| Application finger splint static (29130) |
$101.50 |
$101.50 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$177 |
$177 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$200 |
$200 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$152 |
$152 |
1.1× |
| Application short leg splint calf foot (29515) |
$173.50 |
$173.50 |
1.1× |
| Arterial puncture (36600) |
$65 |
$65 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$134 |
$134 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$160 |
$160 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$155 |
$155 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$249.50 |
$249.50 |
1.2× |
| Blood transfusion service (36430) |
$111 |
$111 |
0.3× |
| Chest tube placement (32551) |
$450 |
$450 |
0.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$856 |
$856 |
3.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,450.50 |
$1,450.50 |
5.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,040.50 |
$1,040.50 |
4.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$917 |
$917 |
3.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$946 |
$946 |
3.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,589 |
$1,589 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$481 |
$481 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$805.50 |
$805.50 |
3.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$955.50 |
$955.50 |
3.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$274.50 |
$274.50 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$316.50 |
$316.50 |
2.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,053 |
$1,053 |
7.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$81 |
$81 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,194 |
$1,194 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$796 |
$796 |
1.1× |
| Debride skin musc at fx site (11011) |
$852 |
$852 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$175 |
$175 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$444 |
$444 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$648 |
$648 |
0.4× |
| Delivery placenta separate procedure (59414) |
$202 |
$202 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$477.50 |
$477.50 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$462 |
$462 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$203 |
$203 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$91 |
$91 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$307 |
$307 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$318 |
$318 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$307 |
$307 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$336 |
$336 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$430 |
$430 |
0.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$243 |
$243 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$356 |
$356 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$385 |
$385 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$424 |
$424 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$393 |
$393 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$240 |
$240 |
0.1× |
| Excision of nail fold toe (11765) |
$381 |
$381 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$1,667 |
$1,667 |
1.0× |
| I&d abscess simple (10060) |
$336.50 |
$336.50 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$304 |
$304 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$535 |
$535 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$534 |
$534 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$372.50 |
$372.50 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$407.50 |
$407.50 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$176.50 |
$176.50 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$332 |
$332 |
1.1× |
| Injection anes other peripheral nerve/branch (64450) |
$173.50 |
$173.50 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$157 |
$157 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$446 |
$446 |
3.5× |
| Insert Temp Bladder Cath (51702) |
$128.50 |
$128.50 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$131 |
$131 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,154 |
$1,154 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$434 |
$434 |
1.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$600 |
$600 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$400.50 |
$400.50 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$145 |
$145 |
0.3× |
| Puncture Aspiration (10160) |
$329 |
$329 |
0.8× |
| Removal fb intranasal (30300) |
$497.50 |
$497.50 |
3.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$42 |
$42 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$138 |
$138 |
2.3× |
| Removal Implant Deep (20680) |
$1,216 |
$1,216 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$419 |
$419 |
0.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$294 |
$294 |
0.4× |
| Removal of nail bed (11750) |
$297 |
$297 |
0.7× |
| Removal of nose lesion (30124) |
$899 |
$899 |
0.6× |
| Remove drug implant device (11982) |
$272.50 |
$272.50 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$246.50 |
$246.50 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$77 |
$77 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$701 |
$701 |
1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,181 |
$1,181 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,141 |
$1,141 |
2.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$549 |
$549 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$791.50 |
$791.50 |
1.9× |
| Repair Tongue Laceration (41250) |
$642 |
$642 |
1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$147 |
$147 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$198 |
$198 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$244 |
$244 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$254.50 |
$254.50 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$317.50 |
$317.50 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$387 |
$387 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$202 |
$202 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$296.50 |
$296.50 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$250 |
$250 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$395.50 |
$395.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$470 |
$470 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$961 |
$961 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$887 |
$887 |
1.2× |
| Venipuncture (36415) |
$25 |
$25 |
2.7× |