Procedures & surgery prices at Memorial Hospital of Sweetwater County

Rock Springs, WY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis (49082) $2,149.50 $2,149.50 2.3×
Abd paracentesis w/imaging (49083) $2,311 $2,311 2.5×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency… (30801) $807 $807 0.5×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; intramural (30802) $737 $737 0.5×
Acne surgery (10040) $340 $340 1.7×
Amniocentesis diagnostic (59000) $1,745 $1,745 1.9×
Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) $5,939 $5,939 1.8×
Amputation Foot Transmetarsal|RIGHT SIDE (28805) $3,589 $3,589 1.1×
Amputation of finger/thumb (26952) $5,994 $5,994 1.8×
Amputation of toe (28820) $912 $912 0.3×
Amputation toe interphalangeal joint (28825) $1,396 $1,396 0.4×
Amputation, leg, through tibia and fibula; open, circular (guillotine) (27882) $3,481 $3,481 1.0×
Amputation, metatarsal, with toe, single Age Under 21 (28810) $1,923 $1,923 0.6×
Anchoring of extending tendon of fingers to wrist bone (25301) $2,767 $2,767 0.8×
Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) $385 $385 0.1×
Anoscopy diagnostic (46600) $190 $190 1.4×
Anoscopy remove for body (46608) $770 $770 0.8×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
unusually low — confirm this is the full procedure		 $1,970 $1,970 0.4×
Appendectomy (44950) $4,888 $4,888 0.7×
Application Finger Splint Dynamic (29131) $103 $103 1.7×
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge — not the full procedure		 $3,681 $3,681 0.3×
Application of long leg cast (thigh to toes); (29345) $1,225 $1,225 4.3×
Application of long leg splint (thigh to ankle or toes) (29505) $418 $418 2.5×
Application of short arm splint (forearm to hand); static (29125) $331 $331 2.4×
Application of short leg cast (below knee to toes); (29405) $984 $984 3.4×
Application of short leg cast (below knee to toes); walking or ambulatory type (29425) $347 $347 1.2×
Application of short leg splint (calf to foot) (29515) $331 $331 2.0×
Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) $455 $455 1.6×
Application uniplane external fixation system (20690)
unusually low — confirm this is the full procedure		 $2,769 $2,769 0.4×
Application, cast; shoulder to hand (long arm) (29065) $842 $842 2.9×
Apply hand/wrist cast (29085) $209 $209 1.3×
Apply long arm splint (29105) $331 $331 2.0×
Apply splint short arm dynamic (29126) $153 $153 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $752.50 $752.50 2.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,136 $1,136 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $771 $771 2.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $201 $201 0.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $436 $436 1.4×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) $11,652 $11,652 1.6×
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $1,755 $1,755 0.5×
Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) $1,395 $1,395 0.4×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) $5,263 $5,263 1.6×
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Age Under 21 (29887)
unusually low — confirm this is the full procedure		 $2,467 $2,467 0.3×
Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) $1,640 $1,640 0.5×
Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) $3,762 $3,762 1.1×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) $5,263 $5,263 1.6×
Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) $6,801 $6,801 2.0×
Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) $6,596 $6,596 2.0×
Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29805) $1,289 $1,289 0.4×
Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806)
unusually low — confirm this is the full procedure		 $3,131 $3,131 0.4×
Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) $5,845 $5,845 1.7×
Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) $5,640 $5,640 1.7×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) $3,762 $3,762 1.1×
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
unusually low — confirm this is the full procedure		 $3,120 $3,120 0.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) $7,450 $7,450 1.0×
Arthrotomy with synovectomy, hip joint (27054) $2,143 $2,143 0.6×
Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (27620) $1,343 $1,343 0.4×
Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) $3,932 $3,932 1.2×
Arthrotomy, hip, with drainage (eg, infection) (27030)
unusually low — confirm this is the full procedure		 $2,908 $2,908 0.4×
Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Age Under 21 (25040) $1,983 $1,983 0.6×
Arthrp acetblr/prox fem prostc agrft/algrft (27130) $11,105 $11,105 0.8×
Arthrt kne w/expl drg/rmvl fb (27310) $4,145 $4,145 1.2×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,487 $1,487 0.4×
Aspirate pleura w/o imaging (32554) $1,504 $1,504 2.3×
Aspiration and/or injection of ganglion cyst(s) any location (20612) $218 $218 0.7×
Aspiration bladder insert suprapubic catheter (51102) $4,824 $4,824 2.3×
Avulsion of nail plate, partial or complete, simple; single (11730) $493 $493 2.4×
Axillary lymphadenectomy; superficial Age Under 21 (38740)
unusually low — confirm this is the full procedure		 $2,665 $2,665 0.4×
Biopsy bone open superficial (20240) $477 $477 0.2×
Biopsy bone trocar/needle deep (20225) $1,009 $1,009 0.6×
Biopsy floor of mouth (41108) $648 $648 0.4×
Biopsy liver needle percutaneous (47000) $3,400 $3,400 2.0×
Biopsy lymph node (38505) $3,341 $3,341 2.0×
Biopsy muscle percutaneous needle (20206) $3,341 $3,341 2.0×
Biopsy nasopharynx visible lesion simple (42804) $810 $810 0.2×
Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) $538 $538 0.3×
Biopsy of cervix (57500) $597 $597 0.6×
Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) $1,258 $1,258 1.0×
Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) $973 $973 1.0×
Biopsy of penis; (separate procedure) (54100) $853 $853 0.5×
Biopsy of salivary gland; needle (42400) $939 $939 1.3×
Biopsy of testis, needle (separate procedure) Age Under 21 (54500) $1,593 $1,593 0.5×
Biopsy of uterus lining (58100) $347 $347 1.7×
Biopsy or excision of lymph node(s); open, superficial (38500) $1,049 $1,049 0.3×
Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) $1,556 $1,556 0.4×
Biopsy oropharynx (42800) $500 $500 0.3×
Biopsy pleura percutaneous needle (32400) $3,604 $3,604 2.1×
Biopsy roof of mouth (42100) $451 $451 0.3×
Biopsy thyroid percutaneous core needle (60100) $1,772 $1,772 2.4×
Biopsy vaginal mucosa simple (57100) $1,031 $1,031 1.1×
Biopsy vulva/perineum 1 lesion (56605) $332 $332 0.4×
Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) $439 $439 0.3×
Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) $1,560 $1,560 0.5×
Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) $1,687.50 $1,687.50 1.0×
Biopsy/removal lymph nodes (38510) $1,519 $1,519 0.4×
Bladder irrigation (51700) $228 $228 0.9×
Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) $969 $969 3.0×
Bone graft, any donor area; major or large Age Under 21 (20902)
likely a partial charge — not the full procedure		 $2,224 $2,224 0.3×
Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) $1,112 $1,112 0.3×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $1,665 $1,665 0.9×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) $762 $762 0.4×
Bx breast 1st lesion mr imag (19085) $4,997 $4,997 3.0×
Bx breast 1st lesion strtctc (19081) $6,285 $6,285 3.7×
Bx breast 1st lesion us imag (19083) $4,858 $4,858 2.9×
Bx pancreas ndl perc (48102) $570 $570 0.3×
Care of miscarriage (59820) $2,034 $2,034 0.6×
Cast short arm (29075) $777 $777 2.7×
Cautery of cervix; electro or thermal Age Under 21 (57510) $472 $472 0.1×
Cervical lymphadenectomy (complete) (38720) $4,022 $4,022 0.6×
Change Cystostomy Tube Simple (51705) $967 $967 3.8×
Change of cystostomy tube; complicated Age Under 21 (51710) $940 $940 1.3×
Change of windpipe airway (31502) $460 $460 1.9×
Chemical cauterization of granulation tissue (17250) $252 $252 1.2×
Chemodenerv trunk musc 1-5 (64646) $463 $463 0.6×
Chemodervate facial/trigem/cerv musc migraine (64615) $528 $528 1.7×
Chest tube placement (32551) $1,188.50 $1,188.50 0.7×
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350)
likely a partial charge — not the full procedure		 $409 $409 0.1×
