| Application long arm splint shoulder hand (29105) |
$202.73 |
$209 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$221.16 |
$228 |
1.6× |
| Application short leg splint calf foot (29515) |
$210.49 |
$217 |
1.3× |
Bladder Irrigation (51700) range across 2 matching MRF lines |
$359.87–$441.35 |
$371–$455 |
varies |
Bladder Scan (51798) range across 2 matching MRF lines |
$205.64–$219.22 |
$212–$226 |
varies |
| Blood Transfusion Service (36430) |
$499.55 |
$515 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$248.32 |
$256 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$321.07 |
$331 |
1.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$353.08 |
$364 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$353.08 |
$364 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$670.27 |
$691 |
2.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$335.62 |
$346 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$353.08 |
$364 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$353.08 |
$364 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,593.71 |
$1,643 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$337.56 |
$348 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$319.13 |
$329 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$476.27 |
$491 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$321.07 |
$331 |
1.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$335.62 |
$346 |
1.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$150.35 |
$155 |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$60.14 |
$62 |
6.4× |
| Colonoscopy w/ablation (45388) |
$987.46 |
$1,018 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$485.97 |
$501 |
3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$462.69 |
$477 |
3.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$462.69 |
$477 |
3.4× |
| Draw Blood Off Venous Device (36591) |
$158.11 |
$163 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$420.01 |
$433 |
2.0× |
| Egd remove lesion snare (43251) |
$464.63 |
$479 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$155.20 |
$160 |
1.1× |
| I&d abscess simple (10060) |
$308.46 |
$318 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,565.58 |
$1,614 |
3.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$359.87 |
$371 |
1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$399.64 |
$412 |
1.9× |
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$147.44–$158.11 |
$152–$163 |
varies |
Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$317.19–$337.56 |
$327–$348 |
varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$39.77 |
$41 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$39.77 |
$41 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,051.48 |
$1,084 |
2.5× |
| Punch biopsy skin single lesion (11104) |
$588.79 |
$607 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$310.40 |
$320 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$488.88 |
$504 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$748.84 |
$772 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$465.60 |
$480 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$321.07 |
$331 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$420.98 |
$434 |
2.1× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$362.78–$381.21 |
$374–$393 |
varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$321.07 |
$331 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$321.07 |
$331 |
1.6× |
| Treat humerus fracture (24500) |
$319.13 |
$329 |
1.3× |
| Treat humerus fracture (23600) |
$335.62 |
$346 |
1.3× |
| Vaginal delivery only (59409) |
$3,247.56 |
$3,348 |
1.0× |