Procedures & surgery prices at Gundersen Lutheran Medical Center

La Crosse, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $593.20 $1,483 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $592.40 $1,481 0.6×
Ablate inf turbinate submuc (30802) $1,017.20 $2,543 0.6×
Acne surgery (10040) $158.40 $396 0.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,223.60 $3,059 0.6×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,399.20 $5,998 0.6×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,318.80 $3,297 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,248 $3,120 0.6×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,223.60 $3,059 0.6×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,299.20 $3,248 0.6×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,278.40 $3,196 0.6×
Amniocentesis diagnostic (59000) $481.60 $1,204 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,301.20 $5,753 0.7×
Amputation toe interphalangeal joint (28825) $2,178.80 $5,447 0.6×
Amputation toe metatarsophalangeal joint (28820) $2,064 $5,160 0.6×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $211.20 $528 0.6×
Anoscopy diagnostic (46600) $110 $275 0.8×
Anoscopy remove lesion (46610) $364.40 $911 0.1×
Anoscopy; with biopsy, single or multiple (46606) $782.40 $1,956 0.6×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $150.40 $376 0.9×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $232 $580 0.8×
Application cast elbow finger short arm (29075) $240 $600 0.8×
Application Cast Finger (29086) $116.80 $292 0.7×
Application finger splint static (29130) $66.40 $166 0.5×
Application Halo Cranial Including Removal (20661) $740.40 $1,851 0.4×
Application Hip Spica Cast 1 Leg (29305) $259.60 $649 0.9×
Application long arm splint shoulder hand (29105) $130.40 $326 0.8×
Application Long Leg Cast Walker/Ambulatory Type (29355) $225.60 $564 0.8×
Application Long Leg Splint (29505) $129.60 $324 0.8×
Application of cylinder cast (thigh to ankle) (29365) $220.80 $552 0.7×
Application of long leg cast (29345) $259.20 $648 0.9×
Application of rigid total contact leg cast (29445) $224.40 $561 0.8×
Application Patellar Tendon Bearing Cast (29435) $252 $630 0.9×
Application short arm splint forearm-hand static (29125) $118.40 $296 0.8×
Application short leg splint calf foot (29515) $125.20 $313 0.7×
Apply hand/wrist cast (29085) $153.60 $384 0.9×
Apply long arm cast (29065) $245.20 $613 0.8×
Apply Multlay Comprs Lwr Leg (29581) $122.40 $306 0.7×
Apply Short Leg Cast (29405) $238.80 $597 0.8×
Apply short leg cast (29425) $238 $595 0.8×
Arterial puncture (36600) $81.60 $204 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $206 $515 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $471.20 $1,178 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $208.80 $522 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $456.80 $1,142 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $205.60 $514 0.6×
Arthrodesis triple (28715) $8,972.40 $22,431 0.7×
Artificial insemination intra-uterine (58322) $134 $335 0.6×
Aspirate pleura w/ imaging (32555) $577.60 $1,444 0.9×
Aspirate Pleura W/O Imaging (32554) $554 $1,385 0.8×
Aspirate/Inj Ganglion Cyst (20612) $209.20 $523 0.6×
Aspiration bladder insert suprapubic catheter (51102) $1,336 $3,340 0.6×
Aspiration Bladder Needle (51100) $459.60 $1,149 1.7×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $1,524.40 $3,811 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $159.20 $398 0.7×
Biopsy Abdominal Mass (49180) $1,053.60 $2,634 0.6×
Biopsy External Auditory Canal (69105) $1,017.20 $2,543 0.6×
Biopsy external ear (69100) $354.40 $886 1.4×
Biopsy muscle percutaneous needle (20206) $1,092.40 $2,731 0.6×
Biopsy Muscle Superficial (20200) $1,037.60 $2,594 0.6×
Biopsy nail unit (11755) $459.60 $1,149 0.6×
Biopsy Nasopharynx Visible Lesion Simple (42804) $793.60 $1,984 0.2×
Biopsy of breast; open, incisional (19101) $2,283.60 $5,709 0.6×
Biopsy of conjunctiva (68100) $1,458.80 $3,647 0.6×
Biopsy of floor of mouth (41108) $1,109.20 $2,773 0.6×
Biopsy of lip (40490) $201.60 $504 0.8×
Biopsy of nerve (64795) $1,318 $3,295 0.6×
Biopsy of palate, uvula (42100) $1,017.20 $2,543 0.6×
Biopsy of penis (54100) $1,053.60 $2,634 0.6×
Biopsy of urethra (53200) $2,106.80 $5,267 1.0×
Biopsy Oropharynx (42800) $1,718 $4,295 1.0×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $2,174.40 $5,436 0.6×
Biopsy Salivary Gland Incisional (42405) $1,718 $4,295 1.0×
Biopsy Salivary Gland Needle (42400) $476 $1,190 0.6×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,165.20 $2,913 0.7×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,039.20 $2,598 0.6×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,165.20 $2,913 0.7×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $1,793.20 $4,483 0.6×
Biopsy Tongue Anterior Two-Thirds (41100) $366.80 $917 0.6×
Biopsy Tongue Posterior One-Third (41105) $1,974.80 $4,937 0.6×
Biopsy Vaginal Mucosa Extensive (57105) $1,882.40 $4,706 0.5×
Biopsy Vaginal Mucosa Simple (57100) $575.20 $1,438 0.6×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $481.60 $1,204 0.5×
Biopsy, vestibule of mouth (40808) $425.20 $1,063 0.7×
Biopsy/removal lymph nodes (38510) $2,283.60 $5,709 0.6×
Bladder Irrigation (51700) $179.60 $449 0.7×
Blepharoplasty Lower Eyelid (15820) $1,223.60 $3,059 0.6×
Blepharoplasty upper eyelid (15822) $1,223.60 $3,059 0.6×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,223.60 $3,059 0.6×
Blepharotomy drainage abscess eyelid (67700) $263.20 $658 0.8×
Bone Marrow Biopsy (38221) $1,053.60 $2,634 0.6×
Bone Marrow Harvest Autolog (38232) $2,798 $6,995 0.6×
Bone Marrow; Aspiration Only (38220) $1,053.60 $2,634 0.6×
Bx breast needle core w/o imaging guidance spx (19100) $1,037.60 $2,594 0.6×
Bx Cervix (57500) $588 $1,470 0.6×
Bx prostate in-bore CT/MRI trgt les only 1st (55714) $3,783.20 $9,458 0.7×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $2,487.20 $6,218 0.7×
Bx prostate transperineal ultrasound-guided (55709) $2,487.20 $6,218 0.7×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $2,340.80 $5,852 0.6×
Bx prst8 in-bore CT/MRI bx 1 (55713) $3,783.20 $9,458 0.7×
Bx prst8 tprn us w/MRI fus 1 (55710) $2,487.20 $6,218 0.7×
Bx prst8 trct us w/MRI fus 1 (55708) $2,487.20 $6,218 0.7×
Bx/exc lymph node open deep axillary node (38525) $2,285.20 $5,713 0.6×
Bx/exc lymph node open superficial (38500) $2,283.60 $5,709 0.6×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,166 $5,415 0.6×
Carpal Tunnel Surgery (64721) $2,148.80 $5,372 1.0×
Cautery Cervix Cryocautery Initial/Repeat (57511) $273.20 $683 0.8×
Change Cystostomy Tube Complicated (51710) $492.80 $1,232 0.7×
Change Cystostomy Tube Simple (51705) $182.40 $456 0.7×
Change of Windpipe Airway (31502) $157.20 $393 0.6×
Chemical Cautery Tissue (17250) $132.80 $332 0.6×
