| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$134 |
$200 |
0.2× |
| Anoscopy diagnostic (46600) |
$173.53 |
$259 |
1.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,909.50 |
$2,850 |
2.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$194.30 |
$290 |
1.3× |
| Application cast elbow finger short arm (29075) |
$342.37 |
$511 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$350.74 |
$523.50 |
1.4× |
| Application finger splint static (29130) |
$165.16 |
$246.50 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$207.70 |
$310 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$215.07 |
$321 |
1.5× |
| Application of long leg cast (29345) |
$380.90 |
$568.50 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$173.53 |
$259 |
1.4× |
| Application short leg splint calf foot (29515) |
$214.40 |
$320 |
1.4× |
| Apply short leg cast (29405) |
$342.37 |
$511 |
1.3× |
| Arterial puncture (36600) |
$30.15 |
$45 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$67 |
$100 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$767.15 |
$1,145 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$87.10 |
$130 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$370.18 |
$552.50 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$67 |
$100 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$256.28 |
$382.50 |
1.4× |
| Bladder Irrigation Simple (51700) |
$284.75 |
$425 |
1.3× |
| Bladder Scan (51798) |
$120.60 |
$180 |
2.2× |
| Blood transfusion service (36430) |
$905.84 |
$1,352 |
2.3× |
| Change Cystostomy Tube Complicated (51710) |
$101.84 |
$152 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$306.52 |
$457.50 |
1.3× |
| Chest tube placement (32551) |
$1,677.68 |
$2,504 |
1.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$273.36 |
$408 |
2.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$574.86 |
$858 |
2.6× |
| Closed Rx Med Malleolus Fx (27760) |
$537.34 |
$802 |
2.4× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,052.88 |
$3,064 |
1.4× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,984.20 |
$2,961.50 |
1.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,078 |
$3,101.50 |
1.4× |
| Closed Rx Radial Shaft Fx (25500) |
$487.76 |
$728 |
2.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$472.68 |
$705.50 |
2.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$548.73 |
$819 |
2.4× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,342.66 |
$3,496.50 |
1.6× |
| Closed Rx Trimalleolar Fx (27816) |
$521.26 |
$778 |
2.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$506.52 |
$756 |
2.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$672.01 |
$1,003 |
3.0× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$2,059.58 |
$3,074 |
1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$516.24 |
$770.50 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$700.15 |
$1,045 |
3.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,041.16 |
$3,046.50 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$532.98 |
$795.50 |
2.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$688.76 |
$1,028 |
3.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,230.43 |
$3,329 |
1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$687.08 |
$1,025.50 |
3.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$442.54 |
$660.50 |
2.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$705.84 |
$1,053.50 |
3.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$571.84 |
$853.50 |
2.5× |
| Closed tx patellar fracture w/o manipulation (27520) |
$527.96 |
$788 |
2.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,021.06 |
$3,016.50 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$476.70 |
$711.50 |
2.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,071.30 |
$3,091.50 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$283.41 |
$423 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,036.13 |
$3,039 |
1.4× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$497.81 |
$743 |
2.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$474.36 |
$708 |
2.1× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,957.40 |
$2,921.50 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$460.29 |
$687 |
2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,022.73 |
$3,019 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$523.60 |
$781.50 |
2.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,106.48 |
$3,144 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$606.68 |
$905.50 |
2.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$519.25 |
$775 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$507.86 |
$758 |
2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$425.12 |
$634.50 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$543.37 |
$811 |
2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,119.88 |
$3,164 |
1.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,272.30 |
$3,391.50 |
1.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$688.76 |
$1,028 |
3.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,346 |
$3,501.50 |
1.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$388.94 |
$580.50 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$367.83 |
$549 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$383.91 |
$573 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$362.14 |
$540.50 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,101.46 |
$3,136.50 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$531.31 |
$793 |
2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$420.76 |
$628 |
1.9× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$404.34 |
$603.50 |
1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$338.68 |
$505.50 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$492.78 |
$735.50 |
2.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$526.28 |
$785.50 |
2.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$511.88 |
$764 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,004.30 |
$2,991.50 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$540.02 |
$806 |
2.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,773.16 |
$2,646.50 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$358.78 |
$535.50 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$535.33 |
