Procedures & surgery prices at Vandalia Health Mon Preston Memorial Hospital

Kingwood, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $544.62 $1,089.25 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $425.81 $851.62 0.5×
Amputation Finger/Thumb (26951) $579.25 $1,158.50 0.2×
Anoscopy diagnostic (46600) $51 $102 0.4×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $126.50 $253 0.8×
Appl Multlay Comprs Arm/Hand (29584) $125.12 $250.25 0.8×
Application cast elbow finger short arm (29075) $96.62 $193.25 0.4×
Application cast shoulder hand long arm (29065) $103.88 $207.75 0.4×
Application Finger Splint Dynamic (29131) $63.25 $126.50 1.1×
Application finger splint static (29130) $137 $274 1.1×
Application long arm splint shoulder hand (29105) $134.75 $269.50 0.9×
Application of rigid total contact leg cast (29445) $47.12 $94.25 0.2×
Application short arm splint forearm-hand static (29125) $57.12 $114.25 0.4×
Apply Hand/Wrist Cast (29085) $61.06 $122.12 0.4×
Apply long leg splint (29505) $86.25 $172.50 0.6×
Apply short leg cast (29425) $106.50 $213 0.4×
Apply short leg splint (29515) $76.50 $153 0.5×
Arterial puncture (36600) $62 $124 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $32.25 $64.50 0.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $52.12 $104.25 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $36.38 $72.75 0.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $17.75 $35.50 0.1×
Aspirate pleura w/ imaging (32555) $184.62 $369.25 0.3×
Aspirate/Inj Ganglion Cyst (20612) $56.62 $113.25 0.2×
Aspiration and/or injection thyroid cyst (60300) $446.75 $893.50 0.7×
Aspiration bladder needle (51100) $95.88 $191.75 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $60.12 $120.25 0.3×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $149.25 $298.50 0.2×
Biopsy Vaginal Mucosa Simple (57100) $37.88 $75.75 0.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $70.38 $140.75 0.1×
Bladder Irrigation Simple (51700) $171.38 $342.75 0.7×
Blepharotomy drain absc eyelid (67700) $313.25 $626.50 1.0×
Blood transfusion service (36430) $214.50 $429 0.5×
Bone Marrow Biopsy (38221) $159 $318 0.1×
Bx breast 1st lesion strtctc (19081) $604.25 $1,208.50 0.4×
Bx breast 1st lesion us imag (19083) $611.12 $1,222.25 0.4×
Bx breast needle core w/o imaging guidance spx (19100) $156.75 $313.50 0.1×
Catheter Aspiration Nasotracheal Spx (31720) $108 $216 0.5×
Change of cystostomy tube simple (51705) $96.19 $192.38 0.4×
Chemical cautery tissue (17250) $92.25 $184.50 0.5×
Chemodenerv musc migraine (64615) $56.25 $112.50 0.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $32.62 $65.25 0.1×
Close Rx Prox/Mid Fing Shft Fx (26720) $41.12 $82.25 0.2×
Closed Rx Gr Tuberosity Hum Fx (23620) $36 $72 0.2×
Closed Rx Humeral Supracondylar Fx (24530) $188 $376 0.8×
Closed Rx Tibia Shaft Fx (27750) $68.38 $136.75 0.3×
Closed Rx Tibial Plateau Fx (27530) $155.69 $311.38 0.7×
Closed Treat Vert Body Fract (22310) $27.75 $55.50 0.1×
Closed treatment of calcaneal fracture; without manipulation (28400) $133.56 $267.12 0.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $52.12 $104.25 0.2×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) $83.62 $167.25 0.4×
Closed treatment of patellar fracture, without manipulation (27520) $73.50 $147 0.3×
Closed treatment of talus fracture; without manipulation (28430) $62 $124 0.3×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $134.12 $268.25 0.1×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $68.38 $136.75 0.3×
Closed Treatment Ulnar Styloid Fracture (25650) $224.75 $449.50 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $119.25 $238.50 0.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $239.88 $479.75 0.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $84 $168 0.4×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $47.50 $95 0.2×
Closed tx carpal scaphoid fracture w/manj (25624) $118.75 $237.50 0.1×
Closed tx metatarsal fracture w/o manipulation (28470) $121.44 $242.88 0.5×
Closed tx nasal fracture w/o stabilization (21315) $277 $554 0.2×
Closed tx patellar dislocation w/o anesthesia (27560) $232.12 $464.25 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $292.38 $584.75 0.2×
Closed tx radial head/neck fx w/o manipulation (24650) $131.62 $263.25 0.6×
Closed tx radial&ulnar shaft fractures w/manj (25565) $464.88 $929.75 0.3×
