| Amputation Finger/Thumb (26951) |
$2,046.75 |
$2,729 |
0.6× |
| Application cast elbow finger short arm (29075) |
$204.75 |
$273 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$204.75 |
$273 |
0.7× |
| Application finger splint static (29130) |
$196.50 |
$262 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$246 |
$328 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$246 |
$328 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$196.50 |
$262 |
1.5× |
| Application short leg splint calf foot (29515) |
$196.50 |
$262 |
1.2× |
| Apply short leg cast (29405) |
$204.75 |
$273 |
0.7× |
| Apply short leg cast (29425) |
$229.13 |
$305.50 |
0.8× |
| Arterial puncture (36600) |
$24.38 |
$32.50 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$287.25 |
$383 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$393 |
$524 |
1.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$204.38 |
$272.50 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$204.75 |
$273 |
1.0× |
| Bladder Irrigation Simple (51700) |
$139.50 |
$186 |
0.6× |
| Blood transfusion service (36430) |
$736.88 |
$982.50 |
1.7× |
| Chest tube placement (32551) |
$919.88 |
$1,226.50 |
0.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$340.88 |
$454.50 |
1.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$340.88 |
$454.50 |
0.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$340.88 |
$454.50 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$189 |
$252 |
0.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,637.25 |
$2,183 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$163.88 |
$218.50 |
0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,637.25 |
$2,183 |
6.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$340.88 |
$454.50 |
1.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$340.88 |
$454.50 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$340.88 |
$454.50 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,637.25 |
$2,183 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$340.88 |
$454.50 |
1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$340.88 |
$454.50 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$825.75 |
$1,101 |
3.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$343.88 |
$458.50 |
0.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$340.88 |
$454.50 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$246 |
$328 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$267 |
$356 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$294.38 |
$392.50 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$309 |
$412 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$652.13 |
$869.50 |
2.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$340.88 |
$454.50 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$652.13 |
$869.50 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$340.88 |
$454.50 |
1.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$340.88 |
$454.50 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$246 |
$328 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,388.88 |
$4,518.50 |
2.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$324.75 |
$433 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$340.88 |
$454.50 |
0.2× |
| Colonoscopy w/ablation (45388) |
$2,005.50 |
$2,674 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$327.38 |
$436.50 |
2.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$365.63 |
$487.50 |
2.7× |
| Debride nail 1-5 (11720) |
$98.25 |
$131 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$156 |
$208 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$199.50 |
$266 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,156.50 |
$1,542 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$268.88 |
$358.50 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$195 |
$260 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$98.25 |
$131 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$505.88 |
$674.50 |
0.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,455.88 |
$3,274.50 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$311.25 |
$415 |
1.4× |
| Hemorrhoidectomy external complete (46250) |
$4,093.13 |
$5,457.50 |
1.5× |
| I&d abscess simple (10060) |
$295.13 |
$393.50 |
1.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$264 |
$352 |
0.1× |
| I&d perianal abscess superficial (46050) |
$332.25 |
$443 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$295.13 |
$393.50 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$687.38 |
$916.50 |
1.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$427.50 |
$570 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$295.13 |
$393.50 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$242.63 |
$323.50 |
0.8× |
| Incision thrombosed hemorrhoid external (46083) |
$687.38 |
$916.50 |
2.7× |
| Injection anes other peripheral nerve/branch (64450) |
$1,522.13 |
$2,029.50 |
2.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$163.50 |
$218 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$368.25 |
$491 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$223.13 |
$297.50 |
1.7× |
| Insert Temp Bladder Cath (51702) |
$188.25 |
$251 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$139.50 |
$186 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,441.63 |
$3,255.50 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$491.25 |
$655 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$343.88 |
$458.50 |
0.8× |
| Puncture Aspiration (10160) |
$65.63 |
$87.50 |
0.2× |
| Removal foreign body foot subcutaneous (28190) |
$204.75 |
$273 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$704.25 |
$939 |
0.4× |
| Removal foreign body pharynx (42809) |
$122.63 |
$163.50 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$122.63 |
$163.50 |
2.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$204.75 |
$273 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$122.63 |
$163.50 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$277.50 |
$370 |
2.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$450.38 |
$600.50 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$450.38 |
$600.50 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$450.38 |
$600.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$351.75 |
$469 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$351.75 |
$469 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$351.75 |
$469 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$351.75 |
$469 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$351.75 |
$469 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$351.75 |
$469 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$351.75 |
$469 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$351.75 |
$469 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$351.75 |
$469 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$351.75 |
$469 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$351.75 |
$469 |
0.9× |
| Repair of nail bed (11760) |
$185.63 |
$247.50 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$349.88 |
$466.50 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$393 |
$524 |
2.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$295.13 |
$393.50 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$267.19 |
$356.25 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$303 |
$404 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$242.63 |
$323.50 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$303 |
$404 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$303 |
$404 |
1.5× |
| Skin tissue rearrangement (14040) |
$204.75 |
$273 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$303 |
$404 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$303 |
$404 |
0.7× |
| Strapping elbow/wrist (29260) |
$187.13 |
$249.50 |
3.2× |
| Strapping knee (29530) |
$196.50 |
$262 |
1.5× |
| Strapping shoulder (29240) |
$196.50 |
$262 |
1.5× |
| Strapping unna boot (29580) |
$196.50 |
$262 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$577.88 |
$770.50 |
0.9× |
Treat ankle dislocation (27846)
likely a partial charge, not the full procedure |
$267 |
$356 |
0.0× |
| Treat Fracture Radius & Ulna (25560) |
$327.38 |
$436.50 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$264 |
$352 |
1.1× |
| Venipuncture (36415) |
$16.13 |
$21.50 |
1.7× |