Procedures & surgery prices at Ivinson Memorial Hospital

Laramie, WY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis (49082) $1,427 $1,427 1.5×
Abd paracentesis w/imaging (49083) $1,844 $1,844 2.0×
App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) $2,888 $2,888 3.8×
Application of long leg cast (thigh to toes); (29345) $503 $503 1.8×
Application of long leg splint (thigh to ankle or toes) (29505) $445 $445 2.7×
Application of short arm splint (forearm to hand); static (29125) $395 $395 2.9×
Application of short leg cast (below knee to toes); (29405) $600 $600 2.1×
Application of short leg splint (calf to foot) (29515) $452 $452 2.7×
Application, cast; shoulder to hand (long arm) (29065) $426 $426 1.5×
Apply long arm splint (29105) $465 $465 2.8×
Apply splint short arm dynamic (29126) $397 $397 2.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $160 $160 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $880 $880 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $449 $449 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,052 $1,052 3.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $667 $667 2.1×
Aspirate pleura w/o imaging (32554) $1,409 $1,409 2.2×
Aspiration and/or injection of ganglion cyst(s) any location (20612) $335 $335 1.1×
Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) $2,007 $2,007 2.8×
Aspiration bladder insert suprapubic catheter (51102) $5,069 $5,069 2.4×
Avulsion of nail plate, partial or complete, simple; single (11730) $360 $360 1.8×
Biopsy liver needle percutaneous (47000) $2,849 $2,849 1.7×
Biopsy lymph node (38505) $1,805 $1,805 1.1×
Biopsy muscle percutaneous needle (20206) $2,193 $2,193 1.3×
Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) $2,438 $2,438 1.4×
Biopsy soft tissue neck/thorax (21550) $3,449 $3,449 2.0×
Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) $2,362 $2,362 1.4×
Bladder irrigation (51700) $614 $614 2.4×
Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) $6,554 $6,554 1.6×
Bronch foreign body removal (31635) $3,686 $3,686 2.0×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) $3,820 $3,820 2.1×
Bx breast 1st lesion strtctc (19081) $3,076 $3,076 1.8×
Bx breast 1st lesion us imag (19083) $2,795 $2,795 1.7×
Cast short arm (29075) $493 $493 1.7×
Change Cystostomy Tube Simple (51705) $355 $355 1.4×
Change of windpipe airway (31502) $691 $691 2.9×
Chest tube placement (32551) $1,532 $1,532 1.0×
Circumcision, Newborn (54150) $387 $387 0.2×
Closed rx humer epicondylr fx,manip (24565) $1,876 $1,876 1.1×
Closed rx radial shaft fx w/dislocation (25520) $1,299 $1,299 0.8×
Closed rx shldr disloc,prox hum fx (23675) $1,778 $1,778 1.1×
Closed rx ulna shaft fx,manipulatn (25535) $2,043 $2,043 8.1×
Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) $551 $551 2.2×
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) $851 $851 3.4×
Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) $1,067 $1,067 0.6×
Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) $2,939 $2,939 1.8×
Closed treatment of knee dislocation; without anesthesia (27550) $686 $686 2.7×
Closed treatment of medial malleolus fracture; without manipulation (27760) $550 $550 2.2×
Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) $724 $724 2.9×
Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) $478 $478 1.9×
Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) $2,403 $2,403 1.5×
Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) $656 $656 2.6×
Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) $3,139 $3,139 1.9×
Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) $1,615 $1,615 1.0×
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) $2,075 $2,075 1.3×
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) $739 $739 2.9×
Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) $578 $578 2.3×
Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) $1,136 $1,136 0.7×
Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) $928 $928 3.7×
Closed treatment of talus fracture; with manipulation Age Under 21 (28435) $1,262 $1,262 0.8×
Closed treatment of ulnar styloid fracture (25650) $707 $707 2.8×
Closed tx ankle dislocation w/o anesthesia (27840) $1,153 $1,153 4.6×
Closed tx bimalleolar ankle fracture w/manj (27810) $1,168 $1,168 0.7×
Closed tx bimalleolar ankle fracture w/o manip (27808) $564 $564 2.2×
Closed tx patellar dislocation w/anesthesia (27562) $877 $877 3.5×
Closed tx patellar dislocation w/o anesthesia (27560) $663 $663 2.6×
Closed tx radial shaft fracture w/manipulation (25505) $1,390 $1,390 0.8×
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) $1,130 $1,130 0.7×
Closed tx talotarsal joint dislc w/o anes (28570) $685 $685 2.7×
