Procedures & surgery prices at Mercy Hospital Perry

Perryville, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,179.10 $1,814 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $430.62 $662.50 0.5×
Ablate inf turbinate submuc (30802) $8,377.90 $12,889.08 5.4×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) $10,690.26 $16,446.56 6.9×
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $1,125.15 $1,731 0.5×
Anoscopy diagnostic (46600) $149.82 $230.50 1.1×
Anrct xm surg req anes general spi/edrl dx (45990) $1,132.87 $1,742.88 0.4×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) $16,282.17 $25,049.50 3.2×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $237.25 $365 1.5×
Application Cast Finger (29086) $249.60 $384 1.5×
Application Cast Hand & Lower Forearm Gauntlet (29085) $180.70 $278 1.1×
Application cast shoulder hand long arm (29065) $183.30 $282 0.7×
Application Finger Splint Dynamic (29131) $165.75 $255 2.8×
Application finger splint static (29130) $102.05 $157 0.8×
Application long arm splint shoulder hand (29105) $210.60 $324 1.3×
Application long leg splint thigh ankle/toes (29505) $209.95 $323 1.3×
Application Of Rigid Total Contact Leg Cast (29445) $311.02 $478.50 1.1×
Application Short Arm Splint Dynamic (29126) $173.55 $267 1.3×
Application short arm splint forearm-hand static (29125) $155.35 $239 1.2×
Application short leg splint calf foot (29515) $174.52 $268.50 1.1×
Apply multlay comprs arm/hand (29584) $281.45 $433 1.7×
Arterial puncture (36600) $141.38 $217.50 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $224.25 $345 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $417.95 $643 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $280.80 $432 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $284.05 $437 0.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $137.80 $212 0.4×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $28,155.20 $43,315.70 3.9×
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $7,011.87 $10,787.50 2.1×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $6,743.65 $10,374.84 2.1×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $6,752.95 $10,389.15 2.1×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $7,041.14 $10,832.52 2.1×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $28,155.20 $43,315.70 8.6×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $18,727.64 $28,811.76 2.6×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $12,492.28 $19,218.89 3.8×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $12,377.98 $19,043.05 3.8×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $13,365.87 $20,562.87 4.1×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $18,239.92 $28,061.42 2.5×
Aspirat/Injection Ganglion Cyst(S) (20612) $130.98 $201.50 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $150.15 $231 0.7×
Biopsy external ear (69100) $301.60 $464 1.3×
Biopsy of uterus lining (58100) $292.82 $450.50 1.4×
Biopsy or excision of lymph node(s); open, superficial (38500) $742.95 $1,143 0.2×
Biopsy/removal lymph nodes (38510) $1,067.95 $1,643 0.3×
Bladder Irrigation Simple (51700) $212.55 $327 0.8×
Bladder Scan (51798) $146.90 $226 2.5×
Blood patch (62273) $738.72 $1,136.50 1.0×
Blood transfusion service (36430) $696.15 $1,071 1.6×
Bx prst8 trct us guided (55707) $6,240.16 $9,600.24 1.8×
Catheter Aspiration Nasotracheal Spx (31720) $128.05 $197 0.6×
Change Cystostomy Tube Complicated (51710) $3,806.43 $5,856.05 5.5×
Change Cystostomy Tube Simple (51705) $2,237.98 $3,443.04 8.9×
Chemical Cautery Tissue (17250) $134.55 $207 0.7×
Chemodenervation internal anal sphincter (46505) $6,579.88 $10,122.89 5.5×
Chest tube placement (32551) $581.10 $894 0.4×
Chg Collect Blood From Catheter Venous Nos (36592) $148.20 $228 1.1×
Circumcision (54150) $359.12 $552.50 0.2×
Circumcision Neonate (54160) $355.55 $547 0.5×
Close Rx Fingr Articular Fx,Manip (26742) $720.20 $1,108 0.4×
Closed Rx Acetabular Fx,Manipulatn (27222) $2,000.70 $3,078 8.1×
Closed Rx Gr Tuberosity Hum Fx (23620) $499.85 $769 2.0×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $1,058.52 $1,628.50 0.7×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $998.72 $1,536.50 0.6×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $907.40 $1,396 0.6×
Closed Rx Trauma Hip Disloc,Anesth (27252) $1,599.65 $2,461 1.0×
Closed Treat Vert Body Fract (22310) $661.38 $1,017.50 2.7×
Closed treat wrist dislocation (25660) $687.70 $1,058 2.8×
Closed treatment nasal fracture w/stabilization (21320) $672.75 $1,035 0.2×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $692.90 $1,066 2.8×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $250.90 $386 1.0×
Closed treatment pst malleolus fracture w/manj (27768) $1,049.75 $1,615 0.7×
