| Anoscopy diagnostic (46600) |
$326.95 |
$503 |
2.1× |
| Application cast elbow finger short arm (29075) |
$460.20 |
$708 |
1.4× |
| Application Finger Splint Dynamic (29131) |
$185.90 |
$286 |
2.7× |
| Application finger splint static (29130) |
$185.90 |
$286 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$333.45 |
$513 |
1.7× |
| Application Long Leg Splint (29505) |
$333.45 |
$513 |
1.7× |
| Application of long leg cast (29345) |
$460.20 |
$708 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$333.45 |
$513 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$333.45 |
$513 |
2.1× |
| Application short leg splint calf foot (29515) |
$333.45 |
$513 |
1.7× |
| Application, cast; figure-of-eight Facility (29049) |
$333.45 |
$513 |
1.0× |
| Apply hand/wrist cast (29085) |
$333.45 |
$513 |
1.7× |
| Apply long arm cast (29065) |
$460.20 |
$708 |
1.4× |
| Apply Short Leg Cast (29405) |
$460.20 |
$708 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$672.75 |
$1,035 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$672.75 |
$1,035 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$672.75 |
$1,035 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$490.10 |
$754 |
2.1× |
| Bladder Irrigation (51700) |
$702 |
$1,080 |
2.4× |
Bladder Scan (51798)
range across 3 matching MRF lines |
$141.70–$300.30 |
$218–$462 |
varies |
| Blood Transfusion Service (36430) |
$947.05 |
$1,457 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$702 |
$1,080 |
2.4× |
| Chest tube placement (32551) |
$1,208.35 |
$1,859 |
0.6× |
| Cl Tx Scapular Fx; W Manip (23575) |
$576.55 |
$887 |
0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$4,156.10 |
$6,394 |
2.2× |
| Clear outer ear canal (69200) |
$178.75 |
$275 |
1.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$360.10 |
$554 |
1.2× |
| Closed rx talotarsal disloc,anesth (28575) |
$4,156.10 |
$6,394 |
1.1× |
| Closed Treat Vert Body Fract (22310) |
$576.55 |
$887 |
2.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$576.55 |
$887 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$576.55 |
$887 |
2.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$360.10 |
$554 |
1.2× |
| Closed Treatment Sternum Fracture (21820) |
$360.10 |
$554 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$576.55 |
$887 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$576.55 |
$887 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,491.10 |
$2,294 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$576.55 |
$887 |
2.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,491.10 |
$2,294 |
5.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$576.55 |
$887 |
2.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,491.10 |
$2,294 |
0.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$576.55 |
$887 |
2.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$576.55 |
$887 |
2.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$3,831.75 |
$5,895 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$576.55 |
$887 |
2.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$4,156.10 |
$6,394 |
2.2× |
| Closed tx mandibular fracture w/manipulation (21451) |
$4,042.35 |
$6,219 |
2.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$867.75 |
$1,335 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$576.55 |
$887 |
2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$4,156.10 |
$6,394 |
2.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,809.60 |
$2,784 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,491.10 |
$2,294 |
5.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$360.10 |
$554 |
1.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$576.55 |
$887 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$576.55 |
$887 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$576.55 |
$887 |
2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,491.10 |
$2,294 |
0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$360.10 |
$554 |
1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$576.55 |
$887 |
0.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$360.10 |
$554 |
1.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$360.10 |
$554 |
1.2× |
| Closed tx septal&nose fx (21337) |
$4,042.35 |
$6,219 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$576.55 |
$887 |
2.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$576.55 |
$887 |
2.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$4,156.10 |
$6,394 |
2.2× |
| Closed tx talus fracture w/o manipulation (28430) |
$360.10 |
$554 |
1.2× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$360.10 |
$554 |
1.2× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$360.10 |
$554 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$280.80 |
$432 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$576.55 |
$887 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$360.10 |
