Procedures & surgery prices at Perkins County Health Services

Grant, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,957 $1,957 2.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $758 $758 0.8×
Acne Surgery (10040) $253 $253 1.2×
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) $1,425 $1,425 0.4×
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $1,960 $1,960 0.9×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,034 $3,034 0.8×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $2,716 $2,716 1.3×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $2,007 $2,007 0.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,460 $2,460 1.1×
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $2,259 $2,259 1.1×
Amniocentesis diagnostic (59000) $605 $605 0.6×
Amputate lower leg at knee (27598) $1,858 $1,858 0.5×
Amputation Finger/Thumb (26951) $1,723 $1,723 0.5×
Amputation metatarsal with toe single (28810) $1,089 $1,089 0.3×
Amputation thigh through femur any level (27590) $2,240 $2,240 0.7×
Amputation toe interphalangeal joint (28825) $1,370 $1,370 0.4×
Amputation Toe Metatarsophalangeal Joint (28820) $1,508 $1,508 0.4×
Amputation, foot; transmetatarsal (28805) $1,954 $1,954 0.6×
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure		 $2,288 $2,288 0.3×
Analyze infusn pump+reprogram (62368) $650 $650 2.0×
Analyze spine infus pump (62367) $509 $509 1.6×
Anoscopy diagnostic (46600) $239 $239 1.7×
Anoscopy; with biopsy, single or multiple (46606) $466 $466 0.4×
Anrct xm surg req anes general spi/edrl dx (45990) $283 $283 0.1×
Anterior Tibial Tubercleplasty (27418)
likely a partial charge, not the full procedure		 $2,144 $2,144 0.3×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,990 $1,990 0.3×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $632.50 $632.50 3.7×
Application cast elbow finger short arm (29075) $363.50 $363.50 1.3×
Application Cast Hand & Lower Forearm Gauntlet (29085) $362 $362 2.1×
Application cast shoulder hand long arm (29065) $424 $424 1.5×
Application finger splint static (29130) $164 $164 1.2×
Application long arm splint shoulder hand (29105) $328 $328 1.9×
Application long leg splint thigh ankle/toes (29505) $219 $219 1.3×
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
likely a partial charge, not the full procedure		 $3,169 $3,169 0.2×
Application Of Rigid Total Contact Leg Cast (29445) $649 $649 2.2×
Application short arm splint forearm-hand static (29125) $185 $185 1.3×
Application short leg splint calf foot (29515) $251 $251 1.5×
Apply short leg cast (29405) $487 $487 1.7×
Apply short leg cast (29425) $275 $275 0.9×
Arterial puncture (36600) $113 $113 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $298.50 $298.50 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $313.50 $313.50 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $286 $286 0.9×
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,952 $1,952 0.3×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $4,108 $4,108 0.2×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
unusually low: confirm this is the full procedure		 $2,576 $2,576 0.3×
Arthroscopy ankle; ext debridem (29898) $1,324 $1,324 0.4×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $1,612 $1,612 0.5×
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $1,320 $1,320 0.4×
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $2,508 $2,508 0.7×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $1,751 $1,751 0.5×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $1,293 $1,293 0.4×
Arthroscopy, knee, surgical; with lateral release (29873) $1,400 $1,400 0.4×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $1,468 $1,468 0.4×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,827 $1,827 0.5×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure		 $2,984 $2,984 0.4×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $1,626 $1,626 0.5×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $1,489 $1,489 0.4×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $1,754 $1,754 0.5×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $2,649 $2,649 0.4×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) $1,918 $1,918 0.6×
Aspirat/Injection Ganglion Cyst(S) (20612) $210.50 $210.50 0.7×
Aspiration Bladder Insert Suprapubic Catheter (51102) $719 $719 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $210 $210 1.0×
Biopsy bone trocar/needle deep (20225) $2,711 $2,711 1.6×
Biopsy Bone Trocar/Needle Superficial (20220) $2,371 $2,371 1.4×
Biopsy Breast Open Incisional (19101) $923 $923 0.2×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $390 $390 0.4×
Biopsy external ear (69100) $980 $980 4.0×
Biopsy muscle deep (20205) $762 $762 0.3×
Biopsy muscle percutaneous needle (20206) $1,654 $1,654 1.0×
Biopsy of lip (40490) $195 $195 0.8×
Biopsy of palate, uvula (42100) $379 $379 0.2×
Biopsy of tongue (41100) $992 $992 1.8×
Biopsy of uterus lining (58100) $455.50 $455.50 2.2×
Biopsy or excision of lymph node(s); open, superficial (38500) $1,072 $1,072 0.3×
Biopsy Oropharynx (42800) $424 $424 0.3×
Biopsy Salivary Gland Incisional (42405) $797 $797 0.5×
Biopsy testis incisional separate procedure (54505) $1,013 $1,013 0.3×
Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) $2,588 $2,588 1.5×
Biopsy/removal lymph nodes (38525) $1,412 $1,412 0.3×
Bladder Instillation Anticarcinogenic Agent (51720) $454 $454 0.6×
Bladder Irrigation Simple (51700) $268 $268 1.0×
Bladder Scan (51798) $304 $304 5.0×
Blepharoplasty upper eyelid (15822) $1,169 $1,169 0.5×
Blood patch (62273) $494 $494 0.7×
Blood transfusion service (36430) $958 $958 2.1×
Bx anorectal wall anal approach (45100) $739 $739 0.3×
Bx breast 1st lesion strtctc (19081) $2,899 $2,899 1.7×
Bx breast 1st lesion us imag (19083) $1,894 $1,894 1.1×