$799 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$424.11 |
$633 |
1.9× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,186.88 |
$3,264 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$628.46 |
$938 |
2.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,019.38 |
$3,014 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$514.56 |
$768 |
2.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,041.16 |
$3,046.50 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$328.64 |
$490.50 |
1.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,171.80 |
$3,241.50 |
1.5× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$2,381.18 |
$3,554 |
1.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$688.76 |
$1,028 |
3.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,099.78 |
$3,134 |
1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,052.88 |
$3,064 |
1.4× |
| Complex Drainage, Wound (10180) |
$1,924.24 |
$2,872 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$212.06 |
$316.50 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$191.96 |
$286.50 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$238.86 |
$356.50 |
2.0× |
| Curette/treat cornea (65435) |
$2,046.85 |
$3,055 |
2.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$642.53 |
$959 |
1.7× |
| Debride nail 1-5 (11720) |
$74.70 |
$111.50 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$115.24 |
$172 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$296.14 |
$442 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$435.50 |
$650 |
0.3× |
| Delivery placenta separate procedure (59414) |
$4,020 |
$3,122.50 |
1.4× |
| Drain/inj small joint/bursa w/us (20604) |
$351.75 |
$525 |
1.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$664.98 |
$992.50 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$838.84 |
$1,252 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$333.32 |
$497.50 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$223.78 |
$334 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$3,391.54 |
$5,062 |
2.3× |
| Draw blood off venous device (36591) |
$273.36 |
$408 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$251.25 |
$375 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$209.04 |
$312 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$101.84 |
$152 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$166.16 |
$248 |
1.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,457.56 |
$3,668 |
2.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$848.89 |
$1,267 |
1.3× |
| Exploration penetrating wound spx chest (20101) |
$1,609 |
$2,401.50 |
0.9× |
| Fetal non-stress test (59025) |
$244.55 |
$365 |
1.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$242.88 |
$362.50 |
1.2× |
| I&D Abscess Peritonsillar (42700) |
$485.75 |
$725 |
2.3× |
| I&d abscess simple (10060) |
$190.95 |
$285 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,046.88 |
$1,562.50 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$802.66 |
$1,198 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$572.85 |
$855 |
1.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$858.60 |
$1,281.50 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,720.22 |
$2,567.50 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$498.48 |
$744 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$303.51 |
$453 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$234.50 |
$350 |
0.8× |
| Incision of rectal abscess (46040) |
$2,457.56 |
$3,668 |
2.3× |
| Incision thrombosed hemorrhoid external (46083) |
$512.55 |
$765 |
2.3× |
| Initial tx 1st degree burn local tx (16000) |
$250.58 |
$374 |
1.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,815.70 |
$2,710 |
2.3× |
| Inj tendon sheath/ligament (20550) |
$75.04 |
$112 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$63.65 |
$95 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$348.40 |
$520 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$629.80 |
$940 |
2.3× |
| Injection anes other peripheral nerve/branch (64450) |
$76.04 |
$113.50 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$348.40 |
$520 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$348.40 |
$520 |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$629.80 |
$940 |
2.3× |
| Insert Bladder Cath Complex (51703) |
$264.65 |
$395 |
2.3× |
| Insert non-tunnel cv cath (36556) |
$2,093.75 |
$250 |
0.7× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,093.75 |
$3,125 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$46.90 |
$70 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$273.36 |
$408 |
2.3× |
| Intubation endotracheal emergency procedure (31500) |
$376.88 |
$562.50 |
1.7× |
| Irrigate corpora cavernosa for priapism (54220) |
$512.55 |
$765 |
2.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$250.24 |
$373.50 |
1.4× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$254.60 |
$380 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$917.90 |
$1,370 |
2.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,815.70 |
$2,710 |
2.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$819.08 |
$1,222.50 |
1.3× |
| Pericardiocentesis W/Imaging (33016) |
$1,801.30 |
$2,688.50 |
1.3× |
| Peritoneal Lavage (49084) |
$1,033.14 |
$1,542 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$271.68 |
$405.50 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$473.69 |
$707 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$834.15 |
$1,245 |
2.3× |
| Puncture Aspiration (10160) |
$491.11 |
$733 |
1.3× |
| Reconstruction of nail bed with graft (11762) |
$1,593.93 |
$2,379 |
0.8× |
| Removal fb intranasal (30300) |
$250.58 |
$374 |
2.1× |
| Removal Foreign Body Foot Complicated (28193) |
$2,037.47 |
$3,041 |
1.4× |
| Removal foreign body foot deep (28192) |
$1,983.87 |
$2,961 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$849.22 |
$1,267.50 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,833.46 |
$2,736.50 |
1.2× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$760.45 |
$1,135 |
0.3× |
| Removal foreign body pharynx (42809) |
$574.52 |
$857.50 |
1.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,321.55 |
$3,465 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$120.60 |