$554 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$360.10 |
$554 |
1.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$867.75 |
$1,335 |
3.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,809.60 |
$2,784 |
2.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$576.55 |
$887 |
2.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$576.55 |
$887 |
2.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,491.10 |
$2,294 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$360.10 |
$554 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,831.75 |
$5,895 |
2.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$576.55 |
$887 |
2.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$360.10 |
$554 |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,831.75 |
$5,895 |
2.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$576.55 |
$887 |
0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$576.55 |
$887 |
2.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$576.55 |
$887 |
0.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$576.55 |
$887 |
2.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$360.10 |
$554 |
1.2× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$360.10 |
$554 |
1.2× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$576.55 |
$887 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$576.55 |
$887 |
2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$576.55 |
$887 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$576.55 |
$887 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$360.10 |
$554 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$576.55 |
$887 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,491.10 |
$2,294 |
0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$576.55 |
$887 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$576.55 |
$887 |
2.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$576.55 |
$887 |
2.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$576.55 |
$887 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$360.10 |
$554 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$576.55 |
$887 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$360.10 |
$554 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$576.55 |
$887 |
2.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$360.10 |
$554 |
1.2× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$576.55 |
$887 |
2.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$576.55 |
$887 |
2.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$576.55 |
$887 |
2.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$576.55 |
$887 |
0.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$576.55 |
$887 |
0.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$360.10 |
$554 |
1.2× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$576.55 |
$887 |
0.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$460.20 |
$708 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$360.10 |
$554 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$360.10 |
$554 |
1.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx Medial Ankle Fx (27760) |
$576.55 |
$887 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$576.55 |
$887 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$360.10 |
$554 |
1.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$576.55 |
$887 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$360.10 |
$554 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$576.55 |
$887 |
2.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,491.10 |
$2,294 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$576.55 |
$887 |
2.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx prox tibfib jt dislc req anes (27831) |
$1,491.10 |
$2,294 |
0.4× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$360.10 |
$554 |
1.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$576.55 |
$887 |
2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$576.55 |
$887 |
2.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$576.55 |
$887 |
0.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,491.10 |
$2,294 |
0.8× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$576.55 |
$887 |
0.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$576.55 |
$887 |
0.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$576.55 |
$887 |
2.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$576.55 |
$887 |
0.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$576.55 |
$887 |
2.0× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$6,678.75 |
$10,275 |
1.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$360.10 |
$554 |
1.2× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$576.55 |
$887 |
2.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$576.55 |
$887 |
2.0× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$360.10 |
