| Apheresis therapeutic rbc (36512) |
$1,537.31 |
$1,537.31 |
0.9× |
| Appl finger splint static (29130) |
$1,425.64 |
$1,425.64 |
10.3× |
| Application long leg splint thigh ankle/toes (29505) |
$1,425.64 |
$1,425.64 |
8.4× |
| Application, cast; shoulder to hand (long arm) (29065) |
$3,280.41 |
$3,280.41 |
11.2× |
| Apply long arm splint (29105) |
$1,425.64 |
$1,425.64 |
8.4× |
| Apply Lower Leg Splint (29515) |
$1,425.64 |
$1,425.64 |
8.4× |
| Apply short arm splint static (29125) |
$1,425.64 |
$1,425.64 |
10.3× |
| Apply Short Leg Cast (29405) |
$3,280.41 |
$3,280.41 |
11.2× |
| Arterial puncture (36600) |
$97.33 |
$97.33 |
0.7× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$3,280.41 |
$3,280.41 |
10.2× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$3,280.41 |
$3,280.41 |
15.7× |
| Bladder irrigation (51700) |
$3,280.41 |
$3,280.41 |
12.6× |
| Blood transfusion service (36430) |
$1,389.17 |
$1,389.17 |
3.0× |
| Change Cystostomy Tube Simple (51705) |
$3,280.41 |
$3,280.41 |
12.6× |
| Closed Rx Big Toe Fx,Manip (28495) |
$3,280.41 |
$3,280.41 |
12.7× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$8,662.53 |
$8,662.53 |
5.2× |
| Closed Rx Prox Humerus Fx,Manip (23605) |
$8,662.53 |
$8,662.53 |
5.2× |
| Closed treatment of dislocated jaw joint (21480) |
$3,280.41 |
$3,280.41 |
12.7× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$3,280.41 |
$3,280.41 |
12.7× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$3,280.41 |
$3,280.41 |
12.7× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$3,280.41 |
$3,280.41 |
12.7× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$3,280.41 |
$3,280.41 |
12.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$3,280.41 |
$3,280.41 |
12.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$3,280.41 |
$3,280.41 |
12.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$8,662.53 |
$8,662.53 |
5.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$8,662.53 |
$8,662.53 |
5.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$3,280.41 |
$3,280.41 |
12.7× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/mnpj (23665) |
$8,662.53 |
$8,662.53 |
5.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$8,662.53 |
$8,662.53 |
5.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$8,662.53 |
$8,662.53 |
5.2× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$1,425.64 |
$1,425.64 |
10.3× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$1,425.64 |
$1,425.64 |
10.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,425.64 |
$1,425.64 |
10.3× |
| Drain blood under nail (11740) |
$1,425.64 |
$1,425.64 |
10.3× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$8,662.53 |
$8,662.53 |
11.7× |
| Drainage finger abscess simple (26010) |
$3,280.41 |
$3,280.41 |
15.7× |
| Drainage of eyelid abscess (67700) |
$3,280.41 |
$3,280.41 |
9.9× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$8,662.53 |
$8,662.53 |
5.0× |
| Drainage scrotal wall abscess (55100) |
$8,662.53 |
$8,662.53 |
5.0× |
| Ed proc remve fb nasal- hospital (30300) |
$1,425.64 |
$1,425.64 |
10.3× |
| Ed prof burn small - hospital (16020) |
$3,280.41 |
$3,280.41 |
15.7× |
| Ed prof closed tx post hip arthroplasty (27265) |
$3,280.41 |
$3,280.41 |
12.7× |
| Ed prof drain dental abscess-hospital (41800) |
$1,425.64 |
$1,425.64 |
10.3× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$8,662.53 |
$8,662.53 |
20.4× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$8,662.53 |
$8,662.53 |
20.4× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$3,280.41 |
$3,280.41 |
12.7× |
| Fna w/o imaging guidance (10021) |
$8,662.53 |
$8,662.53 |
20.4× |
| I&d bartholins gland abscess (56420) |
$3,280.41 |
$3,280.41 |
15.5× |
| I&d perirectal abscess (46040) |
$8,662.53 |
$8,662.53 |
6.9× |
| I&d pilonidal cyst simple (10080) |
$8,662.53 |
$8,662.53 |
11.7× |
| I&d submucosal abscess rectum (45005) |
$8,662.53 |
$8,662.53 |
6.9× |
| I&d vulva/perineal abscess (56405) |
$3,280.41 |
$3,280.41 |
10.3× |
| Image cath fluid colxn visc (49405) |