Chemical peel, facial; epidermal (15788) $300.40 $751 0.7×
Chemodenerv 1 extrem 5/> mus (64644) $471.20 $1,178 0.6×
Chemodenerv 1 extremity 1-4 (64642) $471.20 $1,178 0.6×
Chemodenerv Eccrine Glands (64650) $279.60 $699 0.9×
Chemodenerv Musc Migraine (64615) $233.60 $584 0.7×
Chemodenerv musc neck dyston (64616) $229.20 $573 0.7×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $241.20 $603 0.7×
Chemodenerv trunk musc 1-5 (64646) $471.20 $1,178 0.6×
Chemodenerv trunk musc 6/> (64647) $471.20 $1,178 0.6×
Chemodenervation eccrine glands oth area per day (64653) $197.20 $493 0.6×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $472.80 $1,182 0.6×
Chemodenervation of extraocular muscle (67345) $256.80 $642 0.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $204 $510 0.6×
Ciliary body dstrj cyclophotocoag transsceral (66710) $1,458.80 $3,647 0.6×
Circumcision 28 days or older (54161) $1,336 $3,340 0.6×
Circumcision Neonate (54160) $514 $1,285 0.7×
Circumcision w/clamp/oth dev w/block (54150) $290 $725 0.1×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $2,222.40 $5,556 0.5×
Cl Tx Scapular Fx; W Manip (23575) $1,040.40 $2,601 0.6×
Cl Tx Tib Shft Fx W Manip (27752) $1,040.40 $2,601 0.6×
Clear outer ear canal (69200) $108 $270 0.8×
Closed Treat Vert Body Fract (22310) $425.20 $1,063 1.6×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,044 $2,610 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $542 $1,355 2.1×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $394 $985 1.5×
Closed Treatment Sesamoid Fracture (28530) $196 $490 0.7×
Closed Treatment Ulnar Styloid Fracture (25650) $540.80 $1,352 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $247.60 $619 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,148 $2,870 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $542 $1,355 2.1×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $409.20 $1,023 1.6×
Closed tx carpal scaphoid fracture w/manj (25624) $1,040.40 $2,601 0.6×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $527.20 $1,318 2.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $542 $1,355 2.1×
Closed tx knee dislocation w/o anesthesia (27550) $432.40 $1,081 1.7×
Closed tx metatarsal fracture w/o manipulation (28470) $234.40 $586 0.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,540 $3,850 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,017.20 $2,543 0.6×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,974.80 $4,937 0.6×
Closed Tx Patellar Fracture W/O Manipulation (27520) $234.80 $587 0.9×
Closed tx radial head/neck fx w/manipulation (24655) $1,040.40 $2,601 0.6×
Closed tx radial head/neck fx w/o manipulation (24650) $218 $545 0.8×
Closed tx radial shaft fracture w/manipulation (25505) $1,159.20 $2,898 0.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $250.40 $626 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,164 $2,910 0.7×
Closed tx radial&ulnar shaft fractures w/o man (25560) $444.40 $1,111 1.7×
Closed Tx Scapular Fracture W/O Manipulation (23570) $209.20 $523 0.8×
Closed tx septal&nose fx (21337) $1,974.80 $4,937 0.6×
Closed tx talus fracture w/o manipulation (28430) $411.20 $1,028 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $172.80 $432 0.7×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,040.40 $2,601 0.6×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $427.20 $1,068 1.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $452.40 $1,131 1.7×
Closure lacrimal punctum (68760) $383.60 $959 1.1×
Clsd tx clavicular fracture w/o manipulation (23500) $466.40 $1,166 1.8×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $185.20 $463 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,173.60 $2,934 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $232.40 $581 0.9×
Clsr Lacrimal Punctum Plug Each (68761) $236 $590 0.7×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $542 $1,355 2.1×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $323.20 $808 1.2×
Cltx dstl fibular fx lat malls w/manj (27788) $262 $655 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $263.60 $659 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $463.60 $1,159 1.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $196.80 $492 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $268.40 $671 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,172.40 $2,931 0.7×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,021.20 $2,553 0.6×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $329.20 $823 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $210.80 $527 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $210.80 $527 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $204.80 $512 0.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $263.20 $658 1.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $248.80 $622 1.0×
Cltx Greater Trochanteric Fx W/O Manj (27246) $542 $1,355 2.1×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,040.40 $2,601 0.6×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $315.20 $788 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $264.80 $662 1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,173.60 $2,934 0.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $173.60 $434 0.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $405.20 $1,013 1.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $251.60 $629 1.0×
Cltx Med Ankle Fx W/Mnpj (27762) $1,040.40 $2,601 0.6×
Cltx Medial Ankle Fx (27760) $492.80 $1,232 1.9×
Cltx metacarpal fx w/manipulation each bone (26605) $264.80 $662 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $257.20 $643 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $270.80 $677 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $227.60 $569 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $283.60 $709 1.1×
Cltx prox fibula/shft fx w/o manj (27780) $261.20 $653 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,040.40 $2,601 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $202 $505 0.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,173.60 $2,934 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,040.40 $2,601 0.6×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $250.40 $626 1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $278.40 $696 1.1×
Cltx tibial fx proximal w/o manipulation (27530) $260 $650 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $540.80 $1,352 2.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,040.40 $2,601 0.6×
Cltx trimalleolar ankle fx w/o manipulation (27816) $542 $1,355 2.1×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $2,064 $5,160 0.6×
Colporrhaphy (57200) $1,882.40 $4,706 0.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $275.20 $688 0.9×
Colposcopy Cervix Endocervical Curettage (57456) $268.40 $671 0.8×
Colposcopy cervix upper/adjacent vagina (57452) $159.60 $399 0.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $272 $680 0.8×
