| Application cast elbow finger short arm (29075) |
$151 |
$302 |
0.5× |
| Application Cast Finger (29086) |
$111 |
$222 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$151 |
$302 |
0.5× |
| Application Finger Splint Dynamic (29131) |
$130.50 |
$261 |
2.2× |
| Application finger splint static (29130) |
$83.50 |
$167 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$297 |
$594 |
1.8× |
| Application long leg splint thigh ankle/toes (29505) |
$98.50 |
$197 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$123.50 |
$247 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$125.50 |
$251 |
0.9× |
| Application short leg splint calf foot (29515) |
$98.50 |
$197 |
0.6× |
| Apply short leg cast (29405) |
$154.50 |
$309 |
0.5× |
| Arterial puncture (36600) |
$38 |
$76 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$481.50 |
$963 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$712.50 |
$1,425 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$389 |
$778 |
1.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,236 |
$2,472 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$154.50 |
$309 |
0.8× |
| Bladder Irrigation Simple (51700) |
$217.50 |
$435 |
0.9× |
| Bladder Scan (51798) |
$237 |
$474 |
4.0× |
| Blood transfusion service (36430) |
$383 |
$766 |
0.9× |
| Canthotomy Separate Procedure (67715) |
$1,324 |
$2,648 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$360.50 |
$721 |
1.6× |
| Chest tube placement (32551) |
$548.50 |
$1,097 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$97.50 |
$195 |
0.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$518.50 |
$1,037 |
2.1× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,961 |
$3,922 |
1.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$634.50 |
$1,269 |
2.5× |
| Closed Rx Med Malleolus Fx (27760) |
$617 |
$1,234 |
2.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,098.50 |
$2,197 |
0.7× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,098.50 |
$2,197 |
0.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$716 |
$1,432 |
2.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$695.50 |
$1,391 |
2.8× |
| Closed Rx Trimalleolar Fx (27816) |
$584 |
$1,168 |
2.3× |
| Closed Treat Vert Body Fract (22310) |
$723.50 |
$1,447 |
2.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$695.50 |
$1,391 |
2.8× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$383.50 |
$767 |
1.5× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$462 |
$924 |
1.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$347.50 |
$695 |
1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$538 |
$1,076 |
2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$695.50 |
$1,391 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$478 |
$956 |
1.9× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$1,230 |
$2,460 |
4.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$518.50 |
$1,037 |
2.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,037.50 |
$2,075 |
0.7× |
| Closed tx patellar fracture w/o manipulation (27520) |
$569 |
$1,138 |
2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$414 |
$828 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$347.50 |
$695 |
1.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$426 |
$852 |
1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,230 |
$2,460 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$426 |
$852 |
1.7× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$554 |
$1,108 |
2.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$548.50 |
$1,097 |
2.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$568.50 |
$1,137 |
2.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$887.50 |
$1,775 |
3.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,245.50 |
$2,491 |
5.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$568.50 |
$1,137 |
2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$569 |
$1,138 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$531.50 |
$1,063 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$548.50 |
$1,097 |
0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,700 |
$3,400 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$420.50 |
$841 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$347.50 |
$695 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$350 |
$700 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$347.50 |
$695 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,245.50 |
$2,491 |
5.0× |
| Cltx greater trochanteric fx w/o manj (27246) |
$625 |
$1,250 |
2.5× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$802.50 |
$1,605 |
0.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,846 |
$3,692 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$382 |
$764 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$356 |
$712 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$518.50 |
$1,037 |
2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$347.50 |
$695 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$569 |
$1,138 |
2.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$382 |
$764 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$347.50 |
$695 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$497 |
$994 |
2.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,343 |
$4,686 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$518.50 |
$1,037 |
2.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$818 |
$1,636 |
3.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$368 |
$736 |
2.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$184 |
$368 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$382 |
$764 |
2.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$208.50 |
$417 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$481 |
$962 |
1.2× |
| Declot vascular device (36593) |
$171.50 |
$343 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,773 |
$3,546 |
1.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$174 |
$348 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$1,017 |
$2,034 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$548.50 |
$1,097 |
2.7× |
| Drainage mouth roof lesion (42000) |
$414 |
$828 |
1.7× |
| Drainage of gum lesion (41800) |
$174 |
$348 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$767 |
$1,534 |
0.5× |
| Draw blood off venous device (36591) |
$120 |
$240 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$315 |
$630 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$416 |
$832 |
2.0× |
| Escharotomy initial incision (16035) |
$600 |
$1,200 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$47.50 |
$95 |
0.4× |
| Excision of nail fold toe (11765) |
