| Anoscopy diagnostic (46600) |
$165.75 |
$195 |
1.4× |
| Application cast elbow finger short arm (29075) |
$510 |
$600 |
2.0× |
| Application cast shoulder hand long arm (29065) |
$510 |
$600 |
2.0× |
| Application finger splint static (29130) |
$102 |
$120 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$191.46 |
$225.25 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$195.50 |
$230 |
1.6× |
| Application short leg splint calf foot (29515) |
$193.38 |
$227.50 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$391 |
$460 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$142.38 |
$167.50 |
0.8× |
| Bladder Irrigation Simple (51700) |
$195.50 |
$230 |
0.9× |
| Bladder Scan (51798) |
$5.10 |
$6 |
0.1× |
| Blood transfusion service (36430) |
$612 |
$720 |
1.5× |
| Chest tube placement (32551) |
$1,177.68 |
$1,385.50 |
0.8× |
| Closed Rx Med Malleolus Fx (27760) |
$1,066.75 |
$1,255 |
4.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,316.25 |
$2,725 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$669.38 |
$787.50 |
3.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$641.75 |
$755 |
2.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$510 |
$600 |
2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$297.50 |
$350 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$602.86 |
$709.25 |
2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$609.66 |
$717.25 |
2.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$93.50 |
$110 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$1,712.75 |
$2,015 |
1.6× |
| Colonoscopy stoma w/snare (44394) |
$1,160.25 |
$1,365 |
1.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,200.20 |
$1,412 |
1.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,092.25 |
$1,285 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$701.25 |
$825 |
5.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$344.25 |
$405 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$228.22 |
$268.50 |
1.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$259.25 |
$305 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$736.95 |
$867 |
0.9× |
| Drain outer ear canal lesion (69020) |
$505.75 |
$595 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$539.75 |
$635 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$22.10 |
$26 |
0.1× |
| Dry Needling 3+ Muscles (20561) |
$25.50 |
$30 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,492.60 |
$1,756 |
0.8× |
| Egd flexible foreign body removal (43247) |
$1,092.25 |
$1,285 |
1.3× |
| Egd remove lesion snare (43251) |
$1,442.45 |
$1,697 |
0.8× |
| Esophagoscopy flex biopsy (43202) |
$1,067.60 |
$1,256 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$153 |
$180 |
1.3× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,477.75 |
$2,915 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$49.30 |
$58 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,330.25 |
$1,565 |
0.9× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$638.35 |
$751 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$104.89 |
$123.40 |
0.1× |
| Fetal Contraction Stress Test (59020) |
$145.18 |
$170.80 |
0.8× |
| Fetal non-stress test (59025) |
$195.08 |
$229.50 |
1.0× |
| I&d abscess simple (10060) |
$259.25 |
$305 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$684.25 |
$805 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$937.12 |
$705 |
2.5× |
| Initial tx 1st degree burn local tx (16000) |
$15.30 |
$18 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$165.75 |
$195 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$123.25 |
$145 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$488.75 |
$575 |
2.2× |
| Ligation of hemorrhoid(s) (46221) |
$1,713.60 |
$2,016 |
2.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$25.50 |
$30 |
1.0× |
| Open treatment of acute shoulder dislocation (23660) |
$5,249.60 |
$6,176 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$387.60 |
$456 |
0.9× |
| Puncture Aspiration (10160) |
$1,046.69 |
$789.39 |
2.8× |
| Removal fb intranasal (30300) |
$575.88 |
$677.50 |
4.7× |
| Removal foreign body foot subcutaneous (28190) |
$15.30 |
$18 |
0.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$350.62 |
$412.50 |
6.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$560.15 |
$659 |
10.3× |
| Remove foreign body from eye (65235) |
$1,848.75 |
$2,175 |
0.9× |
| Remove foreign body from eye (65210) |
$365.50 |
$430 |
0.9× |
| Remv Ext Canal Foreign Body (69200) |
$284.75 |
$335 |
2.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$233.75 |
$275 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$845.75 |
$995 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$385.64 |
$453.69 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$629 |
$740 |
1.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$2,159 |
$2,540 |
5.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$690.62 |
$812.50 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$809.62 |
$952.50 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,831.75 |
$2,155 |
4.9× |
| Repair of nail bed (11760) |
$250.75 |
$295 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$488.75 |
$575 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$616.25 |
$725 |
5.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,185.75 |
$1,395 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,007.25 |
$1,185 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$344.25 |
$405 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$344.25 |
$405 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$344.25 |
$405 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$956.25 |
$1,125 |
5.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$318.75 |
$375 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$586.50 |
$690 |
3.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$291.12 |
$342.50 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$956.25 |
$1,125 |
2.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,819 |
$2,140 |
4.9× |
| Spinal puncture lumbar diagnostic (62270) |
$540.18 |
$635.50 |
0.8× |
| Strapping ankle (29540) |
$327.25 |
$385 |
2.2× |
| Strapping elbow/wrist (29260) |
$246.50 |
$290 |
4.5× |
| Strapping hand/finger (29280) |
$246.50 |
$290 |
4.5× |
| Strapping knee (29530) |
$327.25 |
$385 |
2.7× |
| Strapping shoulder (29240) |
$327.25 |
$385 |
2.7× |
| Strapping unna boot (29580) |
$327.25 |
$385 |
2.2× |
| Treat Fracture Radius & Ulna (25560) |
$1,063.78 |
$1,251.50 |
4.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$501.08 |
$589.50 |
2.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$301.75 |
$355 |
0.8× |
| Vaginal delivery only (59409) |
$2,312.92 |
$2,721.08 |
0.8× |
| Venipuncture (36415) |
$14.45 |
$17 |
1.5× |