Colposcopy cervix vag eltrd conization cervix (57461) $1,882.40 $4,706 0.5×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,884 $4,710 0.5×
Colposcopy entire vagina w/cervix if present (57420) $226.80 $567 0.7×
Colposcopy of vulva (56820) $152.40 $381 0.7×
Colposcopy Vulva W/Biopsy (56821) $235.20 $588 0.7×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $587.60 $1,469 0.6×
Complex drainage wound (10180) $1,793.20 $4,483 0.6×
Composite Skin Graft (15760) $1,247.60 $3,119 0.6×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,884 $4,710 0.5×
Contour of face bone lesion (21029) $1,866 $4,665 0.5×
Control Nasal Hemorrhage Anterior Complex (30903) $152.80 $382 1.1×
Control Nasal Hemorrhage Anterior Simple (30901) $113.20 $283 0.8×
Cornea Scraping Diagnostic Smear &/Culture (65430) $274.40 $686 0.6×
Correction hammertoe (28285) $2,062.80 $5,157 0.6×
Correction of trichiasis; epilation, by forceps only (67820) $87.60 $219 0.6×
Create Eardrum Opening (69433) $427.60 $1,069 0.7×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $59.60 $149 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $145.20 $363 1.0×
Curette/treat cornea (65435) $623.60 $1,559 0.6×
Cysto Bladder W/Ureteral Catheterization (52005) $1,334.40 $3,336 0.6×
Cysto calibration dilat urtl strix/stenosis (52281) $1,334.40 $3,336 0.6×
Cysto w/destruction of lesions (52214) $1,563.60 $3,909 0.4×
Cysto w/insert ureteral stent (52332) $2,276 $5,690 0.6×
Cysto w/irrig & evac multple obstructing clots (52001) $2,276 $5,690 0.6×
Cysto w/removal of lesions small (52224) $1,543.20 $3,858 0.4×
Cysto w/removal of tumors small (52234) $2,276 $5,690 0.6×
Cysto W/Simple Removal Stone & Stent (52310) $1,430 $3,575 0.6×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,276 $5,690 0.6×
Cystourethroscopy (52000) $444.40 $1,111 0.6×
Cystourethroscopy inj chemodenervation bladder (52287) $1,336 $3,340 0.6×
Cystourethroscopy with biopsy (52204) $1,334.40 $3,336 0.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $376.40 $941 0.9×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,913.60 $4,784 0.6×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $531.60 $1,329 0.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $376.40 $941 0.5×
Debride nail 1-5 (11720) $47.60 $119 0.8×
Debride nail 6 or more (11721) $52.40 $131 0.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,039.20 $2,598 0.6×
Debridement Mastoidectomy Cavity Cmplx (69222) $374.80 $937 0.7×
Debridement Mastoidectomy Cavity Simple (69220) $213.20 $533 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $240 $600 0.6×
Deep Muscle Biopsy (20205) $1,858 $4,645 0.6×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $1,318.80 $3,297 0.6×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $1,223.60 $3,059 0.6×
Destruc retinal lesn,photocoag (67210) $590.80 $1,477 1.0×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$73.60–$157.20 $184–$393 varies
Destruction Benign Lesions 15/> (17111) $168 $420 0.8×
Destruction by neurolytic agent; plantar common digital nerve (64632) $197.60 $494 0.6×
Destruction by neurolytic agent; pudendal nerve (64630) $612 $1,530 0.7×
Destruction Internal Hemorrhoid Thermal Energy (46930) $756.80 $1,892 0.6×
Destruction Lesions Vulva Extensive (56515) $1,156.40 $2,891 0.5×
Destruction Lesions Vulva Simple (56501) $1,225.20 $3,063 0.6×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $256.40 $641 1.2×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $268.40 $671 1.3×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $274.80 $687 0.6×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $398 $995 0.5×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $150.40 $376 0.7×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $181.60 $454 0.9×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $186 $465 0.9×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $263.20 $658 0.6×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $270.80 $677 0.6×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $147.20 $368 0.7×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $173.60 $434 0.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $176.80 $442 0.8×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $162 $405 0.8×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $270.80 $677 0.6×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $274.40 $686 0.6×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $180 $450 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $1,473.60 $3,684 0.7×
Destruction of lesion, conjunctiva (68135) $1,458.80 $3,647 0.6×
Destruction of skin lesions (17106) $350 $875 0.8×
Destruction Premalignant Lesion 15/> (17004) $254 $635 0.6×
Destruction premalignant lesion 1st (17000) $132.80 $332 0.6×
Diagnostic sigmoidoscopy (45330) $776.40 $1,941 0.8×
Diaphragm or cervical cap fitting with instructions (57170) $128 $320 0.6×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $782.40 $1,956 0.6×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $109.20 $273 0.8×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $104.80 $262 0.7×
Dilat rct strix spx under anes oth/thn local (45910) $827.60 $2,069 0.7×
Dilat Urethral Strix Dilator Male Sbsq (53601) $122.40 $306 0.9×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $212 $530 0.8×
Dilate Urethra Stricture (53620) $740 $1,850 1.0×
Dilate Urethra Stricture (53600) $204.80 $512 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $1,882.40 $4,706 0.5×
Dilation Cervical Canal (57800) $1,884 $4,710 0.5×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $274.40 $686 0.6×
Dilation Salivary Duct (42650) $1,017.20 $2,543 0.6×
Discission Secondary Membranous Cataract (66820) $1,426.80 $3,567 0.6×
Drain ant chmbr,remv vitreous (65810) $1,524.40 $3,811 0.6×
Drain Cerebro Spinal Fluid (62272) $481.20 $1,203 0.6×
Drain penis lesion (54015) $1,053.60 $2,634 0.6×
Drain/inj small joint/bursa w/us (20604) $450.40 $1,126 1.4×
Drainage abscess parotid simple (42300) $1,017.20 $2,543 0.6×
Drainage Abscess/Hematoma Nasal Septum (30020) $378.40 $946 0.7×
Drainage external auditory canal abscess (69020) $517.60 $1,294 0.7×
Drainage external ear abscess/hematoma cmplx (69005) $1,084.80 $2,712 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $503.60 $1,259 0.7×
Drainage Finger Abscess Complicated (26011) $1,141.20 $2,853 0.7×
Drainage of eye (65800) $1,524.40 $3,811 0.6×
Drainage of finger abscess simple (26010) $264.80 $662 1.2×
Drainage of hematoma/fluid (10140) $1,039.20 $2,598 0.6×
Drainage of hydrocele (55000) $459.60 $1,149 0.6×
Drainage of nose lesion (30000) $187.20 $468 0.7×
Drainage of rectal abscess (45005) $856.40 $2,141 0.7×
Drainage of salivary cyst (42409) $1,974.80 $4,937 0.6×
Drainage of salivary gland (42305) $1,974.80 $4,937 0.6×
