| Abd paracentesis w/imaging (49083) |
$221.59 |
$298 |
0.2× |
| Application cast elbow finger short arm (29075) |
$53.76 |
$72.30 |
0.2× |
| Application Cast Finger (29086) |
$37.40 |
$50.30 |
0.2× |
| Application Cast Shoulder Spica (29055) |
$99.87 |
$134.30 |
0.3× |
| Application Finger Splint Dynamic (29131) |
$76.44 |
$102.80 |
1.3× |
| Application finger splint static (29130) |
$74.06 |
$99.60 |
0.5× |
| Application Long Leg Splint (29505) |
$38.85 |
$52.25 |
0.2× |
| Application short arm splint forearm-hand static (29125) |
$81.20 |
$109.20 |
0.6× |
| Application short leg splint calf foot (29515) |
$38.22 |
$51.40 |
0.2× |
| Application, cast; figure-of-eight Facility (29049) |
$50.19 |
$67.50 |
0.2× |
| Apply hand/wrist cast (29085) |
$48.56 |
$65.30 |
0.3× |
| Apply long arm cast (29065) |
$49.38 |
$66.40 |
0.2× |
| Apply Short Leg Cast (29405) |
$48.56 |
$65.30 |
0.2× |
| Arterial puncture (36600) |
$140.09 |
$188.40 |
1.0× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$325.33–$650.65 |
$437.50–$875 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$357.30–$714.60 |
$480.50–$961 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$324.66–$649.31 |
$436.60–$873.20 |
varies |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$2,163.35 |
$2,909.29 |
0.2× |
| Aspirate Pleura W/O Imaging (32554) |
$65.66 |
$88.30 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$77.19 |
$103.80 |
0.4× |
| Bladder Irrigation (51700) |
$56.89 |
$76.50 |
0.2× |
| Blood Transfusion Service (36430) |
$757.88 |
$1,019.20 |
1.7× |
| Change Cystostomy Tube Complicated (51710) |
$95.92 |
$129 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$73.24 |
$98.50 |
0.3× |
| Chemical Cautery Tissue (17250) |
$48.56 |
$65.30 |
0.2× |
| Chest tube placement (32551) |
$151.51 |
$203.75 |
0.1× |
| Circumcision w/clamp/oth dev w/block (54150) |
$68.86 |
$92.60 |
0.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$357.30 |
$480.50 |
0.2× |
| Clear outer ear canal (69200) |
$60.90 |
$81.90 |
0.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$327.85 |
$440.90 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$271.71 |
$365.40 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$307.55 |
$413.60 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$220.03 |
$295.90 |
0.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$344.96 |
$463.90 |
1.4× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$451.96 |
$607.80 |
0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$243.53 |
$327.50 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$349.72 |
$470.30 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$292.01 |
$392.70 |
1.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$219.21 |
$294.80 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$330.23 |
$444.10 |
0.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$183.45 |
$246.70 |
0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$301.16 |
$405 |
0.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$185.01 |
$248.80 |
0.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$174.67 |
$234.90 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$301.16 |
$405 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$194.97 |
$262.20 |
0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$178.69 |
$240.30 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$292.01 |
$392.70 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$243.53 |
$327.50 |
1.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$377.60 |
$507.80 |
1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$271.71 |
$365.40 |
0.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$301.98 |
$406.10 |
0.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$650.06 |
$874.20 |
2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$222.19 |
$298.80 |
0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$198.17 |
$266.50 |
0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$136.45 |
$183.50 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$229.55 |
$308.70 |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$368.45 |
$495.50 |
0.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$489.36 |
$658.10 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$357.30 |
$480.50 |
1.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$568.11 |
$764 |
0.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$541.49 |
$728.20 |
0.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$127.30 |
$171.20 |
0.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$252.23 |
$339.20 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$186.64 |
$251 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$213.64 |
$287.30 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$203.75 |
$274 |
0.8× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$101.50 |
$136.50 |
0.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$382.36 |
$514.20 |
0.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$121.80 |
$163.80 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$56.89 |
$76.50 |
0.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$232.75 |
$313 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$313.95 |
$422.20 |
0.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$211.70 |
$284.70 |
0.8× |
| Collection of venous blood by venipuncture (36415) |
$48.56 |
$65.30 |
5.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$162.33 |