Circumcision, Newborn (54150) $1,206 $1,206 0.6×
Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) $778 $778 1.1×
Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) $702 $702 0.3×
Closed rx acetabular fx (27220) $1,029 $1,029 4.1×
Closed treatment of acromioclavicular dislocation; without manipulation (23540) $588 $588 2.3×
Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) $1,680 $1,680 1.0×
Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) $744 $744 3.0×
Closed treatment of calcaneal fracture; without manipulation (28400) $893 $893 3.5×
Closed treatment of carpal bone fracture; without manipulation (25630) $1,107 $1,107 4.4×
Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) $1,123.50 $1,123.50 4.5×
Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) $1,056 $1,056 4.2×
Closed treatment of clavicular fracture; with manipulation (23505) $1,156 $1,156 0.7×
Closed treatment of clavicular fracture; without manipulation (23500) $993 $993 3.9×
Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age… (26432) $1,825 $1,825 1.1×
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) $1,300 $1,300 5.2×
Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) $957 $957 3.8×
Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) $626 $626 2.5×
Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) $652 $652 2.6×
Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) $413 $413 1.6×
Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) $276 $276 1.1×
Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) $848 $848 3.4×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $4,582 $4,582 2.8×
Closed treatment of humeral shaft fracture; without manipulation (24500) $425 $425 1.7×
Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) $1,469 $1,469 0.9×
Closed treatment of medial malleolus fracture; without manipulation (27760) $1,007 $1,007 4.0×
Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) $1,013 $1,013 4.0×
Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) $584 $584 2.3×
Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) $1,637 $1,637 0.5×
Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) $1,963 $1,963 1.2×
Closed treatment of patellar fracture, without manipulation (27520) $993 $993 3.9×
Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) $823 $823 3.3×
Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) $586 $586 2.3×
Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) $5,314 $5,314 3.2×
Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) $687 $687 2.7×
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) $1,625 $1,625 1.0×
Closed treatment of proximal humeral fracture; without manipulation (23600) $687 $687 2.7×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $962 $962 3.8×
Closed treatment of radial head or neck fracture; without manipulation (24650) $756 $756 3.0×
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) $978 $978 3.9×
Closed treatment of radial shaft fracture; without manipulation (25500) $811.50 $811.50 3.2×
Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) $1,529 $1,529 6.1×
Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) $797 $797 0.5×
Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) $2,170 $2,170 1.3×
Closed treatment of talus fracture; without manipulation (28430) $924 $924 3.7×
Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) $990.50 $990.50 3.9×
Closed treatment of ulnar fracture, proximal end; without manipulation (24670) $765.50 $765.50 3.0×
Closed treatment of ulnar shaft fracture; without manipulation (25530) $1,234 $1,234 4.9×
Closed treatment of ulnar styloid fracture (25650) $1,778 $1,778 7.1×
Closed tx ankle dislocation w/o anesthesia (27840) $1,335 $1,335 5.3×
Closed tx bimalleolar ankle fracture w/manj (27810) $1,438 $1,438 0.9×
Closed tx bimalleolar ankle fracture w/o manip (27808) $976 $976 3.9×
Closed tx femoral fracture prox head w/manj (27268) $2,600 $2,600 1.6×
Closed tx metatarsal fracture w/o manipulation (28470) $823 $823 3.3×
Closed tx patellar dislocation w/anesthesia (27562) $1,482 $1,482 5.9×
Closed tx patellar dislocation w/o anesthesia (27560) $1,772 $1,772 7.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,471 $1,471 0.9×
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) $1,570 $1,570 1.0×
Closed tx scapular fracture w/o manipulation (23570) $549 $549 2.2×
Closed tx septal&nose fx (21337) $1,272 $1,272 0.4×
Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) $969 $969 3.8×
Closed tx vert fx w/o manj (22310) $1,198 $1,198 4.8×
Closure postauricular fistula, mastoid (separate procedure) Age Under 21 (69700) $2,291 $2,291 1.4×
Clsd tx nsl fx mnpj wo stblj (21315) $485 $485 0.3×
Clsd tx nsl fx w/mnpj&stablj (21320) $859 $859 0.3×
Clsd tx pelvic ring fx (27197) $2,217 $2,217 8.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,278.50 $3,278.50 2.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,167 $1,167 0.7×
Cltx carpo/metacarpal dislocation thumb w/manj (26641) $1,725 $1,725 6.8×
CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) $1,012 $1,012 4.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,132 $1,132 4.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,541 $1,541 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,649.50 $1,649.50 6.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,036 $1,036 4.1×
Cltx greater humeral tuberosity fx w/o mnpj (23620) $425 $425 1.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,711 $1,711 6.8×
Cltx humeral epicondylar fx medial/lat w/o manj (24560) $756 $756 3.0×
CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) $1,523 $1,523 0.9×
CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) $1,047 $1,047 4.2×
Cltx post ankle fx (27767) $1,327 $1,327 5.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,062 $2,062 1.3×
Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) $1,495 $1,495 5.9×
CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) $1,840 $1,840 1.1×
Cltx tibial shaft fx w/o manipulation (27750) $1,455 $1,455 5.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,514 $1,514 0.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $920 $920 3.7×
Collect blood from catheter venous nos (36592) $105 $105 0.8×
Collect blood from implant venous access device (36591) $105 $105 0.8×
Colonoscopy w/control bleed (45382) $2,484 $2,484 2.0×
Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) $2,031 $2,031 0.6×
Colposcopy cervix (57452) $426 $426 2.1×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) $548 $548 1.8×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) $582 $582 1.9×
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) $2,827 $2,827 0.9×
Colposcopy vulva (56820) $552 $552 2.7×
Colposcopy w/endocervical curettage (57456) $497 $497 1.6×
Colsc flx with directed submucosal njx any sbst (45381) $1,636 $1,636 1.3×
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260)
unusually low — confirm this is the full procedure		 $2,347 $2,347 0.5×
Complex cystometrogram voiding pressure studies (51728) $1,084 $1,084 1.5×
Complex uroflowmetry (51741) $50 $50 0.2×
Conization of cervix (57520) $1,015 $1,015 0.3×
Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) $1,247 $1,247 0.4×
Contrast injection perq radiologic eval gi tube (49465) $836 $836 3.4×
Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) $851 $851 3.9×
Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) $442 $442 3.3×
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) $335 $335 2.5×
Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) $1,814 $1,814 0.5×
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) $11,930 $11,930 0.9×
Conz of cervix w/scope leep (57461) $1,126 $1,126 0.3×
Core needle bx lung/mediastinum perq w/img (32408) $3,604 $3,604 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $840 $840 6.2×
Curettage postpartum (59160) $826 $826 0.2×
Cysto w/ureter stricture tx (52341) $1,859 $1,859 0.5×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge — not the full procedure		 $1,478 $1,478 0.3×
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge — not the full procedure		 $524 $524 0.1×
Cystoscopy and treatment (52310) $1,024 $1,024 0.5×
Cystoscopy removal of clots (52001) $1,468 $1,468 0.4×
Cystoscopy w/biopsy(s) (52204) $1,361 $1,361 0.6×
