| Application of cylinder cast (thigh to ankle) (29365) |
$175 |
$350 |
0.6× |
| Biopsy of penis (54105) |
$1,698.96 |
$3,397.91 |
0.6× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$1,761.68 |
$3,523.36 |
0.5× |
| Cysto w/insert ureteral stent (52332) |
$2,636.46 |
$5,272.91 |
0.8× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$2,636.46 |
$5,272.91 |
0.8× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$2,636.46 |
$5,272.91 |
1.3× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$2,636.46 |
$5,272.91 |
0.8× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$2,636.46 |
$5,272.91 |
3.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,636.46 |
$5,272.91 |
1.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$2,636.46 |
$5,272.91 |
0.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,636.46 |
$5,272.91 |
1.3× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$2,636.46 |
$5,272.91 |
0.5× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$2,636.46 |
$5,272.91 |
0.8× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$2,636.46 |
$5,272.91 |
1.3× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$2,636.46 |
$5,272.91 |
0.5× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$2,636.46 |
$5,272.91 |
0.8× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$2,636.46 |
$5,272.91 |
1.3× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$1,720.68 |
$3,441.35 |
3.3× |
| EMG anal/urethral sphincter (51785) |
$267.75 |
$535.50 |
1.1× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$1,849.77 |
$3,699.53 |
0.6× |
Excision exostosis(es), external auditory canal Facility (69140)
unusually low: confirm this is the full procedure |
$1,783.90 |
$3,567.80 |
0.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$1,849.77 |
$3,699.53 |
0.6× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$4,384.63 |
$8,769.25 |
0.8× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$4,384.63 |
$8,769.25 |
0.8× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$4,384.63 |
$8,769.25 |
0.8× |
| Excision of penile plaque (Peyronie disease); Facility (54110) |
$375 |
$750 |
0.1× |
| Incision of eardrum (69421) |
$244.38 |
$488.75 |
0.1× |
Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205)
likely a partial charge, not the full procedure |
$375 |
$750 |
0.1× |
| Myringoplasty (69620) |
$2,531.32 |
$5,062.64 |
0.8× |
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531)
likely a partial charge, not the full procedure |
$320.10 |
$640.20 |
0.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$24 |
$48 |
0.0× |
| Removal foreign body, intranasal; by lateral rhinotomy Facility (30320) |
$83.10 |
$166.20 |
0.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$83.10 |
$166.20 |
0.0× |
| Removal Submand Stone,Complicated (42335) |
$1,850 |
$3,700 |
0.6× |
| Repair Eyelid Wound (67935) |
$2,101.05 |
$4,202.10 |
0.9× |
| Repair Finger Tendon (26433) |
$1,784.15 |
$3,568.29 |
0.6× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340) |
$1,850 |
$3,700 |
0.6× |
| Slitting of prepuce (54000) |
$1,940.24 |
$3,880.47 |
0.6× |
| Tympanostomy general anesthesia (69436) |
$742.99 |
$1,485.97 |
0.5× |