| Amputation toe metatarsophalangeal joint (28820) |
$12,336 |
$12,336 |
3.6× |
| Application finger splint static (29130) |
$487 |
$487 |
3.5× |
| Application long arm splint shoulder hand (29105) |
$600 |
$600 |
3.5× |
| Application Long Leg Splint (29505) |
$600 |
$600 |
3.5× |
| Application Short Arm Splint Dynamic (29126) |
$487 |
$487 |
3.5× |
| Application short arm splint forearm-hand static (29125) |
$487 |
$487 |
3.5× |
| Application short leg splint calf foot (29515) |
$600 |
$600 |
3.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$735 |
$735 |
2.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$735 |
$735 |
2.3× |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
$1,101–$1,534 |
$1,101–$1,534 |
varies |
| Chemical Cautery Tissue (17250) |
$763 |
$763 |
3.6× |
| Chest tube placement (32551) |
$95 |
$95 |
0.1× |
| Clear outer ear canal (69200) |
$265 |
$265 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$483 |
$483 |
1.9× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
$483–$776 |
$483–$776 |
varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,165 |
$3,165 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$483 |
$483 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$483 |
$483 |
1.9× |
| Collection of venous blood by venipuncture (36415) |
$17 |
$17 |
1.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$4,497 |
$4,497 |
3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$735 |
$735 |
5.3× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$12,336 |
$12,336 |
3.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$12,336 |
$12,336 |
3.6× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines |
$265–$314 |
$265–$314 |
varies |
| Diagnostic sigmoidoscopy (45330) |
$3,483 |
$3,483 |
3.6× |
| Drainage of gum lesion (41800) |
$4,857 |
$4,857 |
35.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$421 |
$421 |
2.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,401 |
$1,401 |
1.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$7,252 |
$7,252 |
3.6× |
| Egd control bleeding any (43255) |
$7,252 |
$7,252 |
3.6× |
| Egd dilation gastric/duodenal stricture (43245) |
$7,252 |
$7,252 |
3.6× |
| Egd place gastrostomy tube (43246) |
$7,252 |
$7,252 |
3.6× |
| Egd remove lesion snare (43251) |
$7,252 |
$7,252 |
3.6× |
| Endoscopic plantar fasciotomy (29893) |
$7,358 |
$7,358 |
2.2× |
| Evacuation of subungual hematoma (11740) |
$314 |
$314 |
2.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$6,125 |
$6,125 |
3.6× |
| I&d abscess simple (10060) |
$618 |
$618 |
2.9× |
| I&d pilonidal cyst simple (10080) |
$1,753 |
$1,753 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,520 |
$1,520 |
3.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$824 |
$824 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$810 |
$810 |
1.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$6,673 |
$6,673 |
31.6× |
| Incision of rectal abscess (46040) |
$2,846 |
$2,846 |
2.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$421 |
$421 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$7,833 |
$7,833 |
24.4× |
| Insert cath pleura w/o image (32556) |
$2,846 |
$2,846 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$6,700 |
$6,700 |
2.0× |
| Insert Temp Bladder Cath (51702) |
$385 |
$385 |
2.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$6,214 |
$6,214 |
3.8× |
| Intubation endotracheal emergency procedure (31500) |
$562 |
$562 |
2.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$735 |
$735 |
2.3× |
| Ostectomy calcaneus (28118) |
$12,336 |
$12,336 |
3.6× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$12,336 |
$12,336 |
3.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$35 |
$35 |
0.1× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$83–$265 |
$83–$265 |
varies |
Remove foreign body from eye (65205)
range across 2 matching MRF lines |
$265–$383 |
$265–$383 |
varies |
| Remove Nasal Foreign Body (30300) |
$265 |
$265 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$794 |
$794 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$794 |
$794 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$794 |
$794 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,008 |
$1,008 |
2.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$810 |
$810 |
1.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$810 |
$810 |
1.9× |
| Rplc Gtube No Revj Trc (43762) |
$581 |
$581 |
2.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$397 |
$397 |
1.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$412 |
$412 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$412 |
$412 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$421 |
$421 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$175 |
$175 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$421 |
$421 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$412 |
$412 |
2.0× |
| Spinal puncture lumbar diagnostic (62270) |
$1,401 |
$1,401 |
1.9× |
| Tx Gastro Intub W/Asp (43753) |
$607 |
$607 |
2.7× |