.60 2.1×
Treat humerus fracture (24500) $651.49 $1,628.72 2.7×
Treat humerus fracture (23600) $652.12 $1,630.31 2.7×
Treat Kneecap Fracture (27524) $15,882.67 $39,706.68 2.2×
Treat Thigh Fracture (27245) $19,743.14 $49,357.86 2.8×
Treat thumb fracture (26665) $16,417.48 $41,043.71 5.1×
Treatment closed elbow dislocation w/o anes (24600) $6,471.32 $16,178.29 26.9×
Treatment of missed abortion, completed surgically; first trimester (59820) $6,370.62 $15,926.56 2.0×
Trim skin lesion (11055) $314.14 $785.34 1.6×
Trim skin lesions 2 to 4 (11056) $523.10 $1,307.74 2.7×
Trim skin lesions over 4 (11057) $286.24 $715.60 1.5×
Trimming Of Nondystrophic Nails, Any Number (11719) $267.04 $667.61 4.6×
Tubal ligation (58600) $6,912.33 $17,280.83 2.2×
Tube thoracostomy includes water seal (32551) $2,146.29 $5,365.73 1.4×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $12,034.55 $30,086.39 4.4×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $16,963.96 $42,409.90 1.4×
Tx Incomplete Abortion Any Trimester Surgical (59812) $5,745.39 $14,363.47 1.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $780.08 $1,950.19 1.1×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) $13,801.71 $34,504.27 2.4×
Tympanostomy general anesthesia (69436) $3,266.66 $8,166.64 2.2×
Unlisted hysteroscopy procedure, uterus (58579) $7,194.45 $17,986.13 36.5×
Unlisted laparoscopy procedure stomach (43659) $21,443.29 $53,608.23 3.6×
Unlisted procedure anus (46999) $10,390.80 $25,977 11.5×
Unlisted procedure dentoalveolar structures (41899) $11,612.19 $29,030.48 50.2×
Unlisted Procedure Male Genital System (55899) $11,615.57 $29,038.94 47.6×
Unlisted Procedure Trachea Bronchi (31899) $3,881.14 $9,702.85 19.9×
Us urine capacity measure (51798) $46.62 $116.56 0.8×
Uvulectomy excision of uvula (42140) $4,039.68 $10,099.20 1.2×
Vasc Embolize/Occlude Bleed (37244) $5,948.18 $14,870.44 0.5×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure
$4,368.74 $10,921.85 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $7,323.32 $18,308.31 3.6×
Venipuncture (36415) $19.72 $49.30 2.1×
Ventilating tube removal requiring general anesthesia (69424) $3,183.64 $7,959.09 1.0×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $6,006.39 $15,015.98 1.2×