Procedures & surgery prices at Mosaic Medical Center - Maryville

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,700 $2,000 1.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,275 $1,500 1.4×
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $12,144.80 $14,288 1.7×
Anosc rmvl mult tumors cautery/snare (46612) $2,975 $3,500 1.1×
Anoscopy (46611) $1,912.50 $2,250 2.1×
Anoscopy Ablation Lesion (46615) $5,887.10 $6,926 2.1×
Anoscopy control bleeding (46614) $2,550 $3,000 2.1×
Anoscopy diagnostic (46600) $637.50 $750 4.8×
Anoscopy W/Rmvl Foreign Body (46608) $1,912.50 $2,250 2.1×
Anoscopy,W/Dilation - Endoscopy, Anus (46604) $2,890 $3,400 2.4×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $467.50 $550 2.9×
Application cast elbow finger short arm (29075) $263.50 $310 0.9×
Application cast shoulder hand long arm (29065) $191.25 $225 0.7×
Application Finger Splint Dynamic (29131) $102 $120 1.7×
Application finger splint static (29130) $127.50 $150 1.0×
Application long arm splint shoulder hand (29105) $127.50 $150 0.8×
Application long leg splint thigh ankle/toes (29505) $127.50 $150 0.8×
Application of long leg cast (29345) $391 $460 1.4×
Application Of Rigid Total Contact Leg Cast (29445) $637.50 $750 2.3×
Application Short Arm Splint Dynamic (29126) $425 $500 3.2×
Application short arm splint forearm-hand static (29125) $127.50 $150 1.0×
Application short leg splint calf foot (29515) $127.50 $150 0.8×
Apply short leg cast (29405) $391 $460 1.4×
Arterial puncture (36600) $170 $200 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $637.50 $750 2.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,105 $1,300 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,190 $1,400 3.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,105 $1,300 3.6×
Avulsion nail plate partial/complete simple 1 (11730) $276.25 $325 1.4×
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) $3,145 $3,700 2.6×
Biopsy muscle percutaneous needle (20206) $3,400 $4,000 2.1×
Biopsy Pancrea Percutaneous Needle (48102) $2,783.75 $3,275 1.7×
Biopsy Salivary Gland,Needle (42400) $2,975 $3,500 4.2×
Biopsy soft tissue neck/thorax (21550) $3,060 $3,600 1.8×
Bladder Scan (51798) $212.50 $250 3.6×
Blood patch (62273) $1,700 $2,000 2.4×
Blood transfusion service (36430) $850 $1,000 1.9×
Bx abdl/retroperitoneal mass prq needle (49180) $4,250 $5,000 2.6×
Bx anorectal wall anal approach (45100) $2,975 $3,500 1.1×
Bx breast 1st lesion us imag (19083) $3,570 $4,200 2.2×
Bx/exc lymph node needle superficial (38505) $3,230 $3,800 2.0×
Catheter Aspiration Nasotracheal Spx (31720) $195.50 $230 0.9×
Change Cystostomy Tube Simple (51705) $195.50 $230 0.8×
Change g-tube to g-j perc (49446) $2,125 $2,500 1.1×
Chemical Cautery Tissue (17250) $233.75 $275 1.2×
Chest tube placement (32551) $2,805 $3,300 1.8×
Chg Collect Blood From Catheter Venous Nos (36592) $170 $200 1.3×
Circumcision (54150) $255 $300 0.1×
Close Rx Fingr Articular Fx,Manip (26742) $382.50 $450 0.2×
Closed Rx Med Malleolus Fx,Manip (27762) $340 $400 0.2×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $2,125 $2,500 1.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $318.75 $375 1.3×
Closed treatment of talus fracture; without manipulation (28430) $408 $480 1.7×
Closed treatment pst malleolus fracture w/manj (27768) $1,105 $1,300 0.7×
Closed tx ankle dislocation w/o anesthesia (27840) $403.75 $475 1.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $340 $400 0.2×
Closed tx nasal fracture w/o stabilization (21315) $2,890 $3,400 1.9×
Closed tx patellar dislocation w/o anesthesia (27560) $340 $400 1.4×
