| Application long arm splint shoulder hand (29105) |
$371.40 |
$619 |
2.1× |
| Application Long Leg Splint (29505) |
$371.40 |
$619 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$301.20 |
$502 |
2.1× |
| Application short leg splint calf foot (29515) |
$371.40 |
$619 |
2.1× |
| Apply Multlay Comprs Lwr Leg (29581) |
$300 |
$500 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$697.80 |
$1,163 |
2.1× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$720–$867.60 |
$1,200–$1,446 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$600 |
$1,000 |
1.8× |
| Aspirate pleura w/ imaging (32555) |
$2,400 |
$4,000 |
3.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$471.60 |
$786 |
2.2× |
| Bladder Irrigation (51700) |
$582 |
$970 |
2.2× |
| Bladder Scan (51798) |
$176.40 |
$294 |
2.8× |
| Blood Transfusion Service (36430) |
$1,026.60 |
$1,711 |
2.2× |
| Chest tube placement (32551) |
$3,772.20 |
$6,287 |
2.2× |
| Clear outer ear canal (69200) |
$301.20 |
$502 |
2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$829.80 |
$1,383 |
3.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$555.60 |
$926 |
2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$555.60 |
$926 |
2.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$555.60 |
$926 |
2.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,785.40 |
$6,309 |
2.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,785.40 |
$6,309 |
2.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$555.60 |
$926 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$510.60 |
$851 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$555.60 |
$926 |
2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$555.60 |
$926 |
2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$575.40 |
$959 |
2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,049.20 |
$5,082 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$555.60 |
$926 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$555.60 |
$926 |
2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$868.20 |
$1,447 |
3.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$555.60 |
$926 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,785.40 |
$6,309 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$661.80 |
$1,103 |
2.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$555.60 |
$926 |
2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$555.60 |
$926 |
2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$822.60 |
$1,371 |
3.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$555.60 |
$926 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$555.60 |
$926 |
2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$555.60 |
$926 |
2.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$510 |
$850 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$555.60 |
$926 |
2.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,785.40 |
$6,309 |
2.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$349.20 |
$582 |
2.4× |
| Collection of venous blood by venipuncture (36415) |
$24 |
$40 |
2.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$301.20 |
$502 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$278.40 |
$464 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$301.20 |
$502 |
2.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,591.20 |
$2,652 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$939.60 |
$1,566 |
2.2× |
| Declot vascular device (36593) |
$927 |
$1,545 |
2.6× |
| Delivery of placenta (59414) |
$7,363.20 |
$12,272 |
2.1× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$3,420 |
$5,700 |
1.9× |
| Drainage Finger Abscess Complicated (26011) |
$3,213.60 |
$5,356 |
1.8× |
| Drainage Mouth Roof Lesion (42000) |
$525.60 |
$876 |
2.1× |
| Drainage of finger abscess simple (26010) |
$3,213.60 |
$5,356 |
14.9× |
| Drainage of gum lesion (41800) |
$301.20 |
$502 |
2.1× |
| Drainage of hematoma/fluid (10140) |
$3,818.40 |
$6,364 |
2.2× |
| Draw Blood Off Venous Device (36591) |
$319.80 |
$533 |
2.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,296 |
$2,160 |
2.2× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$471.60–$515.40 |
$786–$859 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$391.80–$438 |
$653–$730 |
varies |
| Evacuation of subungual hematoma (11740) |
$301.20 |
$502 |
2.1× |
| Fine needle aspiration without imaging guidance (10021) |
$939.60 |
$1,566 |
2.2× |
| Fluid Pressure Muscle (20950) |
$1,656.60 |
$2,761 |
2.2× |
| Fluoro exam of g/colon tube (49465) |
$1,140 |
$1,900 |
4.5× |
| Fna bx w/us gdn 1st les (10005) |
$1,477.80 |
$2,463 |
1.9× |
| I&d abscess peritonsillar (42700) |
$575.40 |
$959 |
2.3× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$471.60–$1,306.20 |