Cystourethroscopy (52000) $983 $983 1.4×
Cystourethroscopy with direct vision internal urethrotomy Age Under 21 (52276) $939 $939 0.4×
Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery,… (52344) $1,202 $1,202 0.3×
Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser,… (52345) $1,400 $1,400 0.4×
Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) $1,134 $1,134 0.5×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age… (52260) $750 $750 0.4×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge — not the full procedure		 $1,393 $1,393 0.3×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) $1,024 $1,024 0.3×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) $1,128 $1,128 0.3×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa,… (52214) $2,584 $2,584 0.7×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) $2,698 $2,698 0.7×
Cystourethroscopy, with internal urethrotomy; male Age Under 21 (52275) $1,566 $1,566 0.7×
Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon… (52284) $7,410 $7,410 1.4×
Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) $975 $975 0.5×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) $1,038 $1,038 0.5×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $2,831 $2,831 0.8×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) $1,074 $1,074 0.3×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354)
likely a partial charge — not the full procedure		 $1,482 $1,482 0.3×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age… (52353)
likely a partial charge — not the full procedure		 $1,393 $1,393 0.3×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) $1,260 $1,260 0.3×
Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral Age Under 21 (52300) $996 $996 0.3×
Dcmprn fasct leg ant&/lat&pst cmprt (27602) $1,383 $1,383 0.4×
Deb skin bone at fx site (11012) $2,652 $2,652 0.9×
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) $307.50 $307.50 0.7×
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) $1,106 $1,106 0.7×
Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Age Under 21 (69222) $1,332 $1,332 2.4×
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) $819 $819 1.1×
Declot vascular device (36593) $898 $898 2.7×
Deep incis foot bone infectn (28005) $1,644 $1,644 0.5×
Deep muscle biopsy (20205) $924 $924 0.3×
Delivery of placenta (59414) $870 $870 0.3×
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) $287 $287 1.4×
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) $636 $636 1.5×
Destruction benign lesions up to 14 (17110) $393 $393 1.9×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) $1,308 $1,308 3.1×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) $2,188 $2,188 0.8×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) $1,045 $1,045 0.5×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) $541 $541 0.3×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) $497 $497 2.4×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) $665 $665 0.3×
Destruction of lesion(s), penis, simple; chemicall (54050) $2,846 $2,846 6.9×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) $382 $382 1.9×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) $525 $525 2.6×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) $542 $542 2.6×
Diagnostic bone marrow aspirations (38220) $514 $514 0.3×
Diagnostic bone marrow biopsies (38221) $3,020 $3,020 1.8×
Diagnostic bone marrow biopsies & aspirations (38222) $614 $614 0.2×
Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) $1,147 $1,147 0.3×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $355 $355 0.5×
Diagnostic sigmoidoscopy (45330) $619 $619 0.7×
Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) $996 $996 0.3×
Dilation of female urethra including suppository and/or instillation; initial Age Under 21 (53660) $1,217 $1,217 9.3×
Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) $1,217 $1,217 4.8×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $189 $189 0.1×
Drain lower leg lesion (27603) $1,524 $1,524 0.5×
Drainage external ear, abscess or hematoma; simple (69000) $651 $651 0.9×
Drainage finger abscess simple (26010) $767 $767 3.7×
Drainage of deep periurethral abscess Age Under 21 (53040) $1,162 $1,162 0.3×
Drainage of scrotal wall abscess (55100) $777 $777 0.5×
Drainage of scrotum (54700) $631 $631 0.3×
Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) $1,708 $1,708 0.5×
Drainage of tonsil abscess (42700) $905 $905 3.7×
Dx bronchoscope/lavage (31624) $774 $774 0.4×
Dx laryngoscopy excl nb (31525) $975 $975 0.5×
Ed proc insert intraosseous IV (36680) $172 $172 0.4×
Ed proc insj temp ndwellg bladder catheter complicated (51703) $967 $967 7.4×
Ed proc remve fb nasal- hospital (30300) $642 $642 4.7×
Ed prof arthrocentesis sm - hospital (20551) $209 $209 0.7×
Ed prof artl pnxr w/drawal bld dx (36600) $174 $174 1.3×
Ed prof burn - large - hospital (16030) $799 $799 1.9×
Ed prof burn medium - hospital (16025) $679 $679 3.3×
Ed prof burn small - hospital (16020) $466.50 $466.50 2.3×
Ed prof catheterization/straight (51701) $579 $579 4.3×
Ed prof closed tx post hip arthroplasty (27265) $2,037 $2,037 8.1×
Ed prof insert foley cath simple (51702) $212 $212 1.6×
Ed prof insert non tunnel cv cath >5 (36556) $4,040 $4,040 1.3×
Ed prof int lac 12.6-20cm bd - hospital (12035) $1,872 $1,872 4.5×
Ed prof int lac 7.6-12.5cm bd - hospital (12034) $1,057 $1,057 2.5×
Ed prof interphalangeal dislocation- hospital (26770) $1,136 $1,136 4.5×
Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) $119 $119 0.3×
Egd endo mucosal resection (43254) $962 $962 0.5×
Egd percutaneous placement gastrostomy tube (43246) $1,485 $1,485 0.8×
Egd removal tumor polyp/other lesion snare tech (43251) $962 $962 0.5×
Egd transoral control bleeding any method (43255) $2,319 $2,319 1.2×
Egd tube/cath insertion (43241) $495 $495 0.3×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $212 $212 1.6×
Endometrial ablation, thermal, without hysteroscopic guidance Age Under 21 (58353) $4,063 $4,063 0.8×
Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) $708 $708 0.7×
Epididymectomy; unilateral Age Under 21 (54860) $1,931 $1,931 0.5×
Episiotomy or vaginal repair (59300) $3,084 $3,084 0.9×
Er inj anesthetic agent, peripheral nerve or branch (64450) $466 $466 0.6×
Esoph egd dilation <30 mm (43249) $942 $942 0.5×
Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) $674 $674 0.3×
Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) $1,089 $1,089 1.2×
Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) $1,461 $1,461 0.7×
Esophagoscopy flexible removal foreign body (43215) $4,668 $4,668 2.4×
Esophagoscopy flexible transoral diagnostic (43200) $1,028 $1,028 1.1×
Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) $2,668 $2,668 1.4×
Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed… (43191) $467 $467 0.2×
Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) $621 $621 0.3×
Evac subungual hematoma (11740) $184 $184 1.4×
Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) $1,640 $1,640 1.0×
Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) $584 $584 1.1×
Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) $1,273 $1,273 0.6×
Exc f/e/e/n/l mal+mrg 1.1-2 (11642) $849 $849 1.2×
Exc face les sbq 2 cm/> (21012) $1,008 $1,008 0.6×
Exc h-f-nk-sp b9+marg 0.5/< (11420) $467 $467 0.3×
Exc h-f-nk-sp b9+marg 0.6-1 (11421) $555 $555 0.8×
Exc h-f-nk-sp b9+marg 1.1-2 (11422) $619 $619 0.4×
Exc lesion tendon sheath/capsule w/synvct foot (28090) $1,474 $1,474 0.9×
Exc neck tum deep < 5 cm (21556) $1,515 $1,515 0.5×
Exc rect tum transanal part (45171) $2,152 $2,152 0.8×
Exc tr-ext b9+marg 0.5 < cm (11400) $437 $437 0.6×
Exc tr-ext b9+marg 1.1-2 cm (11402) $584 $584 0.8×
Exc tumor soft tiss back/flank subfascial <5cm (21932) $1,951 $1,951 0.7×
Exc tumor soft tissue forearm &/wrist subq <3cm (25075) $2,032 $2,032 1.2×
Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) $1,167 $1,167 0.4×
Exchng absc/cst drg cath rad gid spx (49423) $935 $935 0.5×
Excision ganglion wrist dorsal/volar primary (25111) $1,186 $1,186 0.7×
Excision hidradenitis axillary smpl/intrm rpr (11450) $1,665 $1,665 0.6×
Excision inferior turbinate, partial or complete, any method Age Under 21 (30130) $1,606 $1,606 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $722 $722 1.0×
Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) $934 $934 2.2×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $730 $730 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $972 $972 1.3×
Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) $458 $458 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $896 $896 1.2×
Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) $899 $899 1.2×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $1,147 $1,147 0.7×
Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) $1,812 $1,812 0.5×
Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) $1,785 $1,785 0.5×
Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) $1,124 $1,124 0.7×
Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) $1,349 $1,349 0.4×
Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) $1,497 $1,497 0.4×
Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) $1,744 $1,744 1.1×
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Age Under 21 (42410)
unusually low — confirm this is the full procedure		 $2,337 $2,337 0.4×
Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) $1,101 $1,101 0.4×
Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) $1,145 $1,145 0.5×
Excision of thrombosed hemorrhoid, external (46320) $6,477 $6,477 5.3×
Excision of tongue lesion (41112) $1,042 $1,042 0.3×
Excision of vaginal cyst or tumor (57135) $789 $789 0.2×
Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Age Under 21 (55530) $1,251 $1,251 0.3×
Excision olecranon bursa (24105) $1,883 $1,883 0.6×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) $1,729 $1,729 0.5×
Excision or fulguration; urethral caruncle Age Under 21 (53265) $767 $767 0.4×
Excision pilonidal cyst/sinus extensive (11771) $655 $655 0.2×
Excision soft tissue lesion, external auditory canal Age Under 21 (69145) $1,207 $1,207 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,566 $1,566 0.9×
Excision tumor soft tissue back/flank subq <3cm (21930) $1,288 $1,288 0.8×
Excision tumor soft tissue foot/toe subq 1.5+cm (28039) $1,420 $1,420 0.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,171 $1,171 0.7×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) $711 $711 0.4×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) $1,207 $1,207 0.4×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) $525 $525 1.3×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) $610 $610 0.4×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) $692 $692 1.0×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) $340 $340 0.2×
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) $479 $479 0.7×
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) $728 $728 1.0×
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) $1,002 $1,002 0.6×
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) $1,138 $1,138 0.4×
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) $774 $774 1.1×
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) $1,718 $1,718 1.0×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) $661 $661 0.9×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) $593 $593 0.8×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) $1,097 $1,097 0.7×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) $480 $480 0.7×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) $787 $787 0.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) $1,525 $1,525 0.5×
Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) $3,399 $3,399 1.1×
Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) $1,520 $1,520 0.5×
Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) $1,288 $1,288 0.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,383 $1,383 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) $2,007 $2,007 1.2×
Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) $1,800 $1,800 1.1×
Excision/Destruction Lesion Pharynx Any Method (42808) $888 $888 0.3×
Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) $1,401 $1,401 0.5×
Exploration for undescended testis (inguinal or scrotal area) Age Under 21 (54550) $1,753 $1,753 0.5×
Exploration of arm or leg for bleeding, blood clot, or infection after surgery (35860) $2,426 $2,426 0.8×
Explore wound abdomen (20102) $1,818 $1,818 0.9×
Explore wound neck (20100) $1,679 $1,679 3.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,879 $1,879 2.6×
Fine needle aspiration bx w/o img gdn 1st lesion (10021) $669 $669 1.6×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,959 $1,959 2.7×
Fracture nasal inferior turbinate(s), therapeutic (30930) $376 $376 0.1×
Gastric lavage (43753) $470 $470 2.1×
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) $5,363 $5,363 1.4×
Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21 (21235)
unusually low — confirm this is the full procedure		 $2,203 $2,203 0.4×
Guide cathet fluid drainage (10030) $767 $767 1.1×
Harvest cultured skin graft (15040) $776 $776 0.4×
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125) $8,949 $8,949 0.7×
Hemorrhoidectomy internal rubber band ligations (46221) $972 $972 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,052 $2,052 0.7×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,682 $1,682 0.6×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $1,368 $1,368 0.5×
Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) $1,340 $1,340 0.5×
Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) $1,014 $1,014 0.4×
Hysteroscopy biopsy (58558) $4,917 $4,917 1.5×
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) $6,907 $6,907 1.4×
Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21 (58559) $3,747 $3,747 0.7×
Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) $1,568 $1,568 0.5×
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561)
likely a partial charge — not the full procedure		 $1,185 $1,185 0.2×
I&d abscess simple/single (10060) $511 $511 2.5×
I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) $1,342.50 $1,342.50 0.5×
I&d hematoma/seroma/fluid (10140) $601 $601 0.4×
I&d pilonidal cyst simple (10080) $553 $553 0.8×
Ileoscopy thru stoma dx w/collj spec when prfmd (44380) $646 $646 0.7×
Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) $1,335 $1,335 5.3×
Img-guide fluid collxn drainag cath periton perq (49406) $5,811 $5,811 3.4×
Incise & drain bladder (51040) $1,267 $1,267 0.6×
Incise external hemorrhoid (46083) $967 $967 3.8×
Incise finger tendon sheath (26055) $1,851 $1,851 1.1×
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) $949 $949 2.3×
Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) $706 $706 0.4×
Incision and drainage of Bartholin's gland abscess (56420) $523.50 $523.50 2.5×
Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) $1,556 $1,556 0.5×
Incision and drainage of pilonidal cyst; complicated (10081) $620 $620 0.9×
Incision and drainage of submucosal abscess, rectum (45005) $1,209 $1,209 1.0×
Incision and drainage of vulva or perineal abscess (56405) $3,731 $3,731 12.0×
Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) $1,166 $1,166 0.4×
Incision and drainage, forearm and/or wrist; bursa Age Under 21 (25031) $1,264 $1,264 0.8×
Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) $2,434 $2,434 0.7×
Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) $2,030 $2,030 0.6×
Incision and drainage, pelvis or hip joint area; infected bursa Age Under 21 (26991) $2,112 $2,112 1.3×
Incision and drainage, perianal abscess, superficial (46050) $2,253 $2,253 2.4×
Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) $1,011 $1,011 0.6×
Incision and removal of foreign body, subcutaneous tissues; complicated (10121) $5,229 $5,229 3.1×
Incision and removal of foreign body, subcutaneous tissues; simple (10120) $442 $442 1.1×
Incision extensor tendon sheath wrist (25000) $1,054 $1,054 0.6×
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia|BILATERAL PROCEDURE (69433) $737 $737 1.3×
Incision of lingual frenum (frenotomy) (41010) $668 $668 0.4×
Incision of rectal abscess (46040) $1,647 $1,647 1.3×
Incision of vein for insertion of needle or tube (1 year or older) (36425) $269 $269 0.6×
Incision of windpipe (31600) $896 $896 0.3×
Incision&drainage bursa foot (28001) $497 $497 0.3×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) (26992) $2,993 $2,993 0.9×
Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Age Under 21 (25035)
