| Anoscopy diagnostic (46600) |
$1,440.15 |
$3,892.29 |
10.1× |
| Application finger splint static (29130) |
$428.74 |
$1,158.75 |
3.0× |
| Application long arm splint shoulder hand (29105) |
$719.87 |
$1,945.59 |
4.1× |
| Application Long Leg Splint (29505) |
$719.87 |
$1,945.59 |
4.1× |
| Application short arm splint forearm-hand static (29125) |
$719.87 |
$1,945.59 |
5.0× |
| Application short leg splint calf foot (29515) |
$719.87 |
$1,945.59 |
4.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$719.87 |
$1,945.59 |
2.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$719.87 |
$1,945.59 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,440.15 |
$3,892.29 |
4.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,440.15 |
$3,892.29 |
4.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$428.74 |
$1,158.75 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$428.74 |
$1,158.75 |
2.0× |
| Bladder Scan (51798) |
$204.98 |
$553.98 |
3.2× |
| Blepharotomy drainage abscess eyelid (67700) |
$719.87 |
$1,945.59 |
2.1× |
| Blood Transfusion Service (36430) |
$935.73 |
$2,529 |
2.0× |
| Bx breast 1st lesion us imag (19083) |
$2,199.76 |
$5,945.28 |
1.2× |
| Change Cystostomy Tube Complicated (51710) |
$1,440.15 |
$3,892.29 |
1.9× |
| Change Cystostomy Tube Simple (51705) |
$719.87 |
$1,945.59 |
2.7× |
| Chemical Cautery Tissue (17250) |
$719.87 |
$1,945.59 |
3.3× |
| Chest tube placement (32551) |
$1,440.15 |
$3,892.29 |
0.9× |
| Clear outer ear canal (69200) |
$428.74 |
$1,158.75 |
3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$428.74 |
$1,158.75 |
1.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,440.15 |
$3,892.29 |
0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$428.74 |
$1,158.75 |
1.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$719.87 |
$1,945.59 |
2.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,440.15 |
$3,892.29 |
0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,440.15 |
$3,892.29 |
0.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$719.87 |
$1,945.59 |
2.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$719.87 |
$1,945.59 |
2.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$719.87 |
$1,945.59 |
2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,440.15 |
$3,892.29 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,440.15 |
$3,892.29 |
5.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$428.74 |
$1,158.75 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$719.87 |
$1,945.59 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$428.46 |
$1,158 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$428.74 |
$1,158.75 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,440.15 |
$3,892.29 |
5.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$428.74 |
$1,158.75 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,440.15 |
$3,892.29 |
5.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,440.15 |
$3,892.29 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$35.45 |
$95.79 |
0.2× |
| Collection of venous blood by venipuncture (36415) |
$20.58 |
$55.62 |
2.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$719.87 |
$1,945.59 |
5.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$428.74 |
$1,158.75 |
3.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$719.87 |
$1,945.59 |
5.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$719.87 |
$1,945.59 |
2.8× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,440.15 |
$3,892.29 |
0.6× |
| Destruction of skin lesions (17106) |
$428.74 |
$1,158.75 |
1.0× |
| Dilate Urethra Stricture (53600) |
$719.87 |
$1,945.59 |
2.7× |
| Drain Cerebro Spinal Fluid (62272) |
$1,440.15 |
$3,892.29 |
1.9× |
| Drain/inj small joint/bursa w/us (20604) |
$428.74 |
$1,158.75 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,440.15 |
$3,892.29 |
1.9× |
| Drainage Finger Abscess Complicated (26011) |
$1,440.15 |
$3,892.29 |
0.8× |
| Drainage Mouth Roof Lesion (42000) |
$428.74 |
$1,158.75 |
1.7× |
| Drainage of finger abscess simple (26010) |
$428.74 |
$1,158.75 |
2.0× |
| Drainage of gum lesion (41800) |
$1,440.15 |
$3,892.29 |
10.1× |
| Drainage of hematoma/fluid (10140) |
$1,440.15 |
$3,892.29 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$1,440.15 |
$3,892.29 |
0.8× |
| Drainage of scrotum (54700) |
$1,440.15 |
$3,892.29 |
0.6× |
| Draw Blood Off Venous Device (36591) |
$35.45 |
$95.79 |
0.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,440.15 |
$3,892.29 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,440.15 |
$3,892.29 |
3.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$719.87 |
$1,945.59 |
3.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$719.87 |
$1,945.59 |
3.3× |
| Epidural Blood Patch (62273) |
$1,440.15 |
$3,892.29 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$428.74 |
$1,158.75 |
3.0× |
| Explo/Drain Breast Abscess (19020) |
$1,440.15 |
$3,892.29 |
0.8× |
| Foreskin manipulation (54450) |
$428.76 |
$1,158.80 |
1.6× |
| I&d abscess peritonsillar (42700) |
$428.74 |
$1,158.75 |
1.7× |
| I&d abscess simple (10060) |
$428.74 |
$1,158.75 |
2.0× |
| I&d perianal abscess superficial (46050) |
$1,440.15 |
$3,892.29 |
1.4× |
| I&d pilonidal cyst complicated (10081) |
$1,440.15 |
$3,892.29 |
1.9× |
| I&d pilonidal cyst simple (10080) |
$1,440.15 |
$3,892.29 |
1.9× |
| I&d thyroglossal duct cyst infected (60000) |
$1,440.15 |
$3,892.29 |
0.9× |
| Incise external hemorrhoid (46083) |
$719.87 |
$1,945.59 |
2.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$719.87 |
$1,945.59 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$719.87 |
$1,945.59 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$428.74 |
$1,158.75 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$428.74 |
$1,158.75 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$428.74 |
$1,158.75 |
1.3× |
| Incision of rectal abscess (46040) |
$1,440.15 |
$3,892.29 |
