Procedures & surgery prices at Keefe Memorial Hospital

Cheyenne Wells, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,857.80 $2,654 1.9×
Acne Surgery (10040) $156 $156 0.7×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $1,630.40 $2,038 0.7×
Amputation Finger/Thumb (26951) $1,467.20 $1,834 0.4×
Application cast elbow finger short arm (29075) $137 $137 0.5×
Application cast shoulder hand long arm (29065) $152 $152 0.5×
Application finger splint static (29130) $165 $165 1.2×
Application long arm splint shoulder hand (29105) $324.50 $324.50 1.9×
Application long leg splint thigh ankle/toes (29505) $364.50 $364.50 2.1×
Application short arm splint forearm-hand static (29125) $137 $137 1.0×
Application short leg splint calf foot (29515) $269 $269 1.6×
Apply short leg cast (29405) $206 $206 0.7×
Apply short leg cast (29425) $191 $191 0.6×
Arterial puncture (36600) $125.50 $125.50 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $186 $186 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $186 $186 0.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $186 $186 0.6×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $937.60 $1,172 0.6×
Aspirat/Injection Ganglion Cyst(S) (20612) $165 $165 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $282.50 $282.50 1.3×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $410 $410 0.4×
Biopsy of floor of mouth (41108) $224 $224 0.1×
Biopsy of lip (40490) $229 $229 0.9×
Biopsy of palate, uvula (42100) $1,000 $1,250 0.6×
Biopsy of uterus lining (58100) $264 $264 1.2×
Biopsy or excision of lymph node(s); open, superficial (38500) $2,156.10 $2,938.50 0.5×
Biopsy/removal lymph nodes (38510) $1,586.40 $1,983 0.4×
Bladder Irrigation Simple (51700) $200 $200 0.8×
Blood transfusion service (36430) $932 $1,165 2.0×
Cautery Cervix Cryocautery Initial or Repeat (57511) $182 $182 0.6×
Change Cystostomy Tube Simple (51705) $388 $388 1.5×
Chest tube placement (32551) $855.40 $1,021 0.5×
Closed Rx Gr Tuberosity Hum Fx (23620) $705 $705 2.7×
Closed Rx Humeral Supracondylar Fx (24530) $835 $835 3.2×
Closed Rx Med Malleolus Fx (27760) $864 $864 3.3×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $2,133.40 $2,952 1.3×
Closed Rx Radial Shaft Fx (25500) $709.50 $709.50 2.7×
Closed Rx Tibia Shaft Fx (27750) $902 $902 3.5×
Closed Treatment Coccygeal Fracture (27200) $486 $486 1.9×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $917 $917 3.5×
Closed treatment of talus fracture; without manipulation (28430) $624 $624 2.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,024.80 $1,281 3.9×
Closed Treatment Sternum Fracture (21820) $385 $385 1.5×
Closed Treatment Ulnar Styloid Fracture (25650) $859 $859 3.3×
Closed tx ankle dislocation w/o anesthesia (27840) $980 $980 3.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $633 $633 0.4×
Closed tx calcaneal fracture w/o manipulation (28400) $641 $641 2.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $872.90 $1,006.50 3.4×
Closed tx metatarsal fracture w/o manipulation (28470) $621 $621 2.4×
Closed tx nasal fracture w/o stabilization (21315) $1,748.90 $2,414 1.1×
Closed tx patellar fracture w/o manipulation (27520) $847 $847 3.3×
Closed tx radial head/neck fx w/o manipulation (24650) $682 $682 2.6×
Closed tx radial shaft fracture w/manipulation (25505) $1,044 $1,305 0.6×
Closed tx scapular fracture w/o manipulation (23570) $610 $610 2.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $372 $372 1.4×
Closed tx ulnar fracture prox end w/o manipulate (24670) $763 $763 2.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $682 $682 2.6×
Clsd tx acromioclavicular dislc w/manipulation (23545) $912 $912 3.5×
Clsd tx clavicular fracture w/o manipulation (23500) $627 $627 2.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,018.20 $2,808 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $761.50 $761.50 2.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $864.80 $991.50 0.5×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $871.20 $1,089 3.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $905 $905 3.5×
Cltx dstl fibular fx lat malls w/manj (27788) $835.50 $835.50 3.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $735.50 $735.50 2.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $582 $582 2.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $780.50 $780.50 3.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,153.80 $2,977.50 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $521.50 $521.50 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $499.50 $499.50 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $310 $310 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $710.50 $710.50 2.7×
Cltx metacarpal fx w/manipulation each bone (26605) $769.50 $769.50 3.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $731 $731 2.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $782.50 $782.50 3.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $599 $599 2.3×
Cltx prox fibula/shft fx w/o manj (27780) $741.50 $741.50 2.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $474 $474 1.8×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,100.80 $1,376 0.6×
Colonoscopy flex w/rem forcep (45384) $1,859.90 $2,657 1.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $365 $365 1.1×
Colposcopy cervix upper/adjacent vagina (57452) $182 $182 0.9×
Control Nasal Hemorrhage Anterior Simple (30901) $391 $391 2.8×
Cryotherapy of skin (17340) $133 $133 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $640 $640 4.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $150 $150 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $547.50 $547.50 1.3×