Closed tx radial head/neck fx w/manipulation (24655) $318.75 $375 0.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $340 $400 1.4×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $382.50 $450 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $340 $400 0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $807.50 $950 3.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $510 $600 2.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,700 $2,000 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $297.50 $350 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $340 $400 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $318.75 $375 1.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $318.75 $375 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $595 $700 2.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $256.70 $302 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $340 $400 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $340 $400 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $340 $400 0.2×
Colonoscopy flex w/rem forcep (45384) $2,550 $3,000 2.1×
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $2,295 $2,700 1.9×
Colonoscopy for bleeding (44391) $2,550 $3,000 2.1×
Colonoscopy Stoma Ablation Lesion (44401) $2,550 $3,000 2.1×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,550 $3,000 2.1×
Colonoscopy stoma w/balloon dilation (44405) $3,017.50 $3,550 2.5×
Colonoscopy stoma w/biopsy (44389) $2,550 $3,000 2.1×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $4,037.50 $4,750 3.4×
Colonoscopy stoma w/snare (44394) $2,720 $3,200 2.3×
Colonoscopy through stoma with decompression (44408) $1,487.50 $1,750 1.6×
Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) $2,635 $3,100 2.2×
Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) $2,635 $3,100 2.2×
Colonoscopy through stoma; with removal of foreign body(s) (44390) $1,955 $2,300 2.1×
Colonoscopy thru stoma (44388) $1,360 $1,600 1.5×
Colonoscopy w/ablation (45388) $1,487.50 $1,750 1.2×
Colonoscopy w/band ligation (45398) $1,275 $1,500 1.1×
Colonoscopy w/endoscopic fnb (45392) $2,550 $3,000 2.1×
Colonoscopy w/fb removal (45379) $2,550 $3,000 2.1×
Colonoscopy w/ndl aspir/bx (44407) $2,550 $3,000 2.1×
Colonoscopy w/resection (45390) $6,800 $8,000 2.4×
Colonoscopy w/stent plcmt (44402) $12,155 $14,300 2.0×
Colonoscopy w/stent plcmt (45389) $12,750 $15,000 2.1×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $850 $1,000 0.7×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $1,360 $1,600 1.1×
Colsc flx with directed submucosal njx any sbst (45381) $1,615 $1,900 1.3×
Complex Drainage, Wound (10180) $2,125 $2,500 0.7×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $148.75 $175 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $425 $500 3.2×
Control Nasal Hemorrhage Anterior Simple (30901) $425 $500 3.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $191.25 $225 1.4×
Debride nail 1-5 (11720) $170 $200 2.9×
Debride nail 6 or more (11721) $127.50 $150 2.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $850 $1,000 2.1×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,275 $1,500 1.7×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,465 $2,900 1.5×
Declot vascular device (36593) $850 $1,000 2.6×
Destroy internal hemorrhoids (46930) $1,105 $1,300 0.9×
Destruction premalignant lesion 1st (17000) $212.50 $250 1.1×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $2,550 $3,000 3.6×
Diagnostic sigmoidoscopy (45330) $1,275 $1,500 1.4×
Dilat rct strix spx under anes oth/thn local (45910) $3,400 $4,000 2.8×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $1,326 $1,560 1.5×
Dilation Esophagus Guide Wire (43453) $3,910 $4,600 2.0×
Dilation of anal sphincter (45905) $2,890 $3,400 2.4×
Drainage Finger Abscess Simple (26010) $255 $300 1.3×
Drainage mouth roof lesion (42000) $1,275 $1,500 5.4×
Drainage of gum lesion (41800) $680 $800 5.1×
Drainage of hematoma/fluid (10140) $4,250 $5,000 2.6×
Drainage of scrotal wall abscess (55100) $2,550 $3,000 1.5×
