Procedures & surgery prices at Honoka'a Hospital

Honokaa, HI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Anoscopy diagnostic (46600) $307.80 $513 2.0×
Anoscopy W/Rmvl Foreign Body (46608) $2,131.80 $3,553 1.9×
Appl cranial tong/strtctc frame w/removal spx (20660) $3,741.60 $6,236 2.0×
Application cast elbow finger short arm (29075) $634.20 $1,057 1.9×
Application Cast Finger (29086) $369 $615 1.9×
Application Finger Splint Dynamic (29131) $141.60 $236 2.0×
Application finger splint static (29130) $415.80 $693 2.6×
Application long arm splint shoulder hand (29105) $376.80 $628 2.0×
Application Long Leg Cast Walker/Ambulatory Type (29355) $621 $1,035 1.9×
Application of long leg cast (29345) $634.20 $1,057 1.9×
Application short arm splint forearm-hand static (29125) $307.80 $513 2.0×
Application short leg splint calf foot (29515) $376.80 $628 2.0×
Apply hand/wrist cast (29085) $376.80 $628 2.0×
Apply long arm cast (29065) $634.20 $1,057 1.9×
Apply Short Leg Cast (29405) $634.20 $1,057 1.9×
Apply short leg cast (29425) $634.20 $1,057 1.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,653.60 $2,756 2.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $705 $1,175 1.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $705 $1,175 1.9×
Aspirate/Inj Ganglion Cyst (20612) $705 $1,175 1.9×
Aspiration bladder insert suprapubic catheter (51102) $4,891.20 $8,152 2.0×
Aspiration Bladder Needle (51100) $568.80 $948 1.9×
Aspiration bladder trocar/intracatheter (51101) $2,379 $3,965 2.3×
Avulsion nail plate partial/complete simple 1 (11730) $474.60 $791 2.0×
Bladder Scan (51798) $141.60 $236 2.0×
Bronchoscopy W/Removal Foreign Body (31635) $4,032 $6,720 1.9×
Change Cystostomy Tube Complicated (51710) $1,593.60 $2,656 1.9×
Cl Tx Tib Shft Fx W Manip (27752) $3,821.40 $6,369 2.0×
Clear outer ear canal (69200) $307.80 $513 2.0×
Closed rx talotarsal disloc,anesth (28575) $7,585.80 $12,643 2.0×
Closed Treat Vert Body Fract (22310) $561 $935 1.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $573 $955 2.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,821.40 $6,369 2.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $573 $955 2.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $561 $935 1.9×
Closed Treatment Sesamoid Fracture (28530) $561 $935 1.9×
Closed Treatment Sternum Fracture (21820) $561 $935 1.9×
Closed Treatment Ulnar Styloid Fracture (25650) $573 $955 2.0×
Closed tx ankle dislocation w/o anesthesia (27840) $573 $955 2.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,821.40 $6,369 2.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $561 $935 1.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $561 $935 1.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $573 $955 2.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $580.80 $968 2.0×
Closed Tx Craniofacial Separation (21431) $7,582.20 $12,637 1.1×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $561 $935 0.3×
Closed tx femoral fracture prox head w/o manj (27267) $7,585.80 $12,643 2.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $573 $955 2.0×
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,821.40 $6,369 2.0×
Closed tx knee dislocation w/o anesthesia (27550) $573 $955 2.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $3,741.60 $6,236 2.0×
Closed tx mandibular fracture w/manipulation (21451) $3,463.20 $5,772 1.9×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,216.20 $2,027 1.9×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
unusually low: confirm this is the full procedure
$3,463.20 $5,772 0.5×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,821.40 $6,369 2.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,537 $5,895 1.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $7,582.20 $12,637 1.9×
Closed Tx Nasomaxillary Complex Fracture (21345) $3,463.20 $5,772 1.9×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $7,582.20 $12,637 1.9×
Closed tx patellar dislocation w/anesthesia (27562) $573 $955 2.0×
Closed tx patellar dislocation w/o anesthesia (27560) $573 $955 2.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $573 $955 2.0×
Closed tx radial head/neck fx w/o manipulation (24650) $561 $935 1.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $573 $955 2.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $573 $955 2.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $561 $935 1.9×
Closed tx septal&nose fx (21337) $7,743.60 $12,906 2.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $561 $935 1.9×
Closed tx talotarsal joint dislc w/o anes (28570) $561 $935 1.9×
Closed Tx Talus Fracture W/Manipulation (28435) $3,821.40 $6,369 2.0×
