| Abd paracentesis w/imaging (49083) |
$286 |
$286 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,269 |
$1,269 |
1.6× |
| Application cast elbow finger short arm (29075) |
$371 |
$371 |
1.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$214.50 |
$214.50 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$381 |
$381 |
1.6× |
| Application Finger Splint Dynamic (29131) |
$168 |
$168 |
3.3× |
| Application finger splint static (29130) |
$168 |
$168 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$208 |
$208 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$193.50 |
$193.50 |
1.4× |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
$245.50 |
$245.50 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$258 |
$258 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$258 |
$258 |
2.2× |
| Application short leg splint calf foot (29515) |
$196.50 |
$196.50 |
1.4× |
| Arterial puncture (36600) |
$45.50 |
$45.50 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$355 |
$355 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$150 |
$150 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$353.50 |
$353.50 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$189.50 |
$189.50 |
1.1× |
| Bladder Irrigation Simple (51700) |
$246 |
$246 |
1.1× |
| Blood patch (62273) |
$1,136.28 |
$1,136.28 |
1.9× |
| Blood transfusion service (36430) |
$858.98 |
$858.98 |
2.3× |
| Chest tube placement (32551) |
$876 |
$876 |
0.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$201 |
$201 |
1.8× |
| Circum 28 days or older (54161) |
$891 |
$891 |
0.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$487.50 |
$487.50 |
2.3× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$811.50 |
$811.50 |
0.6× |
| Closed Rx Med Malleolus Fx (27760) |
$380 |
$380 |
1.8× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$718.50 |
$718.50 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$751 |
$751 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$475 |
$475 |
2.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$641.50 |
$641.50 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$580.50 |
$580.50 |
2.7× |
| Closed Rx Trimalleolar Fx (27816) |
$514.50 |
$514.50 |
2.4× |
| Closed Treat Vert Body Fract (22310) |
$413 |
$413 |
1.9× |
| Closed treat wrist dislocation (25660) |
$380 |
$380 |
1.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$410.50 |
$410.50 |
1.9× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$551 |
$551 |
2.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$522 |
$522 |
2.5× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$260 |
$260 |
0.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$445.50 |
$445.50 |
2.1× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$438.50 |
$438.50 |
2.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$775 |
$775 |
3.6× |
| Closed Treatment Sternum Fracture (21820) |
$354.50 |
$354.50 |
1.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$535.50 |
$535.50 |
2.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$307 |
$307 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$307 |
$307 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$380 |
$380 |
1.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$475 |
$475 |
2.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$750 |
$750 |
3.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$374.50 |
$374.50 |
1.8× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$907.50 |
$907.50 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$434 |
$434 |
2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$460.50 |
$460.50 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,326.50 |
$1,326.50 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$443 |
$443 |
2.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$500 |
$500 |
2.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$461.50 |
$461.50 |
2.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$443 |
$443 |
2.1× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$550.50 |
$550.50 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$442.50 |
$442.50 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$382 |
$382 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$528 |
$528 |
2.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$399.50 |
$399.50 |
0.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$858 |
$858 |
4.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$600.50 |
$600.50 |
2.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$557.50 |
$557.50 |
2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$380 |
$380 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$501 |
$501 |
2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,403.50 |
$1,403.50 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$788.50 |
$788.50 |
3.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$337 |
$337 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$331.50 |
$331.50 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$545 |
$545 |
2.6× |
| Cltx greater trochanteric fx w/o manj (27246) |
$705 |
$705 |
3.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$303.50 |
$303.50 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$555 |
$555 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$442 |
$442 |
2.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$343.50 |
$343.50 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$513 |
$513 |
2.4× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$613.50 |
$613.50 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$302 |
$302 |
1.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$433 |
$433 |
2.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$778 |
$778 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,462 |
$1,462 |
1.1× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$260 |
$260 |
0.1× |
| Complex Drainage, Wound (10180) |
$2,544 |
$2,544 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$249 |
$249 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$221 |
$221 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$288 |
$288 |
2.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$336 |
$336 |
1.6× |
| Debride nail 1-5 (11720) |
$124 |
$124 |
2.4× |
| Debride nail 6 or more (11721) |
$142.50 |
$142.50 |
2.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$415 |
$415 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$598.50 |
$598.50 |
0.9× |
| Delivery placenta separate procedure (59414) |
$3,460.50 |
$3,460.50 |
1.2× |
| Drain shoulder lesion (23030) |
$2,664 |
$2,664 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$1,748 |
$1,748 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$341.50 |
$341.50 |
2.0× |
| Drainage of eyelid abscess (67700) |
$451 |
$451 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$2,995 |
$2,995 |