Closed Treatment Ulnar Styloid Fracture (25650) $697.45 $1,073 2.8×
Closed tx ankle dislocation w/o anesthesia (27840) $885.95 $1,363 3.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,078.68 $1,659.50 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $679.90 $1,046 2.8×
Closed tx metatarsal fracture w/o manipulation (28470) $417.30 $642 1.7×
Closed tx nasal fracture w/o stabilization (21315) $464.75 $715 0.3×
Closed tx patellar dislocation w/anesthesia (27562) $995.15 $1,531 4.0×
Closed tx patellar dislocation w/o anesthesia (27560) $652.28 $1,003.50 2.6×
Closed tx radial head/neck fx w/manipulation (24655) $811.20 $1,248 0.5×
Closed tx radial head/neck fx w/o manipulation (24650) $468.65 $721 1.9×
Closed tx radial shaft fracture w/manipulation (25505) $817.05 $1,257 0.5×
Closed Tx Talus Fracture W/Manipulation (28435) $826.80 $1,272 0.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $321.10 $494 1.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $915.20 $1,408 0.6×
Closed tx ulnar fracture prox end w/o manipulate (24670) $512.20 $788 2.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $512.85 $789 2.1×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $439.72 $676.50 1.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $744.58 $1,145.50 3.0×
Clsd tx clavicular fracture w/manipulation (23505) $655.20 $1,008 0.4×
Clsd tx clavicular fracture w/o manipulation (23500) $447.85 $689 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $963.30 $1,482 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $579.80 $892 2.3×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $600.92 $924.50 2.4×
Cltx dstl fibular fx lat malls w/manj (27788) $1,002.62 $1,542.50 4.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $572.98 $881.50 2.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $466.38 $717.50 1.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $381.55 $587 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $647.08 $995.50 2.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,185.28 $1,823.50 0.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $440.05 $677 1.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $319.15 $491 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $353.60 $544 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $244.72 $376.50 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,060.15 $1,631 0.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $969.80 $1,492 3.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $307.78 $473.50 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $480.68 $739.50 1.9×
Cltx metacarpal fx w/manipulation each bone (26605) $709.48 $1,091.50 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $504.40 $776 2.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $712.40 $1,096 0.4×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $553.80 $852 2.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $666.58 $1,025.50 2.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $373.75 $575 1.5×
Cltx post hip arthrp dislc w/o anes (27265) $977.60 $1,504 4.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $976.30 $1,502 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $274.62 $422.50 1.1×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $1,048.45 $1,613 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,848.60 $2,844 1.1×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,178.12 $1,812.50 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,138.15 $1,751 0.7×
Colonoscopy stoma w/snare (44394) $5,106.93 $7,856.81 4.3×
Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) $5,106.93 $7,856.81 4.3×
Colonoscopy thru stoma (44388) $3,177.93 $4,889.13 3.4×
Colporrhaphy suture injury vagina (57200) $788.45 $1,213 0.2×
Colsc flx with directed submucosal njx any sbst (45381) $5,068.54 $7,797.76 4.2×
Complex Drainage, Wound (10180) $1,167.08 $1,795.50 0.4×
Control Nasal Hemorrhage Anterior Complex (30903) $404.62 $622.50 3.0×
Control Nasal Hemorrhage Anterior Simple (30901) $214.82 $330.50 1.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $418.60 $644 0.3×
Create eardrum opening (69436) $3,257.38 $5,011.36 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $440.05 $677 3.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $486.20 $748 2.0×
Cysto Bladder W/Ureteral Catheterization (52005) $4,106.36 $6,317.48 2.0×
Cysto W/Simple Removal Stone & Stent (52310) $2,106.61 $3,240.94 1.0×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $12,560.73 $19,324.20 2.3×
Cysto/uretero w/lithotripsy (52356) $9,984.88 $15,361.35 1.9×
Cystoscopy,Dil Urethral Stricture (52281) $2,254.16 $3,467.94 1.1×
Cystoscopy,insert ureteral stent (52332) $5,423.94 $8,344.53 1.5×
Cystostomy Cystotomy W/Drainage (51040) $4,029.60 $6,199.39 1.9×