$786–$2,177 |
varies |
| I&d perianal abscess superficial (46050) |
$2,376 |
$3,960 |
2.4× |
| I&d pilonidal cyst complicated (10081) |
$1,980 |
$3,300 |
2.6× |
| I&d pilonidal cyst simple (10080) |
$1,656.60 |
$2,761 |
2.2× |
| Incise external hemorrhoid (46083) |
$582 |
$970 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$939.60 |
$1,566 |
2.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$939.60 |
$1,566 |
2.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$469.20 |
$782 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$691.20 |
$1,152 |
2.1× |
| Incision of rectal abscess (46040) |
$4,153.80 |
$6,923 |
3.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$697.80 |
$1,163 |
2.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,421.40 |
$2,369 |
1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$697.80 |
$1,163 |
2.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,629 |
$2,715 |
2.2× |
| Insert Bladder Cath Complex (51703) |
$367.80 |
$613 |
2.7× |
| Insert cath pleura w/ image (32557) |
$3,772.20 |
$6,287 |
2.2× |
| Insert cath pleura w/o image (32556) |
$4,482 |
$7,470 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$7,507.20 |
$12,512 |
2.2× |
| Insert Temp Bladder Cath (51702) |
$301.20 |
$502 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$301.20 |
$502 |
2.1× |
| Intubation endotracheal emergency procedure (31500) |
$575.40 |
$959 |
2.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$918 |
$1,530 |
2.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$697.80 |
$1,163 |
2.1× |
| Occipital Nerve Block (64405) |
$697.80 |
$1,163 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$939 |
$1,565 |
2.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$982.80 |
$1,638 |
2.3× |
| Removal foreign body foot deep (28192) |
$3,818.40 |
$6,364 |
2.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$137.40 |
$229 |
2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$295.20 |
$492 |
4.7× |
| Removal of nail bed (11750) |
$837 |
$1,395 |
1.9× |
| Remove foreign body from eye (65205) |
$325.80 |
$543 |
2.3× |
| Remove Intrauterine Device (58301) |
$756 |
$1,260 |
2.3× |
| Remove Nasal Foreign Body (30300) |
$301.20 |
$502 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,342.20 |
$2,237 |
3.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,479.60 |
$2,466 |
3.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$939.60 |
$1,566 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$939.60 |
$1,566 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$939.60 |
$1,566 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$939.60 |
$1,566 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$939.60 |
$1,566 |
2.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$939.60 |
$1,566 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$939.60 |
$1,566 |
2.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$939.60 |
$1,566 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,183.20 |
$1,972 |
2.7× |
| Repair of nail bed (11760) |
$1,479.60 |
$2,466 |
1.9× |
| Repair tongue laceration (41250) |
$939 |
$1,565 |
2.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$939 |
$1,565 |
2.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$301.20 |
$502 |
2.1× |
| Rplc Gtube No Revj Trc (43762) |
$582 |
$970 |
2.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$570 |
$950 |
2.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$471.60 |
$786 |
2.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$471.60 |
$786 |
2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$471.60 |
$786 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$471.60 |
$786 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$471.60 |
$786 |
2.2× |
| Skin sub graft face/nk/hf/g (15275) |
$4,295.40 |
$7,159 |
5.4× |
| Skin sub graft trnk/arm/leg (15271) |
$4,295.40 |
$7,159 |
5.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$471.60 |
$786 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$939.60 |
$1,566 |
2.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,629 |
$2,715 |
2.2× |
| Strapping Unna Boot (29580) |
$371.40 |
$619 |
2.1× |
| Thrombolytic Therapy Stroke (37195) |
$798 |
$1,330 |
2.3× |
| Treat Knuckle Dislocation (26700) |
$555.60 |
$926 |
2.1× |
| Treat Thumb Dislocation (26641) |
$510.60 |
$851 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$555.60 |
$926 |
2.1× |
| Trim skin lesion (11055) |
$471.60 |
$786 |
2.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$27 |
$45 |
0.4× |
| Tx Gastro Intub W/Asp (43753) |
$739.20 |
$1,232 |
3.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,479.60 |
$2,466 |
1.9× |