2.1× |
| Drainage of scrotal wall abscess (55100) |
$1,546 |
$1,546 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$363 |
$363 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$340 |
$340 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$257.50 |
$257.50 |
1.5× |
| Endoven ther chem adhes 1st (36482) |
$15,500 |
$15,500 |
3.2× |
| Endovenous rf 1st vein (36475) |
$8,900 |
$8,900 |
3.3× |
| Evacuation of subungual hematoma (11740) |
$89 |
$89 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,064 |
$1,064 |
3.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$675.50 |
$675.50 |
1.1× |
| Fetal Contraction Stress Test (59020) |
$338 |
$338 |
1.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$125 |
$125 |
0.7× |
| Hemorrhoidectomy external complete (46250) |
$5,505 |
$5,505 |
2.3× |
| I&d abscess simple (10060) |
$336 |
$336 |
1.9× |
| I&d pilonidal cyst simple (10080) |
$292.50 |
$292.50 |
0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,602.50 |
$2,602.50 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$336 |
$336 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,143.50 |
$2,143.50 |
1.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$445.50 |
$445.50 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$338 |
$338 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$477 |
$477 |
1.8× |
| Incision thrombosed hemorrhoid external (46083) |
$352.50 |
$352.50 |
1.6× |
| Initial tx 1st degree burn local tx (16000) |
$165 |
$165 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$353 |
$353 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$363 |
$363 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$591 |
$591 |
2.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$350.50 |
$350.50 |
1.3× |
| Injection therapeutic carpal tunnel (20526) |
$379.50 |
$379.50 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$1,501.50 |
$1,501.50 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$118.50 |
$118.50 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$154 |
$154 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$575 |
$575 |
2.8× |
| Perq device breast 1st imag (19281) |
$263 |
$263 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$133 |
$133 |
0.3× |
| Puncture Aspiration (10160) |
$294 |
$294 |
0.8× |
| Removal fb intranasal (30300) |
$232 |
$232 |
2.0× |
| Removal Foreign Body Foot Complicated (28193) |
$1,121 |
$1,121 |
0.8× |
| Removal foreign body foot deep (28192) |
$1,600 |
$1,600 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$1,175 |
$1,175 |
1.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$536 |
$536 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$125 |
$125 |
2.5× |
| Remove shoulder foreign body (23330) |
$1,188.50 |
$1,188.50 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$150 |
$150 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$166.50 |
$166.50 |
1.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$944 |
$944 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,098 |
$1,098 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$818 |
$818 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$818 |
$818 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$720.50 |
$720.50 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$800 |
$800 |
2.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$826.50 |
$826.50 |
1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$889.50 |
$889.50 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$636 |
$636 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$266 |
$266 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$295.50 |
$295.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$324.50 |
$324.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$353 |
$353 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$353 |
$353 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$287 |
$287 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$314.50 |
$314.50 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$312.50 |
$312.50 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$242.50 |
$242.50 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$266 |
$266 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$575 |
$575 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$293.50 |
$293.50 |
0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$845 |
$845 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$167 |
$167 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$184 |
$184 |
1.6× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,187 |
$1,187 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$412 |
$412 |
0.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$635 |
$635 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$321 |
$321 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$312 |
$312 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$245.50 |
$245.50 |
1.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$362.50 |
$362.50 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$273 |
$273 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$293.50 |
$293.50 |
1.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$409.50 |
$409.50 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$215 |
$215 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$365 |
$365 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$259.50 |
$259.50 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$312 |
$312 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$312 |
$312 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$312 |
$312 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$532 |
$532 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$868 |
$868 |
1.4× |
| Strapping ankle (29540) |
$175.50 |
$175.50 |
1.3× |
| Strapping elbow/wrist (29260) |
$258 |
$258 |
5.1× |
| Strapping hand/finger (29280) |
$174.50 |
$174.50 |
3.4× |
| Strapping knee (29530) |
$179.50 |
$179.50 |
1.6× |
| Strapping shoulder (29240) |
$189 |
$189 |
1.6× |
| Strapping toes (29550) |
$172 |
$172 |
3.4× |
| Strapping unna boot (29580) |
$258 |
$258 |
1.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$228 |
$228 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$228 |
$228 |
0.4× |
| Treat Fracture Radius & Ulna (25560) |
$469 |
$469 |
2.2× |
| Treat humerus fracture (24500) |
$571.50 |
$571.50 |
2.7× |
| Treat humerus fracture (23600) |
$548.50 |
$548.50 |
2.6× |
| Treat wrist bone fracture (25622) |
$510 |
$510 |
2.4× |
Treat wrist fracture (25685)
unusually low: confirm this is the full procedure |
$2,000 |
$2,000 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$620 |
$620 |
2.9× |
| Trim skin lesion (11055) |
$134 |
$134 |
0.8× |
| Vaginal delivery only (59409) |
$3,511.50 |
$3,511.50 |
1.3× |
| Venipuncture (36415) |
$15 |
$15 |
1.6× |