Bx breast needle core w/o imaging guidance spx (19100) $1,063 $1,063 0.6×
Bx vulva/perineum 1 lesion (56605) $497 $497 0.5×
Bx/exc lymph node needle superficial (38505) $315 $315 0.2×
Catheter Aspiration Nasotracheal Spx (31720) $375 $375 1.6×
Change Cystostomy Tube Complicated (51710) $416 $416 0.6×
Change Cystostomy Tube Simple (51705) $244 $244 0.9×
Chemical Cautery Tissue (17250) $241 $241 1.2×
Chemodenerv Musc Migraine (64615) $550.50 $550.50 1.7×
Chemodenerv Musc Neck Dyston (64616) $647 $647 2.0×
Chemodenerv trunk musc 1-5 (64646) $850 $850 1.2×
Chemodenerv trunk musc 6/> (64647) $1,030 $1,030 1.4×
Chemodenervation internal anal sphincter (46505) $746 $746 0.6×
Chest tube placement (32551) $453 $453 0.3×
Chg Collect Blood From Catheter Venous Nos (36592) $218 $218 1.6×
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $228 $228 0.1×
Circum 28 days or older (54161) $786 $786 0.4×
Circumcision (54150) $617 $617 0.3×
Circumcision Neonate (54160) $671 $671 0.9×
Claviculectomy; partial (23120) $1,319 $1,319 0.4×
Closed Rx Humeral Supracondylar Fx (24530) $1,215 $1,215 4.7×
Closed Rx Med Malleolus Fx (27760) $886 $886 3.5×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,382 $1,382 0.8×
Closed Rx Radial Shaft Fx (25500) $763 $763 3.0×
Closed Rx Tibia Shaft Fx (27750) $1,074 $1,074 4.2×
Closed treatment nasal fracture w/stabilization (21320) $723 $723 0.2×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $860 $860 3.4×
Closed treatment of talus fracture; without manipulation (28430) $928 $928 3.6×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $649 $649 2.5×
Closed Treatment Ulnar Styloid Fracture (25650) $722 $722 2.8×
Closed tx ankle dislocation w/o anesthesia (27840) $919 $919 3.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,310 $1,310 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $869 $869 3.4×
Closed tx metatarsal fracture w/o manipulation (28470) $743 $743 2.9×
Closed tx patellar dislocation w/anesthesia (27562) $1,220 $1,220 4.8×
Closed tx radial head/neck fx w/o manipulation (24650) $943 $943 3.7×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $809 $809 3.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $530 $530 2.1×
Closed tx ulnar fracture prox end w/o manipulate (24670) $1,166 $1,166 4.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $747 $747 2.9×
Closure cystostomy separate procedure (51880) $1,247 $1,247 0.3×
Closure of gastrostomy surgical (43870) $1,667 $1,667 0.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $585 $585 2.3×
Clsd tx clavicular fracture w/manipulation (23505) $1,199 $1,199 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $630 $630 2.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,260 $1,260 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $853 $853 3.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,293 $1,293 0.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $903 $903 3.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $709 $709 2.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $593 $593 2.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $921 $921 3.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,686 $1,686 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $400 $400 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $512 $512 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $403 $403 1.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,017 $1,017 4.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $491 $491 1.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $745 $745 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $787 $787 3.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $725 $725 2.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $593 $593 2.3×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,439 $1,439 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $1,127 $1,127 4.4×
Cltx prox fibula/shft fx w/o manj (27780) $750 $750 2.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $415 $415 1.6×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $1,994 $1,994 1.2×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,375 $1,375 0.8×
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $1,370 $1,370 5.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,276 $1,276 0.8×
Colonoscopy flex w/rem forcep (45384) $1,265 $1,265 1.0×
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $740 $740 0.6×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $990 $990 0.8×
Colonoscopy stoma w/biopsy (44389) $1,068 $1,068 0.9×
Colonoscopy thru stoma (44388) $814 $814 0.8×
Colonoscopy w/ablation (45388) $3,003 $3,003 2.4×
Colonoscopy w/fb removal (45379) $1,153 $1,153 0.9×
Colonoscopy w/resection (45390) $976 $976 0.3×
Colporrhaphy suture injury vagina (57200) $817 $817 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $460 $460 1.5×
Colposcopy cervix upper/adjacent vagina (57452) $199 $199 0.9×
Colposcopy entire vagina w/cervix if present (57420) $419 $419 1.3×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $405 $405 1.3×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $358 $358 1.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $357 $357 0.4×
Colsc flx with directed submucosal njx any sbst (45381) $1,092 $1,092 0.9×
Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) $882 $882 1.2×
Complex Drainage, Wound (10180) $7,182 $7,182 2.4×
Complex Uroflowmetry (51741) $73 $73 0.3×
Contour cranial bone lesion (21181)
likely a partial charge, not the full procedure		 $1,764 $1,764 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $590 $590 4.3×
Control Nasal Hemorrhage Anterior Simple (30901) $284.50 $284.50 2.1×
Correction hammertoe (28285) $1,553 $1,553 0.5×
Correction of bunion (28298)
likely a partial charge, not the full procedure		 $2,060 $2,060 0.3×