Drainage of scrotal wall abscess (55100) $1,053.60 $2,634 0.6×
Drainage of scrotum (54700) $1,420.80 $3,552 0.6×
Drainage of skene's gland abscess or cyst (53060) $911.20 $2,278 0.4×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $354.40 $886 0.6×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $1,747.60 $4,369 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $257.20 $643 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $148 $370 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $152.40 $381 0.7×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,223.60 $3,059 0.6×
Dstrj Lesion Anus Simple Chemical (46900) $271.20 $678 0.6×
Dstrj lesion anus simple cryosurgery (46916) $262 $655 1.2×
Dstrj lesion anus simple surg excision (46922) $1,767.60 $4,419 0.6×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $878.40 $2,196 0.4×
Dstrj lesion choroid pc 1/> sess (67220) $440.40 $1,101 0.8×
Dstrj Lesion Choroid Photodynamic Therapy (67221) $478.80 $1,197 0.8×
Dstrj Lesion Penis Simple Chemical (54050) $243.20 $608 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $233.20 $583 1.1×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $1,225.20 $3,063 0.6×
Dstrj lesion penis simple surg excision (54060) $1,225.20 $3,063 0.6×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $284.40 $711 0.7×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $712 $1,780 0.8×
Dx Bone Marrow Bx & Aspir (38222) $1,747.60 $4,369 0.6×
Dx Bronchoscope/Wash (31622) $1,314.40 $3,286 0.7×
Dx Laryngoscopy Excl Nb (31525) $1,079.20 $2,698 0.6×
Dx lmbr spi pnxr w/fluor/CT (62328) $471.20 $1,178 0.6×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $218.80 $547 0.7×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $211.20 $528 0.6×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $221.20 $553 0.7×
Endocervical curettage (57505) $580.40 $1,451 0.6×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $3,221.60 $8,054 0.6×
Endometrial Biopsy (58100) $307.60 $769 1.4×
Endoscopic injection/implant (51715) $2,276 $5,690 0.6×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,323.60 $5,809 0.7×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,423.20 $6,058 0.7×
Endoven ther chem adhes 1st (36482) $3,712.80 $9,282 0.6×
Escharotomy; initial incision (16035) $240 $600 0.6×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $618.40 $1,546 0.6×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $655.60 $1,639 0.7×
Evacuation of subungual hematoma (11740) $81.60 $204 0.6×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,148.80 $2,872 0.7×
Exc abdl tum deep 5 cm/> (22901) $1,927.20 $4,818 0.6×
Exc arm/elbow les sc < 3 cm (24075) $1,171.60 $2,929 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $482.80 $1,207 0.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,039.20 $2,598 0.6×
Exc Back Les Sc < 3 Cm (21930) $1,165.20 $2,913 0.7×
Exc Back Tum Deep 5 Cm/> (21933) $1,997.60 $4,994 0.6×
Exc back tum deep < 5 cm (21932) $1,974.40 $4,936 0.6×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $2,102.80 $5,257 0.6×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $459.60 $1,149 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $466.80 $1,167 0.6×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,039.20 $2,598 0.6×
Exc Face Les Sbq 2 Cm/> (21012) $1,123.60 $2,809 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $486 $1,215 0.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $496 $1,240 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $502 $1,255 0.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,039.20 $2,598 0.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,201.20 $3,003 0.7×
Exc Forearm Les Sc 3 Cm/> (25071) $1,150 $2,875 0.7×
Exc Forearm Tum Deep 3 Cm/> (25073) $1,821.20 $4,553 0.6×
Exc Frenum Labial/Buccal (40819) $1,017.20 $2,543 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,037.20 $2,593 0.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $653.20 $1,633 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,039.20 $2,598 0.6×
Exc Hand Les Sc < 1.5 Cm (26115) $1,039.20 $2,598 0.6×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $625.60 $1,564 0.6×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $1,974.80 $4,937 0.6×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $1,974.80 $4,937 0.6×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,315.20 $5,788 1.4×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,040.40 $2,601 0.6×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,974.80 $4,937 0.6×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $1,974.80 $4,937 0.6×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $3,657.20 $9,143 0.6×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,748.80 $4,372 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $504.40 $1,261 0.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,037.60 $2,594 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,792 $4,480 0.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,114.40 $2,786 0.6×
Exc Skin Benig >4cm Face,Facial (11446) $1,792 $4,480 0.6×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,039.20 $2,598 0.6×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,793.20 $4,483 0.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,039.20 $2,598 0.6×
Exc thigh/knee les sc 3 cm/> (27337) $1,898.40 $4,746 0.6×
Exc thigh/knee tum dep 5cm/> (27339) $1,821.20 $4,553 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $779.60 $1,949 0.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $489.60 $1,224 1.1×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $495.60 $1,239 0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,039.20 $2,598 0.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,906.40 $4,766 0.6×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,792 $4,480 0.6×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,039.20 $2,598 0.6×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,039.20 $2,598 0.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,793.20 $4,483 0.6×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,792 $4,480 0.6×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,718 $4,295 0.6×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,747.60 $4,369 0.6×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,943.60 $4,859 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,328.80 $3,322 0.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,168 $2,920 0.7×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $1,576.40 $3,941 0.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $1,821.20 $4,553 0.6×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,101.60 $2,754 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,948 $4,870 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,148 $2,870 0.7×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $1,175.20 $2,938 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,792 $4,480 0.6×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,821.20 $4,553 0.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,864.40 $7,161 0.9×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,040.40 $2,601 0.6×
