| Application Finger Splint Dynamic (29131) |
$173.40 |
$289 |
3.4× |
| Application finger splint static (29130) |
$179.40 |
$299 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$307.20 |
$512 |
2.2× |
| Application long leg splint thigh ankle/toes (29505) |
$252.60 |
$421 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$268.20 |
$447 |
2.3× |
| Application short leg splint calf foot (29515) |
$246 |
$410 |
1.7× |
| Arterial puncture (36600) |
$83.40 |
$139 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$201 |
$335 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$247.80 |
$413 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$190.80 |
$318 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$210.60 |
$351 |
1.2× |
| Bladder Irrigation Simple (51700) |
$202.80 |
$338 |
0.9× |
| Bladder Scan (51798) |
$72.90 |
$121.50 |
1.4× |
| Blood transfusion service (36430) |
$671.40 |
$1,119 |
1.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$266.40 |
$444 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$125.40 |
$209 |
0.6× |
| Chest tube placement (32551) |
$915 |
$1,525 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$191.40 |
$319 |
0.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$576.60 |
$961 |
2.7× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$228.60 |
$381 |
1.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$108.60 |
$181 |
0.5× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$108.60 |
$181 |
0.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$150 |
$250 |
0.7× |
| Closed tx scapular fracture w/o manipulation (23570) |
$108.60 |
$181 |
0.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$119.40 |
$199 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$240.60 |
$401 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$270.60 |
$451 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$316.20 |
$527 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$313.80 |
$523 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$645 |
$1,075 |
0.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$110.40 |
$184 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$108.60 |
$181 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$108.60 |
$181 |
0.5× |
| Cltx greater trochanteric fx w/o manj (27246) |
$238.80 |
$398 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$166.80 |
$278 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$289.80 |
$483 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$111.60 |
$186 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$299.40 |
$499 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$182.40 |
$304 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$132 |
$220 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$147 |
$245 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$204.60 |
$341 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$147.60 |
$246 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$54.60 |
$91 |
0.5× |
| Debride nail 1-5 (11720) |
$61.20 |
$102 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$394.80 |
$658 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$287.40 |
$479 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$410.40 |
$684 |
2.3× |
| Drainage of gum lesion (41800) |
$120 |
$200 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,587.60 |
$2,646 |
1.1× |
| Draw blood off venous device (36591) |
$147.60 |
$246 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$210.60 |
$351 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$210.60 |
$351 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$97.80 |
$163 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$338.40 |
$564 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,160.40 |
$1,934 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$336 |
$560 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$229.80 |
$383 |
1.2× |
| I&d abscess simple (10060) |
$375 |
$625 |
2.1× |
| I&d pilonidal cyst simple (10080) |
$687 |
$1,145 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$434.40 |
$724 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$111 |
$185 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$258.60 |
$431 |
1.0× |
| Incision of rectal abscess (46040) |
$1,276.80 |
$2,128 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$84 |
$140 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$277.20 |
$462 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$510 |
$850 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$1,731.60 |
$2,886 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,524 |
$2,540 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$146.40 |
$244 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$315 |
$525 |
1.5× |
| Irrigate corpora cavernosa for priapism (54220) |
$125.40 |
$209 |
0.6× |
| Nfct ds 22 trgt sars-cov-2 (0223U) |
$543 |
$905 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$211.20 |
$352 |
1.0× |
| Puncture Aspiration (10160) |
$441.60 |
$736 |
1.2× |
| Reduction of rectal prolapse (45900) |
$955.80 |
$1,593 |
1.2× |
| Removal fb intranasal (30300) |
$188.40 |
$314 |
1.6× |
| Removal foreign body foot deep (28192) |
$1,462.80 |
$2,438 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$819 |
$1,365 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$655.20 |
$1,092 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$61.80 |
$103 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$61.80 |
$103 |
1.2× |
| Removal of nail bed (11750) |
$394.80 |
$658 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$147 |
$245 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$285 |
$475 |
2.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$222 |
$370 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$277.80 |
$463 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$364.20 |
$607 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$504 |
$840 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$600 |
$1,000 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$654 |
$1,090 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$466.20 |
$777 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$619.80 |
$1,033 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$666.60 |
$1,111 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$573.60 |
$956 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$368.40 |
$614 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$466.20 |
$777 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$494.40 |
$824 |
1.4× |
| Repair of nail bed (11760) |
$278.40 |
$464 |
0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$142.20 |
$237 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$180.60 |
$301 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$105 |
$175 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$717.60 |
$1,196 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$559.80 |
$933 |
1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$242.40 |
$404 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$254.40 |
$424 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$327 |
$545 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$412.20 |
$687 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$232.80 |
$388 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$215.40 |
$359 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$379.20 |
$632 |
2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$306 |
$510 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$492 |
$820 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$202.20 |
$337 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$861.60 |
$1,436 |
1.4× |
| Strapping ankle (29540) |
$210 |
$350 |
1.5× |
| Strapping toes (29550) |
$81.60 |
$136 |
1.6× |
| Treat Fracture Radius & Ulna (25560) |
$234 |
$390 |
1.1× |
| Treat humerus fracture (24500) |
$192 |
$320 |
0.9× |
| Treat humerus fracture (23600) |
$192 |
$320 |
0.9× |
| Vaginal delivery only (59409) |
$1,323.60 |
$2,206 |
0.5× |