| Abd paracentesis w/imaging (49083) |
$2,947.75 |
$4,535 |
2.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,947.75 |
$4,535 |
2.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$5,439.85 |
$8,369 |
1.4× |
| Application cast elbow finger short arm (29075) |
$712.40 |
$1,096 |
2.2× |
| Application Finger Splint Dynamic (29131) |
$351 |
$540 |
5.0× |
| Application finger splint static (29130) |
$530.40 |
$816 |
3.4× |
| Application long arm splint shoulder hand (29105) |
$434.20 |
$668 |
2.3× |
| Application Long Leg Splint (29505) |
$650.65 |
$1,001 |
3.4× |
| Application Short Arm Splint Dynamic (29126) |
$543.40 |
$836 |
3.5× |
| Application short arm splint forearm-hand static (29125) |
$530.40 |
$816 |
3.4× |
| Application short leg splint calf foot (29515) |
$650.65 |
$1,001 |
3.4× |
| Apply Short Leg Cast (29405) |
$712.40 |
$1,096 |
2.2× |
| Apply short leg cast (29425) |
$1,021.15 |
$1,571 |
3.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,118.65 |
$1,721 |
3.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,118.65 |
$1,721 |
3.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,066 |
$1,640 |
2.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,013.35 |
$1,559 |
2.8× |
| Aspirate pleura w/ imaging (32555) |
$2,089.10 |
$3,214 |
2.8× |
| Aspirate Pleura W/O Imaging (32554) |
$2,089.10 |
$3,214 |
2.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,953.95 |
$6,083 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$801.45 |
$1,233 |
3.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,366.65 |
$3,641 |
1.2× |
| Bladder Irrigation (51700) |
$944.45 |
$1,453 |
3.2× |
| Bladder Scan (51798) |
$278.20 |
$428 |
4.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$1,128.40 |
$1,736 |
3.0× |
| Blood Transfusion Service (36430) |
$1,242.15 |
$1,911 |
2.4× |
| Canthotomy Separate Procedure (67715) |
$4,507.75 |
$6,935 |
1.6× |
| Catheter aspiration nasotracheal spx (31720) |
$271.70 |
$418 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$916.50 |
$1,410 |
3.1× |
| Chest tube placement (32551) |
$3,172 |
$4,880 |
1.7× |
| Cl Tx Scapular Fx; W Manip (23575) |
$3,058.25 |
$4,705 |
1.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,058.25 |
$4,705 |
1.6× |
| Clear outer ear canal (69200) |
$530.40 |
$816 |
3.4× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$936.65 |
$1,441 |
3.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$936.65 |
$1,441 |
3.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$936.65 |
$1,441 |
3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$936.65 |
$1,441 |
3.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,058.25 |
$4,705 |
1.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$936.65 |
$1,441 |
3.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$936.65 |
$1,441 |
3.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$936.65 |
$1,441 |
3.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,756.35 |
$5,779 |
2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,314 |
$3,560 |
1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,960.10 |
$4,554 |
1.6× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$4,288.70 |
$6,598 |
2.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$936.65 |
$1,441 |
3.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$936.65 |
$1,441 |
3.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,058.25 |
$4,705 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$4,526.60 |
$6,964 |
2.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,058.25 |
$4,705 |
1.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$936.65 |
$1,441 |
3.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$936.65 |
$1,441 |
3.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,756.35 |
$5,779 |
2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$936.65 |
$1,441 |
3.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$936.65 |
$1,441 |
3.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$905.45 |
$1,393 |
3.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$905.45 |
$1,393 |
3.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,058.25 |
$4,705 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$936.65 |
$1,441 |
3.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$905.45 |
$1,393 |
3.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$936.65 |
$1,441 |
3.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$936.65 |
$1,441 |
3.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$936.65 |
$1,441 |
3.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$936.65 |
$1,441 |
3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$936.65 |
$1,441 |
3.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$936.65 |
$1,441 |
3.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$936.65 |
$1,441 |
3.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$768.30 |
$1,182 |
2.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$838.50 |
$1,290 |
2.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$936.65 |
$1,441 |
3.2× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,241.20 |
$3,448 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$936.65 |
$1,441 |
3.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$936.65 |
$1,441 |
3.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$936.65 |
$1,441 |
3.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$936.65 |
$1,441 |
3.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$936.65 |
$1,441 |
3.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,756.35 |
$5,779 |
2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$936.65 |
$1,441 |
3.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$2,177.50 |
$3,350 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$3,058.25 |
$4,705 |
1.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,756.35 |
