| Application finger splint static (29130) |
$208.50 |
$347.50 |
1.7× |
| Application long leg splint thigh ankle/toes (29505) |
$223.80 |
$373 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$172.80 |
$288 |
1.4× |
| Application short leg splint calf foot (29515) |
$171.60 |
$286 |
1.2× |
| Arterial puncture (36600) |
$158.40 |
$264 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$168.30 |
$280.50 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$11.10 |
$18.50 |
0.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$135.90 |
$226.50 |
0.7× |
| Bladder Irrigation Simple (51700) |
$261.30 |
$435.50 |
1.2× |
| Bladder Scan (51798) |
$364.20 |
$607 |
6.8× |
| Blood transfusion service (36430) |
$1,205.10 |
$2,008.50 |
3.0× |
| Chest tube placement (32551) |
$720 |
$1,200 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$680.40 |
$1,134 |
3.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$45 |
$75 |
0.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$45 |
$75 |
0.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$304.80 |
$508 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$304.80 |
$508 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$45 |
$75 |
0.2× |
| Complete replacement picc rs&i (36584) |
$1,089 |
$1,815 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$112.20 |
$187 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$169.50 |
$282.50 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$338.70 |
$564.50 |
2.8× |
| Debride nail 1-5 (11720) |
$157.20 |
$262 |
2.9× |
| Delivery placenta separate procedure (59414) |
$363 |
$605 |
0.1× |
| Draw blood off venous device (36591) |
$291 |
$485 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$850.20 |
$1,417 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$141.30 |
$235.50 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$40.20 |
$67 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$198 |
$330 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$210 |
$350 |
1.1× |
| I&d abscess simple (10060) |
$290.40 |
$484 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$1,565.40 |
$2,609 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$255.30 |
$425.50 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$126 |
$210 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$180 |
$300 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$133.20 |
$222 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$1,448.10 |
$2,413.50 |
0.5× |
| Insert picc cath (36569) |
$1,089 |
$1,815 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$122.70 |
$204.50 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$151.20 |
$252 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$386.70 |
$644.50 |
1.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$93 |
$155 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,717.20 |
$2,862 |
7.6× |
| Placement of needle for intraosseous infusion (36680) |
$900 |
$1,500 |
2.2× |
| Puncture Aspiration (10160) |
$79.20 |
$132 |
0.2× |
| Removal fb intranasal (30300) |
$130.80 |
$218 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$54.90 |
$91.50 |
1.0× |
| Removal of nail bed (11750) |
$206.70 |
$344.50 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$130.80 |
$218 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$78 |
$130 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$496.20 |
$827 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$496.20 |
$827 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$496.20 |
$827 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$496.20 |
$827 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$496.20 |
$827 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$496.20 |
$827 |
1.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$496.20 |
$827 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$496.20 |
$827 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$307.50 |
$512.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$195.30 |
$325.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$209.10 |
$348.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$393.90 |
$656.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$225 |
$375 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$245.40 |
$409 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$189.30 |
$315.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$287.10 |
$478.50 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$159 |
$265 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$217.80 |
$363 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$212.40 |
$354 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$360.30 |
$600.50 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$293.70 |
$489.50 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$172.20 |
$287 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$205.20 |
$342 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$351.90 |
$586.50 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$226.50 |
$377.50 |
0.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$365.70 |
$609.50 |
0.2× |
| Repair Tongue Laceration (41250) |
$124.80 |
$208 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$350.40 |
$584 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$320.70 |
$534.50 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$398.70 |
$664.50 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$198.60 |
$331 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$242.10 |
$403.50 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$369.60 |
$616 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$285.90 |
$476.50 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$372.90 |
$621.50 |
2.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$369.60 |
$616 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$209.10 |
$348.50 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$405.30 |
$675.50 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$297 |
$495 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$252.90 |
$421.50 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$339.90 |
$566.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$384 |
$640 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$161.70 |
$269.50 |
0.3× |
| Strapping ankle (29540) |
$83.10 |
$138.50 |
0.6× |
| Strapping elbow/wrist (29260) |
$81.90 |
$136.50 |
1.5× |
| Strapping knee (29530) |
$73.20 |
$122 |
0.6× |
| Strapping shoulder (29240) |
$149.10 |
$248.50 |
1.2× |
| Strapping toes (29550) |
$87.90 |
$146.50 |
1.6× |
| Strapping unna boot (29580) |
$772.80 |
$1,288 |
5.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$184.20 |
$307 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$189.30 |
$315.50 |
0.5× |
| Venipuncture (36415) |
$12.60 |
$21 |
1.3× |