| Abd paracentesis w/imaging (49083) |
$1,252.80 |
$2,088 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,148.40 |
$1,914 |
1.3× |
| Application finger splint static (29130) |
$188.40 |
$314 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$199.20 |
$332 |
1.3× |
| Application Long Leg Splint (29505) |
$198 |
$330 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$188.40 |
$314 |
1.5× |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
$188.40–$376.20 |
$314–$627 |
varies |
Arterial puncture (36600)
range across 2 matching MRF lines |
$71.40–$133.80 |
$119–$223 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$318.60 |
$531 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$512.40 |
$854 |
1.8× |
| Aspirate pleura w/ imaging (32555) |
$1,608 |
$2,680 |
2.7× |
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines |
$889.20–$1,777.80 |
$1,482–$2,963 |
varies |
| Avulsion nail plate partial/complete simple 1 (11730) |
$260.40 |
$434 |
1.4× |
| Bladder Irrigation (51700) |
$364.80 |
$608 |
1.6× |
| Bladder Scan (51798) |
$50.40 |
$84 |
0.9× |
| Blepharotomy drainage abscess eyelid (67700) |
$349.20 |
$582 |
1.2× |
| Blood Transfusion Service (36430) |
$1,074.60 |
$1,791 |
2.6× |
| Bone Marrow; Aspiration Only (38220) |
$118.20 |
$197 |
0.1× |
| Chest tube placement (32551) |
$1,676.40 |
$2,794 |
1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,475.20 |
$5,792 |
2.3× |
| Clear outer ear canal (69200) |
$87.60 |
$146 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$264 |
$440 |
1.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$583.20 |
$972 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,475.20 |
$5,792 |
2.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,835.60 |
$4,726 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$264 |
$440 |
1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$918.60 |
$1,531 |
0.6× |
| Closed tx septal&nose fx (21337) |
$2,835.60 |
$4,726 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,593.80 |
$4,323 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$264 |
$440 |
1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$264 |
$440 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,976.40 |
$3,294 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$264 |
$440 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,475.20 |
$5,792 |
2.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,593.80 |
$4,323 |
1.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$2,593.80 |
$4,323 |
9.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,593.80 |
$4,323 |
9.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$264 |
$440 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$264 |
$440 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,475.20 |
$5,792 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$264 |
$440 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$918.60 |
$1,531 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$918.60 |
$1,531 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$178.80 |
$298 |
1.4× |
| 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× |
| Drain Cerebro Spinal Fluid (62272) |
$917.40 |
$1,529 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$864 |
$1,440 |
1.3× |
| Drainage of finger abscess simple (26010) |
$278.40 |
$464 |
1.5× |
| Draw Blood Off Venous Device (36591) |
$178.80 |
$298 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$426.60 |
$711 |
1.1× |
| 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× |
| Fna bx w/us gdn 1st les (10005) |
$933 |
$1,555 |
1.4× |
| I&d abscess simple (10060) |
$316.20 |
$527 |
1.7× |
| I&d perianal abscess superficial (46050) |
$1,156.80 |
$1,928 |
1.3× |
| I&d pilonidal cyst complicated (10081) |
$2,130 |
$3,550 |
3.2× |
| I&d pilonidal cyst simple (10080) |
$234 |
$390 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$524.40 |
$874 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,209.60 |
$2,016 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$553.80 |
$923 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$333 |
$555 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$394.80 |
$658 |
1.4× |
| Incision of rectal abscess (46040) |
$1,378.80 |
$2,298 |
1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$164.40 |
$274 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$304.20 |
$507 |
2.5× |
| Insert non-tunnel cv cath (36556) |
$2,385 |
$3,975 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$159 |
$265 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$102 |
$170 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,497.80 |
$4,163 |
1.7× |
| 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) |
$4,428 |
$7,380 |
1.4× |
| Pin Finger Dislocation (26776) |
$4,428 |
$7,380 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$397.80 |
$663 |
0.9× |
| Removal Foreign Body Foot Complicated (28193) |
$1,954.80 |
$3,258 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$864 |
$1,440 |
1.3× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
$105.60–$211.20 |
$176–$352 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines |
$110.40–$221.40 |
$184–$369 |
varies |
| Remove foreign body from eye (65235) |
$2,508.60 |
$4,181 |
1.2× |
| Remove foreign body from eye (65205) |
$262.80 |
$438 |
2.1× |
| Remove Nasal Foreign Body (30300) |
$315.60 |
$526 |
2.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$847.20 |
$1,412 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$847.20 |
$1,412 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$255.60 |
$426 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$255.60 |
$426 |
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) |
$279.60 |
$466 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$322.80 |
$538 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$276.60 |
$461 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$841.80 |
$1,403 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$255.60 |
$426 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$255.60 |
$426 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$621 |
$1,035 |
0.3× |
| 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× |
| Rplc Gtube No Revj Trc (43762) |
$378 |
$630 |
1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$276.60 |
$461 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$276.60 |
$461 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$364.80 |
$608 |
1.9× |
| 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) |
$364.80 |
$608 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276.60 |
$461 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$316.80 |
$528 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$276.60 |
$461 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$276.60 |
$461 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$918.60 |
$1,531 |
1.4× |
| Strapping shoulder (29240) |
$188.40 |
$314 |
1.5× |
| Strapping Unna Boot (29580) |
$169.20 |
$282 |
1.1× |
| Treat Knee Fracture(S) (27538) |
$172.80 |
$288 |
0.7× |
| Treat Metatarsal Fracture (28475) |
$264 |
$440 |
1.1× |
| Treat Tail Bone Fracture (27200) |
$259.80 |
$433 |
1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,593.80 |
$4,323 |
1.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$264 |
$440 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$391.20 |
$652 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$725.40 |
$1,209 |
1.0× |
| Vaginal delivery only (59409) |
$3,384.60 |
$5,641 |
1.1× |