| Application finger splint static (29130) |
$272 |
$272 |
2.0× |
| Application long arm splint shoulder hand (29105) |
$220.96 |
$220.96 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$241.98 |
$241.98 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$226.30 |
$226.30 |
1.7× |
| Application short leg splint calf foot (29515) |
$325.53 |
$325.53 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$396.10 |
$396.10 |
1.3× |
| Bladder Irrigation Simple (51700) |
$525.61 |
$525.61 |
2.1× |
| Blood transfusion service (36430) |
$826.27 |
$826.27 |
1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$516.42 |
$516.42 |
2.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$614.83 |
$614.83 |
2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$438.01 |
$438.01 |
1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$344.46 |
$344.46 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$241.17 |
$241.17 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$223.33 |
$223.33 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$303.63 |
$303.63 |
2.3× |
| Drainage mouth roof lesion (42000) |
$218.46 |
$218.46 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$221.71 |
$221.71 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$619.97 |
$619.97 |
4.6× |
| I&d abscess simple (10060) |
$369.60 |
$369.60 |
1.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$341.75 |
$341.75 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$246.04 |
$246.04 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$206.57 |
$206.57 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$148.24 |
$148.24 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$200.62 |
$200.62 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$448.82 |
$448.82 |
1.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$638.63 |
$638.63 |
2.5× |
| Placement of needle for intraosseous infusion (36680) |
$361.22 |
$361.22 |
0.8× |
| Removal fb intranasal (30300) |
$157.36 |
$157.36 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$165.74 |
$165.74 |
2.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$139.52 |
$139.52 |
2.4× |
| Remv Ext Canal Foreign Body (69200) |
$180.61 |
$180.61 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$198.46 |
$198.46 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$784.63 |
$784.63 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$311.48 |
$311.48 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,104.21 |
$1,104.21 |
2.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$711.36 |
$711.36 |
1.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$252.53 |
$252.53 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$531.02 |
$531.02 |
2.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$256.32 |
$256.32 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$278.22 |
$278.22 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$865.74 |
$865.74 |
4.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$225.22 |
$225.22 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$288.76 |
$288.76 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$249.82 |
$249.82 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$377.44 |
$377.44 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$700.27 |
$700.27 |
0.9× |
| Vaginal delivery only (59409) |
$1,090.15 |
$1,090.15 |
0.3× |
| Venipuncture (36415) |
$10.27 |
$10.27 |
1.1× |