Excis Mouth Mucosa/Sub,No Repair (40810) $1,974.80 $4,937 0.6×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,880 $4,700 1.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $469.60 $1,174 0.6×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,458.80 $3,647 0.6×
Excision Chalazion Multiple Same Lid (67801) $623.60 $1,559 0.6×
Excision Chalazion Single (67800) $261.60 $654 0.8×
Excision External Ear Partial Simple Repair (69110) $1,793.20 $4,483 0.6×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,856 $4,640 0.6×
Excision Lesion Conjunctiva </1 Cm (68110) $1,470.80 $3,677 0.6×
Excision Lesion Cornea Xcp Pterygium (65400) $756 $1,890 0.7×
Excision lesion mouth roof (42104) $1,974 $4,935 0.6×
Excision Lesion Tongue W/O Closure (41110) $1,974 $4,935 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $459.60 $1,149 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $460.40 $1,151 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $463.20 $1,158 1.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $479.20 $1,198 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $459.60 $1,149 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,039.20 $2,598 0.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,793.20 $4,483 0.6×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,037.20 $2,593 0.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $459.60 $1,149 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $462 $1,155 0.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,037.60 $2,594 0.6×
Excision Multiple External Papillae/Tags Anus (46230) $1,809.20 $4,523 0.6×
Excision nasal polyp(s) simple (30110) $1,017.20 $2,543 0.6×
Excision of chalazion; multiple, different lids (67805) $278.80 $697 0.8×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $996 $2,490 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $1,793.20 $4,483 0.6×
Excision of single external papilla or tag, anus (46220) $758.80 $1,897 0.6×
Excision of tonsil tags (42860) $1,199.60 $2,999 0.3×
Excision soft tissue lesion, external auditory canal (69145) $1,893.60 $4,734 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,164.80 $2,912 0.7×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,752.40 $4,381 0.6×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,418.40 $3,546 0.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,148.40 $2,871 0.7×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,161.20 $2,903 0.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,903.60 $4,759 0.6×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,128 $2,820 0.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,856 $4,640 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,793.20 $4,483 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $1,218.40 $3,046 0.4×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,137.20 $2,843 0.6×
Excision/curettage cyst/tumor phalanx finger (26210) $972.80 $2,432 0.6×
Excision/destruction intranasal lesion int appr (30117) $2,066 $5,165 0.6×
Excision/destruction lesion pharynx any method (42808) $1,974.80 $4,937 0.6×
Excision/surgical planing skin nose rhinophyma (30120) $1,974.80 $4,937 0.6×
Explo/Drain Breast Abscess (19020) $1,137.60 $2,844 0.7×
Fasciotomy palmar percutaneous (26040) $1,040.40 $2,601 0.6×
Fine needle aspiration without imaging guidance (10021) $279.60 $699 0.6×
Fluid Pressure Muscle (20950) $523.20 $1,308 0.7×
Fna bx w/us gdn 1st les (10005) $480.80 $1,202 0.6×
Foreskin manipulation (54450) $199.60 $499 0.8×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $1,974 $4,935 0.6×
Frenulotomy of penis (54164) $1,380 $3,450 0.6×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $1,261.20 $3,153 0.6×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,318.40 $3,296 0.6×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,250.80 $3,127 0.6×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $1,997.20 $4,993 0.9×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $3,657.20 $9,143 0.6×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $2,322.80 $5,807 0.6×
Grafting of autologous fat by lipo 25 cc or less (15773) $1,293.60 $3,234 0.6×
Guide Cathet Fluid Drainage (10030) $496.80 $1,242 0.7×
Head Surgery Procedure (21499) $268 $670 1.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $634.80 $1,587 0.6×
Hysteroscopy Dx Sep Proc (58555) $1,884 $4,710 0.5×
I&d abscess peritonsillar (42700) $206.40 $516 0.8×
I&d abscess simple (10060) $134 $335 0.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,793.20 $4,483 0.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,793.20 $4,483 0.6×
I&d perianal abscess superficial (46050) $612.80 $1,532 0.6×
I&d pilonidal cyst complicated (10081) $459.60 $1,149 0.6×
I&d pilonidal cyst simple (10080) $497.20 $1,243 0.7×
Immediate breast prosthesis (19340)
unusually low: confirm this is the full procedure
$3,948 $9,870 0.5×
Implant Neuroelectrodes (64561) $5,741.20 $14,353 0.9×
Impression & Preparation Auricular Prosthesis (21086) $1,218.40 $3,046 0.3×
Incise external hemorrhoid (46083) $233.60 $584 0.9×
Incise finger tendon sheath (26055) $1,177.20 $2,943 0.7×
Incise/Drain Conjunctiva (68020) $675.20 $1,688 0.6×
Incision & drainage abscess complicated/multiple (10061) $241.20 $603 0.6×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,793.20 $4,483 0.6×
Incision & removal foreign body subq tiss compl (10121) $1,104.40 $2,761 0.6×
Incision & removal foreign body subq tiss simple (10120) $288.80 $722 0.7×
Incision and drainage of bartholin's gland abscess (56420) $202.80 $507 0.9×
Incision and drainage of vulva or perineal abscess (56405) $261.60 $654 0.8×
Incision extensor tendon sheath wrist (25000) $1,040.40 $2,601 0.6×
Incision of eardrum (69420) $206.40 $516 0.8×
Incision of Foot Tendon (28234) $1,134 $2,835 0.7×
Incision of labial frenum (frenotomy) (40806) $188 $470 0.3×
Incision of lingual frenum (frenotomy) (41010) $1,017.20 $2,543 0.6×
Incision of rectal abscess (46040) $980 $2,450 0.8×
Incision of urethra (53020) $1,336 $3,340 0.6×
Incision&drainage bursa foot (28001) $1,004.80 $2,512 0.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,039.20 $2,598 0.6×
Incisional biopsy eyelid skin & lid margin (67810) $413.60 $1,034 1.2×
Incisional biopsy skin single lesion (11106) $279.60 $699 0.4×
Induced abortion dilation and curettage (59840) $1,884 $4,710 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $132.80 $332 0.6×
Inject Intravitreal Pharmcologic (67028) $266.40 $666 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $206.80 $517 0.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $612 $1,530 0.7×