$180 |
2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$90.45 |
$135 |
1.7× |
| Removal of arm foreign body (24200) |
$1,824.74 |
$2,723.50 |
1.2× |
| Removal of intrauterine device (iud) (58301) |
$437.18 |
$652.50 |
1.6× |
| Removal of nail bed (11750) |
$513.22 |
$766 |
1.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$2,418.70 |
$3,610 |
0.9× |
| Remove Eyelid Foreign Body (67938) |
$433.16 |
$646.50 |
1.5× |
| Remove foreign body from eye (65210) |
$493.79 |
$737 |
1.2× |
| Remove shoulder foreign body (23330) |
$1,846.52 |
$2,756 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$180.23 |
$269 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$163.48 |
$244 |
1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,026.78 |
$1,532.50 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,082.72 |
$1,616 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$650.24 |
$970.50 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,051.56 |
$1,569.50 |
2.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$978.87 |
$1,461 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,007.68 |
$1,504 |
2.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$916.22 |
$1,367.50 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$994.28 |
$1,484 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,222.06 |
$3,316.50 |
1.5× |
| Repair hand tendon (26410) |
$2,203.63 |
$3,289 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$681.72 |
$1,017.50 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$553.42 |
$826 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$576.20 |
$860 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$731.98 |
$1,092.50 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$588.60 |
$878.50 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$597.98 |
$892.50 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$762.12 |
$1,137.50 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$999.98 |
$1,492.50 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$535.33 |
$799 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$571.84 |
$853.50 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$932.98 |
$1,392.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,718.55 |
$2,565 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$619.75 |
$925 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$538.68 |
$804 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$567.82 |
$847.50 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,001.65 |
$1,495 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$581.22 |
$867.50 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,688.40 |
$2,520 |
0.9× |
| Repair of nail bed (11760) |
$860.95 |
$1,285 |
1.3× |
| Repair Tongue Laceration (41250) |
$597.98 |
$892.50 |
1.5× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$736.33 |
$1,099 |
1.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,033.48 |
$1,542.50 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$498.14 |
$743.50 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$183.58 |
$274 |
1.5× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,140.65 |
$3,195 |
0.8× |
| Rplc gtube revj gstrst trc (43763) |
$315.24 |
$470.50 |
1.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$694.46 |
$1,036.50 |
1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$407.02 |
$607.50 |
1.9× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$433.82 |
$647.50 |
2.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$677.37 |
$1,011 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$542.03 |
$809 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$255.27 |
$381 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$262.98 |
$392.50 |
1.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$565.14 |
$843.50 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$274.70 |
$410 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$298.15 |
$445 |
1.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$373.52 |
$557.50 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$249.24 |
$372 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$346.06 |
$516.50 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$277.04 |
$413.50 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$262.98 |
$392.50 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$530.64 |
$792 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$509.87 |
$761 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$722.93 |
$1,079 |
1.1× |
| Strapping ankle (29540) |
$185.92 |
$277.50 |
1.3× |
| Strapping elbow/wrist (29260) |
$78.72 |
$117.50 |
1.5× |
| Strapping hand/finger (29280) |
$78.72 |
$117.50 |
1.5× |
| Strapping knee (29530) |
$155.10 |
$231.50 |
1.3× |
| Strapping shoulder (29240) |
$155.10 |
$231.50 |
1.3× |
| Strapping thorax (29200) |
$185.92 |
$277.50 |
1.3× |
| Strapping toes (29550) |
$70.35 |
$105 |
1.3× |
| Strapping unna boot (29580) |
$163.48 |
$244 |
1.1× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$147.40 |
$220 |
0.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$562.13 |
$839 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$167.50 |
$250 |
0.3× |
| Thrombolytic Therapy, Stroke (37195) |
$678.04 |
$1,012 |
2.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$562.80 |
$840 |
2.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,901.12 |
$2,837.50 |
1.3× |
| Treat Fracture Radius & Ulna (25560) |
$489.44 |
$730.50 |
2.2× |
| Treat humerus fracture (24500) |
$420.76 |
$628 |
1.9× |
| Treat humerus fracture (23600) |
$541.36 |
$808 |
2.4× |
| Treat Metatarsal Fracture (28475) |
$460.96 |
$688 |
2.1× |
| Treatment closed elbow dislocation req anes (24605) |
$2,088.06 |
$3,116.50 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$567.82 |
$847.50 |
2.5× |
| Trim skin lesion (11055) |
$221.77 |
$331 |
1.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,979.18 |
$2,954 |
1.4× |
| Unlisted procedure palate uvula (42299) |
$485.75 |
$725 |
2.3× |
| Vaginal delivery only (59409) |
$2,735.28 |
$4,082.50 |
0.9× |
| Venipuncture (36415) |
$8.04 |
$12 |
0.9× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$182.58 |
$272.50 |
1.5× |
| Venipuncture, cutdown; age 1 or over (36425) |
$455.60 |
$680 |
1.1× |