$554 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,491.10 |
$2,294 |
0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$576.55 |
$887 |
2.0× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$11.05–$13 |
$17–$20 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$280.80 |
$432 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$280.80 |
$432 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$280.80 |
$432 |
1.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$280.80 |
$432 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$195.65 |
$301 |
0.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$2,126.80 |
$3,272 |
2.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$913.25 |
$1,405 |
1.0× |
| Debride nail 1-5 (11720) |
$202.15 |
$311 |
2.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$913.25 |
$1,405 |
1.9× |
| Decompressive fasciotomy hand (26037) |
$4,151.55 |
$6,387 |
1.1× |
| Delivery of placenta (59414) |
$4,563.65 |
$7,021 |
1.2× |
| Drainage external auditory canal abscess (69020) |
$530.40 |
$816 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$530.40 |
$816 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$2,804.10 |
$4,314 |
1.4× |
| Drainage of finger abscess simple (26010) |
$530.40 |
$816 |
2.2× |
| Drainage of gum lesion (41800) |
$530.40 |
$816 |
3.4× |
| Drainage of hematoma/fluid (10140) |
$2,804.10 |
$4,314 |
1.4× |
| Drainage of rectal abscess (45005) |
$4,713.15 |
$7,251 |
3.3× |
| Drainage of scrotum (54700) |
$5,759.65 |
$8,861 |
2.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$530.40 |
$816 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$490.10 |
$754 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$490.10 |
$754 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$490.10 |
$754 |
2.1× |
| Dx gastr intub w/asp spec (43754) |
$326.95 |
$503 |
1.3× |
| Dx gastr intub w/asp specs (43755) |
$435.50 |
$670 |
2.9× |
| Dx Laryngoscopy Excl Nb (31525) |
$4,037.15 |
$6,211 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$202.15 |
$311 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,058.20 |
$1,628 |
1.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,804.45 |
$5,853 |
1.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$4,713.15 |
$7,251 |
3.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,058.20 |
$1,628 |
2.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,058.20 |
$1,628 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,804.10 |
$4,314 |
1.4× |
| Explore/Treat Hand Joint (26070) |
$4,151.55 |
$6,387 |
2.2× |
| Fluid Pressure Muscle (20950) |
$530.40 |
$816 |
0.6× |
| I&d abscess peritonsillar (42700) |
$867.75 |
$1,335 |
3.1× |
| I&d abscess simple (10060) |
$530.40 |
$816 |
2.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,208.45 |
$8,013 |
1.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$5,441.15 |
$8,371 |
1.4× |
| I&d perianal abscess superficial (46050) |
$1,571.05 |
$2,417 |
1.4× |
| I&d pilonidal cyst complicated (10081) |
$2,804.10 |
$4,314 |
3.4× |
| I&d pilonidal cyst simple (10080) |
$530.40 |
$816 |
0.6× |
| I&d shoulder deep abscess/hematoma (23030) |
$5,208.45 |
$8,013 |
1.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$5,208.45 |
$8,013 |
1.5× |
| Incise external hemorrhoid (46083) |
$702 |
$1,080 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$530.40 |
$816 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,208.45 |
$8,013 |
1.5× |
| Incision & drainage leg/ankle infected bursa (27604) |
$8,548.15 |
$13,151 |
2.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,804.45 |
$5,853 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$913.25 |
$1,405 |
1.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$421.20 |
$648 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$629.85 |
$969 |
1.7× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$5,441.15 |
$8,371 |
2.9× |
| Incision of rectal abscess (46040) |
$4,713.15 |
$7,251 |
3.3× |
| Incision&drainage bursa foot (28001) |
$2,804.10 |
$4,314 |
1.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,804.10 |
$4,314 |
1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$202.15 |
$311 |
0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$672.75 |
$1,035 |
1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$672.75 |
$1,035 |
1.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$672.75 |
$1,035 |
1.9× |
| Injection therapeutic carpal tunnel (20526) |
$672.75 |
$1,035 |
1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,175.85 |
$1,809 |
1.4× |
| Insert Bladder Cath Complex (51703) |
$702 |
$1,080 |
4.6× |
| Insert non-tunnel cv cath (36556) |
$2,115.75 |
$3,255 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,820.35 |
$4,339 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$245.05 |
$377 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$245.05 |
