| Application short arm splint forearm-hand static (29125) |
$130.78 |
$174.38 |
1.0× |
| Arterial puncture (36600) |
$258.75 |
$345 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$53.25 |
$71 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$412.50 |
$550 |
2.1× |
| Blood transfusion service (36430) |
$720.75 |
$961 |
1.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$135.47 |
$180.63 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$687 |
$916 |
2.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$353.12 |
$470.82 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$517.50 |
$690 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$639.26 |
$852.34 |
2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$607.50 |
$810 |
2.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$303.86 |
$405.14 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$171 |
$228 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$671.25 |
$895 |
1.7× |
| Destroy lumb/sac facet jnt (64635) |
$4,035 |
$5,380 |
2.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$420 |
$560 |
2.2× |
| Destruction premalignant lesion 1st (17000) |
$420 |
$560 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$3,292.50 |
$4,390 |
2.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,462.50 |
$1,950 |
2.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$3,292.50 |
$4,390 |
2.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,462.50 |
$1,950 |
2.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,463.25 |
$1,951 |
2.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,803 |
$2,404 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,981.12 |
$2,641.50 |
1.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$3,296.25 |
$4,395 |
2.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,409.75 |
$3,213 |
2.1× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$3,292.50 |
$4,390 |
2.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,462.50 |
$1,950 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$3,292.50 |
$4,390 |
2.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,462.50 |
$1,950 |
2.1× |
| I&d abscess simple (10060) |
$420 |
$560 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$766.50 |
$1,022 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,225 |
$4,300 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$262.50 |
$350 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$420 |
$560 |
2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$628.50 |
$838 |
2.1× |
| Insert Temp Bladder Cath (51702) |
$258.75 |
$345 |
2.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$258.75 |
$345 |
2.0× |
| Intubation endotracheal emergency procedure (31500) |
$405.70 |
$540.93 |
1.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,948.50 |
$2,598 |
2.3× |
| Removal fb intranasal (30300) |
$313.50 |
$418 |
2.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$127.50 |
$170 |
2.2× |
| Removal of nail bed (11750) |
$794.25 |
$1,059 |
2.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$412.50 |
$550 |
2.1× |
| Remv Ext Canal Foreign Body (69200) |
$199.12 |
$265.50 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$261.75 |
$349 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$890.25 |
$1,187 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$685.88 |
$914.50 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$318.48 |
$424.63 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$275.54 |
$367.40 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$544.50 |
$726 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$205.50 |
$274 |
1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$190.83 |
$254.44 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$289.12 |
$385.50 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$294.38 |
$392.50 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$319.88 |
$426.50 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$349.50 |
$466 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$412.50 |
$550 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$316.12 |
$421.50 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$294.75 |
$393 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$541.12 |
$721.50 |
1.4× |
| Tangential biopsy skin single lesion (11102) |
$174.85 |
$233.13 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$382.70 |
$510.27 |
0.6× |
| Venipuncture (36415) |
$5.25 |
$7 |
0.6× |