| Anoscopy diagnostic (46600) |
$69.30 |
$69.30 |
0.6× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$685.65 |
$685.65 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$89.78 |
$89.78 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$225.67 |
$225.67 |
4.4× |
| Application finger splint static (29130) |
$91.10 |
$91.10 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$261.48 |
$261.48 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$227.82 |
$227.82 |
1.6× |
| Application of long leg cast (29345) |
$243.60 |
$243.60 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$134.46 |
$134.46 |
1.2× |
| Application short leg splint calf foot (29515) |
$191.18 |
$191.18 |
1.4× |
| Apply short leg cast (29405) |
$231 |
$231 |
1.0× |
| Apply short leg cast (29425) |
$243.60 |
$243.60 |
1.0× |
| Arterial puncture (36600) |
$96.96 |
$96.96 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$134.13 |
$134.13 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$161.19 |
$161.19 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$129.21 |
$129.21 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$180.61 |
$180.61 |
1.0× |
| Blood transfusion service (36430) |
$1,511.18 |
$1,511.18 |
4.0× |
| Chest tube placement (32551) |
$588.55 |
$588.55 |
0.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$498.69 |
$498.69 |
0.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$389.08 |
$389.08 |
0.3× |
| Closed Treat Vert Body Fract (22310) |
$882.72 |
$882.72 |
4.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$520.38 |
$520.38 |
2.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,492.56 |
$1,492.56 |
7.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$639.48 |
$639.48 |
3.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$310.80 |
$310.80 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,089.52 |
$1,089.52 |
5.1× |
| Closed tx patellar fracture w/o manipulation (27520) |
$289.80 |
$289.80 |
1.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$680.15 |
$680.15 |
3.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$280.67 |
$280.67 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$648.24 |
$648.24 |
3.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$363.30 |
$363.30 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$595.22 |
$595.22 |
2.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$659.93 |
$659.93 |
3.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$1,074.81 |
$1,074.81 |
5.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$633.28 |
$633.28 |
3.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$425.82 |
$425.82 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$526.84 |
$526.84 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$518 |
$518 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$519.03 |
$519.03 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$469.04 |
$469.04 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$356.30 |
$356.30 |
1.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$187.26 |
$187.26 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$762.84 |
$762.84 |
3.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$600.33 |
$600.33 |
2.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$813.90 |
$813.90 |
3.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$920.78 |
$920.78 |
4.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$451.55 |
$451.55 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,012.19 |
$1,012.19 |
4.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$401.28 |
$401.28 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$357.93 |
$357.93 |
1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$905.31 |
$905.31 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$594.09 |
$594.09 |
5.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$198.14 |
$198.14 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$508.90 |
$508.90 |
4.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$848.83 |
$848.83 |
4.2× |
| Debride nail 1-5 (11720) |
$171 |
$171 |
3.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$358.69 |
$358.69 |
1.0× |
| Delivery placenta separate procedure (59414) |
$1,236 |
$1,236 |
0.4× |
| Drain outer ear canal lesion (69020) |
$297.93 |
$297.93 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$556.38 |
$556.38 |
0.9× |
| Drainage of gum lesion (41800) |
$438.66 |
$438.66 |
3.8× |
| Drainage of hematoma/fluid (10140) |
$1,623.30 |
$1,623.30 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$409.69 |
$409.69 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$451.62 |
$451.62 |
2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$176.49 |
$176.49 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$93.54 |
$93.54 |
0.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$770.61 |
$770.61 |
0.4× |
| Fine needle aspiration without imaging guidance (10021) |
$148 |
$148 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$289.17 |
$289.17 |
1.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$185.52 |
$185.52 |
1.0× |
| I&d abscess simple (10060) |
$291.56 |
$291.56 |
1.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$668.18 |
$668.18 |
0.4× |
| I&d perianal abscess superficial (46050) |
$307.35 |
$307.35 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$294.76 |
$294.76 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$529.09 |
$529.09 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,308.04 |
$3,308.04 |
2.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$490.96 |
$490.96 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$295.94 |
$295.94 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$342.78 |
$342.78 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$325.24 |
$325.24 |
1.5× |
| Initial tx 1st degree burn local tx (16000) |
$146.19 |
$146.19 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$215.81 |