$4,756.88 |
$4,756.88 |
2.8× |
| Incise external hemorrhoid (46083) |
$3,280.41 |
$3,280.41 |
12.6× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$8,662.53 |
$8,662.53 |
20.4× |
| Incision & Drainage Abscess Simple/Single (10060) |
$3,280.41 |
$3,280.41 |
15.7× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$8,662.53 |
$8,662.53 |
20.4× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$3,901 |
$3,901 |
9.4× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$3,280.41 |
$3,280.41 |
15.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$1,425.64 |
$1,425.64 |
10.3× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$1,425.64 |
$1,425.64 |
10.3× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$8,662.53 |
$8,662.53 |
20.4× |
| Leg surgery procedure (27599) |
$3,280.41 |
$3,280.41 |
12.7× |
| Other procedure on upper arm or elbow (24999) |
$3,280.41 |
$3,280.41 |
12.7× |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
$3,781.76 |
$3,781.76 |
2.3× |
| Placement Needle Intraosseous Infusion (36680) |
$8,662.53 |
$8,662.53 |
18.6× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$1,425.64 |
$1,425.64 |
23.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$1,425.64 |
$1,425.64 |
23.1× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$1,425.64 |
$1,425.64 |
10.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$8,662.53 |
$8,662.53 |
18.6× |
| Removal of nail bed (11750) |
$8,662.53 |
$8,662.53 |
20.4× |
| Remv Ext Canal Foreign Body (69200) |
$1,425.64 |
$1,425.64 |
10.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$8,662.53 |
$8,662.53 |
20.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$8,662.53 |
$8,662.53 |
11.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$8,662.53 |
$8,662.53 |
20.4× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$8,662.53 |
$8,662.53 |
20.4× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$8,662.53 |
$8,662.53 |
11.2× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair Lip,Full Thick,Vermilion (40650) |
$8,662.53 |
$8,662.53 |
15.4× |
| Repair nail bed (11760) |
$8,662.53 |
$8,662.53 |
11.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$8,662.53 |
$8,662.53 |
18.6× |
| Repair of vertical lip wound extending to half of lip (40652) |
$8,662.53 |
$8,662.53 |
15.4× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$3,280.41 |
$3,280.41 |
15.7× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$3,280.41 |
$3,280.41 |
15.7× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$1,425.64 |
$1,425.64 |
10.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$3,280.41 |
$3,280.41 |
15.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$3,280.41 |
$3,280.41 |
15.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$3,280.41 |
$3,280.41 |
15.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$3,280.41 |
$3,280.41 |
15.7× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$8,662.53 |
$8,662.53 |
20.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$3,280.41 |
$3,280.41 |
15.7× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$3,280.41 |
$3,280.41 |
15.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$8,662.53 |
$8,662.53 |
20.4× |
| Strapping elbow or wrist (29260) |
$1,425.64 |
$1,425.64 |
23.1× |
| Strapping of ankle (29540) |
$1,425.64 |
$1,425.64 |
8.4× |
| Strapping of knee (29530) |
$1,425.64 |
$1,425.64 |
10.3× |
| Strapping of shoulder (29240) |
$1,425.64 |
$1,425.64 |
10.3× |
| Therapeutic apheresis plasma (36514) |
$1,677.06 |
$1,677.06 |
1.0× |
| Therapeutic apheresis platelet (36513) |
$1,677.06 |
$1,677.06 |
3.6× |
| Therapeutic apheresis white blood cells (36511) |
$1,537.31 |
$1,537.31 |
0.9× |
| Treat radius fracture (24655) |
$8,662.53 |
$8,662.53 |
5.2× |
| Tx superficial wound dehiscence simple closure (12020) |
$8,662.53 |
$8,662.53 |
11.2× |
| Unlisted procedure rectum (45999) |
$8,662.53 |
$8,662.53 |
8.9× |
| Venipuncture (36415) |
$195.06 |
$195.06 |
20.9× |
| Wedge excision skin nail fold (11765) |
$8,662.53 |
$8,662.53 |
20.4× |