1.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$428.74 |
$1,158.75 |
2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$719.87 |
$1,945.59 |
2.2× |
| Injection for identification of sentinel node (38792) |
$309.38 |
$836.15 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$428.74 |
$1,158.75 |
1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,440.15 |
$3,892.29 |
1.9× |
| Insert cath pleura w/o image (32556) |
$1,440.15 |
$3,892.29 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$1,440.15 |
$3,892.29 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$428.74 |
$1,158.75 |
3.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,440.15 |
$3,892.29 |
0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$719.87 |
$1,945.59 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$1,440.15 |
$3,892.29 |
5.7× |
| Irrigation of corpora cavernosa for priapism (54220) |
$428.74 |
$1,158.75 |
1.6× |
| Laryngoscopy flexible diagnostic (31575) |
$204.98 |
$553.98 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,440.15 |
$3,892.29 |
0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$771.05 |
$2,083.90 |
1.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$428.74 |
$1,158.75 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$775.74 |
$2,096.57 |
0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$719.87 |
$1,945.59 |
1.7× |
| Puncture Aspiration Cyst Breast (19000) |
$520.59 |
$1,407 |
0.7× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$935.73 |
$2,529 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$204.98 |
$553.98 |
3.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$204.98 |
$553.98 |
3.2× |
| Removal of nail bed (11750) |
$428.74 |
$1,158.75 |
1.0× |
| Remove foreign body from eye (65205) |
$428.74 |
$1,158.75 |
3.0× |
| Remove Intrauterine Device (58301) |
$428.74 |
$1,158.75 |
1.3× |
| Remove Nasal Foreign Body (30300) |
$201.34 |
$544.15 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,440.15 |
$3,892.29 |
1.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,440.15 |
$3,892.29 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,440.15 |
$3,892.29 |
3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,440.15 |
$3,892.29 |
3.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,440.15 |
$3,892.29 |
3.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,440.15 |
$3,892.29 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,440.15 |
$3,892.29 |
1.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,440.15 |
$3,892.29 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$719.87 |
$1,945.59 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$719.87 |
$1,945.59 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$719.87 |
$1,945.59 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$719.87 |
$1,945.59 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$719.87 |
$1,945.59 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$719.87 |
$1,945.59 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$719.87 |
$1,945.59 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$719.87 |
$1,945.59 |
0.9× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,440.15 |
$3,892.29 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$719.87 |
$1,945.59 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$719.87 |
$1,945.59 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$719.87 |
$1,945.59 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$719.87 |
$1,945.59 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$719.87 |
$1,945.59 |
1.7× |
| Repair of nail bed (11760) |
$719.87 |
$1,945.59 |
0.9× |
| Repair tongue laceration (41250) |
$719.87 |
$1,945.59 |
1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$428.74 |
$1,158.75 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$428.74 |
$1,158.75 |
3.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$719.87 |
$1,945.59 |
1.5× |
| Rplc Gtube No Revj Trc (43762) |
$428.74 |
$1,158.75 |
1.6× |
| Rplc gtube revj gstrst trc (43763) |
$428.74 |
$1,158.75 |
1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$428.74 |
$1,158.75 |
2.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$719.87 |
$1,945.59 |
0.9× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$1,440.15 |
$3,892.29 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$428.74 |
$1,158.75 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$428.74 |
$1,158.75 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$428.74 |
$1,158.75 |
2.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$428.74 |
$1,158.75 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$428.74 |
$1,158.75 |
2.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$428.74 |
$1,158.75 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$428.74 |
$1,158.75 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$428.74 |
$1,158.75 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$428.74 |
$1,158.75 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$428.74 |
$1,158.75 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$428.74 |
$1,158.75 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$428.74 |
$1,158.75 |
1.0× |
| Strapping ankle (29540) |
$428.74 |
$1,158.75 |
2.5× |
| Strapping elbow or wrist (29260) |
$428.74 |
$1,158.75 |
6.8× |
| Strapping hand/finger (29280) |
$201.34 |
$544.15 |
3.2× |
Strapping knee (29530) range across 2 matching MRF lines |
$86.58–$428.74 |
$234–$1,158.75 |
varies |
| Strapping shoulder (29240) |
$719.87 |
$1,945.59 |
5.0× |
| Strapping thorax (29200) |
$719.87 |
$1,945.59 |
4.1× |
| Strapping toes (29550) |
$201.34 |
$544.15 |
3.2× |
| Thrombolytic Therapy Stroke (37195) |
$428.74 |
$1,158.75 |
1.2× |
| Tooth extraction (41899) |
$428.74 |
$1,158.75 |
1.7× |
| Treat Dental Ridge Fracture (21440) |
$1,440.15 |
$3,892.29 |
0.4× |
| Tx Gastro Intub W/Asp (43753) |
$719.87 |
$1,945.59 |
3.1× |
| Wedge excision skin nail fold (11765) |
$719.87 |
$1,945.59 |
1.7× |