Injection Anes Agent Sphenopalatine Ganglion (64505) $204.80 $512 0.6×
Injection anesthetic agent suprascapular nerve (64418) $471.20 $1,178 0.6×
Injection enzyme palmar fascial cord (20527) $197.60 $494 0.6×
Injection medication/other subst tenon capsule (67515) $252 $630 0.7×
Injection single tendon origin/insertion (20551) $209.20 $523 0.6×
Injection single/mlt trigger point 1/2 muscles (20552) $208 $520 0.6×
Injection single/mlt trigger point 3/> muscles (20553) $210 $525 0.6×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,017.20 $2,543 0.6×
Injection therapeutic carpal tunnel (20526) $197.60 $494 0.6×
Injection Turbinate Therapeutic (30200) $366.80 $917 0.6×
Injection, anesthetic agent; femoral nerve, single (64447) $471.20 $1,178 0.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $471.20 $1,178 0.6×
Injection, anesthetic agent; vagus nerve (64408) $208.80 $522 0.6×
Injection, Intralesional; More Than 7 Lesions (11901) $147.60 $369 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $144 $360 0.7×
Injx anterior chamber eye air/liquid spx (66020) $1,524.40 $3,811 0.6×
Ins Vag Brachytx Device (57156) $558 $1,395 1.7×
Insert and remove bone pin (20650) $2,064 $5,160 0.6×
Insert Bladder Cath Complex (51703) $128 $320 0.9×
Insert cervical dilator (59200) $248 $620 0.8×
Insert Drug Implant Device (11981) $126.80 $317 0.9×
Insert Nasal Septal Button (30220) $1,017.20 $2,543 0.6×
Insert pessary/other device (57160) $150.40 $376 0.7×
Insert Temp Bladder Cath (51702) $90 $225 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $86.80 $217 0.6×
Insertion indwelling tunneled pleural catheter (32550) $2,344.40 $5,861 0.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,229.20 $3,073 0.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $6,032.80 $15,082 0.7×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $3,220.40 $8,051 0.6×
Insj/rplcmt breast implant sep day mastectomy (19342) $6,134 $15,335 0.7×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $938.80 $2,347 0.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $335.60 $839 0.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $341.20 $853 0.8×
Intranasal Biopsy (30100) $1,017.20 $2,543 0.6×
Iridoplasty photocoagulation 1/> sessions (66762) $465.60 $1,164 0.8×
Iridotomy/irridectomy laser surg per session (66761) $481.60 $1,204 0.8×
Irrigation maxillary sinus (31000) $204.80 $512 0.8×
Island pedicle flap graft (15740) $1,288 $3,220 0.6×
Labyrinthotomy Transcanal (69801) $1,017.20 $2,543 0.6×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $2,214 $5,535 0.6×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $2,214 $5,535 0.6×
Laryngoscopy diagnostic (31505) $146 $365 0.7×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $2,214 $5,535 0.6×
Laryngoscopy flexible diagnostic (31575) $258.40 $646 1.2×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $1,128.80 $2,822 0.6×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,079.20 $2,698 0.6×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $1,181.20 $2,953 0.6×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $640.40 $1,601 1.5×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $201.20 $503 1.0×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $294 $735 0.7×
Laryngoscopy W/Biopsy (31535) $2,214 $5,535 0.6×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $314.80 $787 0.8×
Laser Surgery,Sever Vitreous Strands (67031) $382 $955 0.7×
Ligation of a-v fistula (37607) $2,088.40 $5,221 0.6×
Ligation or biopsy temporal artery (37609) $1,053.60 $2,634 0.6×
Lysis Intranasal Synechia (30560) $386.40 $966 0.7×
Lysis of labial adhesions (56441) $1,884 $4,710 0.5×
Lysis/excision penile postcircumcision adhesions (54162) $1,334.40 $3,336 0.6×
Maniplatn palar fascial crd post inj single cord (26341) $172.80 $432 0.7×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,040.40 $2,601 0.6×
Mastopexy (19316) $3,948 $9,870 0.6×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $1,581.60 $3,954 0.4×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,213.60 $3,034 1.5×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $1,156.40 $2,891 1.5×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $2,245.20 $5,613 0.6×
Myringoplasty (69620) $2,007.20 $5,018 0.6×
N Block Inj Ilio-Ing/Hypogi (64425) $472.80 $1,182 0.6×
N block inj intercost sng (64420) $612 $1,530 0.8×
N Block Inj Plantar Digit (64455) $205.60 $514 0.6×
N Block Inj Pudendal (64430) $612 $1,530 0.7×
Nasal Endoscopy Dx (31231) $393.20 $983 1.9×
Nasal surgery procedure (30999) $833.20 $2,083 3.3×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $2,214 $5,535 0.6×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243)
likely a partial charge, not the full procedure
$705.20 $1,763 0.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,124.80 $2,812 0.6×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,152 $2,880 0.6×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure
$1,777.60 $4,444 0.2×
Needle Biopsy Lymph Nodes (38505) $1,057.20 $2,643 0.6×
Neuroeltrd Stim Post Tibial (64566) $320.80 $802 1.0×
Nipple/areola reconstruction (19350) $2,283.60 $5,709 0.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $197.20 $493 0.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $612 $1,530 0.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $496 $1,240 0.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $471.20 $1,178 0.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $612 $1,530 0.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $612 $1,530 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $472.80 $1,182 0.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $612 $1,530 0.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $503.20 $1,258 0.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $516.80 $1,292 0.7×
Njx Sclrsnt 1 Incmptnt Vein (36470) $287.20 $718 0.7×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $294.80 $737 0.7×
Njx Sclrsnt Spider Veins (36468) $241.20 $603 0.6×
Occipital Nerve Block (64405) $221.60 $554 0.7×
Open biopsy/excision inguinofemoral nodes (38531) $2,283.60 $5,709 0.6×
Ostc prtl exostc/condylc metar head (28288) $2,062.80 $5,157 0.6×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $2,156.40 $5,391 0.6×
Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) $3,241.60 $8,104 0.5×
Partial excision of lip (40520) $1,974.80 $4,937 0.6×
Partial removal of nose (30150) $3,742.80 $9,357 0.6×
Partical Excision Bone Phalanx Toe (28124) $2,160.40 $5,401 0.6×
Phleb Veins - Extrem 20+ (37766) $2,184.40 $5,461 0.7×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $393.20 $983 0.4×
Place Rt Device/Marker Pros (55876) $785.60 $1,964 0.5×