Cystourethroscopy (52000) $2,445.26 $3,761.94 3.5×
Cystourethroscopy Inj Chemodenervation Bladder (52287) $3,558.39 $5,474.45 1.7×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) $5,423.94 $8,344.53 1.5×
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $5,912.67 $9,096.42 1.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $105.95 $163 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,265.22 $1,946.50 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $227.50 $350 0.6×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $660.72 $1,016.50 0.9×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,010.42 $1,554.50 0.6×
Declot vascular device (36593) $686.24 $1,055.74 2.1×
Delivery placenta separate procedure (59414) $1,649.70 $2,538 0.5×
Destroy cerv/thor facet jnt (64633) $3,001.05 $4,617 1.5×
Destroy lumb/sac facet jnt (64635) $2,607.28 $4,011.21 1.3×
Destruc Benign/Premal,15+ Lesions (17004) $295.10 $454 0.7×
Destruction benign lesions 15 or more (17111) $262.60 $404 1.3×
Destruction Benign Lesions Up To 14 (17110) $162.18 $249.50 0.8×
Destruction Lesions Vulva Extensive (56515) $594.75 $915 0.3×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $262.60 $404 1.3×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $306.80 $472 1.5×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $218.40 $336 1.1×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $263.58 $405.50 1.3×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $206.05 $317 1.0×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $173.22 $266.50 0.9×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $231.08 $355.50 1.1×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $326.30 $502 0.8×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $156.32 $240.50 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $2,942.55 $4,527 1.5×
Destruction of multiple growths of penis (54065) $8,051.51 $12,386.94 3.9×
Destruction premalignant lesion 1st (17000) $123.82 $190.50 0.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $190.45 $293 0.3×
Diagnostic sigmoidoscopy (45330) $3,714.77 $5,715.03 4.0×
Drain Ext Ear Absc/Blood,Complic (69005) $519.35 $799 0.3×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $354.25 $545 0.5×
Drain/inj small joint/bursa w/us (20604) $233.35 $359 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $332.48 $511.50 0.5×
Drainage Finger Abscess Complicated (26011) $874.25 $1,345 0.5×
Drainage Finger Abscess Simple (26010) $445.25 $685 2.2×
Drainage mouth roof lesion (42000) $375.70 $578 1.6×
Drainage of abscess; submaxillary or sublingual, intraoral (42310) $363.35 $559 0.7×
Drainage of eyelid abscess (67700) $348.08 $535.50 1.1×
Drainage of gum lesion (41800) $396.82 $610.50 3.0×
Drainage of hematoma/fluid (10140) $312.32 $480.50 0.2×
Drainage of lymph node abscess or lymphadenitis; simple (38300) $853.12 $1,312.50 0.3×
Drainage of scrotal wall abscess (55100) $642.85 $989 0.4×
Draw blood off venous device (36591) $144.62 $222.50 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $353.60 $544 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $253.50 $390 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $165.75 $255 0.8×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $989.30 $1,522 0.5×
Egd balloon dilation esophagus <30 mm diam (43249) $4,388.05 $6,750.84 2.3×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $4,479.03 $6,890.82 2.3×
Egd guide wire insertion (43248) $3,210.14 $4,938.67 3.5×
Egd place gastrostomy tube (43246) $1,114.10 $1,714 0.6×
Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) $7,911.68 $12,171.82 2.0×
Ercp w/sphincterotomy/papillotomy (43262) $7,911.68 $12,171.82 2.0×
Evacuation of subungual hematoma (11740) $66.95 $103 0.5×
Exc arm/elbow les sc 3 cm/> (24071) $1,078.35 $1,659 0.4×
Exc arm/elbow les sc < 3 cm (24075) $1,245.40 $1,916 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $732.22 $1,126.50 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $595.40 $916 0.4×
Exc back les sc < 3 cm (21930) $949.65 $1,461 0.6×
Exc back tum deep < 5 cm (21932) $1,265.55 $1,947 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $380.58 $585.50 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $517.40 $796 0.3×
Exc neck tum deep < 5 cm (21556) $1,144 $1,760 0.4×
Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) $8,248.66 $12,690.25 1.4×
Exc shoulder les sc 3 cm/> (23071) $1,054.95 $1,623 0.6×