Closed tx talus fracture w/o manipulation (28430) $561 $935 1.9×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $561 $935 1.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $561 $935 1.9×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $3,463.20 $5,772 1.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $561 $935 1.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $573 $955 2.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $554.40 $924 2.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,190.40 $1,984 1.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $573 $955 2.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $561 $935 1.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $3,741.60 $6,236 2.0×
Clsd tx clavicular fracture w/o manipulation (23500) $573 $955 2.0×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,190.40 $1,984 1.9×
Clsd Tx Pelvic Ring Fx (27198) $561 $935 1.9×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $561 $935 1.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $573 $955 2.0×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $3,741.60 $6,236 2.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $561 $935 1.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,821.40 $6,369 2.0×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $561 $935 1.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $3,821.40 $6,369 2.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $561 $935 1.9×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $561 $935 1.9×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $3,741.60 $6,236 2.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $573 $955 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $573 $955 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $573 $955 2.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $3,741.60 $6,236 2.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $561 $935 1.9×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $561 $935 0.3×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $561 $935 1.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,821.40 $6,369 2.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $573 $955 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $573 $955 2.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,821.40 $6,369 2.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $561 $935 1.9×
Cltx greater humeral tuberosity fx w/o manj (23620) $561 $935 1.9×
Cltx Greater Trochanteric Fx W/O Manj (27246) $561 $935 1.9×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $3,741.60 $6,236 2.0×
Cltx hip dislocation traumatic req anesthesia (27252) $3,821.40 $6,369 2.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $561 $935 1.9×
Cltx humeral condylar fx medial/lateral w/manj (24577) $3,821.40 $6,369 2.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $3,821.40 $6,369 2.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $561 $935 1.9×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $3,741.60 $6,236 2.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $634.20 $1,057 1.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $561 $935 0.3×
Cltx Med Ankle Fx W/Mnpj (27762) $3,821.40 $6,369 2.0×
Cltx Medial Ankle Fx (27760) $573 $955 2.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $573 $955 2.0×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,821.40 $6,369 2.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $573 $955 2.0×
Cltx prox fibula/shft fx w/manj (27781) $3,821.40 $6,369 2.0×
Cltx prox fibula/shft fx w/o manj (27780) $561 $935 1.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,821.40 $6,369 2.0×
Cltx prox tibfib jt dislc req anes (27831) $7,585.80 $12,643 2.0×
Cltx prox tibfib jt dislc w/o anes (27830) $561 $935 1.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $573 $955 2.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $3,741.60 $6,236 2.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,821.40 $6,369 2.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $561 $935 1.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $3,741.60 $6,236 2.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $561 $935 1.9×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $7,585.80 $12,643 2.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $561 $935 1.9×
Cltx tibial fx proximal w/o manipulation (27530) $561 $935 1.9×
Cltx tibial shaft fx w/o manipulation (27750) $561 $935 1.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $561 $935 1.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $561 $935 1.9×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $7,747.20 $12,912 2.0×
Collection of venous blood by venipuncture (36415) $45.60 $76 4.9×
Complex drainage wound (10180) $6,834 $11,390 2.0×
Control Nasal Hemorrhage Anterior Complex (30903) $307.80 $513 2.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $554.40 $924 2.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,461.60 $2,436 1.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,868.80 $6,448 2.0×