Placement of seton (46020) $1,767.60 $4,419 0.6×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $3,657.20 $9,143 0.6×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) $3,162 $7,905 0.5×
Probe lacrimal canaliculi w/wo irrigation (68840) $261.60 $654 0.8×
Probing nasolacrimal duct (68810) $271.60 $679 0.8×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $593.20 $1,483 0.6×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $514 $1,285 0.4×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $624.40 $1,561 1.1×
Punch biopsy skin single lesion (11104) $180 $450 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $241.20 $603 0.6×
Puncture Aspiration Cyst Breast (19000) $479.60 $1,199 0.6×
Puncture shunt tube/reservoir aspiration/inj px (61070) $471.20 $1,178 0.6×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $471.20 $1,178 0.6×
Reconstruction Tongue Fold (41520) $1,767.20 $4,418 0.5×
Removal Anal Seton Other Marker (46030) $758.80 $1,897 0.6×
Removal Embedded Foreign Body Eyelid (67938) $298.80 $747 0.9×
Removal entire oi implt skl perq attachment esp (69726) $1,132 $2,830 0.3×
Removal foreign body foot deep (28192) $1,559.20 $3,898 0.9×
Removal Foreign Body Foot Subcutaneous (28190) $527.60 $1,319 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $53.20 $133 0.9×
Removal Implant Deep (20680) $1,792 $4,480 0.6×
Removal Implant Superficial Separate Procedure (20670) $1,039.20 $2,598 0.6×
Removal implantable contraceptive capsules (11976) $489.20 $1,223 0.7×
Removal intact breast implant (19328) $2,283.60 $5,709 0.6×
Removal of a lesion from the floor of the mouth (41116) $1,974.80 $4,937 0.6×
Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) $1,524.40 $3,811 0.6×
Removal of foreign body from pharynx (42809) $282 $705 0.6×
Removal of mammary implant material (19330) $2,283.60 $5,709 0.6×
Removal of nail bed (11750) $289.20 $723 0.7×
Removal of tunneled intraperitoneal catheter (49422) $2,088.40 $5,221 0.6×
Removal of vein clot (34490) $2,090 $5,225 0.6×
Removal or bivalving full arm or full leg cast (29705) $182.80 $457 0.6×
Removal peritoneal-venous shunt (49429) $2,042 $5,105 0.6×
Removal shoulder foreign body deep subfascial/im (23333) $1,747.60 $4,369 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $154 $385 0.7×
Removal subcutaneous cardiac rhythm monitor (33286) $480.80 $1,202 0.6×
Removal Submand Stone,Complicated (42335) $2,196.80 $5,492 0.6×
Removal/bivalving gauntlet boot/body cast (29700) $200 $500 0.7×
Remove drug implant device (11982) $274.40 $686 0.6×
Remove foreign body from eye (65235) $951.60 $2,379 0.4×
Remove foreign body from eye (65205) $87.60 $219 0.6×
Remove Intrauterine Device (58301) $203.60 $509 0.6×
Remove Lower Leg Bone Lesion (27635) $2,190 $5,475 0.6×
Remove Nasal Foreign Body (30300) $123.20 $308 0.9×
Remove Tendon Sheath Lesion (26160) $1,183.20 $2,958 0.7×
Remove thyroid lesion (60200) $3,492.80 $8,732 0.5×
Remove/Insert Drug Implant (11983) $288 $720 0.6×
Remv cartilage for graft nasal (20912) $2,349.60 $5,874 0.6×
Repair brow ptosis (67900) $1,458.80 $3,647 0.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $506.80 $1,267 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $469.60 $1,174 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $320.40 $801 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $570.40 $1,426 1.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $483.20 $1,208 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $508 $1,270 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $414 $1,035 0.5×
Repair complex trunk 2.6-7.5 cm (13101) $497.60 $1,244 0.6×
Repair detached retina (67105) $405.60 $1,014 0.7×
Repair Ectropion Extensive (67917) $1,458.80 $3,647 0.6×
Repair Elbow Perc (24357) $2,062.80 $5,157 0.6×
Repair Entropion Extensive (67924) $1,458.80 $3,647 0.6×
Repair Entropion Suture (67921) $1,458.80 $3,647 0.6×
Repair Eyelid Wound (67935) $1,748.40 $4,371 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $301.20 $753 0.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $307.20 $768 0.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $321.20 $803 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $354.80 $887 0.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $338.40 $846 0.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $431.20 $1,078 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $315.20 $788 0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $300 $750 0.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $419.60 $1,049 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $318 $795 0.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $315.20 $788 0.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $336.80 $842 0.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $505.60 $1,264 0.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $339.20 $848 0.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,992.40 $4,981 0.9×
Repair Nasal Vestibular Stenosis (30465) $3,706.40 $9,266 0.6×
Repair of nail bed (11760) $376.40 $941 0.5×
Repair of windpipe defect (31825) $2,141.20 $5,353 0.6×
Repair/graft finger tendon (26428) $2,057.20 $5,143 0.6×
Replace eye fluid (67025) $1,524.40 $3,811 0.6×
Replacement Tissue Expander W/Permanent Implant (11970) $4,509.60 $11,274 0.6×
Retrobulbar injection (67500) $283.20 $708 0.8×
Rev/rmv prph sac/gstr npg/r (64595) $2,373.20 $5,933 0.6×
Revise eyelashes (67825) $262 $655 0.8×
Revision of eyelid (67880) $1,546 $3,865 0.6×
Revision of lower leg tendon (27685) $2,064 $5,160 0.6×
Revision of reconstructed breast (19380) $3,878 $9,695 0.6×
Revj/rmvl peripheral neurostimulator electrode (64585) $2,373.20 $5,933 0.6×
Revj/rpr oprative wound anterior segment (66250) $1,638.40 $4,096 0.7×
Rhytidectomy Cheek Chin & Neck (15828) $2,418.40 $6,046 0.6×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $1,458.80 $3,647 0.6×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $592.40 $1,481 0.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,039.20 $2,598 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $274.40 $686 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $103.60 $259 0.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $274.40 $686 0.6×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $307.60 $769 0.9×
Rmvl fecal impaction/fb spx under anes (45915) $827.60 $2,069 0.7×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,296.80 $3,242 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,074.80 $2,687 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $541.60 $1,354 0.8×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $1,974.80 $4,937 0.6×
Rplc Gtube No Revj Trc (43762) $177.20 $443 0.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $168 $420 0.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $431.20 $1,078 0.6×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $2,402.40 $6,006 0.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $340 $850 0.6×