$202.50 |
$405 |
0.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,484.50 |
$2,969 |
2.1× |
| Fluid pressure muscle (20950) |
$785 |
$1,570 |
1.1× |
| Fluoro exam of g/colon tube (49465) |
$130 |
$260 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$382 |
$764 |
1.7× |
| I&d abscess simple (10060) |
$203.25 |
$406.50 |
1.0× |
| I&d perianal abscess superficial (46050) |
$763.50 |
$1,527 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$174 |
$348 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$604 |
$1,208 |
1.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$518.50 |
$1,037 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$587.50 |
$1,175 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$382 |
$764 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$548.50 |
$1,097 |
1.8× |
| Incision of rectal abscess (46040) |
$1,037.50 |
$2,075 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$89 |
$178 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$191 |
$382 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$548.50 |
$1,097 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$420 |
$840 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$572 |
$1,144 |
1.8× |
| Insert Bladder Cath Complex (51703) |
$139.50 |
$279 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$1,827 |
$3,654 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$97.50 |
$195 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$121 |
$242 |
0.9× |
| Intraoral i&d tongue/floor masticator space (41009) |
$1,914.50 |
$3,829 |
3.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,230 |
$2,460 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$790.50 |
$1,581 |
3.3× |
| Irrigate corpora cavernosa for priapism (54220) |
$414 |
$828 |
1.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,088 |
$6,176 |
1.7× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$4,092.50 |
$8,185 |
2.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$363 |
$726 |
0.9× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$4,676 |
$9,352 |
2.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$674.50 |
$1,349 |
2.7× |
| Pericardiocentesis W/Imaging (33016) |
$707 |
$1,414 |
0.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$524.50 |
$1,049 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$483.50 |
$967 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$184 |
$368 |
0.4× |
| Puncture Aspiration (10160) |
$206.50 |
$413 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$308 |
$616 |
0.4× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$1,533.50 |
$3,067 |
2.1× |
| Removal fb intranasal (30300) |
$184 |
$368 |
1.4× |
| Removal foreign body foot subcutaneous (28190) |
$569 |
$1,138 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$518.50 |
$1,037 |
0.3× |
| Removal foreign body pharynx (42809) |
$412 |
$824 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$98.50 |
$197 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$54 |
$108 |
0.9× |
| Removal of intrauterine device (iud) (58301) |
$156 |
$312 |
0.5× |
| Removal of nail bed (11750) |
$1,231.50 |
$2,463 |
3.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$104.50 |
$209 |
0.4× |
| Remove drug implant device (11982) |
$1,100.50 |
$2,201 |
2.4× |
| Remv Ext Canal Foreign Body (69200) |
$184 |
$368 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$208.50 |
$417 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$617 |
$1,234 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$518.50 |
$1,037 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$548.50 |
$1,097 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$548.50 |
$1,097 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$569 |
$1,138 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$737 |
$1,474 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$625.50 |
$1,251 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$679 |
$1,358 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,103.50 |
$2,207 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$414 |
$828 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$604 |
$1,208 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$604 |
$1,208 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$570.50 |
$1,141 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$679 |
$1,358 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$625.50 |
$1,251 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$604 |
$1,208 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$604 |
$1,208 |
1.5× |
| Repair of eye wound (65286) |
$1,688.50 |
$3,377 |
0.7× |
| Replace g/c tube perc (49450) |
$1,098.50 |
$2,197 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$128.50 |
$257 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$104 |
$208 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,259 |
$2,518 |
0.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,178 |
$2,356 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$570.50 |
$1,141 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$440 |
$880 |
2.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$604 |
$1,208 |
3.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$382 |
$764 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$604 |
$1,208 |
3.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$604 |
$1,208 |
3.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$604 |
$1,208 |
3.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$604 |
$1,208 |
3.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$604 |
$1,208 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$604 |
$1,208 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$712.50 |
$1,425 |
1.0× |
| Strapping elbow/wrist (29260) |
$196.50 |
$393 |
3.3× |
| Strapping toes (29550) |
$41 |
$82 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,009.50 |
$2,019 |
1.6× |
| Thrombolytic Therapy, Stroke (37195) |
$683 |
$1,366 |
2.0× |
| Trach Tube Change (31502) |
$106 |
$212 |
0.4× |
| Treat Fracture Radius & Ulna (25560) |
$518.50 |
$1,037 |
2.1× |
| Treat humerus fracture (23600) |
$518.50 |
$1,037 |
2.1× |
| Treat wrist bone fracture (25622) |
$617 |
$1,234 |
2.5× |
| Treat Wrist Bone Fracture (25630) |
$428.50 |
$857 |
1.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$681.50 |
$1,363 |
2.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,511 |
$5,022 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$518.50 |
$1,037 |
0.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$414 |
$828 |
0.4× |
| Vaginal delivery only (59409) |
$3,541 |
$7,082 |
1.1× |
| Venipuncture (36415) |
$5 |
$10 |
0.5× |