Exc shoulder tum deep 5 cm/> (23073) $2,657.20 $4,088 0.9×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $532.68 $819.50 0.8×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $412.42 $634.50 1.0×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $510.90 $786 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $409.50 $630 0.6×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $669.50 $1,030 0.4×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $455 $700 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,336.72 $2,056.50 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $593.45 $913 0.4×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $640.25 $985 0.4×
Exc Skin Malig >4 Cm Face,Facial (11646) $2,189.20 $3,368 0.8×
Exc Skin Malig >4 Cm Remaindr Body (11626) $742.30 $1,142 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,406.60 $2,164 0.9×
Exc thigh/knee les sc 3 cm/> (27337) $1,002.95 $1,543 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $341.90 $526 0.3×
Exc tr-ext b9+marg 0.5 cm or less (11400) $355.22 $546.50 0.5×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $1,825.20 $2,808 0.6×
Exc tumor soft tissue leg/ankle subfascial <5cm (27619) $742.95 $1,143 0.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,405.95 $2,163 0.5×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $1,015.95 $1,563 0.3×
Excise pharynx lesion (42808) $525.20 $808 0.2×
Excision hidradenitis inguinal smpl/intrm rpr (11462) $813.80 $1,252 0.3×
Excision hydrocele bilateral (55041) $9,170.30 $14,108.16 2.6×
Excision lesion mouth roof (42104) $6,345.56 $9,762.40 1.9×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $425.75 $655 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $533 $820 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $534.95 $823 1.3×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $715.98 $1,101.50 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $912.60 $1,404 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $435.82 $670.50 0.6×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $611 $940 0.9×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $702.32 $1,080.50 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $505.05 $777 0.3×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $525.52 $808.50 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $545.68 $839.50 0.8×
Excision Multiple External Papillae/Tags Anus (46230) $5,534.07 $8,513.95 2.0×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $393.25 $605 0.6×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $631.48 $971.50 0.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $384.15 $591 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $221 $340 0.1×
Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) $4,958.19 $7,627.98 1.5×
Excision of nail fold toe (11765) $219.38 $337.50 0.5×
Excision of pilonidal cyst or sinus; simple (11770) $604.50 $930 0.2×
Excision pilonidal cyst/sinus complicated (11772) $1,459.90 $2,246 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,145.95 $1,763 0.7×
Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) $1,168.70 $1,798 0.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $785.85 $1,209 0.5×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,205.10 $1,854 0.4×
Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) $1,582.10 $2,434 0.5×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $1,168.05 $1,797 0.7×
Exploration penetrating wound spx extremity (20103) $1,008.15 $1,551 0.6×
External Cephalic Version (59412) $1,635.40 $2,516 0.5×
Fetal non-stress test (59025) $546.32 $840.50 2.7×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $2,032.58 $3,127.04 2.9×
Fine needle aspiration without imaging guidance (10021) $244.40 $376 0.6×
Fixation of shoulder (23700) $664.30 $1,022 0.4×
Gastric Intubation/Aspiration, Therapeutic (43753) $106.60 $164 0.5×
Hemorrhoidectomy (46255) $8,800.69 $13,539.52 3.2×
Hemorrhoidectomy external complete (46250) $7,545.74 $11,608.83 2.7×
Hysteroscopy ablation (58563) $5,859.21 $9,014.17 1.2×
Hysteroscopy biopsy (58558) $4,554.74 $7,007.29 1.4×
I&D Abscess Peritonsillar (42700) $327.60 $504 1.4×
I&d abscess simple (10060) $198.25 $305 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,444.62 $2,222.50 0.5×
I&d perianal abscess superficial (46050) $415.35 $639 0.4×
I&d pilonidal cyst simple (10080) $254.48 $391.50 0.4×
I&D Upper Arm/Elbow Bursa (23931) $715 $1,100 0.4×
Incision & drainage abscess complicated/multiple (10061) $422.50 $650 1.0×
Incision & drainage pilonidal cyst complicated (10081) $475.48 $731.50 0.7×
Incision & removal foreign body subq tiss compl (10121) $511.22 $786.50 0.3×
Incision & removal foreign body subq tiss simple (10120) $246.35 $379 0.6×
Incision and drainage of bartholin's gland abscess (56420) $347.42 $534.50 1.7×
Incision and drainage of vulva or perineal abscess (56405) $315.25 $485 1.0×
Incision of lingual frenum (41010) $3,257.38 $5,011.36 2.1×
Incision of rectal abscess (46040) $1,012.05 $1,557 0.8×
Incision thrombosed hemorrhoid external (46083) $395.52 $608.50 1.6×
