| Application finger splint static (29130) |
$107.58 |
$165.50 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$208.98 |
$321.50 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$189.80 |
$292 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$175.50 |
$270 |
1.4× |
| Application short leg splint calf foot (29515) |
$174.52 |
$268.50 |
1.1× |
| Arterial puncture (36600) |
$79.95 |
$123 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$145.60 |
$224 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$162.18 |
$249.50 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$221 |
$340 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$162.18 |
$249.50 |
0.8× |
| Bladder Irrigation Simple (51700) |
$502.45 |
$773 |
2.1× |
| Bladder Scan (51798) |
$234 |
$360 |
4.1× |
| Blood transfusion service (36430) |
$3,137.88 |
$4,827.50 |
7.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$157.95 |
$243 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$200.85 |
$309 |
0.8× |
| Chest tube placement (32551) |
$583.70 |
$898 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$116.35 |
$179 |
0.9× |
| Closed Rx Med Malleolus Fx (27760) |
$589.55 |
$907 |
2.5× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,075.10 |
$1,654 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$936 |
$1,440 |
0.6× |
| Closed treat wrist dislocation (25660) |
$653.90 |
$1,006 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$777.40 |
$1,196 |
3.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$930.80 |
$1,432 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$363.35 |
$559 |
1.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$587.60 |
$904 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$262.60 |
$404 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$802.10 |
$1,234 |
0.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$401.05 |
$617 |
1.7× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$599.95 |
$923 |
1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$352.30 |
$542 |
1.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$523.90 |
$806 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$654.22 |
$1,006.50 |
2.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$514.80 |
$792 |
2.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$574.60 |
$884 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$314.60 |
$484 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$537.55 |
$827 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,174.55 |
$1,807 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$374.40 |
$576 |
1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$283.40 |
$436 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$300.95 |
$463 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$239.85 |
$369 |
1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,055.60 |
$1,624 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$281.45 |
$433 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$437.45 |
$673 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$626.60 |
$964 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$492.05 |
$757 |
2.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$575.58 |
$885.50 |
2.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$280.15 |
$431 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$586.95 |
$903 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$313.30 |
$482 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$214.50 |
$330 |
0.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,363.70 |
$2,098 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,027 |
$1,580 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$326.95 |
$503 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$230.75 |
$355 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$467.35 |
$719 |
3.7× |
| Declot vascular device (36593) |
$323.70 |
$498 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$386.10 |
$594 |
0.2× |
| Drain outer ear canal lesion (69020) |
$317.20 |
$488 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$299 |
$460 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$731.25 |
$1,125 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$396.50 |
$610 |
2.1× |
| Drainage mouth roof lesion (42000) |
$304.20 |
$468 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$280.15 |
$431 |
0.2× |
| Draw blood off venous device (36591) |
$116.35 |
$179 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$155.02 |
$238.50 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$94.90 |
$146 |
0.7× |
| Excision of nail fold toe (11765) |
$175.50 |
$270 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$185.25 |
$285 |
0.9× |
| I&d abscess simple (10060) |
$204.75 |
$315 |
1.1× |
| I&d perianal abscess superficial (46050) |
$399.10 |
$614 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$267.15 |
$411 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$355.88 |
$547.50 |
0.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$557.05 |
$857 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$462.80 |
$712 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$260.32 |
$400.50 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$384.15 |
$591 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$351.65 |
$541 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$117.65 |
$181 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$317.20 |
$488 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$330.20 |
$508 |
2.7× |
| Insert non-tunnel cv cath (36556) |
$418.92 |
$644.50 |
0.1× |
| Insert picc cath (36569) |
$1,537.25 |
$2,365 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$163.15 |
$251 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$173.55 |
$267 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$445.25 |
$685 |
2.0× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$386.10 |
$594 |
0.6× |
| 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) |
$286 |
$440 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$204.75 |
$315 |
0.5× |
| Puncture Aspiration (10160) |
$215.15 |
$331 |
0.6× |
| Removal fb intranasal (30300) |
$293.80 |
$452 |
2.3× |
| Removal foreign body foot subcutaneous (28190) |
$505.70 |
$778 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$86.78 |
$133.50 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$130 |
$200 |
2.3× |
| Remove Eyelid Foreign Body (67938) |
$310.05 |
$477 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$185.90 |
$286 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$98.15 |
$151 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,042.60 |
$1,604 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$718.25 |
$1,105 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$707.85 |
$1,089 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$423.80 |
$652 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$433.55 |
$667 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$542.42 |
$834.50 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$703.95 |
$1,083 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$382.20 |
$588 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$433.55 |
$667 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$542.75 |
$835 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$613.60 |
$944 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$369.20 |
$568 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$403 |
$620 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$530.40 |
$816 |
1.4× |
| Repair of nail bed (11760) |
$444.60 |
$684 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$185.90 |
$286 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$157.30 |
$242 |
1.2× |
| Rplc gtube revj gstrst trc (43763) |
$328.90 |
$506 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$276.25 |
$425 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$282.75 |
$435 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$339.30 |
$522 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$346.45 |
$533 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$249.92 |
$384.50 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$364.98 |
$561.50 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$297.05 |
$457 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$390 |
$600 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$468.65 |
$721 |
1.2× |
| Strapping ankle (29540) |
$156 |
$240 |
1.0× |
| Strapping knee (29530) |
$241.80 |
$372 |
1.9× |
| Strapping shoulder (29240) |
$156 |
$240 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$683.80 |
$1,052 |
2.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$464.10 |
$714 |
0.7× |
| Venipuncture (36415) |
$13 |
$20 |
1.4× |