Rpr Lip Full Thickness Vermilion Only (40650) $348 $870 0.6×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $1,625.20 $4,063 0.7×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $1,506.40 $3,766 0.6×
Severing tarsorrhaphy (67710) $708.40 $1,771 0.7×
Shave skin lesion 0.5 cm/< (11300) $180 $450 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $161.20 $403 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $259.20 $648 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $158 $395 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $166 $415 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $172 $430 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $248.40 $621 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $160.40 $401 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $252 $630 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $180 $450 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $495.60 $1,239 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $170.80 $427 0.8×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,974.80 $4,937 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $240 $600 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $161.20 $403 0.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $161.20 $403 0.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $249.20 $623 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $165.20 $413 0.8×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $272 $680 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $154 $385 0.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $344 $860 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $166.80 $417 0.8×
Skin Full Grft Face/Genit/Hf (15240) $1,295.60 $3,239 0.6×
Skin sub graft face/nk/hf/g (15275) $1,223.60 $3,059 1.6×
Skin sub graft trnk/arm/leg (15271) $1,223.60 $3,059 1.6×
Skin sub grft t/arm/lg child (15273) $2,245.20 $5,613 1.0×
Skn sub grft f/n/hf/g child (15277) $1,223.60 $3,059 0.6×
Slitting of prepuce (54001) $1,336 $3,340 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $160 $400 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $256.40 $641 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $319.60 $799 0.7×
Snip Incision Lacrimal Punctum (68440) $223.60 $559 0.7×
Sperm washing artificial insemination (58323) $86.40 $216 0.4×
Spinal puncture lumbar diagnostic (62270) $471.20 $1,178 0.6×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,328 $5,820 0.6×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,330.40 $3,326 0.6×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $2,146.80 $5,367 0.6×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $1,590 $3,975 0.6×
Strabismus Recession/Rescj 1 Ver Musc (67314) $1,571.20 $3,928 0.6×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $2,510.40 $6,276 0.6×
Strapping ankle (29540) $104 $260 0.6×
Strapping elbow or wrist (29260) $40.80 $102 0.7×
Strapping hand/finger (29280) $41.20 $103 0.7×
Strapping knee (29530) $82.80 $207 0.6×
Strapping shoulder (29240) $82.80 $207 0.6×
Strapping thorax (29200) $112.40 $281 0.7×
Strapping toes (29550) $42.40 $106 0.7×
Strapping Unna Boot (29580) $119.60 $299 0.7×
Subconjunctival injection (68200) $229.20 $573 0.5×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $376.40 $941 0.5×
Suprachoroidal space njx pharmacologic agent (67516) $289.20 $723 0.8×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $2,054.80 $5,137 0.6×
Tangential biopsy skin single lesion (11102) $132.80 $332 0.3×
Temporary Closure Eyelids Suture (67875) $620.80 $1,552 0.6×
Tenodesis Wrist Extensors Fingers (25301) $2,102 $5,255 0.6×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $2,142 $5,355 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,076.80 $2,692 0.6×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,110.40 $2,776 0.7×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $2,062.80 $5,157 0.6×
Tenotomy shoulder area single tendon (23405) $4,509.60 $11,274 0.6×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,105.20 $2,763 0.6×
Ther Spi Pnxr Csf Fluor/Ct (62329) $498 $1,245 0.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,252.40 $3,131 0.6×
Tprnl Plmt Biodegrdabl Matrl (55874)
likely a partial charge, not the full procedure
$805.60 $2,014 0.1×
Trabeculoplasty by laser surgery (65855) $410.40 $1,026 0.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $366.80 $917 0.6×
Tracheostoma revj smpl w/o flap rotation (31613) $1,868 $4,670 0.5×
Treat Big Toe Fracture (28505) $2,221.60 $5,554 0.6×
Treat humerus fracture (24500) $277.20 $693 1.1×
Treat Humerus Fracture (24505) $1,040.40 $2,601 0.6×
Treat humerus fracture (23600) $235.20 $588 0.9×
Treat knee fracture (27532) $2,764 $6,910 0.8×
Treat Knee Fracture(S) (27538) $542 $1,355 2.1×
Treat Knuckle Dislocation (26700) $240 $600 0.9×
Treat Metatarsal Fracture (28475) $344 $860 1.3×
Treat toe dislocation (28630) $254 $635 1.0×
Treatment extensive retinopathy photocoagulation (67228) $587.20 $1,468 1.0×
Trim skin lesion (11055) $132.80 $332 0.6×
Trim skin lesions 2 to 4 (11056) $132.80 $332 0.6×
Trim skin lesions over 4 (11057) $132.80 $332 0.6×
Trimming Nondystrophic Nails Any Number (11719) $44.40 $111 0.7×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $3,102 $7,755 0.8×
Tx Missed Abortion First Trimester Surgical (59820) $1,884 $4,710 0.5×
Tx open tendon flexor toe 1 tendon spx (28232) $1,040.40 $2,601 0.6×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,040.40 $2,601 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $398 $995 0.5×
Tx superficial wound dehiscence w/packing (12021) $252 $630 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $233.20 $583 0.9×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,908 $4,770 1.2×
Unlisted fetal invasive px w/ultrasound (59897) $442.80 $1,107 2.1×
Unlisted Procedure Accessory Sinuses (31299) $470 $1,175 1.9×
Unlisted procedure anus (46999) $576 $1,440 0.6×
Unlisted Procedure Hands/Fingers (26989) $226.80 $567 0.9×
Unlisted procedure lungs and pleura (32999) $495.60 $1,239 0.7×
Unlisted procedure nervous system (64999) $418.40 $1,046 1.3×
Unlisted procedure shoulder (23929) $475.60 $1,189 1.8×
Unlisted Procedure Vascular Surgery (37799) $192.40 $481 0.3×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $592.40 $1,481 0.6×
Unlisted px female genital system nonobstetrical (58999) $135.60 $339 0.6×
Uvulectomy excision of uvula (42140) $1,113.60 $2,784 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,336 $3,340 0.6×
Ventricular puncture previous burr hole w/inj (61026) $471.20 $1,178 0.6×
Vulvectomy simple partial (56620) $2,053.60 $5,134 0.6×
Wedge excision skin nail fold (11765) $294.80 $737 0.7×
Windowing of cast (29730) $106.40 $266 0.6×
Wound Prep F/N/Hf/G (15004) $441.20 $1,103 1.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.