$215.81 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$208.64 |
$208.64 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$120.77 |
$120.77 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$905.59 |
$905.59 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$134.47 |
$134.47 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$134.47 |
$134.47 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$970.14 |
$970.14 |
0.4× |
| Intro Gastrointestinal Tube (44500) |
$84.83 |
$84.83 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$503.18 |
$503.18 |
2.5× |
| Irrigate corpora cavernosa for priapism (54220) |
$376.77 |
$376.77 |
1.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$543.88 |
$543.88 |
2.5× |
| Placement of needle for intraosseous infusion (36680) |
$192.25 |
$192.25 |
0.5× |
| Puncture Aspiration (10160) |
$340.66 |
$340.66 |
1.0× |
| Removal fb intranasal (30300) |
$134.74 |
$134.74 |
1.2× |
| Removal foreign body foot deep (28192) |
$990.58 |
$990.58 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$1,880.13 |
$1,880.13 |
3.1× |
| Removal foreign body pharynx (42809) |
$276.71 |
$276.71 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$83.91 |
$83.91 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$102.85 |
$102.85 |
2.0× |
| Removal of nail bed (11750) |
$566.91 |
$566.91 |
1.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$113.92 |
$113.92 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$33.60 |
$33.60 |
0.1× |
| Remove foreign body from eye (65210) |
$190.92 |
$190.92 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$175.52 |
$175.52 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$161.56 |
$161.56 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$988.16 |
$988.16 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,724.88 |
$1,724.88 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,105.81 |
$1,105.81 |
3.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,762.02 |
$1,762.02 |
5.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$860.17 |
$860.17 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$996.85 |
$996.85 |
2.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$944.52 |
$944.52 |
1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,190.66 |
$1,190.66 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,006.30 |
$1,006.30 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$414.30 |
$414.30 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$462.04 |
$462.04 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,124.54 |
$1,124.54 |
3.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$644.27 |
$644.27 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$674.38 |
$674.38 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,211.93 |
$1,211.93 |
3.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$925.66 |
$925.66 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$395.61 |
$395.61 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$438.62 |
$438.62 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$462.25 |
$462.25 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,080.66 |
$1,080.66 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$503.06 |
$503.06 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$378.76 |
$378.76 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$656.30 |
$656.30 |
1.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$782.27 |
$782.27 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$432.52 |
$432.52 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,056.21 |
$1,056.21 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$289.84 |
$289.84 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$442 |
$442 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$273 |
$273 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,032.05 |
$1,032.05 |
1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$601.74 |
$601.74 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$300.67 |
$300.67 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$323.87 |
$323.87 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$546.80 |
$546.80 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$361.89 |
$361.89 |
2.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$525.96 |
$525.96 |
3.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$647.68 |
$647.68 |
3.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$249.15 |
$249.15 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$510.60 |
$510.60 |
3.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$343.76 |
$343.76 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$312.97 |
$312.97 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$394.50 |
$394.50 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$462.28 |
$462.28 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$247.81 |
$247.81 |
0.4× |
| Strapping ankle (29540) |
$157.15 |
$157.15 |
1.1× |
| Strapping elbow/wrist (29260) |
$191.41 |
$191.41 |
3.8× |
| Strapping hand/finger (29280) |
$188.42 |
$188.42 |
3.7× |
| Strapping knee (29530) |
$118.60 |
$118.60 |
1.0× |
| Strapping shoulder (29240) |
$225.67 |
$225.67 |
2.0× |
| Strapping toes (29550) |
$100.36 |
$100.36 |
2.0× |
| Strapping unna boot (29580) |
$162.26 |
$162.26 |
1.2× |
| Thrombolytic Therapy, Stroke (37195) |
$346.05 |
$346.05 |
1.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$223.65 |
$223.65 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$421 |
$421 |
2.0× |
| Trim skin lesion (11055) |
$329.18 |
$329.18 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$844.12 |
$844.12 |
1.3× |
| Unlisted procedure humerus/elbow (24999) |
$299.75 |
$299.75 |
1.4× |
| Vaginal delivery only (59409) |
$1,748.46 |
$1,748.46 |
0.6× |
| Venipuncture (36415) |
$16.95 |
$16.95 |
1.8× |
| Venipuncture, cutdown; age 1 or over (36425) |
$49.35 |
$49.35 |
0.1× |