Closed Tx Scapular Fracture W/O Manipulation (23570) $11.38 $22.75 0.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $228.88 $457.75 1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $157.69 $315.38 0.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $143.38 $286.75 0.6×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $150.75 $301.50 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $293.75 $305.12 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $487.38 $974.75 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $161.25 $322.50 0.7×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $11 $22 0.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $203.12 $406.25 0.1×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $34.50 $69 0.1×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $237.12 $474.25 0.2×
Cltx dstl fibular fx lat malls w/manj (27788) $74.12 $148.25 0.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $175.69 $351.38 0.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $64 $128 0.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $11.62 $23.25 0.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $160.56 $321.12 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $307.94 $615.88 0.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) $71.50 $143 0.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $34.12 $68.25 0.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $95 $190 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $108.06 $216.12 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $68.88 $137.75 0.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $102.12 $204.25 0.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) $148.75 $297.50 0.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $324.62 $649.25 1.4×
Cltx humeral condylar fx medial/lat w/o mnpj (24576) $76.38 $152.75 0.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $243.12 $486.25 0.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $166.88 $333.75 0.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $33.88 $67.75 0.1×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $75 $150 0.3×
Cltx metacarpal fx w/manipulation each bone (26605) $143.50 $287 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $139.94 $279.88 0.6×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $219.62 $439.25 0.9×
Cltx metatarsophlngl jt dislc w/o anes (28630) $54.25 $108.50 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $138.88 $277.75 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $144 $288 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $137.88 $275.75 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $620.12 $1,240.25 0.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $17.62 $35.25 0.1×
Cltx trimalleolar ankle fx w/o manipulation (27816) $94.88 $189.75 0.4×
Collect Blood From Catheter Venous Nos (36592) $40 $80 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $33.50 $67 0.1×
Colposcopy cervix upper/adjacent vagina (57452) $68.94 $137.88 0.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $61.38 $122.75 0.2×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $96.75 $193.50 0.3×
Complex Cystometrogram (51726) $702.25 $1,404.50 2.9×
Complex Uroflowmetry (51741) $153.25 $306.50 0.7×
Conization of cervix (57522) $40.50 $81 0.0×
Control Nasal Hemorrhage Anterior Complex (30903) $171.12 $342.25 1.3×
Control Nasal Hemorrhage Anterior Simple (30901) $118 $236 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $175.88 $351.75 1.4×
Cystourethroscopy (52000) $375.88 $751.75 0.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $87.25 $174.50 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,513 $3,026 0.5×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $428.75 $857.50 0.6×
Debride nail 1-5 (11720) $34.50 $69 0.6×
Debride nail 6 or more (11721) $40.62 $81.25 0.7×
Debride tissue/muscle (11043) $88.62 $177.25 0.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $42.75 $85.50 0.1×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $518.81 $1,037.62 0.3×
Declot vascular device (36593) $364.62 $729.25 1.2×
Delivery placenta separate procedure (59414) $94.50 $189 0.0×
Destruction Benign Lesions 15/> (17111) $100 $200 0.5×
Destruction Benign Lesions Up To 14 (17110) $64 $128 0.3×
Destruction Lesions Vulva Simple (56501) $43.25 $86.50 0.0×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) $404.25 $808.50 0.2×
Destruction premalignant lesion 1st (17000) $28.38 $56.75 0.1×