Incisional biopsy skin single lesion (11106) $222.95 $343 0.3×
Inj paravert f jnt c/t 1 lev (64490) $1,591.85 $2,449 1.8×
Inj tendon sheath/ligament (20550) $143 $220 0.5×
Inj,Anes Agent,Brachial Plexus,Single (64415) $368.55 $567 0.4×
Inj,Anes Agent,Femoral Nerve,Single (64447) $368.55 $567 0.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,239.55 $1,907 1.4×
Inject Nerv Blck,Axillary Nerv (64417) $371.80 $572 0.4×
Inject Nerv Blck,Celiac Plexus (64530) $899.60 $1,384 1.0×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $461.18 $709.50 0.7×
Inject Nerv Blck,Intercost,Multpl (64421) $753.35 $1,159 0.9×
Inject Nerv Blck,Intercostal,One (64420) $640.25 $985 0.9×
Inject Nerv Blck,Paravert Sympath (64520) $1,823.25 $2,805 2.1×
Inject Tendon Origin/Insert (20551) $135.85 $209 0.4×
Injection aa&/strd genicular nrv branches w/img (64454) $1,548.30 $2,382 2.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,054.30 $1,622 1.5×
Injection aa&/strd sciatic nerve w/img gdn (64445) $414.05 $637 0.6×
Injection aa&/strd suprascapular nerve (64418) $599.30 $922 0.8×
Injection aa&/strd trigeminal nerve each branch (64400) $365.30 $562 1.2×
Injection anes other peripheral nerve/branch (64450) $386.10 $594 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $147.22 $226.50 0.5×
Injection single/mlt trigger point 3/> muscles (20553) $362.70 $558 1.2×
Injection therapeutic carpal tunnel (20526) $176.48 $271.50 0.6×
Injection, anesthetic agent; greater occipital nerve (64405) $446.55 $687 1.5×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $543.40 $836 1.8×
Insert Bladder Cath Complex (51703) $270.40 $416 2.1×
Insert cervical dilator (59200) $273.65 $421 0.9×
Insert non-tunnel cv cath (36556) $514.15 $791 0.2×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $707.85 $1,089 0.2×
Insert picc cath (36569) $1,268.15 $1,951 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,120.60 $1,724 0.7×
Insert Temp Bladder Cath (51702) $164.45 $253 1.2×
Insert tunneled cv cath (36561) $6,088.46 $9,366.86 1.9×
Insert,Non-Indwelling Bladder Catheter (51701) $7,014.62 $10,791.72 52.6×
Intraoral i&d tongue/floor submndblr space (41008) $611.32 $940.50 0.2×
Intubation endotracheal emergency procedure (31500) $486.85 $749 2.1×
Irrigate corpora cavernosa for priapism (54220) $419.25 $645 1.7×
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) $17,792.40 $27,372.93 1.7×
Laparoscopy Remove Adnexa (58661) $10,395.72 $15,993.41 1.7×
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) $14,818.53 $22,797.74 1.4×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $8,676.70 $13,348.77 1.4×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) $23,544.96 $36,223.01 2.2×
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) $13,784.58 $21,207.04 1.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $10,819.77 $16,645.80 1.8×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure
$2,343.25 $3,605 0.2×
Laryngoscopy Indirect Diagnostic Spx (31505) $281.45 $433 1.4×
Laryngoscopy,Direct,Diagnostic (31525) $582.08 $895.50 0.3×
Larynscop w/tumr exc + scope (31541) $6,187.26 $9,518.86 1.7×
Ligation of hemorrhoid(s) (46221) $6,170.38 $9,492.89 6.6×
Ligation or biopsy temporal artery (37609) $1,501.50 $2,310 0.9×
Lithotripsy (50590) $9,734.90 $14,976.77 2.8×
Lrt iad 18bct/8vir&7arg RNA (0528U) $494 $760 0.8×
Mastectomy partial (19301) $1,259.70 $1,938 0.3×
Middle ear surgery proc unlisted (69799) $3,461.45 $5,325.31 14.6×
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) $10,082.25 $15,511.16 1.4×
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) $10,082.25 $15,511.16 1.4×
Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) $11,052.01 $17,003.09 6.2×
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) $9,209.79 $14,168.91 1.3×
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) $10,082.25 $15,511.16 1.4×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $4,901.57 $7,540.87 2.7×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $10,082.25 $15,511.16 1.4×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $239.52 $368.50 0.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $41.60 $64 1.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $562.25 $865 1.3×
Njx anes stellate ganglion crv sympathetic (64510) $1,255.80 $1,932 1.4×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $199.55 $307 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,252.34 $3,465.14 2.5×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,832.15 $2,818.69 2.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,873.42 $2,882.19 2.6×
Open biopsy/excision inguinofemoral nodes (38531) $8,664.47 $13,329.95 2.2×
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) $8,377.90 $12,889.08 1.4×
