| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$61.12 |
$88.58 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$48.99 |
$71 |
0.8× |
| Application of rigid total contact leg cast (29445) |
$126.27 |
$183 |
0.4× |
| Application Short Arm Splint Dynamic (29126) |
$74.52 |
$108 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$62.10 |
$90 |
0.5× |
| Application short leg splint calf foot (29515) |
$66.24 |
$96 |
0.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$63.96 |
$92.70 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$83 |
$83 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$98 |
$98 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$80 |
$80 |
0.3× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$2,233 |
$2,233 |
0.1× |
| Aspirate pleura w/ imaging (32555) |
$1,056.53 |
$1,531.20 |
1.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$267 |
$267 |
0.1× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,618.48 |
$3,794.91 |
1.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$478.74 |
$693.83 |
1.9× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,618.48 |
$3,794.91 |
1.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$478.74 |
$693.83 |
1.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$478.74 |
$693.83 |
1.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,618.48 |
$3,794.91 |
1.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$478.74 |
$693.83 |
1.9× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$5,306.68 |
$7,690.84 |
1.6× |
| Closed tx mandibular fracture w/manipulation (21451) |
$2,537.63 |
$3,677.73 |
1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,537.63 |
$3,677.73 |
1.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,618.48 |
$3,794.91 |
1.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,618.48 |
$3,794.91 |
1.6× |
| Closed tx septal&nose fx (21337) |
$5,077.22 |
$7,358.29 |
1.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,618.48 |
$3,794.91 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,618.48 |
$3,794.91 |
1.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$478.74 |
$693.83 |
1.9× |
| Clsd Tx Pelvic Ring Fx (27198) |
$478.74 |
$693.83 |
1.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$478.74 |
$693.83 |
1.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$478.74 |
$693.83 |
1.9× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$478.74 |
$693.83 |
1.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$478.74 |
$693.83 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$478.74 |
$693.83 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$478.74 |
$693.83 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$570.26 |
$826.46 |
2.3× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$478.74 |
$693.83 |
1.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$478.74 |
$693.83 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$478.74 |
$693.83 |
1.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,618.48 |
$3,794.91 |
1.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$478.74 |
$693.83 |
1.9× |
| Collection of venous blood by venipuncture (36415) |
$19.25 |
$27.90 |
2.1× |
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) likely a partial charge, not the full procedure |
$2,700 |
$2,700 |
0.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$455 |
$455 |
0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$501 |
$501 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$393.99 |
$571 |
1.6× |
| Incise finger tendon sheath (26055) |
$915 |
$915 |
0.6× |
| Inj W/Fluor Eval Cv Device (36598) |
$470.51 |
$681.90 |
2.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$86 |
$86 |
0.3× |
| Insert Drug Implant Device (11981) |
$160 |
$160 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$1,166.51 |
$1,690.60 |
0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$555.66 |
$805.30 |
0.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$850 |
$850 |
0.5× |
| Perq dev breast 1st us imag (19285) |
$1,096.20 |
$1,588.70 |
1.5× |
Perq device breast 1st imag (19281) range across 4 matching MRF lines |
$227.36–$1,096.20 |
$329.50–$1,588.70 |
varies |
| Remove drug implant device (11982) |
$180 |
$180 |
0.4× |
| Remove Intrauterine Device (58301) |
$167 |
$167 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$105.57 |
$153 |
0.1× |
Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,200 |
$2,200 |
0.2× |
| Treat Hip Socket Fracture (27222) |
$478.16 |
$692.99 |
1.9× |
| Treat Knee Fracture(S) (27538) |
$478.74 |
$693.83 |
1.9× |
| Treat Metatarsal Fracture (28475) |
$478.74 |
$693.83 |
1.9× |
| Treat Thumb Dislocation (26641) |
$478.74 |
$693.83 |
1.9× |
| Treat Thumb Fracture (26645) |
$2,618.48 |
$3,794.91 |
1.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,618.48 |
$3,794.91 |
1.6× |
Vaginal hysterectomy, for uterus 250 g or less; (58260) likely a partial charge, not the full procedure |
$1,302 |
$1,302 |
0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$582 |
$582 |
0.3× |