| Application long arm splint shoulder hand (29105) |
$91.20 |
$228 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$218 |
$545 |
1.5× |
| Application short leg splint calf foot (29515) |
$90 |
$225 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$186 |
$465 |
0.7× |
| Chest tube placement (32551) |
$522.80 |
$1,307 |
0.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$108 |
$270 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$767.20 |
$1,918 |
3.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$275.60 |
$689 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$627.60 |
$1,569 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$108 |
$270 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$108 |
$270 |
0.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$548.80 |
$1,372 |
0.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$108 |
$270 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$107.60 |
$269 |
0.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$130 |
$325 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$90 |
$225 |
0.5× |
| I&d abscess simple (10060) |
$221.20 |
$553 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$801.60 |
$2,004 |
2.3× |
| Intubation endotracheal emergency procedure (31500) |
$282 |
$705 |
1.4× |
| Removal fb intranasal (30300) |
$60 |
$150 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$111.20 |
$278 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$599.20 |
$1,498 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$172.20 |
$430.50 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$629.20 |
$1,573 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$292.80 |
$732 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$323.60 |
$809 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$197.60 |
$494 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$104.40 |
$261 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$150.40 |
$376 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$311.60 |
$779 |
1.8× |
| Strapping shoulder (29240) |
$87.20 |
$218 |
0.7× |
Total knee arthroplasty (27447)
unusually low: confirm this is the full procedure |
$5,378.80 |
$13,447 |
0.5× |
| Treat humerus fracture (24500) |
$1,000 |
$2,500 |
4.6× |