Draw blood off venous device (36591) $233.75 $275 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $395.25 $465 2.0×
Dry Needling 3+ Muscles (20561) $114.75 $135 4.0×
Dx bone marrow bx & aspir (38222) $4,675 $5,500 1.6×
Dx duod intub w/asp specs (43757) $2,890 $3,400 3.2×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $4,080 $4,800 2.1×
Egd Balloon Dil Esoph30 Mm/> (43233) $3,910 $4,600 2.0×
Egd balloon dilation esophagus <30 mm diam (43249) $2,465 $2,900 1.3×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $1,530 $1,800 0.8×
Egd Endo Mucosal Resection (43254) $2,550 $3,000 1.3×
Egd endoscopic stent place (43266) $12,750 $15,000 2.1×
Egd flexible foreign body removal (43247) $1,360 $1,600 1.5×
Egd guide wire insertion (43248) $1,360 $1,600 1.5×
Egd injection varices (43243) $4,080 $4,800 2.1×
Egd intrmural us needle aspirate/biopsy esophags (43238) $4,080 $4,800 2.1×
Egd place gastrostomy tube (43246) $4,250 $5,000 2.2×
Egd rem tumr/polyp forcep (43250) $4,080 $4,800 2.1×
Egd remove lesion snare (43251) $2,125 $2,500 1.1×
Egd Transoral Control Bleeding Any Method - Egd (43255) $4,250 $5,000 2.2×
Egd tube/cath insertion (43241) $2,550 $3,000 1.3×
Egd us exam duodenum/jejunum (43259) $4,250 $5,000 2.2×
Egd us fine needle bx/aspir (43242) $3,825 $4,500 2.0×
Egd us transmural injxn/mark (43253) $4,080 $4,800 2.1×
Egd Varices Ligation (43244) $1,955 $2,300 1.0×
Egd w/transmural drain cyst (43240) $12,750 $15,000 2.1×
Endoscopic us exam esoph (43237) $4,080 $4,800 2.1×
Endoscopy of bowel pouch (44385) $1,275 $1,500 1.4×
Endoscopy Upper Small Intestine - Enteroscopy (44360) $3,825 $4,500 2.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $3,910 $4,600 2.0×
Ercp Duct Stent Placement (43274) $12,325 $14,500 2.0×
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) $8,500 $10,000 2.2×
Ercp ea duct/ampulla dilate (43277) $7,650 $9,000 2.0×
Ercp lithotripsy calculi (43265) $12,750 $15,000 2.1×
Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) $850 $1,000 0.2×
Ercp remove forgn body duct (43275) $7,650 $9,000 4.0×
Ercp sphincter pressure meas (43263) $7,395 $8,700 3.8×
Ercp Stent Exchange W/Dilate (43276) $12,325 $14,500 2.0×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $7,395 $8,700 1.9×
Ercp W/Biopsy Single/Multiple (43261) $850 $1,000 0.2×
Ercp w/sphincterotomy/papillotomy (43262) $850 $1,000 0.2×
Esoph endoscopy dilation (43226) $4,675 $5,500 2.4×
Esoph optical endomicroscopy (43206) $3,910 $4,600 2.0×
Esoph scope w/submucous inj (43201) $3,676.25 $4,325 1.9×
Esophagogastroduodenoscopy submucosal injection (43236) $1,700 $2,000 1.9×
Esophagosc dilate balloon 30 (43214) $3,825 $4,500 2.0×
Esophagoscop mucosal resect (43211) $4,505 $5,300 2.3×
Esophagoscopy flex biopsy (43202) $3,676.25 $4,325 1.9×
Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) $4,505 $5,300 2.3×
Esophagoscopy flexible removal foreign body (43215) $3,825 $4,500 2.0×
Esophagoscopy flexible transnasal diagnostic (43197) $1,955 $2,300 2.2×
Esophagoscopy flexible transnasal with biopsy (43198) $2,125 $2,500 2.3×
Esophagoscopy flexible transoral diagnostic (43200) $1,955 $2,300 2.2×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $3,910 $4,600 2.0×
Esophagoscopy lesion ablate (43229) $4,420 $5,200 1.1×
Esophagoscopy Retro Balloon (43213) $3,910 $4,600 2.0×
Esophagoscopy Rigid Balloon (43195) $7,395 $8,700 1.9×
Esophagoscopy Rigid Transoral Inj Submucosal (43192) $3,995 $4,700 2.1×
Esophagoscopy rigid trnso dx (43191) $3,570 $4,200 1.9×
Esophagoscopy Transoral Stent Placement (43212) $3,400 $4,000 0.6×
Esophagoscopy w/us needle bx (43232) $4,250 $5,000 2.2×
Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) $3,910 $4,600 2.0×
Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) $3,910 $4,600 2.0×
Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) $3,400 $4,000 1.8×
