| Abd paracentesis w/imaging (49083) |
$1,358.30 |
$1,358.30 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$743.14 |
$743.14 |
0.8× |
| Application finger splint static (29130) |
$203.92 |
$203.92 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$354.47 |
$354.47 |
2.1× |
| Application Long Leg Splint (29505) |
$403.96 |
$403.96 |
2.4× |
| Application short arm splint forearm-hand static (29125) |
$304.05 |
$304.05 |
2.2× |
| Application short leg splint calf foot (29515) |
$299 |
$299 |
1.8× |
| Arterial puncture (36600) |
$130 |
$130 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$234.59 |
$234.59 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$302.49 |
$302.49 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$296.12 |
$296.12 |
1.4× |
| Bladder Scan (51798) |
$221 |
$221 |
3.7× |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
$1,177–$1,297.36 |
$1,177–$1,297.36 |
varies |
| Change of Windpipe Airway (31502) |
$294.85 |
$294.85 |
1.2× |
| Chest tube placement (32551) |
$1,188.88 |
$1,188.88 |
0.7× |
| Clear outer ear canal (69200) |
$392.44 |
$392.44 |
2.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$2,128.35 |
$2,128.35 |
8.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$812.02 |
$812.02 |
3.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,567.60 |
$1,567.60 |
6.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,379 |
$1,379 |
5.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$537.61 |
$537.61 |
2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,760.75 |
$1,760.75 |
7.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,231 |
$1,231 |
4.9× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$37–$41.50 |
$37–$41.50 |
varies |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$387 |
$387 |
2.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$752 |
$752 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$356–$401.06 |
$356–$401.06 |
varies |
| Drainage of hematoma/fluid (10140) |
$548.19 |
$548.19 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$802.23 |
$802.23 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$546.99 |
$546.99 |
2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$334.27 |
$334.27 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$191.47 |
$191.47 |
1.4× |
| Explore/Treat Hand Joint (26070) |
$1,262 |
$1,262 |
0.8× |
| Fetal non-stress test (59025) |
$268.98 |
$268.98 |
1.3× |
| Guide Cathet Fluid Drainage (10030) |
$2,134.89 |
$2,134.89 |
3.0× |
| I&d abscess simple (10060) |
$385.43 |
$385.43 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$534.77 |
$534.77 |
1.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$284.43 |
$284.43 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$273.48 |
$273.48 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$532.51 |
$532.51 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$318 |
$318 |
2.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,587.05 |
$1,587.05 |
3.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$2,116.37 |
$2,116.37 |
5.1× |
| Intubation endotracheal emergency procedure (31500) |
$895.02 |
$895.02 |
3.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$598.55 |
$598.55 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$540.61 |
$540.61 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$60.64 |
$60.64 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$188.58 |
$188.58 |
3.1× |
| Remove foreign body from eye (65205) |
$227.18 |
$227.18 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$562.61 |
$562.61 |
4.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,588.67 |
$1,588.67 |
2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$3,105.50 |
$3,105.50 |
4.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,265.10 |
$1,265.10 |
3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,455.27 |
$2,455.27 |
5.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,081.97 |
$1,081.97 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,660.44 |
$1,660.44 |
4.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$3,422.07 |
$3,422.07 |
4.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,027 |
$1,027 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,059.64 |
$1,059.64 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,101.78 |
$1,101.78 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,243.12 |
$1,243.12 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,279.17 |
$1,279.17 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$3,368.75 |
$3,368.75 |
8.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,498.67 |
$1,498.67 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$816.19 |
$816.19 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$914.76 |
$914.76 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,145.48 |
$1,145.48 |
1.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,981.11 |
$1,981.11 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,343.95 |
$1,343.95 |
3.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$682.48 |
$682.48 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$880.95 |
$880.95 |
2.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,629.47 |
$1,629.47 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$991.98 |
$991.98 |
2.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,629.47 |
$1,629.47 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$398.22 |
$398.22 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$280.78 |
$280.78 |
2.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$259.08 |
$259.08 |
0.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$662.16 |
$662.16 |
0.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$1,104.61 |
$1,104.61 |
5.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,940.23 |
$1,940.23 |
2.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,023 |
$1,023 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$727.50 |
$727.50 |
3.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$851.27 |
$851.27 |
4.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$2,006.62 |
$2,006.62 |
4.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$902.02 |
$902.02 |
4.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$2,181.14 |
$2,181.14 |
10.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$602.09 |
$602.09 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,152.48 |
$1,152.48 |
5.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$902.02 |
$902.02 |
4.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$727.50 |
$727.50 |
3.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$952.73 |
$952.73 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,152.48 |
$1,152.48 |
2.8× |
| Strapping ankle (29540) |
$160.50 |
$160.50 |
1.0× |
| Strapping elbow or wrist (29260) |
$178.68 |
$178.68 |
3.0× |
| Strapping hand/finger (29280) |
$153.45 |
$153.45 |
2.5× |
| Strapping knee (29530) |
$181.57 |
$181.57 |
1.3× |
| Strapping shoulder (29240) |
$203.92 |
$203.92 |
1.5× |
| Strapping toes (29550) |
$140.71 |
$140.71 |
2.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$2,321.85 |
$2,321.85 |
9.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,746 |
$1,746 |
6.9× |
| Vaginal delivery only (59409) |
$4,170.58 |
$4,170.58 |
1.3× |