Correction of bunion (28299)
unusually low: confirm this is the full procedure		 $2,898 $2,898 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,304 $2,304 0.7×
Create eardrum opening (69436) $695 $695 0.4×
Cryotherapy of skin (17340) $152 $152 2.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $687 $687 5.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $915 $915 3.7×
Curettage postpartum (59160) $518 $518 0.2×
Cysto Bladder W/Ureteral Catheterization (52005) $887 $887 0.4×
Cysto w fulg of minor lesions <0.5cm (52224) $1,886 $1,886 0.5×
Cysto w fulgertn lg bladder tumor(s) (52240)
likely a partial charge, not the full procedure		 $1,578 $1,578 0.3×
Cysto w/removal of tumors small (52234) $9,218 $9,218 2.5×
Cysto W/Simple Removal Stone & Stent (52310) $664 $664 0.3×
Cystometrogram W/Vp&Up (51729) $959 $959 1.3×
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure		 $1,794 $1,794 0.2×
Cystoscopy w/biopsy (52204) $1,495 $1,495 0.7×
Cystoscopy,Dil Urethral Stricture (52281) $830 $830 0.4×
Cystoscopy,insert ureteral stent (52332) $3,497 $3,497 1.0×
Cystourethroscopy (52000) $580 $580 0.8×
Cystourethroscopy Inj Chemodenervation Bladder (52287) $853 $853 0.4×
Cystourethroscopy W/Irrig & Evac Clots (52001) $1,022 $1,022 0.3×
Cystourethroscopy with direct vision internal urethrotomy (52276) $775 $775 0.4×
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $827 $827 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $160 $160 0.4×
Debride nail 1-5 (11720) $85 $85 1.4×
Debride nail 6 or more (11721) $94 $94 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $704 $704 1.7×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,337 $1,337 1.7×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,332 $2,332 1.4×
Declot vascular device (36593) $522 $522 1.5×
Delivery placenta separate procedure (59414) $234 $234 0.1×
Destroy lumb/sac facet jnt (64635) $2,729 $2,729 1.3×
Destruc Benign/Premal,15+ Lesions (17004) $405 $405 1.0×
Destruction benign lesions 15 or more (17111) $1,031 $1,031 4.9×
Destruction Benign Lesions Up To 14 (17110) $198 $198 1.0×
Destruction by neurolytic agent, intercostal nerve (64620) $1,250 $1,250 1.4×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $256.50 $256.50 1.2×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $211 $211 1.0×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $476 $476 2.3×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $322 $322 1.5×
Destruction of multiple growths of penis (54065) $575 $575 0.3×
Destruction premalignant lesion 1st (17000) $189.50 $189.50 0.9×
Diagnostic sigmoidoscopy (45330) $337 $337 0.3×
Dilate Urethra Stricture (53600) $270 $270 1.0×
Dilation & curettage dx&/ther nonobstetric (58120) $1,131 $1,131 0.3×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $444 $444 0.5×
Dilation of cervical canal (57800) $172 $172 0.1×
Dilation of female urethra including suppository and/or instillation; initial (53660) $226 $226 1.7×
Division of fallopian tube (58600) $1,250 $1,250 0.4×
Drain Ext Ear Absc/Blood,Complic (69005) $1,055 $1,055 0.6×
Drainage Finger Abscess Complicated (26011) $1,092 $1,092 0.6×
Drainage of bone lesion (26992) $2,178 $2,178 0.6×
Drainage of hematoma/fluid (10140) $1,482 $1,482 0.9×
Drainage of infected fluid-filled sac near pelvis or hip joint (26991) $1,597 $1,597 1.0×
Drainage of lymph node abscess or lymphadenitis; simple (38300) $686 $686 0.2×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,508 $1,508 0.4×
Draw blood off venous device (36591) $218 $218 1.6×
Dressing change under anesthesia (15852) $126 $126 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $471 $471 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $425 $425 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $369 $369 1.8×
Dry Needling 3+ Muscles (20561) $60 $60 2.0×
Dstrj lesion anus simple surg excision (46922) $694 $694 0.2×
Egd Balloon Dil Esoph30 Mm/> (43233) $667 $667 0.3×
Egd balloon dilation esophagus <30 mm diam (43249) $1,436 $1,436 0.7×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $1,552 $1,552 0.8×
Egd flexible foreign body removal (43247) $990 $990 1.1×
Egd place gastrostomy tube (43246) $585 $585 0.3×
Egd rem tumr/polyp forcep (43250) $1,116 $1,116 0.6×
Egd remove lesion snare (43251) $1,242 $1,242 0.6×
Egd tube/cath insertion (43241) $418 $418 0.2×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $508 $508 1.6×
Electronic analysis reprogramming refill of spinal canal drug infusion (62369) $540 $540 1.7×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $566 $566 4.2×
Esophagogastroduodenoscopy submucosal injection (43236) $928 $928 1.0×
Esophagoscopy flex biopsy (43202) $758 $758 0.4×
Esophagoscopy flexible removal foreign body (43215) $1,012 $1,012 0.5×
Esophagoscopy flexible transnasal with biopsy (43198) $514 $514 0.5×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $3,007 $3,007 1.5×
Evacuation of subungual hematoma (11740) $118.50 $118.50 0.9×
Exc abd les sc 3 cm/> (22903) $1,110 $1,110 0.4×
Exc arm/elbow les sc 3 cm/> (24071) $1,036 $1,036 0.3×
Exc arm/elbow les sc < 3 cm (24075) $1,105 $1,105 0.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $618 $618 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $705 $705 0.4×
Exc back les sc < 3 cm (21930) $1,315 $1,315 0.8×
Exc back tum deep < 5 cm (21932) $1,975 $1,975 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $509.50 $509.50 0.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $681 $681 0.4×
Exc forearm les sc < 3 cm (25075) $866 $866 0.5×
Exc hydrocele sprmatic cord uni spx (55500) $1,391 $1,391 0.4×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $620 $620 0.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,229 $1,229 0.7×
Exc neck tum deep < 5 cm (21556) $1,449 $1,449 0.5×
Exc Rect Tum Transanal Full (45172) $1,735 $1,735 0.6×