Esophagoscp rig trnso biopsy (43193) $4,080 $4,800 2.1×
Esophagus endoscopy/ligation (43205) $3,727.25 $4,385 1.9×
Esophagus Surg Procedure Unlisted (43499) $2,125 $2,500 2.3×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $3,825 $4,500 2.0×
Evacuation of subungual hematoma (11740) $136 $160 1.0×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $1,020 $1,200 1.4×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $1,870 $2,200 1.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,275 $1,500 3.1×
External Cephalic Version (59412) $5,100 $6,000 1.6×
Fetal non-stress test (59025) $391 $460 1.9×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $4,080 $4,800 5.8×
I&D Abscess Peritonsillar (42700) $1,190 $1,400 5.0×
I&d abscess simple (10060) $510 $600 2.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,550 $3,000 0.9×
I&d perianal abscess superficial (46050) $1,105 $1,300 1.2×
I&d pilonidal cyst simple (10080) $1,003 $1,180 1.4×
Ileoscopy stoma w/balloon dilation (44381) $2,125 $2,500 1.1×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) $701.25 $825 0.8×
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) $2,337.50 $2,750 2.6×
Image Cath Fluid Peri/Retro (49406) $3,570 $4,200 2.2×
Incision & drainage abscess complicated/multiple (10061) $871.25 $1,025 2.1×
Incision & drainage leg/ankle abscess/hematoma (27603) $7,298.10 $8,586 2.5×
Incision & drainage pilonidal cyst complicated (10081) $1,275 $1,500 1.8×
Incision & removal foreign body subq tiss simple (10120) $595 $700 1.5×
Incision and drainage of bartholin's gland abscess (56420) $221 $260 1.1×
Incision and drainage of vulva or perineal abscess (56405) $1,105 $1,300 3.6×
Incision thrombosed hemorrhoid external (46083) $1,190 $1,400 4.8×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,593.75 $1,875 1.8×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,870 $2,200 2.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,252.05 $1,473 1.4×
Inject Nerv Blck,Paravert Sympath (64520) $1,381.25 $1,625 1.6×
Inject Rx Celiac Plexus Nerve (64680) $3,995 $4,700 4.5×
Inject scleros soln in hemorrhoids (46500) $637.50 $750 0.7×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,593.75 $1,875 2.3×
Injection aa&/strd trigeminal nerve each branch (64400) $680 $800 2.2×
Injection anes other peripheral nerve/branch (64450) $1,020 $1,200 1.4×
Injection single/mlt trigger point 1/2 muscles (20552) $1,105 $1,300 3.6×
Injection single/mlt trigger point 3/> muscles (20553) $1,530 $1,800 5.0×
Injection, anesthetic agent; greater occipital nerve (64405) $595 $700 1.9×
Insert cervical dilator (59200) $637.50 $750 2.1×
Insert non-tunnel cv cath (36556) $1,275 $1,500 0.4×
Insert Temp Bladder Cath (51702) $340 $400 2.6×
Insert,Non-Indwelling Bladder Catheter (51701) $221 $260 1.7×
Insertion of stent into small bowel using an endo inserted through (44384) $2,380 $2,800 1.2×
Insertion of tube into middle small bowel using an endoscope (44372) $4,271.25 $5,025 2.2×
Insertion of wire and dilation of esophagus using an endoscope (43196) $7,395 $8,700 3.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,380 $2,800 1.5×
Intro Gastrointestinal Tube (44500) $1,700 $2,000 1.9×
Intubation endotracheal emergency procedure (31500) $510 $600 2.1×
Ligation of hemorrhoid(s) (46221) $1,105 $1,300 1.2×
Liver Biopsy (47000) $2,975 $3,500 1.8×
Musculoskeletal surgery (20999) $127.50 $150 0.5×
Myelography Lumbar Injection (62304) $2,975 $3,500 3.8×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,275 $1,500 1.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $80.75 $95 2.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $518.50 $610 1.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,125 $2,500 2.4×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,530 $1,800 2.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,487.50 $1,750 2.1×