likely a partial charge — not the full procedure		 $1,999 $1,999 0.3×
Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Age Under 21 (25001) $1,082 $1,082 0.3×
Incisional biopsy skin single lesion (11106) $522.50 $522.50 0.7×
Infusion of drug to dissolve blood clot in brain (37195) $1,396 $1,396 4.1×
Initial treatment, first degree burn, when no more than local treatment is required (16000) $473 $473 2.3×
Inj epidural blood or clot patch (62273) $3,096 $3,096 4.3×
Injection aa&/strd ilioinguinal ih nerves (64425) $396 $396 0.5×
Injection aa&/strd trigeminal nerve each branch (64400) $969 $969 3.1×
Injection for identification of sentinel node (38792) $1,240 $1,240 3.0×
Injection therapeutic carpal tunnel (20526) $209 $209 0.7×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $217 $217 0.7×
Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) $298 $298 1.0×
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) $546.50 $546.50 1.7×
Injection, intralesional; up to and including 7 lesions (11900) $233 $233 1.1×
Insert drug implant device (11981) $300 $300 2.2×
Insert gastrostomy tube percutaneous (49440) $2,481.50 $2,481.50 1.3×
Insert non-tunnel cv cath < 5 y/o (36555) $3,916 $3,916 1.2×
Insert pessary/other device (57160) $258 $258 1.2×
Insertion indwelling tunneled pleural catheter (32550) $2,488.50 $2,488.50 0.7×
Insertion of penile prosthesis; non-inflatable (semi-rigid) (54400)
likely a partial charge — not the full procedure		 $1,892 $1,892 0.1×
Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) $1,607 $1,607 0.4×
Insertion of tube into airway for aspiration of secretions (31720) $287 $287 1.3×
Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous… (36566) $16,428 $16,428 2.9×
Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) $3,793 $3,793 1.2×
Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) $5,439.50 $5,439.50 1.7×
Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590)
likely a partial charge — not the full procedure		 $939 $939 0.0×
Insertion picc w/o img gdn 5 yr/> (36569) $3,768 $3,768 2.3×
Insertion tunnel intraperitoneal cath dial open (49421) $721 $721 0.2×
Insj intraperitoneal catheter w/img guid (49418) $7,219.50 $7,219.50 2.0×
Intraoral i&d tongue/floor lingual (41000) $445 $445 0.8×
Intubation endotracheal (31500) $816 $816 3.4×
Irrigation of corpora cavernosa for priapism (54220) $636 $636 2.5×
Knee arthroscopy/surgery (29876) $5,064 $5,064 1.5×
Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Age Under 21 (69801) $722 $722 0.5×
Lap jejunostomy (44186)
unusually low — confirm this is the full procedure		 $2,001 $2,001 0.3×
Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379)
unusually low — confirm this is the full procedure		 $2,255 $2,255 0.4×
Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659) $5,363 $5,363 0.9×
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
unusually low — confirm this is the full procedure		 $2,714 $2,714 0.4×
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150)
unusually low — confirm this is the full procedure		 $2,311 $2,311 0.4×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low — confirm this is the full procedure		 $3,057 $3,057 0.5×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure		 $1,603 $1,603 0.3×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
likely a partial charge — not the full procedure		 $948 $948 0.2×
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)
unusually low — confirm this is the full procedure		 $3,007 $3,007 0.5×
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Age Under 21 (58541)
likely a partial charge — not the full procedure		 $1,237 $1,237 0.1×
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58542)
unusually low — confirm this is the full procedure		 $3,556 $3,556 0.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570)
unusually low — confirm this is the full procedure		 $3,347 $3,347 0.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571)
unusually low — confirm this is the full procedure		 $4,198 $4,198 0.4×
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573)
unusually low — confirm this is the full procedure		 $3,477 $3,477 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552)
likely a partial charge — not the full procedure		 $2,791 $2,791 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
unusually low — confirm this is the full procedure		 $3,455 $3,455 0.3×
Laparoscopy, surgical; appendectomy when done for indicated purpose at time of other major procedure (44979) $3,676 $3,676 0.6×
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) $4,523 $4,523 0.7×
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
unusually low — confirm this is the full procedure		 $4,258 $4,258 0.4×
Laparoscopy, surgical; orchiectomy Age Under 21 (54690)
unusually low — confirm this is the full procedure		 $1,927 $1,927 0.3×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (51992)
unusually low — confirm this is the full procedure		 $2,451 $2,451 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure		 $1,078 $1,078 0.2×
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662)
unusually low — confirm this is the full procedure		 $2,533 $2,533 0.4×
Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Age Under 21 (49324)
likely a partial charge — not the full procedure		 $1,442 $1,442 0.2×
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660)
unusually low — confirm this is the full procedure		 $2,599 $2,599 0.4×
Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age Under 21 (58671)
unusually low — confirm this is the full procedure		 $2,811 $2,811 0.5×
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661)
unusually low — confirm this is the full procedure		 $2,315 $2,315 0.4×
Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of… (49325)
likely a partial charge — not the full procedure		 $1,479 $1,479 0.2×
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21 (58673)
likely a partial charge — not the full procedure		 $1,083 $1,083 0.1×
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281)
unusually low — confirm this is the full procedure		 $4,429 $4,429 0.4×
Laps Surg Esopg/Gstr Fundoplasty (43280)
likely a partial charge — not the full procedure		 $3,121 $3,121 0.3×
Laps surg gastrostomy w/o constj gstr tube spx (43653)
likely a partial charge — not the full procedure		 $1,696 $1,696 0.3×
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
unusually low — confirm this is the full procedure		 $2,149 $2,149 0.3×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge — not the full procedure		 $1,329 $1,329 0.2×
Laryngoscopy flex diagnostic (31575) $425 $425 2.1×
Laryngoscopy flexible w/biopsy(ies) (31576) $947 $947 0.5×
Laryngoscopy w/biopsy (31535) $710 $710 0.2×
Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21 (31536) $594 $594 0.2×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
unusually low — confirm this is the full procedure		 $2,330 $2,330 0.3×
Ligamentous reconstruction knee intra-articular (27428) $7,159 $7,159 0.5×
Ligation or biopsy, temporal artery (37609) $1,229 $1,229 0.7×
Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) $1,310 $1,310 0.4×
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) $1,686 $1,686 0.5×
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) $3,093 $3,093 0.9×
Lithotripsy, extracorporeal shock wave Age Under 21 (50590) $2,614 $2,614 0.7×
Long gi tube placement (44500) $2,245 $2,245 2.4×
Lumbar puncture (62270) $1,641 $1,641 2.3×
Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) $915 $915 0.4×
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) $1,335 $1,335 0.8×
Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) $1,348 $1,348 0.8×
Marsupialization bartholin's gland cyst (56440) $1,474 $1,474 0.4×
Mastectomy partial (19301) $2,457 $2,457 0.6×
Mastectomy Partial W/Axillary Lymphadenectomy (19302)
unusually low — confirm this is the full procedure		 $3,202 $3,202 0.5×
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) $3,817 $3,817 0.6×
Mastotomy expl drg absc dp (19020) $1,857 $1,857 1.1×
Meas post-voiding residual urine&/bladder cap (51798) $190 $190 3.2×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Age Under 21 (15738) $3,712 $3,712 1.0×
