| Application finger splint static (29130) |
$184.20 |
$307 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$184.20 |
$307 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$184.20 |
$307 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$217.20 |
$362 |
1.7× |
| Application short leg splint calf foot (29515) |
$184.20 |
$307 |
1.2× |
| Apply short leg cast (29405) |
$415.80 |
$693 |
1.6× |
| Arterial puncture (36600) |
$132 |
$220 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$414.60 |
$691 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$127.50 |
$212.50 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$361.80 |
$603 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$71.40 |
$119 |
0.4× |
| Bladder Irrigation Simple (51700) |
$316.80 |
$528 |
1.4× |
| Bladder Scan (51798) |
$104.40 |
$174 |
1.9× |
| Blood transfusion service (36430) |
$603 |
$1,005 |
1.5× |
| Bone marrow aspiration only (38220) |
$813 |
$1,355 |
0.5× |
| Chest tube placement (32551) |
$1,660.80 |
$2,768 |
1.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$178.80 |
$298 |
1.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$901.20 |
$1,502 |
0.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$259.80 |
$433 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$259.80 |
$433 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$259.80 |
$433 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,835.60 |
$4,726 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,545.20 |
$4,242 |
1.7× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$259.80 |
$433 |
0.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$259.80 |
$433 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,976.40 |
$3,294 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$155.40 |
$259 |
0.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$2,545.20 |
$4,242 |
9.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$259.80 |
$433 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$259.80 |
$433 |
1.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$259.80 |
$433 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$258.60 |
$431 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$252.60 |
$421 |
2.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$181.20 |
$302 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$58.20 |
$97 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$864 |
$1,440 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$278.40 |
$464 |
1.5× |
| Drainage of eyelid abscess (67700) |
$349.20 |
$582 |
1.2× |
| Draw blood off venous device (36591) |
$178.80 |
$298 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$132.60 |
$221 |
0.7× |
| Dry Needling 3+ Muscles (20561) |
$33.60 |
$56 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$126 |
$210 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$391.20 |
$652 |
1.9× |
| I&d abscess simple (10060) |
$186.30 |
$310.50 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$519 |
$865 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,958.60 |
$4,931 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$565.80 |
$943 |
1.5× |
| Incision of rectal abscess (46040) |
$3,991.20 |
$6,652 |
3.6× |
| Initial tx 1st degree burn local tx (16000) |
$164.40 |
$274 |
0.9× |
| Injection anes other peripheral nerve/branch (64450) |
$433.20 |
$722 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$36 |
$60 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$279.60 |
$466 |
2.3× |
| Insert non-tunnel cv cath (36556) |
$1,513.80 |
$2,523 |
0.5× |
| Insert picc cath (36569) |
$1,759.20 |
$2,932 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$202.20 |
$337 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$202.20 |
$337 |
1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,173 |
$6,955 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$730.80 |
$1,218 |
3.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$307.20 |
$512 |
1.3× |
| Pin finger fracture each (26756) |
$4,346.40 |
$7,244 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$367.20 |
$612 |
0.9× |
| Puncture Aspiration (10160) |
$272.40 |
$454 |
0.7× |
| Removal fb intranasal (30300) |
$193.20 |
$322 |
1.5× |
| Removal foreign body foot subcutaneous (28190) |
$270 |
$450 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$72.30 |
$120.50 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$69 |
$115 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$82.80 |
$138 |
0.4× |
| Remove foreign body from eye (65210) |
$153.60 |
$256 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$73.20 |
$122 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$247.20 |
$412 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$276.60 |
$461 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$276.60 |
$461 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$276.60 |
$461 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$276.60 |
$461 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$276.60 |
$461 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$276.60 |
$461 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$276.60 |
$461 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$276.60 |
$461 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$164.40 |
$274 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.80 |
$548 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$247.20 |
$412 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$276.60 |
$461 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$276.60 |
$461 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$218.70 |
$364.50 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276.60 |
$461 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$171.30 |
$285.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$276.60 |
$461 |
0.7× |
| Strapping shoulder (29240) |
$184.20 |
$307 |
1.5× |
| Strapping unna boot (29580) |
$196.20 |
$327 |
1.3× |
| Treat finger dislocation (26775) |
$2,545.20 |
$4,242 |
9.7× |
| Treatment of tibia fracture (27756) |
$4,346.40 |
$7,244 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$126 |
$210 |
2.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,545.20 |
$4,242 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$760.80 |
$1,268 |
1.1× |
| Venipuncture (36415) |
$17.40 |
$29 |
1.9× |