Dilate Esophagus 1/Mult Pass (43450) $2,191.80 $3,653 2.0×
Drain/inj small joint/bursa w/us (20604) $705 $1,175 1.9×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,216.20 $2,027 1.9×
Drainage external auditory canal abscess (69020) $1,680 $2,800 2.0×
Drainage external ear abscess/hematoma cmplx (69005) $3,868.80 $6,448 2.0×
Drainage Finger Abscess Complicated (26011) $3,868.80 $6,448 2.0×
Drainage of finger abscess simple (26010) $474.60 $791 2.0×
Drainage of gum lesion (41800) $307.80 $513 2.0×
Drainage of nose lesion (30000) $554.40 $924 2.0×
Drainage of rectal abscess (45005) $2,815.20 $4,692 2.0×
Drainage of scrotum (54700) $4,891.20 $8,152 2.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,190.40 $1,984 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $954 $1,590 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $474.60 $791 2.0×
Escharotomy; initial incision (16035) $954 $1,590 2.0×
Explo/Drain Breast Abscess (19020) $3,868.80 $6,448 2.0×
I&d abscess simple (10060) $474.60 $791 2.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $6,834 $11,390 2.0×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $7,747.20 $12,912 2.0×
I&d forearm/wrist bursa (25031) $3,741.60 $6,236 2.0×
I&D Mouth/Tong Intra,Masticator (41009) $1,190.40 $1,984 1.9×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $7,747.20 $12,912 2.0×
I&d shoulder deep abscess/hematoma (23030) $6,834 $11,390 2.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $6,691.80 $11,153 2.0×
Incise/Drain Conjunctiva (68020) $2,264.40 $3,774 1.9×
Incision & drainage abscess complicated/multiple (10061) $954 $1,590 2.0×
Incision & removal foreign body subq tiss compl (10121) $3,868.80 $6,448 2.0×
Incision & removal foreign body subq tiss simple (10120) $954 $1,590 2.0×
Incision of rectal abscess (46040) $2,815.20 $4,692 2.0×
Incision&drainage bursa foot (28001) $3,788.40 $6,314 1.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $3,868.80 $6,448 2.0×
Initial Tx 1st Degree Burn Local Tx (16000) $474.60 $791 2.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,125.80 $3,543 2.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,125.80 $3,543 2.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $2,081.40 $3,469 2.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,619.40 $2,699 1.9×
Injection anesthetic agent suprascapular nerve (64418) $1,653.60 $2,756 2.0×
Injection, anesthetic agent; brachial plexus, single (64415) $2,125.80 $3,543 2.0×
Injection, anesthetic agent; femoral nerve, single (64447) $1,653.60 $2,756 2.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,653.60 $2,756 2.0×
Injection, anesthetic agent; vagus nerve (64408) $690 $1,150 1.9×
Insert and remove bone pin (20650) $7,585.80 $12,643 2.0×
Insert Bladder Cath Complex (51703) $373.80 $623 2.5×
Insert Temp Bladder Cath (51702) $307.80 $513 2.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $7,515.60 $12,526 2.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $954 $1,590 2.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $934.20 $1,557 1.9×
Intraoral i&d tongue/floor lingual (41000) $1,216.20 $2,027 1.9×
Intraoral i&d tongue/floor sublngl supfc (41005) $543 $905 1.9×
Intraoral i&d tongue/floor submental space (41007) $3,463.20 $5,772 1.9×
Intraoral i&d tongue/floor submndblr space (41008) $7,582.20 $12,637 1.9×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $927 $1,545 2.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $453.60 $756 1.9×
Laryngoscopy W/Foreign Body Removal (31530) $4,117.80 $6,863 2.0×
Marsupialization of bartholin's gland cyst (56440) $7,434 $12,390 1.9×
N Block Inj Ilio-Ing/Hypogi (64425) $1,619.40 $2,699 1.9×
N block inj intercost sng (64420) $1,653.60 $2,756 2.0×
N Block Inj Paracervical (64435) $1,619.40 $2,699 1.9×
N Block Inj Pudendal (64430) $2,081.40 $3,469 2.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $705 $1,175 1.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,125.80 $3,543 2.0×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $6,411.60 $10,686 2.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $954 $1,590 2.0×
Removal Embedded Foreign Body Eyelid (67938) $714 $1,190 1.9×
Removal Foreign Body Foot Complicated (28193) $3,868.80 $6,448 2.0×
Removal foreign body foot deep (28192) $3,868.80 $6,448 2.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,868.80 $6,448 2.0×
Removal Foreign Body Pelvis/Hip Deep (27087) $7,585.80 $12,643 2.0×
Removal Foreign Body Scrotum (55120) $4,789.20 $7,982 1.9×
Removal foreign body upper arm/elbow deep (24201) $6,691.80 $11,153 2.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $141.60 $236 2.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $141.60 $236 2.0×
Removal impacted vag fb spx w/anes oth/thn local (57415) $7,591.80 $12,653 2.0×