$377 |
1.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,820.35 |
$4,339 |
0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$15,272.40 |
$23,496 |
1.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$661.05 |
$1,017 |
1.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$661.05 |
$1,017 |
1.4× |
| Intro Gastrointestinal Tube (44500) |
$1,548.95 |
$2,383 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$547.95 |
$843 |
2.0× |
| Laryngoscopy diagnostic (31505) |
$499.85 |
$769 |
2.1× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$499.85 |
$769 |
2.1× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$4,037.15 |
$6,211 |
8.7× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$502.45 |
$773 |
1.0× |
| Occipital Nerve Block (64405) |
$1,175.85 |
$1,809 |
3.2× |
| Open nasoethmoid fx w/o fixj (21338) |
$11,829.35 |
$18,199 |
1.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$13,689 |
$21,060 |
1.6× |
| Open treatment interphalangeal joint dislocation (28675) |
$6,678.75 |
$10,275 |
1.7× |
| Open Treatment Medial Malleolus Fracture (27766) |
$13,689 |
$21,060 |
1.6× |
| Open treatment metacarpophalangeal dislocation (26715) |
$6,678.75 |
$10,275 |
1.7× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$6,171.10 |
$9,494 |
1.6× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$6,678.75 |
$10,275 |
1.7× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
$6,678.75 |
$10,275 |
0.8× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$6,678.75 |
$10,275 |
0.8× |
| Open treatment of temporomandibular dislocation Facility (21490) |
$11,829.35 |
$18,199 |
3.0× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$13,689 |
$21,060 |
1.6× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$17,865.90 |
$27,486 |
2.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$13,689 |
$21,060 |
1.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,678.75 |
$10,275 |
1.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$13,689 |
$21,060 |
1.6× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$6,678.75 |
$10,275 |
1.7× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$13,689 |
$21,060 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$178.75 |
$275 |
0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$530.40 |
$816 |
1.1× |
| Reconstruction Nail Bed W/Graft (11762) |
$4,550 |
$7,000 |
1.9× |
| Removal Embedded Foreign Body Eyelid (67938) |
$605.15 |
$931 |
1.6× |
| Removal Foreign Body Foot Complicated (28193) |
$2,126.80 |
$3,272 |
1.1× |
| Removal foreign body foot deep (28192) |
$3,804.45 |
$5,853 |
1.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$2,126.80 |
$3,272 |
2.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,126.80 |
$3,272 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$178.75 |
$275 |
2.6× |
| Removal of foreign body from pharynx (42809) |
$326.95 |
$503 |
0.6× |
| Removal of nail bed (11750) |
$1,058.20 |
$1,628 |
2.2× |
| Removal or bivalving full arm or full leg cast (29705) |
$333.45 |
$513 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$278.85 |
$429 |
1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$333.45 |
$513 |
1.0× |
| Remove foreign body from eye (65205) |
$258.05 |
$397 |
1.6× |
| Remove Nasal Foreign Body (30300) |
$326.95 |
$503 |
2.1× |
| Remove Shoulder Foreign Body (23330) |
$2,126.80 |
$3,272 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,359.15 |
$2,091 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,359.15 |
$2,091 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$661.05 |
$1,017 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,359.15 |
$2,091 |
2.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$661.05 |
$1,017 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,359.15 |
$2,091 |
2.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,359.15 |
$2,091 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,359.15 |
$2,091 |
1.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,151.55 |
$6,387 |
2.2× |
| Repair Hand Tendon (26410) |
$4,151.55 |
$6,387 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$766.35 |
$1,179 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$661.05 |
$1,017 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$661.05 |
$1,017 |
0.8× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,359.15 |
$2,091 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,359.15 |
$2,091 |
2.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,359.15 |
$2,091 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,359.15 |
$2,091 |
0.6× |
| Repair of nail bed (11760) |
$661.05 |
$1,017 |
0.8× |
| Repair Spica/Body/Jacket Cast (29720) |
$333.45 |
$513 |
1.7× |
| Repair Toe Dislocation (28645) |
$6,678.75 |
$10,275 |
1.7× |
| Repair tongue laceration (41252) |
$1,809.60 |
$2,784 |
6.5× |
| Repair tongue laceration (41250) |
$280.80 |