Perq replacement gtube not req revj gstrst trc (43762) $311.35 $479 1.2×
Placement of needle for intraosseous infusion (36680) $263.90 $406 0.6×
Plmt expandable cath brst following prtl mast (19296)
unusually low: confirm this is the full procedure
$3,417.70 $5,258 0.4×
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) $24,465.16 $37,638.71 4.0×
Preputial Stretching (54450) $197.60 $304 0.8×
Punch biopsy skin single lesion (11104) $216.12 $332.50 0.5×
Puncture Aspiration (10160) $231.08 $355.50 0.6×
Puncture Aspiration Cyst Breast (19000) $307.45 $473 0.4×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) $3,374.15 $5,191 1.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,349.78 $5,153.50 1.7×
Reduction of rectal prolapse (45900) $305.50 $470 0.3×
Removal fb intranasal (30300) $264.55 $407 2.0×
Removal foreign body foot subcutaneous (28190) $507.32 $780.50 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $378.95 $583 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $96.85 $149 1.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $137.80 $212 2.3×
Removal of adenoids (42830) $4,207.05 $6,472.38 1.3×
Removal of arm foreign body (24200) $365.62 $562.50 0.2×
Removal of intrauterine device (iud) (58301) $207.35 $319 0.7×
Removal of nail bed (11750) $362.05 $557 0.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $150.80 $232 0.8×
Removal/bivalving gauntlet boot/body cast (29700) $105.62 $162.50 0.4×
Remove by ligat int hem grp (46945) $8,427.87 $12,965.96 3.0×
Remove drug implant device (11982) $312.98 $481.50 0.7×
Remove Eyelid Foreign Body (67938) $300.95 $463 0.9×
Remove foreign body from eye (65210) $110.18 $169.50 0.2×
Remove in/ex hem groups 2+ (46260) $8,279.04 $12,736.99 3.0×
Remove Pilonidal Cyst Exten (11771) $1,682.20 $2,588 0.6×
Remv Ext Canal Foreign Body (69200) $204.75 $315 1.5×
Remv F.B.,Eye,Superf Conjunc (65205) $117.98 $181.50 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $787.80 $1,212 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,008.48 $1,551.50 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $587.60 $904 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $977.92 $1,504.50 2.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $571.35 $879 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $848.25 $1,305 2.1×
Repair complex trunk 1.1-2.5 cm (13100) $528.45 $813 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $762.45 $1,173 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,647.10 $2,534 1.0×
Repair finger/hand tendon (26370) $1,708.52 $2,628.50 0.5×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $832 $1,280 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $505.70 $778 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $555.75 $855 1.4×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $971.10 $1,494 2.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $585 $900 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $745.22 $1,146.50 1.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,037.40 $1,596 2.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $621.72 $956.50 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $355.55 $547 0.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $480.35 $739 1.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $585 $900 0.8×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $818.35 $1,259 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $658.45 $1,013 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $336.05 $517 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $462.15 $711 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $751.72 $1,156.50 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $559.98 $861.50 1.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $876.20 $1,348 0.4×
Repair of nail bed (11760) $407.55 $627 0.6×
Repair of nasal septum (30520) $9,207.52 $14,165.41 2.8×
Repair Tongue Laceration (41250) $351 $540 0.8×
Repair tympanic membrane (69610) $3,607.84 $5,550.52 2.3×
Repair, fascial defect of leg (27656) $1,355.90 $2,086 0.4×
Resect Inferior Turbinate (30140) $9,207.52 $14,165.41 2.8×
Revise median n/carpal tunnel surg (64721) $5,871.29 $9,032.75 3.0×
Revise ulnar nerve at elbow (64718) $6,663.79 $10,251.99 3.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $324.02 $498.50 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $190.78 $293.50 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $159.25 $245 1.2×
Rmvl fecal impaction/fb spx under anes (45915) $624 $960 0.5×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $504.08 $775.50 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,152.98 $3,312.28 1.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $186.22 $286.50 0.3×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $418.60 $644 0.9×