Exc rect tum transanal part (45171) $1,707 $1,707 0.6×
Exc shoulder les sc 3 cm/> (23071) $1,173 $1,173 0.7×
Exc shoulder tum deep 5 cm/> (23073) $1,713 $1,713 0.6×
Exc skin abd (15830)
unusually low: confirm this is the full procedure		 $3,060 $3,060 0.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $639.50 $639.50 0.9×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $507.50 $507.50 1.2×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $540 $540 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $683.50 $683.50 0.9×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $1,188 $1,188 0.7×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $911.50 $911.50 0.5×
Exc Skin Benig >4 Cm Face,Facial (11446) $1,244 $1,244 0.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $845 $845 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $891 $891 0.5×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $2,917 $2,917 1.7×
Exc Skin Malig >4 Cm Face,Facial (11646) $1,517 $1,517 0.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,454 $1,454 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $952 $952 0.6×
Exc thigh/knee les sc 3 cm/> (27337) $1,086 $1,086 0.4×
Exc thigh/knee tum dep 5cm/> (27339) $2,218 $2,218 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $510 $510 0.4×
Exc tr-ext b9+marg 0.5 cm or less (11400) $472.50 $472.50 0.6×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $2,160 $2,160 0.7×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,460 $1,460 0.9×
Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) $2,146 $2,146 1.3×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,086 $1,086 0.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,652 $1,652 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,109 $1,109 0.6×
Exc tumor soft tissue leg/ankle subfascial <5cm (27619) $1,460 $1,460 0.5×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,906 $1,906 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $1,251 $1,251 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,465 $1,465 0.9×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,485 $1,485 0.5×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,452 $1,452 0.4×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,114 $1,114 0.7×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,362 $1,362 0.8×
Excise pharynx lesion (42808) $664 $664 0.2×
Excision Breast Lesion (19125) $1,658 $1,658 0.4×
Excision external ear partial simple repair (69110) $1,201 $1,201 0.4×
Excision hidradenitis axillary complex repair (11451) $1,409 $1,409 0.5×
Excision hydrocele bilateral (55041) $1,363 $1,363 0.4×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $452 $452 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $609.50 $609.50 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $630.50 $630.50 1.5×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $761 $761 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,372 $1,372 1.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $570.50 $570.50 0.8×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $790 $790 1.1×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $1,283 $1,283 1.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,151 $1,151 0.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $452 $452 0.3×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $492 $492 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $595 $595 0.8×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $702 $702 0.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,018 $1,018 0.6×
Excision Multiple External Papillae/Tags Anus (46230) $645 $645 0.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $527.50 $527.50 0.7×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $728.50 $728.50 1.0×
Excision of hydrocele; unilateral (55040) $861 $861 0.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $535.50 $535.50 0.3×
Excision of lesion other than skin tag </= 0.5 cm (11420) $263 $263 0.2×
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $1,482 $1,482 0.9×
Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) $1,544 $1,544 0.4×
Excision of nail fold toe (11765) $355.50 $355.50 0.8×
Excision of pilonidal cyst or sinus; simple (11770) $775 $775 0.3×
Excision of spermatocele, with or without epididymectomy (54840) $990 $990 0.5×
Excision of Umbilicus (49250) $1,477 $1,477 0.4×
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500)
likely a partial charge, not the full procedure		 $1,708 $1,708 0.3×
Excision olecranon bursa (24105) $912 $912 0.3×
Excision pilonidal cyst/sinus complicated (11772) $1,903 $1,903 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,703 $1,703 1.0×
Excision tumor soft tissue thigh/knee subq <3cm (27327) $1,120 $1,120 0.7×
Excision, interdigital (Morton) neuroma, single, each (28080) $1,449 $1,449 0.9×
Excision, lesion of tendon sheath, forearm and/or wrist (25110) $806 $806 0.5×
Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) $1,924 $1,924 0.6×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $903 $903 0.5×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,153 $1,153 0.4×
Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) $1,928 $1,928 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,215 $1,215 0.4×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,056 $1,056 0.6×
Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) $2,039 $2,039 0.7×
Excision/curettage cyst/tumor femur w/allograft (27356)
likely a partial charge, not the full procedure		 $2,066 $2,066 0.2×
Explo/Drain Breast Abscess (19020) $1,276 $1,276 0.7×
Exploration of knee joint (27310) $1,904 $1,904 0.6×
Explore & Treat Metacarpo-Phal Jt (26075) $821 $821 0.2×
Explore/treat elbow joint (24101) $9,683 $9,683 2.8×
Explore/Treat Interphalangeal Jt,Ea (26080) $920 $920 0.6×