$432 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$5,205.20 |
$8,008 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$326.95 |
$503 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$258.05 |
$397 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$258.05 |
$397 |
1.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$258.05 |
$397 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$4,713.15 |
$7,251 |
3.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$5,763.55 |
$8,867 |
1.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,126.80 |
$3,272 |
0.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,126.80 |
$3,272 |
1.1× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$460.20 |
$708 |
1.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,820.35 |
$4,339 |
1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$278.85 |
$429 |
1.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$661.05 |
$1,017 |
0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,809.60 |
$2,784 |
2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,809.60 |
$2,784 |
2.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,809.60 |
$2,784 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,548.95 |
$2,383 |
2.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$278.85 |
$429 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$278.85 |
$429 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$278.85 |
$429 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$278.85 |
$429 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$440.70 |
$678 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$811.20 |
$1,248 |
3.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$278.85 |
$429 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$278.85 |
$429 |
1.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$278.85 |
$429 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$403 |
$620 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$278.85 |
$429 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$605.15 |
$931 |
2.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$521.30 |
$802 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$820.95 |
$1,263 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$661.05 |
$1,017 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,175.85 |
$1,809 |
1.4× |
| Strapping ankle (29540) |
$185.90 |
$286 |
1.0× |
| Strapping elbow or wrist (29260) |
$185.90 |
$286 |
2.7× |
| Strapping hand/finger (29280) |
$185.90 |
$286 |
2.7× |
| Strapping knee (29530) |
$185.90 |
$286 |
1.2× |
| Strapping shoulder (29240) |
$185.90 |
$286 |
1.2× |
| Strapping thorax (29200) |
$185.90 |
$286 |
1.0× |
| Strapping toes (29550) |
$185.90 |
$286 |
2.7× |
| Strapping Unna Boot (29580) |
$460.20 |
$708 |
2.4× |
| Tenotomy shoulder area single tendon (23405) |
$8,548.15 |
$13,151 |
1.0× |
| Therapeutic pneumothorax (32960) |
$1,329.90 |
$2,046 |
1.8× |
| Thrombolytic Therapy Stroke (37195) |
$611 |
$940 |
1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,809.60 |
$2,784 |
6.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,809.60 |
$2,784 |
1.0× |
| Treat ankle fracture (28445) |
$13,689 |
$21,060 |
1.6× |
| Treat Big Toe Fracture (28505) |
$6,678.75 |
$10,275 |
1.7× |
| Treat clavicle dislocation (23530) |
$13,689 |
$21,060 |
1.6× |
| Treat Elbow Fracture (24635) |
$17,865.90 |
$27,486 |
2.1× |
| Treat humerus fracture (24500) |
$576.55 |
$887 |
2.0× |
| Treat Humerus Fracture (24505) |
$576.55 |
$887 |
0.3× |
| Treat humerus fracture (23600) |
$576.55 |
$887 |
2.0× |
| Treat knee fracture (27532) |
$4,156.10 |
$6,394 |
1.1× |
| Treat Knee Fracture(S) (27538) |
$576.55 |
$887 |
2.0× |
| Treat Knuckle Dislocation (26700) |
$576.55 |
$887 |
2.0× |
| Treat metacarpal fracture (26607) |
$4,156.10 |
$6,394 |
1.1× |
| Treat Metatarsal Fracture (28475) |
$576.55 |
$887 |
2.0× |
| Treat Tail Bone Fracture (27200) |
$360.10 |
$554 |
1.2× |
| Treat Thumb Dislocation (26641) |
$576.55 |
$887 |
2.0× |
| Treat Thumb Fracture (26645) |
$576.55 |
$887 |
0.3× |
| Treat toe dislocation (28630) |
$576.55 |
$887 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$576.55 |
$887 |
2.0× |
| Tx Gastro Intub W/Asp (43753) |
$433.55 |
$667 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,359.15 |
$2,091 |
1.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$360.10 |
$554 |
0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$360.10 |
$554 |
1.2× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$4,563.65 |
$7,021 |
1.2× |
| Vaginal delivery only (59409) |
$4,563.65 |
$7,021 |
1.2× |
| Venous Cutdown >1 Y/O (36425) |
$74.10 |
$114 |
0.1× |
| Wedge excision skin nail fold (11765) |
$278.85 |
$429 |
0.6× |
| Wedging of cast (29740) |
$333.45 |
$513 |
1.0× |
| Wedging of clubfoot cast (29750) |
$333.45 |
$513 |
1.0× |
| Windowing of cast (29730) |
$333.45 |
$513 |
1.7× |