| Application long arm splint shoulder hand (29105) |
$314 |
$314 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$251 |
$251 |
1.9× |
| Arterial puncture (36600) |
$147 |
$147 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$88 |
$88 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$125 |
$125 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$345.50 |
$345.50 |
1.7× |
| Bladder Scan (51798) |
$40 |
$40 |
0.7× |
| Blood transfusion service (36430) |
$699 |
$699 |
1.6× |
| Cystourethroscopy (52000) |
$540 |
$540 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$131 |
$131 |
0.3× |
| Debride nail 6 or more (11721) |
$133 |
$133 |
2.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$340 |
$340 |
1.7× |
| Destruction premalignant lesion 1st (17000) |
$201.50 |
$201.50 |
1.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,705 |
$2,705 |
3.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$5,706 |
$5,706 |
3.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$702 |
$702 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$892 |
$892 |
1.3× |
| I&d abscess simple (10060) |
$471 |
$471 |
2.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$567 |
$567 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$218 |
$218 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$668 |
$668 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$88 |
$88 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$139 |
$139 |
1.0× |
| Laryngoscopy Flexible Diagnostic (31575) |
$637 |
$637 |
3.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$588 |
$588 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,211 |
$1,211 |
1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$180 |
$180 |
3.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$65.50 |
$65.50 |
1.1× |
| Removal of nail bed (11750) |
$359 |
$359 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$305 |
$305 |
0.7× |
| Vasectomy (55250) |
$753 |
$753 |
0.4× |
| Venipuncture (36415) |
$34 |
$34 |
3.6× |