Peritoneal Lavage (49084) $1,275 $1,500 1.4×
Perq dev breast 1st us imag (19285) $3,400 $4,000 4.8×
Perq device breast 1st imag (19281) $3,230 $3,800 2.0×
Perq replacement gtube not req revj gstrst trc (43762) $552.50 $650 2.2×
PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) $6,120 $7,200 0.6×
Proctosgmdsc Rigid Control Bleeding (45317) $2,550 $3,000 2.1×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $2,550 $3,000 2.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $5,950 $7,000 2.1×
Proctosigmoidoscopy (45303) $1,530 $1,800 1.3×
Proctosigmoidoscopy ablate (45320) $5,950 $7,000 2.1×
Proctosigmoidoscopy removal (45308) $5,950 $7,000 2.1×
Proctosigmoidoscopy removal (45315) $2,550 $3,000 2.1×
Proctosigmoidoscopy w/bx (45305) $2,550 $3,000 2.1×
Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) $5,950 $7,000 2.1×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $1,147.50 $1,350 1.2×
Proctosigmoidoscopy,Transendo Stent (45327) $12,155 $14,300 2.0×
Punch biopsy skin single lesion (11104) $297.50 $350 0.7×
Puncture Aspiration (10160) $1,360 $1,600 3.3×
Puncture Aspiration Cyst Breast (19000) $2,380 $2,800 3.4×
Removal fb intranasal (30300) $191.25 $225 1.4×
Removal foreign body foot subcutaneous (28190) $1,700 $2,000 2.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,550 $3,000 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $110.50 $130 1.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $148.75 $175 2.5×
Removal of intrauterine device (iud) (58301) $499.38 $587.50 1.6×
Removal of nail bed (11750) $850 $1,000 2.1×
Removal of polyps or growths of esophagus using a flexible endo (43216) $3,910 $4,600 2.0×
Removal of small bowel polyps or growths with electrical cautery (44365) $3,995 $4,700 2.1×
Remove by ligat int hem grp (46945) $2,975 $3,500 1.1×
Remove by ligat int hem grps (46946) $5,950 $7,000 2.1×
Remove foreign body from eye (65210) $573.75 $675 1.3×
Remv Ext Canal Foreign Body (69200) $212.50 $250 1.6×
Remv F.B.,Eye,Superf Conjunc (65205) $191.25 $225 1.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,275 $1,500 1.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,275 $1,500 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,275 $1,500 3.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,020 $1,200 2.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,275 $1,500 3.1×
Repair extensor tendon finger w/o graft each (26418) $2,380 $2,800 1.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $850 $1,000 2.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $935 $1,100 2.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,275 $1,500 3.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,020 $1,200 2.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,020 $1,200 2.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,105 $1,300 1.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,275 $1,500 3.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $935 $1,100 2.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,020 $1,200 2.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,105 $1,300 2.7×
Repair of nail bed (11760) $765 $900 1.0×
Replace duod/jej tube perc (49451) $1,105 $1,300 1.2×
Reposition gastrostomy tube (43761) $641.75 $755 2.6×
Revise arm/leg nerve (64708) $1,572.50 $1,850 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $191.25 $225 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $1,275 $1,500 9.6×
Rpr Lip Full Thickness Vermilion Only (40650) $850 $1,000 1.6×
S bowel endoscope w/stent (44379) $12,155 $14,300 2.0×
Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370) $12,155 $14,300 2.0×
Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) $4,250 $5,000 2.2×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,190 $1,400 1.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $786.25 $925 0.7×