Closed tx tarsometatarsal dislocation w/o anes (28600) $484 $484 1.9×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $2,125 $2,125 1.3×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $583 $583 2.4×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $850 $850 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,656 $2,656 1.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,848 $1,848 1.1×
Cltx carpo/metacarpal dislocation thumb w/manj (26641) $680 $680 2.7×
CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) $599 $599 2.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $607 $607 2.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,449 $1,449 0.9×
Cltx grter humeral tuberosity fx w/manipulation (23625) $3,034 $3,034 1.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $579 $579 2.3×
CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) $789 $789 0.5×
CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) $687 $687 2.7×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $1,975 $1,975 1.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,629 $1,629 1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $457 $457 1.8×
CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) $3,138 $3,138 1.9×
Cltx tibial shaft fx w/o manipulation (27750) $659 $659 2.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,242 $1,242 0.8×
Collect blood from catheter venous nos (36592) $98 $98 0.7×
Collect blood from implant venous access device (36591) $129 $129 0.9×
Complete replacement picc rs&i (36584) $1,454 $1,454 0.9×
Contrast injection perq radiologic eval gi tube (49465) $643 $643 2.6×
Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) $749 $749 3.4×
Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) $478 $478 3.5×
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) $234 $234 1.7×
Core needle bx lung/mediastinum perq w/img (32408) $2,416 $2,416 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $545 $545 4.0×
Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) $251 $251 1.0×
Curettage postpartum (59160) $3,729 $3,729 1.1×
Debridement of nail(s) by any method(s); 6 or more (11721) $210 $210 3.5×
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) $1,299 $1,299 3.1×
Declot vascular device (36593) $489 $489 1.4×
Diagnostic bone marrow aspirations (38220) $1,637 $1,637 1.0×
Diagnostic bone marrow biopsies (38221) $2,261 $2,261 1.3×
Diagnostic bone marrow biopsies & aspirations (38222) $1,637 $1,637 0.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $979 $979 1.4×
Drainage external ear, abscess or hematoma; simple (69000) $735 $735 1.0×
Drainage finger abscess simple (26010) $481 $481 2.3×
Drainage of abscess of palate, uvula (42000) $611 $611 2.5×
Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) $543 $543 0.8×
Drainage of finger abscess; complicated (eg, felon) (26011) $3,037 $3,037 1.8×
Drainage of scrotal wall abscess (55100) $1,583 $1,583 0.9×
Drainage of scrotum (54700) $4,682 $4,682 2.2×
Drainage of tonsil abscess (42700) $995 $995 4.1×
Dx bronchoscope/lavage (31624) $2,998 $2,998 1.6×
Dx laryngoscopy excl nb (31525) $4,251 $4,251 2.3×
Ed proc insert intraosseous IV (36680) $560 $560 1.2×
Ed proc insj temp ndwellg bladder catheter complicated (51703) $465 $465 3.5×
Ed proc remve fb nasal- hospital (30300) $294 $294 2.2×
Ed prof artl pnxr w/drawal bld dx (36600) $45 $45 0.3×
Ed prof burn medium - hospital (16025) $624 $624 3.0×
Ed prof burn small - hospital (16020) $388 $388 1.9×
Ed prof catheterization/straight (51701) $193 $193 1.4×
Ed prof closed tx post hip arthroplasty (27265) $522 $522 2.1×
Ed prof closed tx pst malleolus fx w/manipulation (27768) $2,291 $2,291 1.4×
Ed prof closed tx radial head/neck fx w/manipulation (24655) $1,089 $1,089 0.7×
Ed prof drain dental abscess-hospital (41800) $482 $482 3.5×
Ed prof insert foley cath simple (51702) $240 $240 1.8×
Ed prof insert non tunnel cv cath >5 (36556) $2,396.50 $2,396.50 0.7×
Ed prof insertion of heart electr (33210) $9,260 $9,260 1.1×
Ed prof int lac 12.6-20cm bd - hospital (12035) $1,638 $1,638 3.9×
Ed prof int lac 7.6-12.5cm bd - hospital (12034) $1,339 $1,339 3.2×
Ed prof interphalangeal dislocation- hospital (26770) $792 $792 3.1×
Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) $711 $711 1.6×
Episiotomy or vaginal repair (59300) $2,408 $2,408 0.7×
Er inj anesthetic agent, peripheral nerve or branch (64450) $784 $784 1.1×
Esoph egd dilation <30 mm (43249) $1,823 $1,823 0.9×
Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) $3,096 $3,096 3.3×
Evac subungual hematoma (11740) $224 $224 1.6×
Exc frenum labial/buccal (40819) $1,603 $1,603 1.0×
Exc h-f-nk-sp b9+marg 1.1-2 (11422) $2,977 $2,977 1.8×
Exploration penetrating wound spx extremity (20103) $3,516 $3,516 2.1×
Explore wound abdomen (20102) $4,587 $4,587 2.2×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $836 $836 1.2×
Frenulotomy of penis (54164) $5,164 $5,164 2.4×
I&d abscess simple/single (10060) $505 $505 2.5×
I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) $2,905 $2,905 1.0×
