| Application cast shoulder hand long arm (29065) |
$126 |
$126 |
0.4× |
| Application finger splint static (29130) |
$73 |
$73 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$108 |
$108 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$178 |
$178 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$33 |
$33 |
0.2× |
| Application short leg splint calf foot (29515) |
$108 |
$108 |
0.7× |
| Arterial puncture (36600) |
$80 |
$80 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$101 |
$101 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$120 |
$120 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$93 |
$93 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$191 |
$191 |
0.9× |
| Change Cystostomy Tube Complicated (51710) |
$73.50 |
$73.50 |
0.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$100 |
$100 |
0.1× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$175 |
$175 |
0.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$175 |
$175 |
0.7× |
| Closed Rx Med Malleolus Fx (27760) |
$386 |
$386 |
1.6× |
| Closed treatment nasal fracture w/stabilization (21320) |
$150 |
$150 |
0.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$213 |
$213 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$472 |
$472 |
1.9× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$174 |
$174 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$576 |
$576 |
2.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$247 |
$247 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$100 |
$100 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$452 |
$452 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$358 |
$358 |
1.4× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$214 |
$214 |
0.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$169 |
$169 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$404 |
$404 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$538 |
$538 |
2.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$206 |
$206 |
0.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$193 |
$193 |
0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$226.50 |
$226.50 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$193 |
$193 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$377 |
$377 |
0.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$248 |
$248 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$209 |
$209 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$204 |
$204 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$872 |
$872 |
3.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$243.50 |
$243.50 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$265 |
$265 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$271 |
$271 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$378 |
$378 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$378 |
$378 |
1.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$295 |
$295 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$239 |
$239 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$284 |
$284 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$214 |
$214 |
0.9× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$550 |
$550 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$278 |
$278 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$174 |
$174 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$535 |
$535 |
4.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$501 |
$501 |
2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$91 |
$91 |
0.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$247 |
$247 |
0.6× |
| Dilation of vagina (57400) |
$3 |
$3 |
0.0× |
| Drain shoulder bursa (23031) |
$41 |
$41 |
0.0× |
| Drainage of gum lesion (41800) |
$100 |
$100 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$228 |
$228 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$289 |
$289 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$160 |
$160 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$79 |
$79 |
0.4× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$48 |
$48 |
0.0× |
| Evacuation of subungual hematoma (11740) |
$105 |
$105 |
0.8× |
| Excision of nail fold toe (11765) |
$150 |
$150 |
0.4× |
| I&d abscess simple (10060) |
$107 |
$107 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$400 |
$400 |
0.2× |
| I&d perianal abscess superficial (46050) |
$295 |
$295 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$164 |
$164 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$324 |
$324 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$457 |
$457 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$134 |
$134 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$200 |
$200 |
1.0× |
| Incision of rectal abscess (46040) |
$295 |
$295 |
0.2× |
| Incision thrombosed hemorrhoid external (46083) |
$214 |
$214 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$25 |
$25 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$174.50 |
$174.50 |
0.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$100 |
$100 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$118 |
$118 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$365 |
$365 |
1.5× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$265 |
$265 |
1.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,057 |
$1,057 |
0.6× |
| Lengthening of hand tendon (26478) |
$44 |
$44 |
0.0× |
| Puncture Aspiration (10160) |
$176 |
$176 |
0.4× |
| Removal fb intranasal (30300) |
$123 |
$123 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$446 |
$446 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$251 |
$251 |
0.2× |
| Removal foreign body pharynx (42809) |
$371 |
$371 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$75.50 |
$75.50 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80 |
$80 |
1.3× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$4 |
$4 |
0.0× |
| Removal of nail bed (11750) |
$300 |
$300 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$73 |
$73 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$200 |
$200 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$90 |
$90 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$594 |
$594 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,151 |
$1,151 |
2.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$509 |
$509 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$779 |
$779 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$324 |
$324 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$576 |
$576 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$354 |
$354 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$441 |
$441 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$582 |
$582 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$758 |
$758 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$599 |
$599 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$283 |
$283 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$354 |
$354 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$458 |
$458 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$537 |
$537 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$230 |
$230 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$308 |
$308 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$396 |
$396 |
1.0× |
| Repair of nail bed (11760) |
$571 |
$571 |
0.8× |
| Revision of penis (54300) |
$7 |
$7 |
0.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$100 |
$100 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$111 |
$111 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$127 |
$127 |
1.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$736 |
$736 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$100 |
$100 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$3 |
$3 |
0.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$585 |
$585 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$186 |
$186 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$270 |
$270 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,166 |
$1,166 |
2.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$363 |
$363 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$474 |
$474 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$188.50 |
$188.50 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$250 |
$250 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$193 |
$193 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$354 |
$354 |
0.9× |
| Strapping knee (29530) |
$138 |
$138 |
1.0× |
| Strapping shoulder (29240) |
$107.50 |
$107.50 |
0.8× |
| Strapping toes (29550) |
$77 |
$77 |
1.3× |
| Strapping unna boot (29580) |
$117 |
$117 |
0.7× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$39 |
$39 |
0.0× |
| Treat humerus fracture (24500) |
$153 |
$153 |
0.6× |
| Treat humerus fracture (23600) |
$324 |
$324 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$549 |
$549 |
2.2× |
| Trim skin lesion (11055) |
$63 |
$63 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$63 |
$63 |
0.3× |
| Venipuncture (36415) |
$15 |
$15 |
1.6× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$3 |
$3 |
0.0× |
| Wedging of cast (29740) |
$97 |
$97 |
0.3× |