$218.30 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$101.50 |
$136.50 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$244.27 |
$328.50 |
1.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$255.05 |
$343 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$260.26 |
$350 |
0.4× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$59.34 |
$79.80 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$89.98 |
$121 |
0.2× |
| Declot vascular device (36593) |
$24.32 |
$32.70 |
0.1× |
Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,656.74–$3,313.48 |
$2,228–$4,456 |
varies |
Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,825.68–$4,800.68 |
$3,800–$6,456 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$48.56 |
$65.30 |
0.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,859 |
$2,500 |
2.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$2,808.58 |
$3,777 |
8.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,230.80 |
$3,000 |
1.1× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$157.57 |
$211.90 |
0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$138.09 |
$185.70 |
0.2× |
| Drainage of finger abscess simple (26010) |
$65.66 |
$88.30 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$77.19 |
$103.80 |
0.0× |
| Draw Blood Off Venous Device (36591) |
$20.30 |
$27.30 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$138.09 |
$185.70 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$108.64 |
$146.10 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$60.90 |
$81.90 |
0.3× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$1,125.07–$2,250.13 |
$1,513–$3,026 |
varies |
| Epidural Blood Patch (62273) |
$324.66 |
$436.60 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$44.62 |
$60 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$124.18 |
$167 |
0.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$124.18 |
$167 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$60.90 |
$81.90 |
0.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$107.08 |
$144 |
0.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$117.79 |
$158.40 |
0.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$101.50 |
$136.50 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$255.80 |
$344 |
0.2× |
| Fetal non-stress test (59025) |
$45.36 |
$61 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$343.32 |
$461.70 |
0.1× |
| I&d abscess simple (10060) |
$85.14 |
$114.50 |
0.4× |
| I&d perianal abscess superficial (46050) |
$72.43 |
$97.40 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$131.32 |
$176.60 |
0.2× |
| Incise external hemorrhoid (46083) |
$135.71 |
$182.50 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$134.07 |
$180.30 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$73.24 |
$98.50 |
0.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$66.48 |
$89.40 |
0.2× |
| Incision of rectal abscess (46040) |
$405.78 |
$545.70 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$52.94 |
$71.20 |
0.3× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,399.46–$2,798.91 |
$1,882–$3,764 |
varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,679.79 |
$2,259 |
1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$324.66 |
$436.60 |
1.0× |
Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$324.66–$650.65 |
$436.60–$875 |
varies |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$892.32 |
$1,200 |
1.2× |
Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$325.33–$699.73 |
$437.50–$941 |
varies |
Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$324.66–$650.65 |
$436.60–$875 |
varies |
| Injection single tendon origin/insertion (20551) |
$223.08 |
$300 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$325.33 |
$437.50 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$325.33 |
$437.50 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$324.66 |
$436.60 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,735.56 |
$2,334 |
2.4× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$483.34–$966.68 |
$650–$1,300 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$324.66 |
$436.60 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$46.18 |
$62.10 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$111.54 |
$150 |
0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$69.68 |
$93.70 |
0.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$292.01 |
$392.70 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$101.50 |
$136.50 |
0.4× |
| Laryngoscopy diagnostic (31505) |
$63.28 |
$85.10 |
0.3× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$154.37 |
$207.60 |
0.7× |
| Late closure of wound (13160) |
$759.51 |
$1,021.40 |
0.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,735.56 |
$2,334 |
2.4× |
N block inj intercost sng (64420) range across 2 matching MRF lines |
$1,125.07–$2,250.13 |
$1,513–$3,026 |
varies |
| N Block Inj Plantar Digit (64455) |
$17.31 |
$23.28 |
0.1× |
| N Block Lumbar/Thoracic (64520) |
$324.66 |
$436.60 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,655.05 |
$2,225.73 |
1.8× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,125.07–$2,250.13 |
$1,513–$3,026 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,736.31 |
$2,335 |
2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,857.88 |
$2,498.50 |
2.6× |
| Occipital Nerve Block (64405) |
$324.66 |