Myelography via lumbar inject rs&i lumbosacral (62304) $2,856 $2,856 3.6×
Myelography via lumbar injection rs&i 2+ regions (62305) $2,471 $2,471 3.1×
Myelography via lumbar injection rs&i cervical (62302) $2,204 $2,204 2.8×
Myelography via lumbar injection rs&i thoracic (62303) $2,204 $2,204 2.8×
Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) $232 $232 1.0×
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) $545 $545 0.2×
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) $799 $799 3.9×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge — not the full procedure		 $756 $756 0.1×
Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age Under 21 (31255)
likely a partial charge — not the full procedure		 $1,536 $1,536 0.2×
Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Age Under 21 (31257)
likely a partial charge — not the full procedure		 $1,587 $1,587 0.2×
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge — not the full procedure		 $1,936 $1,936 0.3×
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21 (31256) $1,691 $1,691 0.4×
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267)
likely a partial charge — not the full procedure		 $1,217 $1,217 0.2×
Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Age Under 21 (31288)
likely a partial charge — not the full procedure		 $778 $778 0.1×
Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) $983 $983 0.5×
Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) $1,994 $1,994 1.1×
Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl (31253)
likely a partial charge — not the full procedure		 $1,660 $1,660 0.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge — not the full procedure		 $1,489 $1,489 0.2×
Neuroplasty &/transpos median nrv carpal tunne (64721) $4,307 $4,307 2.2×
Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Age Under 21 (19110) $1,286 $1,286 0.3×
Njx cholangio prq w/img gid rs&i existing access (47531) $500 $500 0.1×
Njx cholangio prq w/img gid rs&i new access (47532) $583 $583 0.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $3,978 $3,978 5.5×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $1,642 $1,642 2.3×
Non stress test (59025) $578 $578 2.8×
Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Age Under 21 (58615) $967 $967 0.3×
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Age Under 21 (64581)
unusually low — confirm this is the full procedure		 $2,504 $2,504 0.4×
Open treatment bimalleolar ankle fracture (27814) $4,273 $4,273 0.6×
Open treatment calcaneal fracture (28415)
unusually low — confirm this is the full procedure		 $3,230 $3,230 0.4×
Open Treatment Distal Fracture (25608)
unusually low — confirm this is the full procedure		 $2,814 $2,814 0.4×
Open treatment fracture distal tibia only (27827)
likely a partial charge — not the full procedure		 $3,798 $3,798 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge — not the full procedure		 $1,983 $1,983 0.3×
Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550) $3,765 $3,765 0.5×
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628)
likely a partial charge — not the full procedure		 $2,149 $2,149 0.3×
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515)
unusually low — confirm this is the full procedure		 $3,080 $3,080 0.4×
Open treatment of distal radioulnar dislocation, acute or chronic Age Under 21 (25676)
unusually low — confirm this is the full procedure		 $3,350 $3,350 0.5×
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
unusually low — confirm this is the full procedure		 $2,396 $2,396 0.3×
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge — not the full procedure		 $2,892 $2,892 0.2×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) $6,043 $6,043 0.8×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $6,403 $6,403 0.9×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge — not the full procedure		 $3,615 $3,615 0.3×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
unusually low — confirm this is the full procedure		 $2,925 $2,925 0.4×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828) $7,193 $7,193 0.5×
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248)
unusually low — confirm this is the full procedure		 $2,309 $2,309 0.3×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545)
likely a partial charge — not the full procedure		 $2,808 $2,808 0.2×
Open treatment of nasal fracture; uncomplicated Age Under 21 (21325) $1,366 $1,366 0.4×
Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524)
unusually low — confirm this is the full procedure		 $3,182 $3,182 0.4×
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21 (27784)
likely a partial charge — not the full procedure		 $2,202 $2,202 0.3×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575)
unusually low — confirm this is the full procedure		 $2,905.50 $2,905.50 0.4×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574)
unusually low — confirm this is the full procedure		 $2,974 $2,974 0.4×
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) $5,095 $5,095 0.7×
Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535)
unusually low — confirm this is the full procedure		 $3,370 $3,370 0.5×
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
unusually low — confirm this is the full procedure		 $4,035.50 $4,035.50 0.3×
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
unusually low — confirm this is the full procedure		 $3,225 $3,225 0.4×
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685)
unusually low — confirm this is the full procedure		 $2,699 $2,699 0.4×
Open treatment posterior malleolus fracture (27769)
unusually low — confirm this is the full procedure		 $3,413 $3,413 0.5×
Open treatment radial shaft fracture (25515)
likely a partial charge — not the full procedure		 $2,009 $2,009 0.3×
Open treatment tarsometatarsal joint dislocation (28615)
unusually low — confirm this is the full procedure		 $2,808 $2,808 0.4×
Open tx distal fibular fracture lat malleolus (27792)
unusually low — confirm this is the full procedure		 $3,080 $3,080 0.4×
Open tx distal phalangeal fracture each (26765) $1,479 $1,479 0.4×
Open tx metacarpal fracture single ea bone (26615) $1,770 $1,770 0.5×
Open tx phalangeal shaft fracture prox/middle ea (26735) $2,257 $2,257 0.7×
Open tx prox humeral fx (23615)
unusually low — confirm this is the full procedure		 $4,103 $4,103 0.3×
Orchiectomy, partial Age Under 21 (54522) $1,668 $1,668 0.5×
Orchiectomy, radical, for tumor; inguinal approach Age Under 21 (54530) $1,249 $1,249 0.3×
Orchiectomy, radical, for tumor; with abdominal exploration (54535) $2,460 $2,460 0.7×
Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) $2,425 $2,425 0.7×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) $1,096 $1,096 0.3×
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485)
likely a partial charge — not the full procedure		 $2,875 $2,875 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low — confirm this is the full procedure		 $2,261 $2,261 0.4×
Palate/uvula surgery (42299) $2,337 $2,337 9.7×
Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500)
likely a partial charge — not the full procedure		 $346 $346 0.1×
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) $45 $45 0.2×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) $3,232 $3,232 1.0×
Partial excision distal phalanx finger (26236) $1,363 $1,363 0.8×
Partial hymenectomy or revision of hymenal ring (56700) $671 $671 0.2×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low — confirm this is the full procedure		 $2,189 $2,189 0.4×
Pelvis/hip joint surgery unlisted (27299) $920 $920 3.7×
Penile injection (54235) $787 $787 3.1×
Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) $993 $993 0.3×
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) $7,176 $7,176 1.0×
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $2,771 $2,771 0.8×
Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) $1,140 $1,140 0.3×
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538)
unusually low — confirm this is the full procedure		 $2,925 $2,925 0.4×
Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age… (27756)
likely a partial charge — not the full procedure		 $1,950 $1,950 0.3×
Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) $1,268 $1,268 0.4×
