| Application cast shoulder hand long arm (29065) |
$3,280.41 |
$3,280.41 |
11.2× |
| Application finger splint static (29130) |
$1,425.64 |
$1,425.64 |
10.3× |
| Application long arm splint shoulder hand (29105) |
$1,425.64 |
$1,425.64 |
8.4× |
| Application short arm splint forearm-hand static (29125) |
$1,425.64 |
$1,425.64 |
10.3× |
| Apply long leg splint (29505) |
$1,425.64 |
$1,425.64 |
8.4× |
| Apply short leg cast (29405) |
$3,280.41 |
$3,280.41 |
11.2× |
| Apply short leg splint (29515) |
$1,425.64 |
$1,425.64 |
8.4× |
| Arterial puncture (36600) |
$97.33 |
$97.33 |
0.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$3,280.41 |
$3,280.41 |
10.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$3,280.41 |
$3,280.41 |
15.7× |
| Bladder Irrigation Simple (51700) |
$3,280.41 |
$3,280.41 |
12.6× |
| Blepharotomy drain absc eyelid (67700) |
$3,280.41 |
$3,280.41 |
9.9× |
| Blood transfusion service (36430) |
$1,389.17 |
$1,389.17 |
3.0× |
| Change of cystostomy tube simple (51705) |
$3,280.41 |
$3,280.41 |
12.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$8,662.53 |
$8,662.53 |
5.2× |
| 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× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$8,662.53 |
$8,662.53 |
5.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$3,280.41 |
$3,280.41 |
12.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$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 grt toe phlx/phlg w/manj (28495) |
$3,280.41 |
$3,280.41 |
12.7× |
| 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 iphal jt dislc w/manj w/o anes (26770) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$8,662.53 |
$8,662.53 |
5.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$8,662.53 |
$8,662.53 |
5.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$3,280.41 |
$3,280.41 |
12.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (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× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$1,425.64 |
$1,425.64 |
10.3× |
| Control Nasal Hemorrhage Anterior Simple (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× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$8,662.53 |
$8,662.53 |
11.7× |
| Drainage Finger Abscess Complicated (26011) |
$8,662.53 |
$8,662.53 |
5.0× |
| Drainage Finger Abscess Simple (26010) |
$3,280.41 |
$3,280.41 |
15.7× |
| Drainage of gum lesion (41800) |
$1,425.64 |
$1,425.64 |
10.3× |
| Drainage of scrotal wall abscess (55100) |
$8,662.53 |
$8,662.53 |
5.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$3,280.41 |
$3,280.41 |
15.7× |
| Evacuation of subungual hematoma (11740) |
$1,425.64 |
$1,425.64 |
10.3× |
| Fine needle aspiration without imaging guidance (10021) |
$8,662.53 |
$8,662.53 |
20.4× |
| I&d abscess simple (10060) |
$3,280.41 |
$3,280.41 |
15.7× |
| 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 (10061) |
$8,662.53 |
$8,662.53 |
20.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$8,662.53 |
$8,662.53 |
20.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$3,280.41 |
$3,280.41 |
15.5× |
| Incision of rectal abscess (46040) |
$8,662.53 |
$8,662.53 |
6.9× |
| Initial tx 1st degree burn local tx (16000) |
$3,280.41 |
$3,280.41 |
15.7× |
| Insert Temp Bladder Cath (51702) |
$1,425.64 |
$1,425.64 |
10.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$1,425.64 |
$1,425.64 |
10.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$3,901 |
$3,901 |
9.4× |
| Picc line placement (36569) |
$3,781.76 |
$3,781.76 |
2.3× |
| Placement of needle for intraosseous infusion (36680) |
$8,662.53 |
$8,662.53 |
18.6× |
| Removal foreign body intranasal (30300) |
$1,425.64 |
$1,425.64 |
10.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$1,425.64 |
$1,425.64 |
23.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$1,425.64 |
$1,425.64 |
23.1× |
| 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× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$1,425.64 |
$1,425.64 |
10.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$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 12.6-20.0cm (12035) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$8,662.53 |
$8,662.53 |
11.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$8,662.53 |
$8,662.53 |
20.4× |
| Repair of nail bed (11760) |
$8,662.53 |
$8,662.53 |
11.2× |
| Repair Tongue Laceration (41250) |
$8,662.53 |
$8,662.53 |
18.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$1,425.64 |
$1,425.64 |
10.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$8,662.53 |
$8,662.53 |
15.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$8,662.53 |
$8,662.53 |
15.4× |
| 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 f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$8,662.53 |
$8,662.53 |
20.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$3,280.41 |
$3,280.41 |
15.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$3,280.41 |
$3,280.41 |
15.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$3,280.41 |
$3,280.41 |
15.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$3,280.41 |
$3,280.41 |
15.7× |
| 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 (12002) |
$3,280.41 |
$3,280.41 |
15.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$8,662.53 |
$8,662.53 |
20.4× |
| Strapping ankle (29540) |
$1,425.64 |
$1,425.64 |
8.4× |
| Strapping elbow or wrist (29260) |
$1,425.64 |
$1,425.64 |
23.1× |
| Strapping knee (29530) |
$1,425.64 |
$1,425.64 |
10.3× |
| Strapping shoulder (29240) |
$1,425.64 |
$1,425.64 |
10.3× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,677.06 |
$1,677.06 |
1.0× |
| Ther Apheresis,Platelets (36513) |
$1,677.06 |
$1,677.06 |
3.6× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,537.31 |
$1,537.31 |
0.9× |
| Ther Apheresis,White Blood Cells (36511) |
$1,537.31 |
$1,537.31 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$8,662.53 |
$8,662.53 |
11.2× |
| Unlisted procedure femur or knee (27599) |
$3,280.41 |
$3,280.41 |
12.7× |
| Unlisted procedure humerus/elbow (24999) |
$3,280.41 |
$3,280.41 |
12.7× |
| 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× |