External Cephalic Version (59412) $574 $574 0.2×
Fasciectomy, plantar fascia; radical (separate procedure) (28062) $1,626 $1,626 0.5×
Fasciotomy Hip Or Thigh Any Type (27025) $2,447 $2,447 0.7×
Fasciotomy Iliotibial Open (27305) $1,351 $1,351 0.4×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,239 $2,239 0.7×
Fetal non-stress test (59025) $431 $431 2.1×
Fine needle aspiration without imaging guidance (10021) $974 $974 2.3×
Fixation of knee joint (27570) $606 $606 0.4×
Fixation of shoulder (23700) $525 $525 0.3×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $2,732 $2,732 1.3×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,259 $2,259 1.1×
Harvest cultured skin graft (15040) $711 $711 0.3×
Hemiphalangectomy/interphalangeal joint exc toe (28160) $1,217 $1,217 0.4×
Hemorrhoidectomy (46255) $1,350 $1,350 0.5×
Hemorrhoidectomy external complete (46250) $1,184 $1,184 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) $1,479 $1,479 0.5×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $1,187 $1,187 0.4×
Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) $996 $996 0.3×
I&D Abscess Peritonsillar (42700) $453 $453 1.8×
I&d abscess simple (10060) $304.50 $304.50 1.5×
I&d perianal abscess superficial (46050) $569 $569 0.6×
I&d pilonidal cyst simple (10080) $357 $357 0.5×
Image Cath Fluid Peri/Retro (49406) $2,187 $2,187 1.3×
Incise finger tendon sheath (26055) $1,442 $1,442 0.9×
Incision & drainage abscess complicated/multiple (10061) $634.50 $634.50 1.5×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,381 $1,381 0.5×
Incision & drainage pilonidal cyst complicated (10081) $760 $760 1.0×
Incision & removal foreign body subq tiss compl (10121) $714 $714 0.4×
Incision & removal foreign body subq tiss simple (10120) $551.50 $551.50 1.3×
Incision and drainage of vulva or perineal abscess (56405) $322 $322 1.0×
Incision extensor tendon sheath wrist (25000) $3,632 $3,632 2.2×
Incision labial frenum frenotomy (40806) $419 $419 0.7×
Incision of eardrum (69421) $492 $492 0.1×
Incision of lingual frenum (41010) $385 $385 0.2×
Incision of metatarsal (28308) $1,375 $1,375 0.4×
Incision of rectal abscess (46040) $1,307 $1,307 1.1×
Incision thrombosed hemorrhoid external (46083) $382 $382 1.5×
Incision&drainage bursa foot (28001) $3,348 $3,348 2.0×
Incisional biopsy eyelid skin & lid margin (67810) $385 $385 1.2×
Incisional biopsy skin single lesion (11106) $482 $482 0.6×
Initial tx 1st degree burn local tx (16000) $146.50 $146.50 0.7×
Inj paravert f jnt c/t 1 lev (64490) $1,172 $1,172 1.3×
Inj tendon sheath/ligament (20550) $240 $240 0.8×
Inj,Anes Agent,Brachial Plexus,Single (64415) $315 $315 0.3×
Inj,Anes Agent,Femoral Nerve,Single (64447) $688 $688 0.9×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $245 $245 0.8×
Inject Intravitreal Pharmcologic (67028) $509 $509 1.5×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $1,099 $1,099 1.5×
Inject Nerv Blck,Intercostal,One (64420) $298 $298 0.4×
Inject Nerv Blck,Paravert Sympath (64520) $423 $423 0.5×
Inject Tendon Origin/Insert (20551) $206 $206 0.6×
Injection aa&/strd sciatic nerve w/img gdn (64445) $857 $857 1.2×
Injection aa&/strd trigeminal nerve each branch (64400) $658 $658 2.1×
Injection anes other peripheral nerve/branch (64450) $1,346 $1,346 1.8×
Injection for identification of sentinel node (38792) $495.50 $495.50 1.2×
Injection single/mlt trigger point 1/2 muscles (20552) $210.50 $210.50 0.7×
Injection single/mlt trigger point 3/> muscles (20553) $302.50 $302.50 0.9×
Injection therapeutic carpal tunnel (20526) $240 $240 0.8×
Injection, anesthetic agent; greater occipital nerve (64405) $177.50 $177.50 0.6×
Injection, Intralesional; More Than 7 Lesions (11901) $206 $206 1.0×
Injection, intralesional; up to and including 7 lesions (11900) $167 $167 0.8×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
likely a partial charge, not the full procedure		 $921 $921 0.1×
Insert Bladder Cath Complex (51703) $371 $371 2.8×
Insert cervical dilator (59200) $211 $211 0.7×
Insert Drug Implant Device (11981) $416.50 $416.50 3.0×
Insert non-tunnel cv cath (36556) $754 $754 0.2×
Insert picc cath (36569) $712 $712 0.4×
Insert Temp Bladder Cath (51702) $229 $229 1.7×
Insert tun ip cath perc (49418) $3,841 $3,841 1.0×
Insert tunneled cv cath (36561) $2,221 $2,221 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $184 $184 1.3×
Insertion indwelling tunneled pleural catheter (32550) $1,942 $1,942 0.5×
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure		 $862 $862 0.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $694 $694 0.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,794 $2,794 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,926 $1,926 0.6×
Intubation endotracheal emergency procedure (31500) $412 $412 1.7×
Knee arthroscopy/surgery (29876) $1,714 $1,714 0.5×
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure		 $1,388.50 $1,388.50 0.2×
Laparo sling operation (51992)
unusually low: confirm this is the full procedure		 $2,248 $2,248 0.4×
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure		 $1,557 $1,557 0.2×
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure		 $899 $899 0.1×
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure		 $1,842 $1,842 0.3×
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure		 $1,658 $1,658 0.3×
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure		 $991 $991 0.2×
Laparoscopy w/lysis of adhesions (58660)
unusually low: confirm this is the full procedure		 $2,109 $2,109 0.3×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
unusually low: confirm this is the full procedure		 $3,025 $3,025 0.5×
