| Abd paracentesis w/imaging (49083) |
$444.60 |
$684 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$360.10 |
$554 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$140.08 |
$215.50 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$206.05 |
$317 |
0.8× |
| Application finger splint static (29130) |
$104.65 |
$161 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$192.72 |
$296.50 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$219.05 |
$337 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$126.75 |
$195 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$143.32 |
$220.50 |
1.1× |
| Application short leg splint calf foot (29515) |
$152.75 |
$235 |
1.0× |
| Arterial puncture (36600) |
$58.18 |
$89.50 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$124.80 |
$192 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$181.35 |
$279 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$341.25 |
$525 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$145.28 |
$223.50 |
0.8× |
| Bladder Irrigation Simple (51700) |
$318.18 |
$489.50 |
1.3× |
| Bladder Scan (51798) |
$226.20 |
$348 |
4.0× |
| Blood transfusion service (36430) |
$1,172.92 |
$1,804.50 |
2.8× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$173.55 |
$267 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$206.70 |
$318 |
0.9× |
| Chemical Cautery Tissue (17250) |
$125.45 |
$193 |
0.7× |
| Chest tube placement (32551) |
$583.05 |
$897 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$162.50 |
$250 |
1.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$611 |
$940 |
0.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$889.20 |
$1,368 |
0.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$877.50 |
$1,350 |
0.6× |
| Closed Rx Tibial Plateau Fx (27530) |
$768.30 |
$1,182 |
3.2× |
| Closed Treat Vert Body Fract (22310) |
$622.05 |
$957 |
2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$778.70 |
$1,198 |
3.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$930.80 |
$1,432 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$380.25 |
$585 |
1.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$553.15 |
$851 |
2.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$488.15 |
$751 |
2.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$793 |
$1,220 |
0.5× |
| Closed tx scapular fracture w/o manipulation (23570) |
$434.20 |
$668 |
1.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$587.60 |
$904 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$802.10 |
$1,234 |
0.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$441.35 |
$679 |
1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$443.30 |
$682 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$780 |
$1,200 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$663.32 |
$1,020.50 |
2.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$589.55 |
$907 |
2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$590.85 |
$909 |
2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$457.60 |
$704 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$335.40 |
$516 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$588.25 |
$905 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,249.95 |
$1,923 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,461.85 |
$2,249 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$276.25 |
$425 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$245.70 |
$378 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$227.50 |
$350 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$281.45 |
$433 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$578.18 |
$889.50 |
2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$541.45 |
$833 |
2.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$511.88 |
$787.50 |
2.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$485.55 |
$747 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$594.10 |
$914 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$379.92 |
$584.50 |
1.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$920.72 |
$1,416.50 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$281.45 |
$433 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,365 |
$2,100 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$882.70 |
$1,358 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$350.35 |
$539 |
2.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$219.38 |
$337.50 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$547.95 |
$843 |
4.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$210.92 |
$324.50 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$484.58 |
$745.50 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$718.25 |
$1,105 |
0.5× |
| Declot vascular device (36593) |
$346.45 |
$533 |
1.1× |
| Drainage abscess/hematoma nasal int approach (30000) |
$334.75 |
$515 |
1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$332.80 |
$512 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$681.85 |
$1,049 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$378.30 |
$582 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$309.40 |
$476 |
0.2× |
| Draw blood off venous device (36591) |
$103.35 |
$159 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$339.62 |
$522.50 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$256.75 |
$395 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$160.55 |
$247 |
0.8× |
| Dry Needling 3+ Muscles (20561) |
$53.30 |
$82 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$89.05 |
$137 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,086.15 |
$1,671 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$364.65 |
$561 |
0.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$182.65 |
$281 |
0.1× |
| Excision of nail fold toe (11765) |
$204.10 |
$314 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$304.20 |
$468 |
1.5× |
| I&D Abscess Peritonsillar (42700) |
$385.45 |
$593 |
1.7× |
| I&d abscess simple (10060) |
$207.35 |