Rplc gtube revj gstrst trc (43763) $330.85 $509 1.3×
Rpr aa hernia 1st 3-10 cm reducible (49593) $8,515.61 $13,100.94 1.3×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $6,982.98 $10,743.05 1.2×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $611.32 $940.50 0.8×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $632.45 $973 2.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $784.55 $1,207 1.5×
Rpr Lip Full Thickness Vermilion Only (40650) $882.38 $1,357.50 1.6×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $10,273.76 $15,805.79 1.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $4,479.88 $6,892.13 4.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $182.98 $281.50 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $149.50 $230 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $192.08 $295.50 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $212.22 $326.50 1.1×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $153.08 $235.50 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $200.52 $308.50 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $249.60 $384 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $170.95 $263 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $207.35 $319 1.0×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $4,269.08 $6,567.82 4.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $520 $800 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $306.80 $472 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $379.60 $584 1.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $417.95 $643 2.1×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $478.72 $736.50 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $224.25 $345 1.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $582.72 $896.50 2.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $382.85 $589 1.9×
Skin sub graft face/nk/hf/g (15275) $556.40 $856 0.8×
Skin sub graft trnk/arm/leg (15271) $390.32 $600.50 0.5×
Skin Sub Grft T/Arm/Lg Child (15273) $780 $1,200 0.4×
Skin tissue rearrangement (14040) $1,330.55 $2,047 0.6×
Skn sub grft f/n/hf/g child (15277) $1,559.02 $2,398.50 0.8×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $16,149.24 $24,844.99 3.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $316.88 $487.50 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $463.12 $712.50 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $514.15 $791 1.3×
Spinal puncture lumbar diagnostic (62270) $304.20 $468 0.4×
Strapping shoulder (29240) $60.45 $93 0.5×
Strapping unna boot (29580) $247.65 $381 1.5×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $9,316.24 $14,332.68 1.6×
Tangential biopsy skin single lesion (11102) $203.78 $313.50 0.5×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $536.90 $826 0.9×
Thoracentesis needle/cath pleura w/o imaging (32554) $426.40 $656 0.7×
Tis trnfr trunk 10.1-30sqcm (14001) $1,574.30 $2,422 0.8×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $4,026.76 $6,195.02 1.2×
Tracheostomy emergency cricothyroid membrane (31605) $731.90 $1,126 3.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $677.95 $1,043 0.4×
Treat finger dislocation (26775) $663.65 $1,021 2.4×
Treat Fracture Radius & Ulna (25560) $569.72 $876.50 2.3×
Treat humerus fracture (23600) $657.80 $1,012 2.7×
Treat Metatarsal Fracture (28475) $483.60 $744 2.0×
Treat Wrist Bone Fracture (25630) $629.20 $968 2.5×
Treatment closed elbow dislocation req anes (24605) $1,080.30 $1,662 0.7×
Treatment closed elbow dislocation w/o anes (24600) $927.55 $1,427 3.8×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $804.38 $1,237.50 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $495.30 $762 0.7×
Tx superficial wound dehiscence w/packing (12021) $317.20 $488 0.8×
Unlisted laparoscopic procedure liver (47379) $30,391.38 $46,755.97 5.0×
Unlisted laparoscopy procedure, appendix (44979)
likely a partial charge, not the full procedure
$1,652.30 $2,542 0.3×
Unlisted procedure anus (46999) $793 $1,220 0.9×
Unlisted procedure maternity care & delivery (59899) $543.40 $836 2.7×
Unlisted Procedure Nervous System (64999) $368.55 $567 1.2×
Vaginal delivery only (59409) $1,576.90 $2,426 0.5×
Vaginal hysterectomy (58260) $9,804.52 $15,083.87 2.0×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $16,149.24 $24,844.99 3.2×
Venipuncture (36415) $23.40 $36 2.5×
Venipuncture Cutdown Younger Than 1 Year (36420) $128.70 $198 1.0×
Venipuncture, cutdown; age 1 or over (36425) $142.68 $219.50 0.3×
Ventilating tube removal requiring general anesthesia (69424) $3,118.70 $4,798 0.9×
Wound Prep F/N/Hf/G (15004) $1,355.90 $2,086 3.3×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $1,423.50 $2,190 1.9×