$5,779 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,058.25 |
$4,705 |
1.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$182 |
$280 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$41.60 |
$64 |
4.5× |
| Complex drainage wound (10180) |
$4,720.95 |
$7,263 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$393.25 |
$605 |
2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$530.40 |
$816 |
3.4× |
| Control oropharyngeal hemorrhage simple (42960) |
$1,624.35 |
$2,499 |
2.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$528.45 |
$813 |
3.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$2,071.55 |
$3,187 |
4.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$2,334.80 |
$3,592 |
2.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,071.55 |
$3,187 |
2.4× |
| Debride nail 1-5 (11720) |
$278.20 |
$428 |
4.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$4,014.40 |
$6,176 |
2.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,459.90 |
$2,246 |
3.0× |
| Drain Cerebro Spinal Fluid (62272) |
$2,302.95 |
$3,543 |
2.8× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$4,014.40 |
$6,176 |
2.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$2,334.80 |
$3,592 |
2.8× |
| Drainage Finger Abscess Complicated (26011) |
$3,197.35 |
$4,919 |
1.6× |
| Drainage of finger abscess simple (26010) |
$801.45 |
$1,233 |
3.4× |
| Drainage of gum lesion (41800) |
$530.40 |
$816 |
3.4× |
| Drainage of hematoma/fluid (10140) |
$3,197.35 |
$4,919 |
1.6× |
| Drainage of nose lesion (30000) |
$745.55 |
$1,147 |
2.7× |
| Drainage of rectal abscess (45005) |
$2,639 |
$4,060 |
1.9× |
| Drainage of scrotal wall abscess (55100) |
$3,197.35 |
$4,919 |
1.6× |
| Drainage of scrotum (54700) |
$3,740.10 |
$5,754 |
1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$2,334.80 |
$3,592 |
2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,459.90 |
$2,246 |
3.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$581.10 |
$894 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$801.45 |
$1,233 |
3.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,407.95 |
$5,243 |
1.6× |
| Egd Flexible Foreign Body Removal (43247) |
$2,947.75 |
$4,535 |
2.8× |
| Epidural Blood Patch (62273) |
$2,302.95 |
$3,543 |
2.8× |
| Evacuation of subungual hematoma (11740) |
$530.40 |
$816 |
3.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$2,334.80 |
$3,592 |
2.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,639 |
$4,060 |
1.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,720.95 |
$7,263 |
1.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$5,029.70 |
$7,738 |
2.1× |
| Exploration penetrating wound spx extremity (20103) |
$3,197.35 |
$4,919 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$1,459.90 |
$2,246 |
3.0× |
| Foreskin manipulation (54450) |
$916.50 |
$1,410 |
3.1× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$8,271.25 |
$12,725 |
2.1× |
| I&d abscess peritonsillar (42700) |
$911.30 |
$1,402 |
3.3× |
| I&d abscess simple (10060) |
$801.45 |
$1,233 |
3.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,720.95 |
$7,263 |
1.4× |
| I&d perianal abscess superficial (46050) |
$2,884.05 |
$4,437 |
2.6× |
| I&d pilonidal cyst complicated (10081) |
$2,334.80 |
$3,592 |
2.8× |
| I&d pilonidal cyst simple (10080) |
$2,334.80 |
$3,592 |
2.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$6,216.60 |
$9,564 |
1.8× |
| Incise external hemorrhoid (46083) |
$916.50 |
$1,410 |
3.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,459.90 |
$2,246 |
3.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$6,216.60 |
$9,564 |
1.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,459.90 |
$2,246 |
3.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$809.25 |
$1,245 |
3.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,147.90 |
$1,766 |
3.2× |
| Incision of rectal abscess (46040) |
$2,639 |
$4,060 |
1.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,197.35 |
$4,919 |
1.6× |
| Incisional biopsy skin single lesion (11106) |
$1,703 |
$2,620 |
2.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$801.45 |
$1,233 |
3.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$1,118.65 |
$1,721 |
3.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,118.65 |
$1,721 |
3.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,101.75 |
$1,695 |
3.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$2,302.95 |
$3,543 |
2.8× |
| Insert Bladder Cath Complex (51703) |
$645.45 |
$993 |
4.2× |
| Insert cath pleura w/ image (32557) |
$3,172 |
$4,880 |
1.7× |
| Insert cath pleura w/o image (32556) |
$3,162.25 |
$4,865 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$5,443.75 |
$8,375 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$308.75 |
$475 |
2.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$297.70 |
$458 |
1.9× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$5,443.75 |
$8,375 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,338.70 |
$3,598 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,540.25 |
$6,985 |
1.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$12,430.60 |
$19,124 |
1.3× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,669.85 |
$2,569 |
2.6× |
| Intubation endotracheal emergency procedure (31500) |
$990.60 |
$1,524 |
3.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$916.50 |
$1,410 |
3.1× |
| Laryngoscopy flexible diagnostic (31575) |
$773.50 |
$1,190 |
3.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,407.95 |
$5,243 |
1.6× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$1,231.75 |
$1,895 |
1.9× |
| N Block Inj Plantar Digit (64455) |
$1,118.65 |
$1,721 |
3.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$1,305.20 |
$2,008 |
2.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$2,917.20 |
$4,488 |
7.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$1,118.65 |