I&d hematoma/seroma/fluid (10140) $3,818 $3,818 2.3×
I&d pilonidal cyst simple (10080) $429 $429 0.6×
Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) $6,392 $6,392 25.4×
Img-guide fluid collxn drainag cath periton perq (49406) $4,501 $4,501 2.7×
Incise external hemorrhoid (46083) $651 $651 2.6×
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) $1,249 $1,249 3.0×
Incision and drainage of Bartholin's gland abscess (56420) $662 $662 3.2×
Incision and drainage of pilonidal cyst; complicated (10081) $1,543 $1,543 2.1×
Incision and drainage of submucosal abscess, rectum (45005) $2,956 $2,956 2.4×
Incision and drainage of vulva or perineal abscess (56405) $626 $626 2.0×
Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) $7,142 $7,142 2.4×
Incision and drainage, perianal abscess, superficial (46050) $1,472 $1,472 1.5×
Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) $2,849 $2,849 1.7×
Incision and removal of foreign body, subcutaneous tissues; complicated (10121) $4,723 $4,723 2.8×
Incision and removal of foreign body, subcutaneous tissues; simple (10120) $324 $324 0.8×
Incision of eyelid fold (67715) $2,789 $2,789 1.1×
Incision of lingual frenum (frenotomy) (41010) $1,603 $1,603 1.0×
Incision of rectal abscess (46040) $3,005 $3,005 2.5×
Incisional biopsy skin single lesion (11106) $1,161 $1,161 1.5×
Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) $704 $704 1.7×
Initial treatment, first degree burn, when no more than local treatment is required (16000) $389 $389 1.9×
Inj epidural blood or clot patch (62273) $499 $499 0.7×
Inj,Anes Agent,Femoral Nerve,Single (64447) $2,544 $2,544 3.5×
Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) $5,771 $5,771 6.2×
Injection aa&/strd brachial plexus w/img gdn (64415) $2,439 $2,439 2.7×
Injection aa&/strd greater occipital nerve (64405) $1,087 $1,087 3.5×
Injection aa&/strd intercostal nrv single lvl (64420) $1,524 $1,524 2.1×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,271 $1,271 1.8×
Injection aa&/strd trigeminal nerve each branch (64400) $562 $562 1.8×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $360 $360 1.1×
Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) $456 $456 1.5×
Insert gastrostomy tube percutaneous (49440) $3,039 $3,039 1.6×
Insert non-tunnel cv cath < 5 y/o (36555) $2,698 $2,698 0.8×
Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) $3,279 $3,279 2.0×
Insertion of tube into airway for aspiration of secretions (31720) $189 $189 0.8×
Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) $6,569 $6,569 2.0×
Insertion picc w/o img gdn 5 yr/> (36569) $2,508 $2,508 1.6×
Insertion picc w/rs&i 5 yr/> (36573) $2,855 $2,855 1.8×
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure
$9,252 $9,252 0.3×
Intubation endotracheal (31500) $916 $916 3.8×
Irrigation of corpora cavernosa for priapism (54220) $834 $834 3.3×
Laryngoscopy flex diagnostic (31575) $566.50 $566.50 2.8×
Lumbar puncture (62270) $1,039 $1,039 1.4×
Myelography via lumbar inject rs&i lumbosacral (62304) $2,797 $2,797 3.5×
Myelography via lumbar injection rs&i thoracic (62303) $2,659 $2,659 3.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $106 $106 3.6×
Needle insertion w/o injection 3 or more muscles (20561) $125 $125 4.2×
Non stress test (59025) $502 $502 2.4×
Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) $6,455 $6,455 1.9×
Open treatment posterior malleolus fracture (27769)
likely a partial charge — not the full procedure
$2,060 $2,060 0.3×
Partial excision distal phalanx finger (26236) $3,160 $3,160 1.9×
Perq dev breast 1st strtctc (19283) $1,615 $1,615 2.2×
Perq dev breast 1st us imag (19285) $1,124 $1,124 1.6×
Perq device breast 1st imag (19281) $1,693 $1,693 1.0×
Perq drainage pleura insert cath w/o imaging (32556) $1,759 $1,759 0.9×
Perq replacement gtube not req revj gstrst trc (43762) $619 $619 2.4×
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) $3,660 $3,660 2.6×
Punch biopsy skin single lesion (11104) $526 $526 1.3×
Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) $565 $565 1.4×
Puncture aspiration of cyst of breast (19000) $979 $979 1.4×
Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) $686 $686 0.7×
Removal foreign body foot complicated (28193) $2,302 $2,302 1.4×
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) $2,020 $2,020 2.8×
Removal foreign body mouth (40804) $496 $496 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $195 $195 3.2×
Removal impacted cerumen requiring instrumentation, unilateral (69210) $244 $244 4.0×
Removal implant deep (20680) $7,208 $7,208 2.4×
Removal implantable contraceptive capsules (11976) $684 $684 0.9×
Removal of foreign body in muscle or tendon sheath; simple (20520) $3,580 $3,580 2.1×
Removal of foreign body, external eye; conjunctival superficial (65205) $512 $512 3.8×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $542 $542 1.2×
