| Abd paracentesis w/imaging (49083) |
$855.72 |
$1,316.50 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$629.85 |
$969 |
0.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$284.70 |
$438 |
1.8× |
| Application finger splint static (29130) |
$96.85 |
$149 |
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) |
$296.40 |
$456 |
2.3× |
| Application short arm splint forearm-hand static (29125) |
$154.70 |
$238 |
1.2× |
| Application short leg splint calf foot (29515) |
$152.75 |
$235 |
1.0× |
| Apply multlay comprs arm/hand (29584) |
$214.50 |
$330 |
1.4× |
| Arterial puncture (36600) |
$53.30 |
$82 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$146.90 |
$226 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$202.15 |
$311 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$181.35 |
$279 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$220.35 |
$339 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$137.15 |
$211 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,933.10 |
$2,974 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$157.30 |
$242 |
0.8× |
| Bladder Irrigation Simple (51700) |
$440.70 |
$678 |
1.8× |
| Bladder Scan (51798) |
$226.20 |
$348 |
4.0× |
| Blood transfusion service (36430) |
$1,224.60 |
$1,884 |
2.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$156 |
$240 |
0.7× |
| Chest tube placement (32551) |
$630.50 |
$970 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$352.62 |
$542.50 |
2.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$887.25 |
$1,365 |
0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$791.05 |
$1,217 |
3.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$839.15 |
$1,291 |
3.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$930.80 |
$1,432 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,081.28 |
$1,663.50 |
4.6× |
| 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 patellar fracture w/o manipulation (27520) |
$566.80 |
$872 |
2.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$213.20 |
$328 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$873.60 |
$1,344 |
0.6× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$455 |
$700 |
1.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$589.55 |
$907 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$443.30 |
$682 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$848.90 |
$1,306 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$663.32 |
$1,020.50 |
2.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$906.10 |
$1,394 |
0.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$589.55 |
$907 |
2.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$534.95 |
$823 |
2.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$776.10 |
$1,194 |
3.3× |
| 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) |
$486.20 |
$748 |
2.0× |
| 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) |
$1,190.80 |
$1,832 |
0.8× |
| 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) |
$267.15 |
$411 |
1.1× |
| 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) |
$305.82 |
$470.50 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$578.18 |
$889.50 |
2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$626.60 |
$964 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$469.95 |
$723 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$867.75 |
$1,335 |
0.6× |
| 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) |
$546 |
$840 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$349.05 |
$537 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$281.45 |
$433 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$949.32 |
$1,460.50 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$382.20 |
$588 |
3.0× |
| 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) |
$467.68 |
$719.50 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,040.65 |
$1,601 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,138.48 |
$1,751.50 |
0.7× |
| Declot vascular device (36593) |
$346.45 |
$533 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$174.85 |
$269 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$363.02 |
$558.50 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$681.85 |
$1,049 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$453.05 |
$697 |
2.3× |
| Drainage mouth roof lesion (42000) |
$331.50 |
$510 |
1.5× |
| Drainage of gum lesion (41800) |
$337.35 |
$519 |
2.6× |
| Drainage of hematoma/fluid (10140) |
$336.38 |
$517.50 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$476.45 |
$733 |
0.3× |
| Draw blood off venous device (36591) |
$131.30 |
$202 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$349.05 |
$537 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$261.62 |
$402.50 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$231.40 |
$356 |
1.2× |
| Dry Needling 3+ Muscles (20561) |
$53.30 |
$82 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$89.05 |
$137 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$208.65 |
$321 |
0.1× |
| Excision of nail fold toe (11765) |
$222.30 |
$342 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$537.55 |
$827 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,094.60 |
