| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$905.34 |
$1,910 |
1.1× |
| Amniocentesis diagnostic (59000) |
$303.83 |
$641 |
0.4× |
| Application cast elbow finger short arm (29075) |
$223.73 |
$472 |
0.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$98.59 |
$208 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$223.73 |
$472 |
0.9× |
| Application finger splint static (29130) |
$98.59 |
$208 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$98.59 |
$208 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$223.73 |
$472 |
1.5× |
| Application of long leg cast (29345) |
$223.73 |
$472 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$98.59 |
$208 |
0.8× |
| Application short leg splint calf foot (29515) |
$98.59 |
$208 |
0.7× |
| Apply short leg cast (29405) |
$141.49 |
$298.50 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$205.44 |
$433.42 |
0.7× |
| Biopsy Breast Open Incisional (19101) |
$548.89 |
$1,158 |
0.2× |
| Bladder Scan (51798) |
$94.56 |
$199.50 |
1.8× |
| Blood patch (62273) |
$1,355.88 |
$2,860.50 |
2.1× |
| Blood transfusion service (36430) |
$388.68 |
$820 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$56.88 |
$120 |
0.0× |
| Chest tube placement (32551) |
$276.34 |
$583 |
0.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$216.14 |
$456 |
1.8× |
| Closed Rx Med Malleolus Fx (27760) |
$276.34 |
$583 |
1.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$276.34 |
$583 |
0.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$276.34 |
$583 |
0.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$276.34 |
$583 |
0.2× |
| Closed Rx Radial Shaft Fx (25500) |
$276.34 |
$583 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$276.34 |
$583 |
1.2× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$276.34 |
$583 |
0.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$276.34 |
$583 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$223.73 |
$472 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$276.34 |
$583 |
0.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$276.34 |
$583 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$276.34 |
$583 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$276.34 |
$583 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$276.34 |
$583 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$276.34 |
$583 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$276.34 |
$583 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$276.34 |
$583 |
0.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$276.34 |
$583 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$276.34 |
$583 |
1.2× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$276.34 |
$583 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$276.34 |
$583 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$223.73 |
$472 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$223.73 |
$472 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$223.73 |
$472 |
0.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$276.34 |
$583 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$276.34 |
$583 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$276.34 |
$583 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$276.34 |
$583 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$276.34 |
$583 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$276.34 |
$583 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$276.34 |
$583 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$276.34 |
$583 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$276.34 |
$583 |
1.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$223.73 |
$472 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$276.34 |
$583 |
0.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$276.34 |
$583 |
1.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$223.73 |
$472 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$276.34 |
$583 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$276.34 |
$583 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$276.34 |
$583 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$223.73 |
$472 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$276.34 |
$583 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$223.73 |
$472 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$223.73 |
$472 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$223.73 |
$472 |
1.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$24.17 |
$51 |
0.0× |
| Declot vascular device (36593) |
$282.10 |
$595.14 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$223.73 |
$472 |
1.2× |
| Draw blood off venous device (36591) |
$53.56 |
$113 |
0.4× |
| Fetal non-stress test (59025) |
$146.47 |
$309 |
0.8× |
| I&d abscess simple (10060) |
$223.73 |
$472 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$223.73 |
$472 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$223.73 |
$472 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$223.73 |
$472 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$182.96 |
$386 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$379.20 |
$800 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$580.65 |
$1,225 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$379.20 |
$800 |
0.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$853.20 |
$1,800 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$379.20 |
$800 |
0.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$379.20 |
$800 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$782.10 |
$1,650 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$2,666.25 |
$5,625 |
0.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$276.34 |
$583 |
0.1× |
| Insert picc cath (36569) |
$966.01 |
$2,038 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$127.59 |
$269.18 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$127.59 |
$269.18 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$839.29 |
$1,770.66 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$171.11 |
$361 |
0.8× |
| Myelography Lumbar Injection (62305) |
$1,174.10 |
$2,477 |
1.7× |
| Myelography Lumbar Injection (62304) |
$1,174.10 |
$2,477 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$866.24 |
$1,827.50 |
1.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,174.10 |
$2,477 |
1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$297.67 |
$628 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$276.34 |
$583 |
0.3× |
| Perq dev breast 1st strtctc (19283) |
$1,763.75 |
$3,721 |
2.7× |
| Perq dev breast 1st us imag (19285) |
$172.54 |
$364 |
0.3× |
| Perq device breast 1st imag (19281) |
$507.18 |
$1,070 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$276.34 |
$583 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$793.95 |
$1,675 |
0.2× |
| Puncture Aspiration Cyst Breast (19000) |
$398.63 |
$841 |
0.6× |
| Removal fb intranasal (30300) |
$182.96 |
$386 |
1.5× |
| Removal foreign body foot subcutaneous (28190) |
$223.73 |
$472 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$182.96 |
$386 |
3.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$182.96 |
$386 |
3.4× |
| Remv Ext Canal Foreign Body (69200) |
$223.73 |
$472 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$182.96 |
$386 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$276.34 |
$583 |
0.2× |
| Repair hand tendon (26410) |
$276.34 |
$583 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$223.73 |
$472 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$223.73 |
$472 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$223.73 |
$472 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$223.73 |
$472 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$223.73 |
$472 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$223.73 |
$472 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$223.73 |
$472 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$223.73 |
$472 |
0.6× |
| Repair Tongue Laceration (41250) |
$93.38 |
$197 |
0.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$182.96 |
$386 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$223.73 |
$472 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$223.73 |
$472 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$223.73 |
$472 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$276.34 |
$583 |
0.4× |
| Strapping ankle (29540) |
$115.66 |
$244 |
0.8× |
| Strapping knee (29530) |
$123.16 |
$259.84 |
1.0× |
| Strapping shoulder (29240) |
$98.59 |
$208 |
0.8× |
| Strapping unna boot (29580) |
$130.71 |
$275.75 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$627.50 |
$1,323.83 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$338.28 |
$713.68 |
1.1× |
| Treat Fracture Radius & Ulna (25560) |
$276.34 |
$583 |
1.2× |
| Treat humerus fracture (24500) |
$276.34 |
$583 |
1.2× |
| Treat humerus fracture (23600) |
$276.34 |
$583 |
1.2× |
| Treatment closed elbow dislocation req anes (24605) |
$223.73 |
$472 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$223.73 |
$472 |
1.0× |
| Unlisted Procedure Nervous System (64999) |
$276.34 |
$583 |
1.0× |
| Venipuncture (36415) |
$10.43 |
$22 |
1.1× |