| Application cast elbow finger short arm (29075) |
$522 |
$522 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$300 |
$300 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$236 |
$236 |
1.7× |
| Application short leg splint calf foot (29515) |
$300 |
$300 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$549 |
$549 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$549 |
$549 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$156 |
$156 |
0.5× |
| Bladder Scan (51798) |
$103 |
$103 |
1.7× |
| Blood Transfusion Service (36430) |
$986 |
$986 |
2.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$499 |
$499 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$504 |
$504 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$499 |
$499 |
2.0× |
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines |
$20–$197 |
$20–$197 |
varies |
| Collection of venous blood by venipuncture (36415) |
$17 |
$17 |
1.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,336 |
$2,336 |
1.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$220 |
$220 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$220 |
$220 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$514 |
$514 |
0.5× |
| Egd remove lesion snare (43251) |
$1,543 |
$1,543 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$636 |
$636 |
1.5× |
| I&d abscess simple (10060) |
$365 |
$365 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$737 |
$737 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$698 |
$698 |
1.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,560 |
$1,560 |
2.2× |
| Insert Bladder Cath Complex (51703) |
$294 |
$294 |
2.2× |
| Insert Temp Bladder Cath (51702) |
$231 |
$231 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$231 |
$231 |
1.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$60 |
$60 |
2.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$120 |
$120 |
4.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$390 |
$390 |
0.9× |
| Removal of nail bed (11750) |
$698 |
$698 |
1.7× |
| Remove foreign body from eye (65205) |
$280 |
$280 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$650 |
$650 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,010 |
$1,010 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$852 |
$852 |
2.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$698 |
$698 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$698 |
$698 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$698 |
$698 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$698 |
$698 |
1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$458 |
$458 |
2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$365 |
$365 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$365 |
$365 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$365 |
$365 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$365 |
$365 |
1.8× |
| Skin sub graft trnk/arm/leg (15271) |
$448 |
$448 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$365 |
$365 |
1.8× |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines |
$435–$529 |
$435–$529 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$670 |
$670 |
1.6× |
| Strapping knee (29530) |
$227 |
$227 |
1.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$677 |
$677 |
1.6× |