$436.60 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$75.62 |
$101.70 |
0.0× |
| Placement of needle for intraosseous infusion (36680) |
$42.24 |
$56.80 |
0.1× |
Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$55.77–$1,780.62 |
$75–$2,394.60 |
varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,859 |
$2,500 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$40.60 |
$54.60 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$20.30 |
$27.30 |
0.3× |
| Removal of nail bed (11750) |
$115.41 |
$155.20 |
0.3× |
| Removal or bivalving full arm or full leg cast (29705) |
$33.46 |
$45 |
0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$48.56 |
$65.30 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$24.32 |
$32.70 |
0.1× |
| Remove foreign body from eye (65205) |
$35.02 |
$47.10 |
0.3× |
| Remove Nasal Foreign Body (30300) |
$138.09 |
$185.70 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$193.41 |
$260.10 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$373.96 |
$502.90 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$181.07 |
$243.50 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$226.43 |
$304.50 |
0.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$131.32 |
$176.60 |
0.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$210.89 |
$283.60 |
0.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$191.40 |
$257.40 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$149.24 |
$200.70 |
0.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$162.33 |
$218.30 |
0.1× |
| Repair Hand Tendon (26410) |
$418.13 |
$562.30 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$134.07 |
$180.30 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$138.90 |
$186.80 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$175.49 |
$236 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$227.99 |
$306.60 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$202.93 |
$272.90 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$105.44 |
$141.80 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$107.08 |
$144 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$162.33 |
$218.30 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$162.33 |
$218.30 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$82.76 |
$111.30 |
0.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$107.08 |
$144 |
0.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$210.89 |
$283.60 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$125.74 |
$169.10 |
0.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$243.53 |
$327.50 |
0.1× |
| Repair of nail bed (11760) |
$142.03 |
$191 |
0.2× |
| Repair Spica/Body/Jacket Cast (29720) |
$32.64 |
$43.90 |
0.2× |
| Repair tongue laceration (41250) |
$48.56 |
$65.30 |
0.1× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$167.90 |
$225.80 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$43.80 |
$58.90 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$60.90 |
$81.90 |
0.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$42.24 |
$56.80 |
0.1× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$59.34 |
$79.80 |
0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$163.15 |
$219.40 |
0.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$221.59 |
$298 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$192.15 |
$258.40 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$94.29 |
$126.80 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$56.89 |
$76.50 |
0.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$385.56 |
$518.50 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$48.56 |
$65.30 |
0.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$81.20 |
$109.20 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$107.82 |
$145 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$111.02 |
$149.30 |
0.5× |
| Skin sub graft face/nk/hf/g (15275) |
$38.87 |
$52.27 |
0.1× |
| Skin Tissue Procedure (17999) |
$1,115.40 |
$1,500 |
5.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$93.54 |
$125.80 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$117.79 |
$158.40 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$174.67 |
$234.90 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$324.66 |
$436.60 |
0.4× |
| Strapping knee (29530) |
$16.36 |
$22 |
0.1× |
| Strapping Unna Boot (29580) |
$96.30 |
$129.50 |
0.6× |
| Tracheostomy planned (31600) |
$216.83 |
$291.60 |
0.1× |
| Treat Hip Socket Fracture (27222) |
$697.05 |
$937.40 |
2.7× |
| Treat humerus fracture (24500) |
$237.95 |
$320 |
0.9× |
| Treat Humerus Fracture (24505) |
$324.66 |
$436.60 |
0.2× |
| Treat humerus fracture (23600) |
$101.50 |
$136.50 |
0.4× |
| Treat Tail Bone Fracture (27200) |
$137.27 |
$184.60 |
0.5× |
| Treat toe dislocation (28630) |
$81.20 |
$109.20 |
0.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$243.53 |
$327.50 |
0.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$243.53 |
$327.50 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$56.89 |
$76.50 |
0.3× |
Unlisted procedure nervous system (64999) range across 5 matching MRF lines |
$220.29–$1,780.62 |
$296.25–$2,394.60 |
varies |
| Unlisted procedure spine (22899) |
$455.08 |
$612 |
1.8× |
| Vaginal delivery only (59409) |
$568.11 |
$764 |
0.2× |
| Wedge excision skin nail fold (11765) |
$75.62 |
$101.70 |
0.2× |
| Wedging of cast (29740) |
$50.19 |
$67.50 |
0.2× |
| Windowing of cast (29730) |
$32.64 |
$43.90 |
0.2× |