Dil urethra,female,subsequent (53661) $62.50 $125 0.5×
Dilation of cervical canal (57800) $56.75 $113.50 0.0×
Dilation of female urethra including suppository and/or instillation; initial (53660) $64.88 $129.75 0.5×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $86.25 $172.50 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $95.38 $190.75 0.1×
Drainage Finger Abscess Simple (26010) $195.25 $390.50 1.0×
Drainage of gum lesion (41800) $186.38 $372.75 1.5×
Drainage of hematoma/fluid (10140) $53.75 $107.50 0.0×
Drainage of scrotal wall abscess (55100) $637 $1,274 0.4×
Draw blood off venous device (36591) $54.88 $109.75 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $168 $336 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $145.50 $291 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $26.38 $52.75 0.1×
Dstrj lesion anus simple surg excision (46922) $271.38 $542.75 0.1×
Dstrj lesion anus smpl eltrdsiccation (46910) $210.25 $420.50 0.1×
Dstrj lesion penis simple surg excision (54060) $63.38 $126.75 0.0×
Dx bone marrow bx & aspir (38222) $216.62 $433.25 0.1×
Egd flexible foreign body removal (43247) $341.12 $682.25 0.4×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $221.88 $443.75 1.8×
Endometrial Biopsy (58100) $40.88 $81.75 0.2×
Endoven ther chem adhes 1st (36482) $4,860 $9,720 0.9×
Endovenous laser, 1st vein (36478) $2,209.75 $4,419.50 0.7×
Endovenous rf 1st vein (36475) $2,599.12 $5,198.25 0.9×
Evacuation of subungual hematoma (11740) $45.62 $91.25 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $64.25 $128.50 0.1×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $55.88 $111.75 0.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $144.75 $289.50 0.1×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $75.50 $151 0.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $50.25 $100.50 0.1×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $63.81 $127.62 0.1×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $68 $136 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $123.62 $247.25 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $126.50 $253 0.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $129.88 $259.75 0.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $152.75 $305.50 0.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $232 $464 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $185.75 $371.50 0.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $229.50 $459 0.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $190 $380 0.3×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $118 $236 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $116.62 $233.25 0.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $252.88 $505.75 0.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $59.12 $118.25 0.0×
Excision of pilonidal cyst or sinus; simple (11770) $194.25 $388.50 0.1×
Excision of single external papilla or tag, anus (46220) $212.38 $424.75 0.2×
Excision of thrombosed hemorrhoid, external (46320) $252.75 $505.50 0.2×
Excision of vaginal cyst or tumor (57135) $51.62 $103.25 0.0×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $305.94 $611.88 0.5×
Fine needle aspiration without imaging guidance (10021) $111.38 $222.75 0.3×
Fit/Insert Intravag Support Device (57160) $52 $104 0.3×
Gastric Intubation/Aspiration, Therapeutic (43753) $21.88 $43.75 0.1×
Guide Cathet Fluid Drainage (10030) $1,162.38 $2,324.75 1.7×
I&d abscess simple (10060) $25.38 $50.75 0.1×
I&d epididymis tstis&/scrotal space (54700) $237 $474 0.1×
I&d pilonidal cyst simple (10080) $75.38 $150.75 0.1×
I&D Upper Arm/Elbow Bursa (23931) $342.75 $685.50 0.2×
I&d vulva/perineal abscess (56405) $25.38 $50.75 0.1×
Incise external hemorrhoid (46083) $78.62 $157.25 0.3×
Incision & drainage abscess complicated/multiple (10061) $49.25 $98.50 0.1×
Incision & drainage pilonidal cyst complicated (10081) $144.50 $289 0.2×
Incision & removal foreign body subq tiss compl (10121) $64.25 $128.50 0.0×
Incision & removal foreign body subq tiss simple (10120) $107.75 $215.50 0.3×
Incision and drainage of bartholin's gland abscess (56420) $122.94 $245.88 0.6×
Incision and drainage perianal abscess superficial (46050) $223.69 $447.38 0.3×
Incision and drainage, complex, postoperative wound infection (10180) $40.88 $81.75 0.0×
Incision of eyelid fold (67715) $195.50 $391 0.1×
Incision of rectal abscess (46040) $341.12 $682.25 0.3×