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure		 $2,698 $2,698 0.4×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $2,050 $2,050 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $3,540 $3,540 0.6×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,693 $1,693 0.3×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure		 $965 $965 0.2×
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure		 $2,334 $2,334 0.2×
Laryngoscopy Flexible Diagnostic (31575) $180 $180 0.9×
Late closure of wound (13160) $2,268 $2,268 0.6×
Lateral retinacular release open (27425) $1,161 $1,161 0.3×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure		 $1,856 $1,856 0.2×
Ligation of hemorrhoid(s) (46221) $540 $540 0.6×
Ligation or biopsy temporal artery (37609) $687 $687 0.4×
Mast mod rad (19307)
unusually low: confirm this is the full procedure		 $3,267 $3,267 0.5×
Mastectomy gynecomastia (19300) $1,957 $1,957 0.5×
Mastectomy partial (19301) $1,694 $1,694 0.4×
Mastectomy partial w/axillary lymphadenectomy (19302) $3,762 $3,762 0.5×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,530 $2,530 0.4×
Musc myocutaneous/fasciocutaneous flap lxtr (15738) $3,647 $3,647 1.0×
Muscle-skin graft trunk (15734) $3,894 $3,894 1.1×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $596 $596 2.9×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $765 $765 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $49 $49 1.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $436 $436 1.0×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $259 $259 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,348 $1,348 1.5×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,983 $1,983 2.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $1,134 $1,134 1.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,158 $1,158 1.6×
Occlude fallopian tube(s) (58615) $1,508 $1,508 0.4×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,894 $1,894 0.3×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,562 $1,562 0.2×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,399 $1,399 0.2×
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
unusually low: confirm this is the full procedure		 $2,377 $2,377 0.3×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,632 $1,632 0.5×
Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) $1,348 $1,348 0.4×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,278 $1,278 0.4×
Osteochondral allograft, knee, open (27415)
likely a partial charge, not the full procedure		 $3,573 $3,573 0.3×
Osteotomy Radius Distal Third (25350)
unusually low: confirm this is the full procedure		 $2,814 $2,814 0.4×
Partial Excision Bone Fibula (27641) $1,348 $1,348 0.4×
Partial Excision Bone Humerus (24140) $13,117 $13,117 3.9×
Partial excision bone talus/calcaneus (28120) $1,380 $1,380 0.4×
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $2,065 $2,065 0.6×
Partial hymenectomy or revision of hymenal ring (56700) $567 $567 0.2×
Partial Removal Foot Fascia (28060) $1,376 $1,376 0.4×
Partical Excision Bone Phalanx Toe (28124) $1,284 $1,284 0.4×
Pelvic exam under anesthesia (57410) $285 $285 0.1×
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $1,078 $1,078 0.3×
Perq dev breast 1st strtctc (19283) $822 $822 1.1×
Perq dev breast 1st us imag (19285) $1,344 $1,344 1.8×
Perq device breast 1st imag (19281) $1,104 $1,104 0.6×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $1,348 $1,348 0.7×
Perq replacement gtube not req revj gstrst trc (43762) $897 $897 3.5×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,512 $1,512 2.1×
Placement of needle for intraosseous infusion (36680) $156 $156 0.3×
Placement of seton (46020) $722 $722 0.3×
Proctosigmoidoscopy w/bx (45305) $401 $401 0.3×
Prostatectomy (turp) (52601) $4,144 $4,144 0.7×
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure		 $1,330 $1,330 0.2×
Punch biopsy skin single lesion (11104) $302 $302 0.7×
Puncture Aspiration (10160) $365 $365 0.9×
Puncture Aspiration Cyst Breast (19000) $328 $328 0.4×
Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater (23078) $3,243 $3,243 1.1×
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure		 $1,943 $1,943 0.3×
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure		 $1,750 $1,750 0.2×
Reconstruction tongue fold (41520) $935 $935 0.3×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure		 $2,182 $2,182 0.3×
Removal foreign body foot subcutaneous (28190) $1,078 $1,078 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $73 $73 1.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $132 $132 2.2×
Removal Implant Deep (20680) $1,612 $1,612 0.5×
Removal Implant Superficial Separate Procedure (20670) $1,017 $1,017 0.6×
Removal Implantable Contraceptive Capsules (11976) $349 $349 0.5×
Removal of adenoids (42831) $646 $646 0.2×
Removal of adenoids (42830) $646 $646 0.2×
Removal of anal fissure (46200) $920 $920 0.3×
Removal of external bone stabilizing device under anesthesia (20694) $967 $967 0.6×
Removal of finger lesion (26210) $1,244 $1,244 0.7×
Removal of heel spur (28119) $1,411 $1,411 0.4×
Removal of intrauterine device (iud) (58301) $301 $301 1.0×
Removal of kneecap (27350)
likely a partial charge, not the full procedure		 $1,741 $1,741 0.2×
Removal of nail bed (11750) $451 $451 1.1×
Removal of sesamoid bone (28315) $1,334 $1,334 0.4×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $230.50 $230.50 1.1×
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $1,373 $1,373 0.7×
Removal of testis (54520) $898 $898 0.2×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $1,224 $1,224 0.2×
Removal of tonsils (42826) $1,224 $1,224 0.4×
Removal subq cardiac rhythm monitor (33286) $513 $513 0.7×
Removal/bivalving gauntlet boot/body cast (29700) $289 $289 1.0×
Remove anal fist subq (46270) $1,180 $1,180 0.4×
Remove by ligat int hem grp (46945) $540 $540 0.2×
Remove by ligat int hem grps (46946) $878 $878 0.3×
Remove drug implant device (11982) $387.50 $387.50 0.8×