$1,721 |
3.1× |
| Occipital Nerve Block (64405) |
$1,101.75 |
$1,695 |
3.0× |
| Peritoneal Lavage (49084) |
$2,947.75 |
$4,535 |
2.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,459.90 |
$2,246 |
3.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,885.65 |
$2,901 |
2.3× |
| Reduction of rectal prolapse (45900) |
$3,010.15 |
$4,631 |
2.7× |
| Removal Embedded Foreign Body Eyelid (67938) |
$1,128.40 |
$1,736 |
3.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$2,334.80 |
$3,592 |
2.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,647.80 |
$5,612 |
1.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$278.20 |
$428 |
4.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$278.20 |
$428 |
4.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,197.35 |
$4,919 |
1.6× |
| Removal of foreign body from pharynx (42809) |
$1,458.60 |
$2,244 |
2.8× |
| Removal of nail bed (11750) |
$1,459.90 |
$2,246 |
3.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$801.45 |
$1,233 |
3.4× |
| Remove foreign body from eye (65235) |
$5,083 |
$7,820 |
1.9× |
| Remove foreign body from eye (65205) |
$530.40 |
$816 |
3.4× |
| Remove Intrauterine Device (58301) |
$1,147.90 |
$1,766 |
3.2× |
| Remove Nasal Foreign Body (30300) |
$530.40 |
$816 |
3.4× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$5,443.75 |
$8,375 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,071.55 |
$3,187 |
2.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,459.90 |
$2,246 |
3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,071.55 |
$3,187 |
4.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$2,071.55 |
$3,187 |
4.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$2,071.55 |
$3,187 |
4.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,079.35 |
$3,199 |
2.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,058.25 |
$4,705 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$2,071.55 |
$3,187 |
2.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,719.90 |
$2,646 |
2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,459.90 |
$2,246 |
3.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$5,029.70 |
$7,738 |
2.1× |
| Repair of nail bed (11760) |
$2,071.55 |
$3,187 |
2.4× |
| Repair tongue laceration (41252) |
$911.30 |
$1,402 |
3.3× |
| Repair tongue laceration (41250) |
$1,458.60 |
$2,244 |
2.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,843.75 |
$4,375 |
2.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$2,590.90 |
$3,986 |
2.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$1,458.60 |
$2,244 |
2.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$530.40 |
$816 |
3.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$1,378 |
$2,120 |
2.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,639 |
$4,060 |
1.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,172 |
$4,880 |
1.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,305.20 |
$2,008 |
1.8× |
| Rplc Gtube No Revj Trc (43762) |
$916.50 |
$1,410 |
3.1× |
| Rplc gtube revj gstrst trc (43763) |
$916.50 |
$1,410 |
3.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,172 |
$4,880 |
1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$801.45 |
$1,233 |
3.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,703 |
$2,620 |
2.0× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$6,221.15 |
$9,571 |
2.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,861.60 |
$2,864 |
2.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,459.90 |
$2,246 |
3.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$801.45 |
$1,233 |
3.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$801.45 |
$1,233 |
3.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$801.45 |
$1,233 |
3.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$801.45 |
$1,233 |
3.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$801.45 |
$1,233 |
3.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$801.45 |
$1,233 |
3.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$801.45 |
$1,233 |
3.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,459.90 |
$2,246 |
3.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,459.90 |
$2,246 |
3.0× |
| Spinal puncture lumbar diagnostic (62270) |
$2,302.95 |
$3,543 |
2.8× |
| Strapping ankle (29540) |
$650.65 |
$1,001 |
3.4× |
| Strapping elbow or wrist (29260) |
$291.20 |
$448 |
4.2× |
| Strapping hand/finger (29280) |
$291.20 |
$448 |
4.2× |
| Strapping knee (29530) |
$530.40 |
$816 |
3.4× |
| Strapping shoulder (29240) |
$384.15 |
$591 |
2.4× |
| Strapping thorax (29200) |
$676 |
$1,040 |
3.5× |
| Strapping toes (29550) |
$278.20 |
$428 |
4.0× |
| Strapping Unna Boot (29580) |
$528.45 |
$813 |
2.8× |
| Thrombolytic Therapy Stroke (37195) |
$1,238.90 |
$1,906 |
3.2× |
| Tooth extraction (41899) |
$911.30 |
$1,402 |
3.3× |
| Treat Hip Socket Fracture (27222) |
$2,730 |
$4,200 |
9.4× |
| Treat Humerus Fracture (24505) |
$3,058.25 |
$4,705 |
1.6× |
| Treat knee fracture (27532) |
$5,439.85 |
$8,369 |
1.4× |
| Treat Knuckle Dislocation (26700) |
$936.65 |
$1,441 |
3.2× |
| Treat Metatarsal Fracture (28475) |
$724.10 |
$1,114 |
2.5× |
| Treat Thumb Dislocation (26641) |
$905.45 |
$1,393 |
3.1× |
| Treat Thumb Fracture (26645) |
$2,284.10 |
$3,514 |
1.2× |
| Treat toe dislocation (28630) |
$936.65 |
$1,441 |
3.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$3,058.25 |
$4,705 |
1.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$936.65 |
$1,441 |
3.2× |
| Trim skin lesion (11055) |
$648.05 |
$997 |
2.7× |
| Trimming Nondystrophic Nails Any Number (11719) |
$278.20 |
$428 |
4.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$2,071.55 |
$3,187 |
2.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,419.60 |
$2,184 |
3.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$718.25 |
$1,105 |
2.6× |