Pericardiocentesis w/img guidance when performed (33016) $765 $765 0.5×
Peritoneal lavage, including imaging guidance, when performed (49084) $2,200 $2,200 2.4×
Perq breast loc device placemt 1st lesio mr guid (19287) $1,100 $1,100 1.5×
Perq dev breast 1st strtctc (19283) $1,437 $1,437 2.0×
Perq dev breast 1st us imag (19285) $476 $476 0.7×
Perq device breast 1st imag (19281) $995 $995 0.6×
Perq drainage pleura insert cath w/imaging (32557) $2,311 $2,311 1.4×
Perq drainage pleura insert cath w/o imaging (32556) $2,901 $2,901 1.5×
Perq replacement gtube not req revj gstrst trc (43762) $224 $224 0.9×
Pf-as amputation leg through tibia & fibula (27880) $4,807 $4,807 0.6×
Pin finger fracture each (26756) $1,290 $1,290 0.4×
Place duod/jej tube perc (49441) $3,056 $3,056 1.6×
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) $517 $517 0.4×
Placement of seton (46020) $840 $840 0.3×
Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) $3,270 $3,270 1.0×
Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) (44300) $4,500 $4,500 2.3×
Plmt nephrostomy cath prq new access rs&i (50432) $4,943 $4,943 2.3×
Plmt nephroureteral cath prq new access rs&i (50433) $1,197 $1,197 0.3×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
likely a partial charge — not the full procedure		 $1,256 $1,256 0.2×
Pr closed treatment sesamoid fracture (28530) $675 $675 2.7×
Preputial stretching (54450) $247 $247 1.0×
Prineoplasty rpr pr nonobal spx (56810) $2,201 $2,201 0.7×
Proctosigmoidoscopy dx (45300) $515 $515 0.5×
Punch biopsy skin single lesion (11104) $443 $443 1.1×
Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) $853.50 $853.50 2.1×
Puncture aspiration of cyst of breast (19000) $1,772 $1,772 2.4×
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater Age Under 21 (25078) $3,486 $3,486 1.2×
Reduction of incarcerated uterus in maternity care and/or delivery (59899) $864 $864 4.2×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) $4,786 $4,786 0.6×
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
likely a partial charge — not the full procedure		 $2,022 $2,022 0.3×
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) $423 $423 0.6×
Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) $427 $427 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $76 $76 1.3×
Removal impacted cerumen requiring instrumentation, unilateral (69210) $195 $195 3.2×
Removal implant deep (20680) $1,677 $1,677 0.6×
Removal implant superficial (20670) $664 $664 0.4×
Removal implantable contraceptive capsules (11976) $543 $543 0.8×
Removal of appendix using an endoscope (44970) $3,676 $3,676 0.6×
Removal of extensive damaged tissue from elbow joint using an endoscope (29838) $2,022 $2,022 0.6×
Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) $831 $831 0.5×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $1,224 $1,224 1.0×
Removal of fluid collection in both testicles and sperm reservoirs (55041) $461 $461 0.1×
Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) $1,198 $1,198 0.3×
Removal of fluid-filled sac (bursa) or calcium deposit of pelvis (27062) $1,424 $1,424 0.4×
Removal of fluid-filled sac from joint at front of knee (27340) $1,286 $1,286 0.4×
Removal of foreign body in muscle or tendon sheath; simple (20520) $456 $456 0.3×
Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) $2,056 $2,056 0.7×
Removal of foreign body, external eye; conjunctival superficial (65205) $298 $298 2.2×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $302 $302 0.7×
Removal of foreign body, foot; deep (28192) $929 $929 0.6×
Removal of granuloma on tm using suction currettage & binocular microscope (69399) $722 $722 3.0×
Removal of iud (58301) $364 $364 1.2×
Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) $1,853 $1,853 0.7×
Removal of nail bed (11750) $1,524 $1,524 3.7×
Removal of peritoneal foreign body from peritoneal cavity Age Under 21 (49402) $2,661 $2,661 0.7×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Age Under 21 (24160) $3,949 $3,949 1.2×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $466 $466 2.3×
Removal of tunneled intraperitoneal catheter (49422) $840 $840 0.3×
Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21 (57287) $2,972 $2,972 0.9×
Removal tunneled cv cath (36590) $815 $815 0.5×
Removal with reinsertion, non-biodegradable drug delivery implant (11983) $540.50 $540.50 1.2×
Removal, non-biodegradable drug delivery implant (11982) $533 $533 1.2×
Remove eyelid foreign body (67938) $891 $891 2.7×
Remove foreign body from eye (65210) $305 $305 0.7×
Remove vaginal foreign body (57415) $471 $471 0.1×
Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) $3,604 $3,604 2.1×
Repair achilles tendon (27650) $3,762 $3,762 0.5×
Repair blood vessel lesion (35226) $2,686 $2,686 3.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,336 $1,336 3.2×
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) $1,675 $1,675 4.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,841 $1,841 4.4×
Repair complex trunk 2.6-7.5 cm (13101) $1,872 $1,872 2.5×
Repair elbow deb/attch open (24359) $3,419 $3,419 1.0×
Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) $2,413 $2,413 0.7×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) $2,087 $2,087 0.6×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) $919 $919 2.2×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) $1,036 $1,036 2.5×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) $1,224 $1,224 2.9×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,558 $1,558 3.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,439 $1,439 1.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $837 $837 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,062 $1,062 2.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,154 $1,154 1.5×
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) $1,041 $1,041 2.5×
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) $1,058 $1,058 2.5×
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) $1,872 $1,872 2.5×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) $1,112 $1,112 2.7×
Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) $1,762 $1,762 0.8×
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) $809 $809 1.8×
Repair of leg tendon each (27658) $2,113 $2,113 0.6×
Repair of nail bed (11760) $1,058 $1,058 1.4×
Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430)
likely a partial charge — not the full procedure		 $3,180 $3,180 0.2×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405)
unusually low — confirm this is the full procedure		 $3,069 $3,069 0.4×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400)
unusually low — confirm this is the full procedure		 $2,433 $2,433 0.3×
Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Age Under 21 (27720) $5,848 $5,848 0.8×
Repair of traumatic corporeal tear(s) Age Under 21 (54437) $2,039 $2,039 0.6×
Repair of tunica vaginalis hydrocele (Bottle type) Age Under 21 (55060) $1,946 $1,946 0.5×
Repair recurrent femoral hernia; incarcerated or strangulated Age Under 21 (49557) $2,109 $2,109 0.6×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521)
unusually low — confirm this is the full procedure		 $2,318 $2,318 0.4×
Repair wrist joints (25447) $5,129 $5,129 1.5×
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) $1,841 $1,841 2.4×
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) $1,858 $1,858 2.5×
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) $1,260 $1,260 3.0×
Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) $1,872 $1,872 2.5×
Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695)
likely a partial charge — not the full procedure		 $1,455 $1,455 0.2×
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698)
likely a partial charge — not the full procedure		 $2,166 $2,166 0.3×
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) $1,473 $1,473 0.4×
Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) $1,231 $1,231 0.4×
Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) $1,545 $1,545 0.4×
Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) $432 $432 1.7×
Repr elbow lat ligmnt w/tiss (24343) $3,769 $3,769 1.1×
Revise ulnar nerve at elbow (64718) $3,798 $3,798 1.9×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) (44314) $2,981 $2,981 0.8×
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