Sgmdsc Flx With Endoscopic Mucosal Resection (45349) $2,890 $3,400 1.0×
Sigmoidoscopy & decompress (45337) $4,250 $5,000 4.6×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) $2,805 $3,300 2.3×
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) $2,550 $3,000 2.1×
Sigmoidoscopy Flx Ndsc Us Xm (45341) $1,955 $2,300 2.1×
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $2,635 $3,100 2.2×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $1,275 $1,500 1.4×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $1,912.50 $2,250 2.1×
Sigmoidoscopy w/fb removal (45332) $2,550 $3,000 2.1×
Sigmoidoscopy w/us guide bx (45342) $2,550 $3,000 2.1×
Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) $12,155 $14,300 2.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $233.75 $275 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $255 $300 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $255 $300 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $425 $500 2.1×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $425 $500 2.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $255 $300 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $255 $300 1.3×
Skin sub graft face/nk/hf/g (15275) $2,975 $3,500 4.0×
Skin sub graft trnk/arm/leg (15271) $3,400 $4,000 4.6×
Skin Sub Grft T/Arm/Lg Child (15273) $4,930 $5,800 2.4×
Small Bowel Endoscopy (44373) $3,910 $4,600 2.0×
Small bowel endoscopy (44366) $3,825 $4,500 2.0×
Small bowel endoscopy (44364) $3,910 $4,600 2.0×
Small bowel endoscopy (44376) $3,910 $4,600 2.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $3,825 $4,500 2.0×
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) $3,825 $4,500 2.0×
Small bowel endoscopy/biopsy (44377) $3,910 $4,600 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $255 $300 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $425 $500 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $255 $300 0.6×
Sphincterotomy (46080) $2,975 $3,500 1.1×
Spinal puncture lumbar diagnostic (62270) $1,530 $1,800 2.2×
Strapping ankle (29540) $59.50 $70 0.4×
Strapping Hip (29520) $63.75 $75 0.5×
Strapping knee (29530) $63.75 $75 0.5×
Strapping shoulder (29240) $63.75 $75 0.5×
Strapping toes (29550) $63.75 $75 1.1×
Tangential biopsy skin single lesion (11102) $552.50 $650 1.4×
Ther Apheresis,Plasma Pheresis (36514) $2,550 $3,000 1.6×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,190 $1,400 1.9×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,275 $1,500 2.0×
Thyroid biopsy (60100) $4,250 $5,000 6.0×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,295 $2,700 1.5×
Treat finger dislocation (26775) $425 $500 1.5×
Treatment closed elbow dislocation w/o anes (24600) $340 $400 1.4×
Trim skin lesion (11055) $297.50 $350 1.5×
Trim skin lesions 2 to 4 (11056) $212.50 $250 1.1×
Trimming Of Nondystrophic Nails, Any Number (11719) $106.25 $125 1.8×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $5,525 $6,500 2.0×
Unlisted procedure anus (46999) $1,190 $1,400 1.3×
Unlisted Procedure Biliary Tract (47999) $3,111 $3,660 3.4×
Unlisted procedure colon (45399) $1,870 $2,200 2.0×
Unlisted procedure maternity care & delivery (59899) $382.50 $450 1.9×
Unlisted Procedure Nervous System (64999) $1,275 $1,500 4.1×
Unlisted procedure pancreas (48999) $3,697.50 $4,350 5.2×
Unlisted Procedure Rectum (45999) $1,190 $1,400 1.3×
Unlisted Procedure Small Intestine (44799) $1,955 $2,300 2.2×
Unlisted Procedure Vascular Surgery (37799) $148.75 $175 0.2×
Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) $2,295 $2,700 0.6×
Uppr gi opticl endomicrscopy (43252) $3,400 $4,000 1.8×
Vaginal delivery only (59409) $3,315 $3,900 1.0×
Vbac delivery only (59612) $3,400 $4,000 1.0×
Venipuncture (36415) $17 $20 1.8×