| Abd paracentesis w/imaging (49083) |
$672 |
$840 |
0.7× |
| Aspirate Pleura W/O Imaging (32554) |
$511.20 |
$639 |
0.8× |
| Blood Transfusion Service (36430) |
$466.40 |
$583 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$963.20 |
$1,204 |
3.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$472.80 |
$591 |
0.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$600 |
$750 |
2.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$438.40 |
$548 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$518.40 |
$648 |
2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$424 |
$530 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$777.60 |
$972 |
0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$564 |
$705 |
2.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$584 |
$730 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$611.20 |
$764 |
2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,111.20 |
$1,389 |
0.7× |
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines |
$390.40–$917.60 |
$488–$1,147 |
varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$993.60 |
$1,242 |
4.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$357.60 |
$447 |
1.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$694.40 |
$868 |
2.8× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$465.60 |
$582 |
1.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$584 |
$730 |
2.3× |
| Collection of venous blood by venipuncture (36415) |
$13.60 |
$17 |
1.5× |
| Fetal non-stress test (59025) |
$168 |
$210 |
0.8× |
| I&d abscess simple (10060) |
$370.40 |
$463 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$535.20 |
$669 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$388.80 |
$486 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$207.20 |
$259 |
1.5× |
| Remove foreign body from eye (65205) |
$195.20 |
$244 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$416.80 |
$521 |
3.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$764.80 |
$956 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$556 |
$695 |
1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$725.60 |
$907 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$452.80 |
$566 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$556 |
$695 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$693.60 |
$867 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$388.80 |
$486 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$195.20 |
$244 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$624.80 |
$781 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$437.60 |
$547 |
2.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$397.60 |
$497 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$407.20 |
$509 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$364.80 |
$456 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$428.80 |
$536 |
2.1× |
| Treat humerus fracture (23600) |
$636 |
$795 |
2.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$417.60 |
$522 |
1.7× |