Incisional biopsy skin single lesion (11106) $232 $464 0.3×
Initial tx 1st degree burn local tx (16000) $94.62 $189.25 0.5×
Inj tendon sheath/ligament (20550) $18.88 $37.75 0.1×
Inj therapeutic carpal tunnel (20526) $27.25 $54.50 0.1×
Inject Tendon Origin/Insert (20551) $22.75 $45.50 0.1×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $96.88 $193.75 0.1×
Injection aa&/strd pudendal nerve (64430) $148.38 $296.75 0.2×
Injection aa&/strd trigeminal nerve each branch (64400) $140.38 $280.75 0.5×
Injection anesthetic agent femoral nerve single (64447) $92.12 $184.25 0.1×
Injection for identification of sentinel node (38792) $23.50 $47 0.1×
Injection Sclerosant Single Incmptnt Vein (36470) $103.88 $207.75 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $24.94 $49.88 0.1×
Injection single/mlt trigger point 3/> muscles (20553) $28.12 $56.25 0.1×
Injection(s) spider veins (36468) $18 $36 0.0×
Insert Bladder Cath Complex (51703) $150.12 $300.25 1.2×
Insert cath pleura w/o image (32556) $282.38 $564.75 0.2×
Insert Drug Implant Device (11981) $89.75 $179.50 0.7×
Insert non-tunnel cv cath (36556) $346.88 $693.75 0.1×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $117 $234 0.0×
Insert Temp Bladder Cath (51702) $87.94 $175.88 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $73 $146 0.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $568.06 $1,136.12 0.2×
Intubation endotracheal emergency procedure (31500) $130.12 $260.25 0.6×
Irrigation of corpora cavernosa for priapism (54220) $236.75 $473.50 1.0×
Laryngoscopy Direct Aspiration (31515) $195.25 $390.50 0.5×
Late closure of wound (13160) $426.25 $852.50 0.1×
Ligation of hemorrhoid(s) (46221) $98.81 $197.62 0.1×
Liver Biopsy (47000) $476.75 $953.50 0.3×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $103.25 $206.50 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $68.88 $137.75 2.5×
Needle insertion w/o injection 3 or more muscles (20561) $80.88 $161.75 2.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,019.88 $2,039.75 2.4×
Njx noncmpnd sclerosant single incmptnt vein (36465) $3,581 $7,162 1.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $346.38 $692.75 0.9×
Open Tx Distal Phalangeal Fracture Each (26765) $390.38 $780.75 0.1×
Perq dev breast 1st us imag (19285) $460.12 $920.25 0.7×
Perq device breast 1st imag (19281) $178.12 $356.25 0.1×
Perq replacement gtube not req revj gstrst trc (43762) $356.88 $713.75 1.5×
Perq skel fixj distal radial fx/epiphysl sep (25606) $323.88 $647.75 0.1×
Picc line placement (36569) $1,152.88 $2,305.75 0.8×
Placement of needle for intraosseous infusion (36680) $80.88 $161.75 0.2×
Punch biopsy skin single lesion (11104) $192.50 $385 0.5×
Puncture Aspiration Cyst Breast (19000) $254.88 $509.75 0.4×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $45.75 $91.50 0.1×
Removal foreign body foot subcutaneous (28190) $212.75 $425.50 0.3×
Removal foreign body intranasal (30300) $146.75 $293.50 1.1×
Removal foreign body muscle/tendon sheath simple (20520) $271.06 $542.12 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $6.12 $12.25 0.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $32.62 $65.25 0.6×
Removal of embedded foreign body, eyelid (67938) $156.75 $313.50 0.5×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $99.62 $199.25 0.1×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $133.38 $266.75 0.3×
Removal of iud (58301) $73.56 $147.12 0.3×
Removal of nail bed (11750) $86.25 $172.50 0.2×
Removal of salivary stone (42330) $166.50 $333 0.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $21.50 $43 0.1×
Removal/bivalving full arm/full leg cast (29705) $75 $150 0.3×
Remove drug implant device (11982) $81 $162 0.2×
Remove/Insert Drug Implant (11983) $78.38 $156.75 0.2×
Remv Ext Canal Foreign Body (69200) $112.62 $225.25 0.9×
Remv F.B.,Eye,Superf Conjunc (65205) $131 $262 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $462.25 $924.50 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $265 $530 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $463.75 $927.50 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $219.12 $438.25 0.6×