Destruc Benign/Premal,15+ Lesions (17004) $383 $383 0.9×
Destruction benign lesions 15 or more (17111) $345 $345 1.6×
Destruction Benign Lesions Up To 14 (17110) $178 $178 0.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $156 $156 0.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $156 $156 0.7×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $156 $156 0.7×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $156 $156 0.7×
Destruction premalignant lesion 1st (17000) $200 $200 0.9×
Diagnostic sigmoidoscopy (45330) $362 $362 0.4×
Drain Ext Ear Absc/Blood,Complic (69005) $328 $328 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $488 $488 0.7×
Drainage of eyelid abscess (67700) $755 $755 2.3×
Drainage of gum lesion (41800) $819 $819 5.8×
Drainage of hematoma/fluid (10140) $671 $671 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $298 $298 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $496.50 $496.50 2.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $403.50 $403.50 1.9×
Egd rem tumr/polyp forcep (43250) $1,006.40 $1,258 0.5×
Evacuation of subungual hematoma (11740) $148 $148 1.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $529 $529 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $605 $605 0.3×
Exc face les sbq 2 cm/> (21012) $962 $962 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $711.60 $848.50 1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,202.80 $1,430 0.7×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $1,041.60 $1,302 0.3×
Exc neck tum deep < 5 cm (21556) $2,807 $4,010 0.9×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $328 $328 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $328 $328 0.8×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $328 $328 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $511 $511 0.7×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $580 $580 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $818 $818 0.5×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $383 $383 0.2×
Exc Skin Malig >4 Cm Face,Facial (11646) $383 $383 0.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $832.80 $1,041 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $914.40 $1,143 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $562 $562 0.4×
Exc tr-ext b9+marg 0.5 cm or less (11400) $334 $334 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $328 $328 0.2×
Excise/repair mouth lesion (40812) $2,214.80 $3,164 1.4×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $516 $516 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $460.50 $460.50 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $480 $480 1.1×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $550 $550 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $383 $383 0.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $328 $328 0.4×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $328 $328 0.4×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $510 $510 0.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $996 $996 0.6×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $517 $517 0.3×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $328 $328 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $652 $652 0.9×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $572.50 $572.50 0.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $614.80 $727.50 0.8×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $691.70 $802 0.9×
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) $524 $524 0.5×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $328 $328 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $328 $328 0.2×
Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) $996.80 $1,246 0.3×
Excision of nail fold toe (11765) $434 $434 1.0×
Excision of sublingual salivary cyst (ranula) (42408) $1,142.40 $1,428 0.3×
Explore parathyroid glands (60500)
unusually low: confirm this is the full procedure
$1,976 $2,470 0.3×
Explore/treat hand joint (26070) $823 $823 0.5×
Fine needle aspiration without imaging guidance (10021) $269 $269 0.6×
Fitting of diaphragm/cap (57170) $202 $202 0.9×
I&d abscess simple (10060) $589 $589 2.8×
I&d perianal abscess superficial (46050) $630 $630 0.6×
I&d pilonidal cyst simple (10080) $1,154.60 $1,358.50 1.5×
Incision & drainage abscess complicated/multiple (10061) $845.70 $989 2.0×
Incision & removal foreign body subq tiss compl (10121) $1,955.70 $2,647.50 1.1×
Incision & removal foreign body subq tiss simple (10120) $648.10 $761.50 1.5×
Incision and drainage of bartholin's gland abscess (56420) $491 $491 2.3×
Incision of lingual frenum (41010) $578 $578 0.4×
Incision thrombosed hemorrhoid external (46083) $713.50 $713.50 2.7×
Incisional biopsy skin single lesion (11106) $412 $412 0.5×
Initial tx 1st degree burn local tx (16000) $194 $194 0.9×
Inj tendon sheath/ligament (20550) $146 $146 0.5×
Inject Tendon Origin/Insert (20551) $113 $113 0.3×
Injection aa&/strd trigeminal nerve each branch (64400) $874 $874 2.7×
Injection single/mlt trigger point 1/2 muscles (20552) $137 $137 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $158 $158 0.5×
Insert Drug Implant Device (11981) $266 $266 1.9×
Insert non-tunnel cv cath (36556) $653 $653 0.2×
Insert Temp Bladder Cath (51702) $162 $162 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $114 $114 0.8×
Intraoral i&d tongue/floor lingual (41000) $790.20 $938.50 1.4×
Intubation endotracheal emergency procedure (31500) $521 $521 2.1×
Laryngoscopy Flexible Diagnostic (31575) $291 $291 1.4×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $291 $291 0.7×