Removal shoulder foreign body deep subfascial/im (23333) $6,691.80 $11,153 2.0×
Remove Forearm Foreign Body (25248) $3,821.40 $6,369 2.0×
Remove foreign body from eye (65205) $307.80 $513 2.0×
Remove Shoulder Foreign Body (23330) $3,868.80 $6,448 2.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,461.60 $2,436 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $954 $1,590 2.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,461.60 $2,436 3.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,461.60 $2,436 3.0×
Repair complex trunk 1.1-2.5 cm (13100) $1,431 $2,385 1.6×
Repair extensor tendon finger w/o graft each (26418) $3,821.40 $6,369 2.0×
Repair Eyelid Wound (67935) $5,454.60 $9,091 1.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $954 $1,590 2.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $954 $1,590 2.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,461.60 $2,436 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $954 $1,590 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $954 $1,590 2.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $4,276.80 $7,128 1.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $954 $1,590 2.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,461.60 $2,436 1.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $954 $1,590 2.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $4,368 $7,280 1.8×
Repair Laceration Palate </2 Cm (42180) $1,190.40 $1,984 1.9×
Repair Laceration Palate >2 Cm/Complex (42182) $13,831.20 $23,052 2.0×
Repair of nail bed (11760) $1,461.60 $2,436 1.7×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $16,702.20 $27,837 1.9×
Reposition Gastrostomy Tube (43761) $580.80 $968 2.0×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $3,463.20 $5,772 1.9×
Rmvl embedded fb vestibule mouth comp (40805) $1,190.40 $1,984 1.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,238.60 $3,731 2.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $952.80 $1,588 1.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $307.80 $513 2.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $952.80 $1,588 1.8×
Rmvl fecal impaction/fb spx under anes (45915) $2,815.20 $4,692 2.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $6,834 $11,390 2.0×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $6,691.80 $11,153 2.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,868.80 $6,448 2.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,461.60 $2,436 1.7×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $554.40 $924 2.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,216.20 $2,027 1.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,463.20 $5,772 1.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $7,747.20 $12,912 2.0×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $7,585.80 $12,643 2.0×
Sigmoidoscopy w/fb removal (45332) $2,757 $4,595 2.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $474.60 $791 2.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $474.60 $791 2.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $954 $1,590 2.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $474.60 $791 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $474.60 $791 2.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $474.60 $791 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $474.60 $791 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $474.60 $791 2.0×
Strapping ankle (29540) $376.80 $628 2.0×
Strapping elbow or wrist (29260) $141.60 $236 2.0×
Strapping hand/finger (29280) $141.60 $236 2.0×
Strapping Hip (29520) $307.80 $513 2.0×
Strapping shoulder (29240) $307.80 $513 2.0×
Strapping toes (29550) $141.60 $236 2.0×
Strapping Unna Boot (29580) $376.80 $628 2.0×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $5,454.60 $9,091 1.9×
Treat Dental Ridge Fracture (21440) $7,582.20 $12,637 1.9×
Treat Hip Socket Fracture (27222) $561 $935 1.9×
Treat humerus fracture (24500) $573 $955 2.0×
Treat Humerus Fracture (24505) $3,821.40 $6,369 2.0×
Treat humerus fracture (23600) $573 $955 2.0×
Treat knee fracture (27532) $7,747.20 $12,912 2.0×
Treat Knee Fracture(S) (27538) $561 $935 1.9×
Treat Metatarsal Fracture (28475) $573 $955 2.0×
Treat Tail Bone Fracture (27200) $561 $935 1.9×
Treat Thumb Dislocation (26641) $573 $955 2.0×
Treat Thumb Fracture (26645) $3,741.60 $6,236 2.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $3,821.40 $6,369 2.0×
Trimming Nondystrophic Nails Any Number (11719) $141.60 $236 2.0×
Tx superficial wound dehiscence w/packing (12021) $954 $1,590 2.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,741.60 $6,236 2.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $573 $955 2.0×
Unlisted procedure nervous system (64999) $705 $1,175 1.9×
Unlisted Procedure Rectum (45999) $2,176.80 $3,628 2.0×