| Application long arm splint shoulder hand (29105) |
$56.50 |
$113 |
0.4× |
| Application long leg splint thigh ankle/toes (29505) |
$46 |
$92 |
0.3× |
| Application short arm splint forearm-hand static (29125) |
$41 |
$82 |
0.4× |
| Application short leg splint calf foot (29515) |
$181.62 |
$363.25 |
1.3× |
| Arterial puncture (36600) |
$51.09 |
$102.18 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$40 |
$80 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$51.50 |
$103 |
0.3× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$1,347.50 |
$2,695 |
1.3× |
| Blood transfusion service (36430) |
$251.55 |
$503.10 |
0.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$5,237.36 |
$10,474.73 |
3.4× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$5,237.36 |
$10,474.73 |
3.4× |
| Bronchoscopy W/Biopsy(S) (31625) |
$5,237.36 |
$10,474.73 |
3.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$5,237.36 |
$10,474.73 |
3.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$9.50 |
$19 |
0.0× |
| Chest tube placement (32551) |
$170.50 |
$341 |
0.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$105.25 |
$210.50 |
0.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$103.09 |
$206.19 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$103.09 |
$206.19 |
0.5× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$103.09 |
$206.19 |
0.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$736.75 |
$1,473.50 |
3.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$342.26 |
$684.53 |
1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$256.75 |
$513.50 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$103.09 |
$206.19 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$105.25 |
$210.50 |
0.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$107.82 |
$215.64 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$479.76 |
$959.52 |
2.2× |
| Colonoscopy flex w/rem forcep (45384) |
$1,347.50 |
$2,695 |
1.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,347.50 |
$2,695 |
1.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,347.50 |
$2,695 |
1.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,347.50 |
$2,695 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$79.50 |
$159 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$262.19 |
$524.38 |
2.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,032.50 |
$2,065 |
1.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,052.50 |
$2,105 |
1.3× |
| Draw blood off venous device (36591) |
$22 |
$44 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$270.87 |
$541.74 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$91.70 |
$183.40 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,112.50 |
$4,225 |
1.3× |
| Egd flexible foreign body removal (43247) |
$1,052.50 |
$2,105 |
1.3× |
| Egd guide wire insertion (43248) |
$1,052.50 |
$2,105 |
1.3× |
| Egd place gastrostomy tube (43246) |
$2,112.50 |
$4,225 |
1.3× |
| Egd rem tumr/polyp forcep (43250) |
$2,112.50 |
$4,225 |
1.3× |
| Egd remove lesion snare (43251) |
$2,112.50 |
$4,225 |
1.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$2,112.50 |
$4,225 |
1.3× |
| Egd Varices Ligation (43244) |
$2,112.50 |
$4,225 |
1.3× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$2,112.50 |
$4,225 |
1.3× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,127.50 |
$4,255 |
1.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,052.50 |
$2,105 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$30.50 |
$61 |
0.3× |
| Excision of nail fold toe (11765) |
$66 |
$132 |
0.2× |
| I&d abscess simple (10060) |
$425.16 |
$850.32 |
2.4× |
| I&d pilonidal cyst simple (10080) |
$94.50 |
$189 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$476.78 |
$953.56 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$322.64 |
$645.28 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$54.45 |
$108.90 |
0.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$104.50 |
$209 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,021.86 |
$2,043.72 |
3.8× |
| Injection anes other peripheral nerve/branch (64450) |
$966.51 |
$1,933.02 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$206.45 |
$412.91 |
1.8× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$2,112.50 |
$4,225 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$109.50 |
$219 |
0.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$352.50 |
$705 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$32.50 |
$65 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$92.50 |
$185 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$59.50 |
$119 |
0.2× |
| Removal fb intranasal (30300) |
$118.50 |
$237 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$187.42 |
$374.84 |
3.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$91.10 |
$182.20 |
1.8× |
| Removal of arm foreign body (24200) |
$131 |
$262 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$153.12 |
$306.23 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$2,033.32 |
$4,066.65 |
5.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$2,033.32 |
$4,066.65 |
5.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$244 |
$488 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$630.14 |
$1,260.27 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$341.60 |
$683.21 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$348.42 |
$696.84 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$345 |
$690 |
1.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,032.50 |
$2,065 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,347.50 |
$2,695 |
1.3× |
| Sigmoidoscopy & decompress (45337) |
$1,032.50 |
$2,065 |
1.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,347.50 |
$2,695 |
1.3× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,347.50 |
$2,695 |
1.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,032.50 |
$2,065 |
1.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,032.50 |
$2,065 |
1.3× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) |
$6,537.50 |
$13,075 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$72.96 |
$145.92 |
0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$222.82 |
$445.63 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$208.70 |
$417.40 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$90 |
$180 |
0.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$110.50 |
$221 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$211.24 |
$422.47 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$161.50 |
$323 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$219.80 |
$439.59 |
1.3× |
| Small Bowel Endoscopy (44373) |
$2,112.50 |
$4,225 |
1.3× |
| Small bowel endoscopy (44366) |
$2,112.50 |
$4,225 |
1.3× |
| Small bowel endoscopy (44364) |
$2,112.50 |
$4,225 |
1.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,112.50 |
$4,225 |
1.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$2,112.50 |
$4,225 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$227.40 |
$454.82 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$629.22 |
$1,258.45 |
1.8× |
| Strapping ankle (29540) |
$23 |
$46 |
0.2× |
| Strapping elbow/wrist (29260) |
$35.50 |
$71 |
0.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,583.26 |
$3,166.52 |
3.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$105.25 |
$210.50 |
0.5× |
| Venipuncture (36415) |
$9.75 |
$19.50 |
1.0× |