$319 |
1.1× |
| I&d perianal abscess superficial (46050) |
$389.35 |
$599 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$291.85 |
$449 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$429.65 |
$661 |
1.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$557.05 |
$857 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$286.65 |
$441 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$373.42 |
$574.50 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$342.22 |
$526.50 |
1.2× |
| Incision of rectal abscess (46040) |
$1,020.50 |
$1,570 |
0.9× |
| Incision thrombosed hemorrhoid external (46083) |
$331.50 |
$510 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$188.50 |
$290 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$139.10 |
$214 |
0.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$276.25 |
$425 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$453.70 |
$698 |
1.5× |
| Injection anes other peripheral nerve/branch (64450) |
$276.25 |
$425 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$131.95 |
$203 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$317.20 |
$488 |
2.6× |
| Insert non-tunnel cv cath (36556) |
$415.02 |
$638.50 |
0.1× |
| Insert picc cath (36569) |
$1,459.90 |
$2,246 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,160.25 |
$1,785 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$178.10 |
$274 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$143.65 |
$221 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$661.05 |
$1,017 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$488.15 |
$751 |
2.1× |
| Irrigate corpora cavernosa for priapism (54220) |
$434.20 |
$668 |
1.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$544.70 |
$838 |
0.3× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$429 |
$660 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$46.15 |
$71 |
1.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$683.80 |
$1,052 |
1.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$314.60 |
$484 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$242.45 |
$373 |
0.6× |
| Puncture Aspiration (10160) |
$227.50 |
$350 |
0.6× |
| Removal fb intranasal (30300) |
$350.02 |
$538.50 |
2.7× |
| Removal foreign body foot subcutaneous (28190) |
$468.65 |
$721 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$87.42 |
$134.50 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$125.12 |
$192.50 |
2.2× |
| Removal of nail bed (11750) |
$321.75 |
$495 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$138.78 |
$213.50 |
0.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$144.95 |
$223 |
0.5× |
| Remove foreign body from eye (65210) |
$137.15 |
$211 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$209.62 |
$322.50 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$98.15 |
$151 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$598.65 |
$921 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$729.95 |
$1,123 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$429.65 |
$661 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$437.45 |
$673 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$542.10 |
$834 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$737.10 |
$1,134 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$573.95 |
$883 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$419.58 |
$645.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$445.90 |
$686 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$614.90 |
$946 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$724.42 |
$1,114.50 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$367.25 |
$565 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$439.72 |
$676.50 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$504.40 |
$776 |
1.3× |
| Repair of nail bed (11760) |
$444.60 |
$684 |
0.6× |
| Repair Tongue Laceration (41250) |
$449.15 |
$691 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$190.78 |
$293.50 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$150.80 |
$232 |
1.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$932.75 |
$1,435 |
1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$785.20 |
$1,208 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$728 |
$1,120 |
1.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$367.58 |
$565.50 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$409.50 |
$630 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$450.78 |
$693.50 |
2.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$555.42 |
$854.50 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$295.42 |
$454.50 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$604.50 |
$930 |
3.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$427.38 |
$657.50 |
2.2× |
| Skin sub graft face/nk/hf/g (15275) |
$348.40 |
$536 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$109.85 |
$169 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$364 |
$560 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$500.82 |
$770.50 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$546 |
$840 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$324.35 |
$499 |
0.5× |
| Strapping ankle (29540) |
$179.40 |
$276 |
1.1× |
| Strapping elbow/wrist (29260) |
$137.15 |
$211 |
2.4× |
| Strapping knee (29530) |
$186.55 |
$287 |
1.5× |
| Strapping shoulder (29240) |
$192.40 |
$296 |
1.5× |
| Strapping unna boot (29580) |
$131.95 |
$203 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$205.40 |
$316 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$415.35 |
$639 |
0.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$902.20 |
$1,388 |
0.6× |
| Treat humerus fracture (23600) |
$585.65 |
$901 |
2.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$720.85 |
$1,109 |
3.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$464.10 |
$714 |
0.7× |
| Vaginal delivery only (59409) |
$1,750.78 |
$2,693.50 |
0.6× |
| Venipuncture (36415) |
$12.35 |
$19 |
1.3× |