unusually low — confirm this is the full procedure		 $5,656 $5,656 0.4×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $10,606 $10,606 0.8×
Revision of total knee arthroplasty, with or without allograft; 1 component (27486)
unusually low — confirm this is the full procedure		 $4,340 $4,340 0.3×
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487)
unusually low — confirm this is the full procedure		 $5,810 $5,810 0.3×
Revision or removal of peripheral neurostimulator electrode array Age Under 21 (64585) $514 $514 0.1×
Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) $1,082 $1,082 0.3×
RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) $321 $321 2.4×
RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) $374 $374 2.8×
Rmvl nfros tube req fluoro guidance (50389) $4,829 $4,829 6.8×
Rmvl of access device (36589) $1,947.50 $1,947.50 3.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,274 $2,274 0.7×
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure		 $1,837 $1,837 0.3×
Rpr aa hernia 1st < 3 cm reducible (49591) $1,098 $1,098 0.3×
Rpr Ingun Hernia Sliding Any Age (49525) $1,907 $1,907 0.5×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,572 $1,572 2.1×
Rpr Recrt Inguinal Hernia Any Age Reducible (49520) $2,250 $2,250 0.6×
Scrotal exploration Age Under 21 (55110) $1,446 $1,446 0.4×
Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) $3,003 $3,003 0.8×
Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) $2,059 $2,059 0.6×
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) $399 $399 1.0×
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) $409 $409 2.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $418 $418 2.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $416 $416 2.0×
Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) $2,244 $2,244 1.8×
Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) $543 $543 0.6×
Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) $429 $429 0.4×
Simple complete removal of breast|BILATERAL PROCEDURE (19303) $3,649 $3,649 0.5×
Simple partial removal of external female genitals (56620) $693 $693 0.2×
Simple removal of skin debris and drainage of mastoid cavity|BILATERAL PROCEDURE (69220) $265 $265 1.3×
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) $414 $414 2.0×
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) $429 $429 2.1×
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) $504 $504 2.5×
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) $551 $551 2.7×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $931 $931 4.5×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) $414 $414 2.0×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) $784 $784 3.8×
Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) $692 $692 1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $528 $528 2.6×
Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) (51736) $49 $49 0.4×
Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288) $2,812 $2,812 0.6×
Slitting of prepuce (54001) $576 $576 0.3×
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) $457 $457 2.2×
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) $596 $596 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $665 $665 1.6×
Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) $878 $878 0.3×
Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) $2,569 $2,569 1.2×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $8,324 $8,324 1.4×
Surg nasopharyngoscopy dilat eustachian tube uni (69705) $7,924 $7,924 1.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Age Under 21 (46285) $1,720 $1,720 0.6×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) $1,858 $1,858 0.7×
Suture of infrapatellar tendon; primary Age Under 21 (27380) $3,762 $3,762 0.5×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Age Under 21 (27381) $4,224 $4,224 0.6×
Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) $4,343 $4,343 0.6×
Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) $4,056 $4,056 1.0×
Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) $1,161 $1,161 0.7×
Tangential biopsy skin single lesion (11102) $385.50 $385.50 0.9×
Tenodesis long tendon biceps (23430)
unusually low — confirm this is the full procedure		 $2,262 $2,262 0.3×
Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) $636.50 $636.50 1.0×
Thyroidectomy Rmvl Remaining Tiss Flwg Prtl Rmvl|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (60260) $3,243 $3,243 0.5×
Thyroidectomy, including substernal thyroid; cervical approach (60271) $3,740 $3,740 0.6×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $4,137 $4,137 0.7×
Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) $2,176 $2,176 0.6×
Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) $2,398 $2,398 0.7×
Total knee arthroplasty (27447) $12,984 $12,984 1.0×
Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220)
unusually low — confirm this is the full procedure		 $2,016 $2,016 0.3×
Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) $1,402 $1,402 5.8×
Transfusion, blood or blood components (36430) $1,505.50 $1,505.50 3.3×
Transperineal plmt biodegradable matrl 1/mlt njx (55874) $10,830 $10,830 2.0×
Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601)
unusually low — confirm this is the full procedure		 $2,593 $2,593 0.5×
Transurethral resection of bladder neck (separate procedure) Age Under 21 (52500) $1,739 $1,739 0.5×
Transurethral resection; of postoperative bladder neck contracture Age Under 21 (52640) $1,143 $1,143 0.3×
Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative… (52630)
likely a partial charge — not the full procedure		 $1,224 $1,224 0.2×
Treat finger dislocation (26775) $1,130 $1,130 4.0×
Treat fx distal radial (25606) $4,446 $4,446 1.3×
Treat fx rad extra-articul (25607) $4,614 $4,614 0.6×
Treat hip socket fracture (27222) $2,899 $2,899 11.5×
Treat lower leg fracture (27825) $1,482 $1,482 0.9×
Treat radius fracture (24665)
unusually low — confirm this is the full procedure		 $2,600 $2,600 0.4×
Treat thumb fracture (26665) $1,731 $1,731 0.5×
Treat ulnar fracture (24675) $1,409 $1,409 0.9×
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) $1,198 $1,198 0.7×
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) $6,770 $6,770 0.9×
Treatment of ankle fracture (27822) $4,956 $4,956 0.7×
Treatment of bladder lesion (51720) $1,088 $1,088 1.5×
Treatment of broken base of forearm bone on small finger side at wrist (25652)
unusually low — confirm this is the full procedure		 $3,350 $3,350 0.5×
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515)
unusually low — confirm this is the full procedure		 $5,401 $5,401 0.4×
Treatment of closed elbow dislocation; without anesthesia (24600) $1,078 $1,078 4.3×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245) $8,748 $8,748 1.2×
Treatment of miscarriage (59812) $1,211 $1,211 0.4×
Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) $5,843 $5,843 3.6×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $893 $893 3.5×
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759)
likely a partial charge — not the full procedure		 $3,249 $3,249 0.2×
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236) $9,228 $9,228 1.2×
Trurl dstrj prst8 tiss rf wv (53854) $1,242 $1,242 0.3×
Tx superficial wound dehiscence simple closure (12020) $992 $992 1.3×
Tx superficial wound dehiscence w/packing (12021) $584 $584 1.4×
Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age Under… (69610) $1,364 $1,364 0.9×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631)
unusually low — confirm this is the full procedure		 $2,656 $2,656 0.4×
Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) $554 $554 0.3×
Unlisted procedure, liver (47399) $8,336 $8,336 11.5×
Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) $1,068 $1,068 0.3×
Vaginal delivery (59409) $3,556 $3,556 1.1×
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) (58291) $4,452 $4,452 0.9×
Vaginectomy, partial removal of vaginal wall; (57106) $390 $390 0.1×
Vasectomy (55250) $1,278 $1,278 0.6×
Vbac delivery only (59612) $2,798 $2,798 0.8×
Venipuncture (36415) $52 $52 5.6×
Ventilating tube removal requiring general anesthesia (69424) $438 $438 0.1×
Version cephalic external (59412) $287 $287 0.1×
Wedge excision skin nail fold (11765) $500 $500 1.2×