Removal of foreign body, foot; deep (28192) $5,299 $5,299 3.1×
Removal of iud (58301) $713 $713 2.3×
Removal of nail bed (11750) $1,432 $1,432 3.4×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $387 $387 1.9×
Remove foreign body from eye (65210) $620 $620 1.4×
Repair blood vessel lesion (35226) $1,481 $1,481 2.0×
Repair blood vessel, direct; hand, finger Age Under 21 (35207) $4,104 $4,104 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,369 $1,369 3.3×
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) $1,460 $1,460 3.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,664 $1,664 4.0×
Repair complex trunk 2.6-7.5 cm (13101) $2,475 $2,475 3.3×
Repair eyelid wound (67930) $4,034 $4,034 1.7×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) $910.50 $910.50 2.2×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) $807 $807 1.9×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) $1,010 $1,010 2.4×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,557 $1,557 3.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,176 $1,176 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $786 $786 1.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $875 $875 2.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,193 $1,193 1.6×
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) $964 $964 2.3×
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) $1,005 $1,005 2.4×
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) $1,936 $1,936 2.6×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) $797 $797 1.9×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) $1,038 $1,038 2.5×
Repair lip full thickness vermillion only - lac - lip rn (40650) $1,827 $1,827 3.3×
Repair lip, full thickness; up to half vertical height Age Under 21 (40652) $2,143 $2,143 3.9×
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) $550 $550 1.2×
Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) $1,253 $1,253 5.2×
Repair of nail bed (11760) $1,441 $1,441 1.9×
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) $1,716 $1,716 2.3×
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) $1,810 $1,810 2.4×
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) $1,399 $1,399 3.4×
Reset dislocated jaw (21480) $641 $641 2.5×
Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832)
likely a partial charge — not the full procedure
$335 $335 0.1×
RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) $266 $266 2.0×
RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) $637 $637 4.7×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $6,127 $6,127 2.1×
Rmvl of access device (36589) $543 $543 0.8×
Rpr lip fth>1half ver ht/cpx (40654) $2,349 $2,349 1.5×
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) $499 $499 2.4×
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) $523 $523 2.6×
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) $564 $564 2.8×
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) $600 $600 2.9×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $373 $373 1.8×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) $459 $459 2.2×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) $555 $555 2.7×
Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) $779 $779 1.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $210 $210 1.0×
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) $483 $483 2.4×
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) $595 $595 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $734 $734 1.8×
Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Age Under 21 (63610) $2,934 $2,934 1.5×
Strapping ankle (29540) $266 $266 1.6×
Strapping of shoulder (29240) $318 $318 2.3×
Strapping of toes (29550) $189 $189 3.1×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $4,495 $4,495 1.3×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $979 $979 1.4×
Therapeutic spinal puncture drainage csf (62272) $1,824 $1,824 2.5×
Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) $1,816 $1,816 2.8×
Transfusion, blood or blood components (36430) $625 $625 1.4×
Treat dental ridge fracture (21440) $3,682 $3,682 1.1×
Treat lower leg fracture (27825) $2,594 $2,594 1.6×
Treat toe dislocation (28630) $506 $506 2.0×
Treat wrist bone fracture (25635) $1,699 $1,699 1.0×
Treat wrist dislocation (25690) $692 $692 0.4×
Treat wrist dislocation (25675) $775 $775 3.1×
Treatment of bladder lesion (51720) $274 $274 0.4×
Treatment of closed elbow dislocation; without anesthesia (24600) $668 $668 2.7×
Trimming of nondystrophic nails, any number (11719) $149 $149 2.5×
Tx superficial wound dehiscence simple closure (12020) $584 $584 0.8×
Vaginal delivery (59409) $2,514 $2,514 0.8×
Vascular surgery procedure (37799) $111 $111 0.2×
Venipuncture (36415) $22 $22 2.4×
Version cephalic external (59412) $1,108 $1,108 0.3×
Wedge excision skin nail fold (11765) $457 $457 1.1×