| Application long arm splint shoulder hand (29105) |
$215.54 |
$862.16 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$215.54 |
$862.16 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$201.50 |
$806 |
1.6× |
| Application short leg splint calf foot (29515) |
$215.54 |
$862.16 |
1.4× |
| Arterial puncture (36600) |
$204.33 |
$817.33 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$468 |
$1,872 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$215.54 |
$862.16 |
1.1× |
| Bladder Scan (51798) |
$202.54 |
$810.16 |
3.5× |
| Blood transfusion service (36430) |
$470.34 |
$1,881.36 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$500.76 |
$2,003.04 |
2.1× |
| Chest tube placement (32551) |
$562.90 |
$2,251.60 |
0.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$645.32 |
$2,581.28 |
0.4× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$593.58 |
$2,374.32 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$593.58 |
$2,374.32 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$500.76 |
$2,003.04 |
2.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$500.76 |
$2,003.04 |
2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$500.76 |
$2,003.04 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,632.24 |
$10,528.96 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$215.54 |
$862.16 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$215.54 |
$862.16 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$215.54 |
$862.16 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$500.76 |
$2,003.04 |
2.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$593.58 |
$2,374.32 |
0.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$593.58 |
$2,374.32 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$201.50 |
$806 |
1.6× |
| Drainage Finger Abscess Simple (26010) |
$215.54 |
$862.16 |
1.1× |
| Drainage of gum lesion (41800) |
$500.76 |
$2,003.04 |
3.9× |
| Drainage of hematoma/fluid (10140) |
$599.82 |
$2,399.28 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$599.82 |
$2,399.28 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$500.76 |
$2,003.04 |
2.6× |
| Evacuation of subungual hematoma (11740) |
$215.54 |
$862.16 |
1.7× |
| Excision of nail fold toe (11765) |
$189.54 |
$758.16 |
0.5× |
| I&d abscess simple (10060) |
$215.54 |
$862.16 |
1.1× |
| I&d perianal abscess superficial (46050) |
$500.76 |
$2,003.04 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$390.26 |
$1,561.04 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$500.76 |
$2,003.04 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$213.72 |
$854.88 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$645.32 |
$2,581.28 |
2.2× |
| Incision thrombosed hemorrhoid external (46083) |
$500.76 |
$2,003.04 |
2.1× |
| Initial tx 1st degree burn local tx (16000) |
$215.54 |
$862.16 |
1.1× |
| Injection anes other peripheral nerve/branch (64450) |
$500.76 |
$2,003.04 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$500.76 |
$2,003.04 |
1.7× |
| Insert non-tunnel cv cath (36556) |
$1,317.68 |
$5,270.72 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$202.54 |
$810.16 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$202.54 |
$810.16 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$606.84 |
$2,427.36 |
2.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$325.26 |
$1,301.04 |
0.8× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$202.54 |
$810.16 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$500.76 |
$2,003.04 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$215.54 |
$862.16 |
0.5× |
| Puncture Aspiration (10160) |
$215.54 |
$862.16 |
0.5× |
| Removal fb intranasal (30300) |
$215.54 |
$862.16 |
1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$230.10 |
$920.40 |
4.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$201.50 |
$806 |
3.5× |
| Remv Ext Canal Foreign Body (69200) |
$215.54 |
$862.16 |
1.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$215.54 |
$862.16 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,632.24 |
$10,528.96 |
6.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$215.54 |
$862.16 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$645.32 |
$2,581.28 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$215.54 |
$862.16 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$215.54 |
$862.16 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$645.32 |
$2,581.28 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$645.32 |
$2,581.28 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$215.54 |
$862.16 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$645.32 |
$2,581.28 |
1.6× |
| Repair of nail bed (11760) |
$223.08 |
$892.32 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$215.54 |
$862.16 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$215.54 |
$862.16 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$202.54 |
$810.16 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$215.54 |
$862.16 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$215.54 |
$862.16 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$215.54 |
$862.16 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$202.54 |
$810.16 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$215.54 |
$862.16 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$215.54 |
$862.16 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$645.32 |
$2,581.28 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$645.32 |
$2,581.28 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$696.54 |
$2,786.16 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$500.76 |
$2,003.04 |
2.1× |
| Venipuncture (36415) |
$6.50 |
$26 |
0.7× |