| Application finger splint static (29130) |
$189 |
$315 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$184.20 |
$307 |
1.2× |
| Application Long Leg Splint (29505) |
$184.20 |
$307 |
1.2× |
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines |
$217.20–$435.60 |
$362–$726 |
varies |
| Application short leg splint calf foot (29515) |
$184.20 |
$307 |
1.2× |
| Apply Short Leg Cast (29405) |
$415.80 |
$693 |
1.6× |
| Arterial puncture (36600) |
$130.20 |
$217 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$398.40 |
$664 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$361.80 |
$603 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$273 |
$455 |
1.5× |
| Bladder Irrigation (51700) |
$316.80 |
$528 |
1.4× |
| Bladder Scan (51798) |
$104.40 |
$174 |
1.9× |
| Blood Transfusion Service (36430) |
$603 |
$1,005 |
1.5× |
| Bone Marrow; Aspiration Only (38220) |
$813 |
$1,355 |
0.5× |
| Chest tube placement (32551) |
$1,660.80 |
$2,768 |
1.1× |
| Clear outer ear canal (69200) |
$193.20 |
$322 |
1.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$259.80 |
$433 |
1.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,835.60 |
$4,726 |
1.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$901.20 |
$1,502 |
0.6× |
| Closed tx septal&nose fx (21337) |
$2,835.60 |
$4,726 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$291.60 |
$486 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,545.20 |
$4,242 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$259.80 |
$433 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$259.80 |
$433 |
1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$259.80 |
$433 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,976.40 |
$3,294 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$259.80 |
$433 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,545.20 |
$4,242 |
9.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$259.80 |
$433 |
1.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,409.80 |
$5,683 |
2.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,409.80 |
$5,683 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$259.80 |
$433 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$901.20 |
$1,502 |
0.6× |
| Collection of venous blood by venipuncture (36415) |
$22.80 |
$38 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$252.60 |
$421 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$252.60 |
$421 |
2.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,130 |
$3,550 |
1.4× |
| Drainage of finger abscess simple (26010) |
$278.40 |
$464 |
1.5× |
| Drainage of gum lesion (41800) |
$264.60 |
$441 |
2.1× |
| Draw Blood Off Venous Device (36591) |
$178.80 |
$298 |
1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$243.60 |
$406 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$234 |
$390 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199.20 |
$332 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$126 |
$210 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$1,355.40 |
$2,259 |
0.3× |
| I&d abscess simple (10060) |
$260.40 |
$434 |
1.4× |
| I&d pilonidal cyst complicated (10081) |
$2,130 |
$3,550 |
3.2× |
| Incise external hemorrhoid (46083) |
$374.40 |
$624 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$519 |
$865 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,958.60 |
$4,931 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$565.80 |
$943 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$333 |
$555 |
1.8× |
| Incision of rectal abscess (46040) |
$3,991.20 |
$6,652 |
3.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$164.40 |
$274 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$433.20 |
$722 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$201.60 |
$336 |
1.7× |
| Insert cath pleura w/ image (32557) |
$1,953.60 |
$3,256 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$1,615.80 |
$2,693 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$202.20 |
$337 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$202.20 |
$337 |
1.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,759.20 |
$2,932 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$730.80 |
$1,218 |
3.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$33.60 |
$56 |
1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$33.60 |
$56 |
1.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,346.40 |
$7,244 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$367.20 |
$612 |
0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$272.40 |
$454 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,390.20 |
$2,317 |
2.1× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
$105–$210.60 |
$175–$351 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines |
$110.40–$221.40 |
$184–$369 |
varies |
| Removal or bivalving full arm or full leg cast (29705) |
$328.80 |
$548 |
1.3× |
| Remove foreign body from eye (65205) |
$247.20 |
$412 |
2.0× |
| Remove Nasal Foreign Body (30300) |
$193.20 |
$322 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$407.40 |
$679 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$276.60 |
$461 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$276.60 |
$461 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$276.60 |
$461 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$276.60 |
$461 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$276.60 |
$461 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$276.60 |
$461 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$276.60 |
$461 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$276.60 |
$461 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.80 |
$548 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$247.20 |
$412 |
0.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$153.60 |
$256 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$276.60 |
$461 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$276.60 |
$461 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$276.60 |
$461 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$276.60 |
$461 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276.60 |
$461 |
1.5× |
| Skin Tissue Procedure (17999) |
$249.60 |
$416 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$276.60 |
$461 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$276.60 |
$461 |
0.7× |
| Strapping shoulder (29240) |
$184.20 |
$307 |
1.5× |
| Treat Metatarsal Fracture (28475) |
$259.80 |
$433 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$259.80 |
$433 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$391.20 |
$652 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$760.80 |
$1,268 |
1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$259.80 |
$433 |
0.2× |
| Vaginal delivery only (59409) |
$3,384.60 |
$5,641 |
1.1× |