Late closure of wound (13160) $1,601.60 $2,002 0.4×
Ligation or biopsy temporal artery (37609) $908 $908 0.5×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $291 $291 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $2,833.50 $5,281.50 0.8×
Partial removal of thyroid (60220) $4,377 $7,295 0.7×
Punch biopsy skin single lesion (11104) $332 $332 0.8×
Puncture Aspiration (10160) $334 $334 0.8×
Puncture/clear windpipe (31612) $1,497.60 $1,872 0.4×
Removal fb intranasal (30300) $462 $462 3.3×
Removal foreign body foot subcutaneous (28190) $631 $631 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $565 $565 0.3×
Removal foreign body pharynx (42809) $706.50 $706.50 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $40 $40 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $74 $74 1.2×
Removal Implant Superficial Separate Procedure (20670) $950 $950 0.5×
Removal Implantable Contraceptive Capsules (11976) $368 $368 0.5×
Removal of intrauterine device (iud) (58301) $286 $286 0.9×
Removal of nail bed (11750) $376.50 $376.50 0.9×
Removal of salivary stone (42330) $605 $605 0.2×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $288.50 $288.50 1.4×
Removal of tonsils (42825)
likely a partial charge, not the full procedure
$1,524.80 $1,906 0.2×
Removal of tonsils (42826) $1,524.80 $1,906 0.4×
Remove drug implant device (11982) $300 $300 0.6×
Remv Ext Canal Foreign Body (69200) $287 $287 2.0×
Remv F.B.,Eye,Superf Conjunc (65205) $328.50 $328.50 2.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,218.80 $1,523.50 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $856.80 $1,071 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,176.80 $1,471 2.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $926 $926 2.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $955.20 $1,194 2.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $824.60 $938 1.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $864.10 $977.50 2.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $928.60 $1,042 2.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $854.40 $1,068 2.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $800.10 $913.50 1.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $857.60 $971 2.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,183.60 $1,355.50 1.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $857.20 $1,071.50 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $798.60 $912 1.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $847.60 $961 2.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,135.60 $1,419.50 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $402 $402 0.9×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,185.70 $3,435 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $519 $519 1.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $172 $172 1.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $369 $369 0.6×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $300 $300 0.6×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,208.80 $1,511 1.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $862 $862 0.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $156 $156 0.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $156 $156 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $156 $156 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $322 $322 1.5×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $156 $156 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $156 $156 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $156 $156 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $156 $156 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $156 $156 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $156 $156 0.7×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $362 $362 0.4×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $931 $931 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $439 $439 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $444.50 $444.50 2.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $478.50 $478.50 2.3×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $514.50 $514.50 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $415.50 $415.50 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $463 $463 2.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $439.50 $439.50 2.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $680.10 $793.50 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $718.10 $831.50 1.7×
Spinal puncture lumbar diagnostic (62270) $1,664.80 $2,081 2.2×
Strapping elbow/wrist (29260) $76 $76 1.2×
Tangential biopsy skin single lesion (11102) $268 $268 0.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,524.80 $1,906 0.4×
Treat finger dislocation (26775) $816.80 $1,021 2.8×
Treat Fracture Radius & Ulna (25560) $716.50 $716.50 2.8×
Treat humerus fracture (23600) $773 $773 3.0×
Treat Metatarsal Fracture (28475) $667 $667 2.6×
Treat Thumb Fx/Disloc,Manip (26645) $898.40 $1,123 0.5×
Treat wrist bone fracture (25622) $801 $801 3.1×
Treatment closed elbow dislocation req anes (24605) $2,088.60 $2,896 1.2×
Treatment closed elbow dislocation w/o anes (24600) $965 $965 3.7×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $612 $612 2.4×
Trim skin lesion (11055) $190 $190 0.9×
Trim skin lesions 2 to 4 (11056) $217 $217 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $780 $780 1.0×
Vasectomy (55250) $1,945.30 $2,779 0.9×
Venipuncture (36415) $35 $35 3.7×
Vermilionectomy (lip shave), with mucosal advancement (40500) $1,531.95 $2,095.50 0.4×