Remove femur lesion (27355) $1,612 $1,612 0.5×
Remove femur lesion/bursa (27062) $1,187 $1,187 0.3×
Remove hip pressure sore (15941) $2,338 $2,338 0.8×
Remove in/ex hem groups 2+ (46260) $1,182 $1,182 0.4×
Remove Pilonidal Cyst Exten (11771) $1,538 $1,538 0.5×
Remove shoulder foreign body (23330) $623 $623 0.4×
Remove thigh pressure sore (15956) $2,997 $2,997 1.4×
Remove wrist tendon lesion (25111) $731 $731 0.4×
Remv Ext Canal Foreign Body (69200) $289 $289 2.1×
Remv F.B.,Eye,Superf Conjunc (65205) $133 $133 1.0×
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure		 $1,691 $1,691 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,097 $1,097 1.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,659 $1,659 2.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,001 $1,001 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,409.50 $1,409.50 3.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $973 $973 2.3×
Repair complex trunk 2.6-7.5 cm (13101) $907 $907 1.2×
Repair hallux rigidus (28289) $2,155 $2,155 0.6×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,433 $1,433 0.4×
Repair initial femoral hernia, any age; reducible (49550) $3,168 $3,168 0.9×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $4,143 $4,143 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $635 $635 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $731 $731 1.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $892 $892 2.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,052 $1,052 2.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $554 $554 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $817 $817 1.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $932 $932 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $923 $923 2.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $517 $517 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $661 $661 1.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,088 $1,088 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $792 $792 1.9×
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure		 $1,544 $1,544 0.2×
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure		 $1,594 $1,594 0.2×
Repair medial collateral ligament, elbow w/local tissue (24345)
likely a partial charge, not the full procedure		 $1,597 $1,597 0.2×
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure		 $1,141 $1,141 0.2×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure		 $2,712 $2,712 0.4×
Repair of hydrocele (55060) $1,570 $1,570 0.4×
Repair of nasal septum (30520) $1,794 $1,794 0.5×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
unusually low: confirm this is the full procedure		 $2,290 $2,290 0.3×
Repair of shoulder (23420)
unusually low: confirm this is the full procedure		 $2,552 $2,552 0.3×
Repair of thigh musc (27385)
likely a partial charge, not the full procedure		 $1,611 $1,611 0.2×
Repair of tibia (27720)
unusually low: confirm this is the full procedure		 $2,461 $2,461 0.3×
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure		 $2,309 $2,309 0.3×
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure		 $2,794 $2,794 0.4×
Repair Tongue Laceration (41250) $606 $606 1.3×
Repair tympanic membrane (69610) $1,263.50 $1,263.50 0.8×
Repair wrist joints (25447) $2,158 $2,158 0.6×
Repair, fascial defect of leg (27656) $1,611 $1,611 0.5×
Repair/graft wrist bone (25440)
likely a partial charge, not the full procedure		 $1,882 $1,882 0.2×
Rerepair ing hernia blocked (49521) $4,475 $4,475 0.7×
Rerepair ing hernia reduce (49520) $4,933 $4,933 1.3×
Resect Inferior Turbinate (30140) $1,892 $1,892 0.5×
Resection or transplantation of long tendon of biceps (23440)
likely a partial charge, not the full procedure		 $1,815 $1,815 0.2×
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure		 $3,845 $3,845 0.3×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure		 $4,155 $4,155 0.3×
Revise median n/carpal tunnel surg (64721) $1,115 $1,115 0.5×
Revise ulnar nerve at elbow (64718) $1,540 $1,540 0.8×
Revise ureter (50727) $1,355 $1,355 0.4×
Revision of cervix (57720) $808 $808 0.2×
Revision of colostomy simple (44340) $1,627 $1,627 0.4×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) $3,326 $3,326 0.9×
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137)
unusually low: confirm this is the full procedure		 $4,153 $4,153 0.3×
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
unusually low: confirm this is the full procedure		 $4,716 $4,716 0.4×
Revision of total knee arthroplasty, with or without allograft; one component (27486)
likely a partial charge, not the full procedure		 $3,969 $3,969 0.3×
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $1,040 $1,040 0.3×
Revision/Rmvl Peripheral/Gastric Npgr (64595) $694 $694 0.2×
Revj clst comp rcnstj in-depth spx (44345) $2,741 $2,741 0.7×
Revj/rmvl peripheral neurostimulator electrode (64585) $697 $697 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $154 $154 0.3×
Rmvl fecal impaction/fb spx under anes (45915) $822 $822 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,234.50 $1,234.50 0.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $590 $590 0.9×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $608 $608 1.3×
Rplcmt compl tun ctr vad w/subq port (36582) $2,869 $2,869 0.9×
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure		 $965 $965 0.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,617 $3,617 0.6×
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low: confirm this is the full procedure		 $2,200 $2,200 0.3×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure		 $1,866 $1,866 0.3×
Rpr aa hernia 1st < 3 cm reducible (49591) $1,475 $1,475 0.4×
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure		 $2,427 $2,427 0.4×