Repair extensor tendon finger w/o graft each (26418) $584.38 $1,168.75 0.4×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $344.38 $688.75 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $218.88 $437.75 0.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $234.25 $468.50 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $251.50 $503 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $275.38 $550.75 0.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $143.38 $286.75 0.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $195.25 $390.50 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $192.56 $385.12 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $510.50 $1,021 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $320.88 $641.75 0.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $125.62 $251.25 0.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $226.94 $453.88 0.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $351.62 $703.25 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $238.75 $477.50 0.6×
Repair of nail bed (11760) $204.50 $409 0.3×
Repair tongue laceration (41252) $258.50 $517 1.1×
Repair Tongue Laceration (41250) $181.75 $363.50 0.4×
Repeat control of nosebleed (30906) $195.25 $390.50 0.9×
Replace gastrostomy/cecostomy tube percutaneous (49450) $1,147.62 $2,295.25 1.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $25.38 $50.75 0.2×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $161.25 $322.50 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $349.38 $698.75 0.6×
Rpr Lip Full Thickness Vermilion Only (40650) $237.38 $474.75 0.5×
Shave skin lesion 0.5 cm/< (11300) $60.88 $121.75 0.2×
Shave skin lesion 0.5 cm/< (11305) $49.50 $99 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $64.25 $128.50 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $61.19 $122.38 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $25.38 $50.75 0.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $66.38 $132.75 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $68 $136 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $75.38 $150.75 0.4×
Simple Cystometrogram (51725) $306.12 $612.25 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $177.38 $354.75 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $195.25 $390.50 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $229.38 $458.75 1.2×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $287.88 $575.75 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $121.69 $243.38 0.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $209.38 $418.75 1.1×
Skin sub graft face/nk/hf/g (15275) $103.88 $207.75 0.1×
Skin sub graft trnk/arm/leg (15271) $111 $222 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $144 $288 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $259.88 $519.75 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $257.62 $515.25 0.7×
Spinal puncture lumbar diagnostic (62270) $238.75 $477.50 0.4×
Spinal Puncture Therapeutic (62272) $107.12 $214.25 0.2×
Strapping shoulder (29240) $189.38 $378.75 1.5×
Strapping unna boot (29580) $23.25 $46.50 0.1×
Tangential biopsy skin single lesion (11102) $150.25 $300.50 0.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,086.25 $2,172.50 1.8×
Tracheostomy emergency cricothyroid membrane (31605) $173.75 $347.50 0.8×
Treat clavicle dislocation (23540) $48.50 $97 0.2×
Treat humerus fracture (24500) $80 $160 0.3×
Treat humerus fracture (23600) $228.25 $456.50 1.0×
Treat Knee Fracture(S) (27538) $63.38 $126.75 0.3×
Treat Thigh Fracture (27246) $13 $26 0.1×
Treat Thumb Dislocation (26641) $311.88 $623.75 1.3×
Treat Thumb Fx/Disloc,Manip (26645) $273.38 $546.75 0.2×
Treat Vaginal Bleeding (57180) $120.50 $241 0.6×
Treat wrist bone fracture (25622) $156.06 $312.12 0.7×
Treat Wrist Bone Fracture (25630) $71.38 $142.75 0.3×
Treatment closed elbow dislocation w/o anes (24600) $195.25 $390.50 0.8×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $54.50 $109 0.2×
Trim skin lesion (11055) $39.62 $79.25 0.2×
Trim skin lesions 2 to 4 (11056) $41.75 $83.50 0.2×
Trimming Of Nondystrophic Nails, Any Number (11719) $12.25 $24.50 0.2×
Tube thoracostomy includes water seal (32551) $292.38 $584.75 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $239.25 $478.50 0.3×
Tx superficial wound dehiscence w/packing (12021) $188.25 $376.50 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $276.88 $553.75 0.2×
Unlisted Procedure Vascular Surgery (37799) $185.75 $371.50 0.3×
Us urine capacity measure (51798) $28.88 $57.75 0.5×
Vaginal delivery only (59409) $1,433 $2,866 0.5×
Vasectomy uni/bi spx w/postop semen exams (55250) $375.88 $751.75 0.2×
Venipuncture (36415) $11.25 $22.50 1.2×
Wedge excision skin nail fold (11765) $216.50 $433 0.6×