$1,684 |
0.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$90.35 |
$139 |
0.4× |
| I&d abscess simple (10060) |
$224.25 |
$345 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,364.02 |
$2,098.50 |
0.5× |
| I&d perianal abscess superficial (46050) |
$423.80 |
$652 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$317.85 |
$489 |
0.5× |
| 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) |
$267.15 |
$411 |
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) |
$944.12 |
$1,452.50 |
0.8× |
| Incision thrombosed hemorrhoid external (46083) |
$361.72 |
$556.50 |
1.5× |
| Initial tx 1st degree burn local tx (16000) |
$139.10 |
$214 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$453.70 |
$698 |
1.5× |
| Injection anes other peripheral nerve/branch (64450) |
$254.15 |
$391 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$154.70 |
$238 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$319.15 |
$491 |
1.1× |
| Insert Bladder Cath Complex (51703) |
$328.90 |
$506 |
2.7× |
| Insert non-tunnel cv cath (36556) |
$381.55 |
$587 |
0.1× |
| Insert picc cath (36569) |
$497.25 |
$765 |
0.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$464.75 |
$715 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$178.10 |
$274 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$134.88 |
$207.50 |
1.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,979.60 |
$4,584 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$535.60 |
$824 |
2.4× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$429 |
$660 |
0.7× |
| Nasal surgery procedure (30999) |
$135.85 |
$209 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$131.62 |
$202.50 |
0.3× |
| 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) |
$285.35 |
$439 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$242.45 |
$373 |
0.6× |
| Preputial Stretching (54450) |
$198.90 |
$306 |
0.8× |
| Puncture Aspiration (10160) |
$227.50 |
$350 |
0.6× |
| Removal fb intranasal (30300) |
$321.75 |
$495 |
2.5× |
| Removal foreign body foot subcutaneous (28190) |
$486.85 |
$749 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$104 |
$160 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$128.38 |
$197.50 |
2.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$144.95 |
$223 |
0.5× |
| 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 eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,006.85 |
$1,549 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$651.30 |
$1,002 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$929.18 |
$1,429.50 |
2.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$670.80 |
$1,032 |
1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$688.02 |
$1,058.50 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,371.50 |
$2,110 |
0.9× |
| 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) |
$471.25 |
$725 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$859.62 |
$1,322.50 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$589.55 |
$907 |
1.5× |
| 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) |
$690.95 |
$1,063 |
1.0× |
| 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) |
$485.22 |
$746.50 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$564.85 |
$869 |
0.8× |
| 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 20.1-30.0 cm (12036) |
$850.85 |
$1,309 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$548.60 |
$844 |
1.4× |
| 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) |
$175.50 |
$270 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$158.60 |
$244 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$496.60 |
$764 |
0.8× |
| Rplc gtube revj gstrst trc (43763) |
$312.65 |
$481 |
1.3× |
| 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) |
$1,216.15 |
$1,871 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$1,204.45 |
$1,853 |
1.7× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$4,022.85 |
$6,189 |
2.0× |
| Skn sub grft f/n/hf/g child (15277) |
$3,452.15 |
$5,311 |
1.7× |
| 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) |
$594.42 |
$914.50 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$350.35 |
$539 |
0.5× |
| Strapping elbow/wrist (29260) |
$80.60 |
$124 |
1.4× |
| Strapping shoulder (29240) |
$67.60 |
$104 |
0.5× |
| Strapping unna boot (29580) |
$248.30 |
$382 |
1.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$759.20 |
$1,168 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$680.22 |
$1,046.50 |
1.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$923.98 |
$1,421.50 |
0.6× |
| Treat finger dislocation (26775) |
$641.55 |
$987 |
2.4× |
| Treat Fracture Radius & Ulna (25560) |
$478.40 |
$736 |
2.0× |
| Treat humerus fracture (23600) |
$585.65 |
$901 |
2.5× |
| Treat wrist bone fracture (25635) |
$741.65 |
$1,141 |
0.5× |
| Treatment closed elbow dislocation req anes (24605) |
$997.42 |
$1,534.50 |
0.6× |
| 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× |
| Tx superficial wound dehiscence w/packing (12021) |
$328.25 |
$505 |
0.8× |
| Unlisted Procedure Nervous System (64999) |
$317.85 |
$489 |
1.1× |
| Vaginal delivery only (59409) |
$1,608.75 |
$2,475 |
0.5× |
| Venipuncture (36415) |
$12.35 |
$19 |
1.3× |