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) $1,828 $1,828 0.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $882 $882 0.5×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $658 $658 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $722 $722 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $258.50 $258.50 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $291 $291 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $277 $277 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $190 $190 0.9×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $205.50 $205.50 0.5×
Shldr arthroscop,lyse adhesns (29825) $1,559 $1,559 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $291.50 $291.50 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $332 $332 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $201.50 $201.50 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $322 $322 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $231.50 $231.50 1.1×
Sigmoidoscopy & decompress (45337) $327 $327 0.3×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $637 $637 0.7×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $866 $866 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $503 $503 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $446 $446 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $505 $505 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $536 $536 2.6×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $488 $488 2.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $345.50 $345.50 1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $419 $419 2.0×
Skin sub graft face/nk/hf/g (15275) $4,093 $4,093 5.3×
Skin sub graft trnk/arm/leg (15271) $2,175 $2,175 2.8×
Skin Sub Grft T/Arm/Lg Child (15273) $6,785 $6,785 3.2×
Skin tissue rearrangement (14040) $1,987 $1,987 0.9×
Skn sub grft f/n/hf/g child (15277) $5,434 $5,434 2.5×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $2,179 $2,179 0.4×
Slitting of prepuce (54001) $532 $532 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $401.50 $401.50 1.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $546 $546 1.3×
Sphincterotomy (46080) $643 $643 0.2×
Spinal puncture lumbar diagnostic (62270) $542.50 $542.50 0.7×
Strapping ankle (29540) $73 $73 0.4×
Strapping elbow/wrist (29260) $77 $77 1.3×
Strapping unna boot (29580) $546.50 $546.50 3.2×
Surgical closure tracheostomy or fistula; without plastic repair (31820) $1,224 $1,224 0.4×
Tangential biopsy skin single lesion (11102) $404 $404 1.0×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $1,944 $1,944 0.3×
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure		 $2,414 $2,414 0.3×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $1,038 $1,038 0.6×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $665 $665 1.0×
Thoracentesis needle/cath pleura w/o imaging (32554) $379 $379 0.6×
Tis trnfr trunk 10 sq cm/< (14000) $1,637 $1,637 0.8×
Tis trnfr trunk 10.1-30sqcm (14001) $2,252 $2,252 1.1×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,350 $1,350 0.4×
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure		 $3,542 $3,542 0.3×
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure		 $3,541 $3,541 0.3×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $1,126 $1,126 3.6×
Treat clavicle dislocation (23532)
likely a partial charge, not the full procedure		 $1,619 $1,619 0.2×
Treat Finger Fracture Each (26727) $1,255 $1,255 0.4×
Treat Fracture Radius & Ulna (25560) $872 $872 3.4×
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure		 $1,912 $1,912 0.3×
Treat humerus fracture (24500) $1,236 $1,236 4.8×
Treat humerus fracture (23600) $961 $961 3.8×
Treat thumb fracture (26665) $1,479 $1,479 0.4×
Treat Thumb Fx/Disloc,Manip (26645) $1,459 $1,459 0.9×
Treat toe fracture (28525) $1,418 $1,418 0.4×
Treat wrist bone fracture (25622) $971 $971 3.8×
Treatment closed elbow dislocation req anes (24605) $1,316 $1,316 0.8×
Treatment closed elbow dislocation w/o anes (24600) $541 $541 2.1×
Treatment of anal fissure (46940) $564 $564 0.2×
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $4,726 $4,726 0.6×
Treatment of missed abortion, completed surgically; second trimester (59821) $2,104 $2,104 0.6×
Trim skin lesion (11055) $119.50 $119.50 0.6×
Trim skin lesions 2 to 4 (11056) $145.50 $145.50 0.7×
Trim skin lesions over 4 (11057) $179 $179 0.9×
Trimming Of Nondystrophic Nails, Any Number (11719) $57.50 $57.50 0.9×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,072 $1,072 0.4×
Tx Incomplete Abortion Any Trimester Surgical (59812) $816 $816 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $972 $972 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,125 $1,125 1.5×
Unlisted laparoscopic procedure liver (47379) $3,307 $3,307 0.5×
Unlisted laparoscopy procedure, spleen (38129)
likely a partial charge, not the full procedure		 $970 $970 0.2×
Unlisted laparoscopy px abd pertoneum & omentum (49329) $3,762 $3,762 0.6×
Unlisted procedure anus (46999) $1,055 $1,055 1.1×
Unlisted Procedure Casting/Strapping (29799) $508.50 $508.50 3.0×
Unlisted procedure femur or knee (27599) $1,401 $1,401 5.5×
Unlisted procedure foot or toes (28899) $1,190 $1,190 4.6×
Unlisted procedure neck or thorax (21899) $991 $991 4.0×
Unlisted Procedure Nervous System (64999) $423 $423 1.3×
Unlisted procedure pelvis/hip joint (27299) $2,010 $2,010 7.8×
Unlisted procedure, abdomen, musculoskeletal system (22999) $2,059 $2,059 8.0×
Urology Surgery Procedure (53899) $872 $872 3.4×
Vaginal delivery only (59409) $2,852 $2,852 0.8×
Vasectomy (55250) $1,265 $1,265 0.6×
Venipuncture (36415) $46 $46 4.9×
Ventilating tube removal requiring general anesthesia (69424) $460 $460 0.1×
Vermilionectomy (lip shave), with mucosal advancement (40500) $1,335 $1,335 0.4×
Wrist arthroscopy/surgery (29845) $1,511 $1,511 0.4×