| Abd paracentesis w/imaging (49083) |
$561.90 |
$1,873 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$561.90 |
$1,873 |
0.7× |
| Anoscopy diagnostic (46600) |
$69.45 |
$231.50 |
0.6× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$546 |
$1,820 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$138.30 |
$461 |
2.5× |
| Application finger splint static (29130) |
$98.48 |
$328.25 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$108.82 |
$362.75 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$58.65 |
$195.50 |
0.4× |
| Application Short Arm Splint Dynamic (29126) |
$138.30 |
$461 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$98.48 |
$328.25 |
0.8× |
| Application short leg splint calf foot (29515) |
$58.65 |
$195.50 |
0.4× |
| Arterial puncture (36600) |
$52.95 |
$176.50 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$187.12 |
$623.75 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$318.30 |
$1,061 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$137.70 |
$459 |
0.5× |
| Aspiration bladder needle (51100) |
$167.85 |
$559.50 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$109.50 |
$365 |
0.6× |
| Bladder Irrigation Simple (51700) |
$105.90 |
$353 |
0.5× |
| Bladder Scan (51798) |
$79.20 |
$264 |
1.5× |
| Blood patch (62273) |
$385.35 |
$1,284.50 |
0.6× |
| Blood transfusion service (36430) |
$621 |
$2,070 |
1.5× |
| Bone marrow aspiration only (38220) |
$897 |
$2,990 |
0.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$114.75 |
$382.50 |
0.6× |
| Chemical Cautery Tissue (17250) |
$124.95 |
$416.50 |
0.7× |
| Chest tube placement (32551) |
$873.90 |
$2,913 |
0.6× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$968.85 |
$3,229.50 |
0.7× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$48.45 |
$161.50 |
0.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$858 |
$2,860 |
0.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$154.20 |
$514 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$154.20 |
$514 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$154.20 |
$514 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$154.20 |
$514 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$191.10 |
$637 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$969 |
$3,230 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$154.20 |
$514 |
0.7× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$962.70 |
$3,209 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$858 |
$2,860 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$81.45 |
$271.50 |
0.4× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$154.20 |
$514 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$125.70 |
$419 |
0.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$154.20 |
$514 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$858 |
$2,860 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$366.55 |
$1,221.84 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$154.20 |
$514 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$125.70 |
$419 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$165 |
$550 |
0.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$154.20 |
$514 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$81.45 |
$271.50 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$59.10 |
$197 |
0.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$59.10 |
$197 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$59.10 |
$197 |
0.5× |
| Debride nail 1-5 (11720) |
$34.35 |
$114.50 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$223.20 |
$744 |
0.6× |
| Delivery placenta separate procedure (59414) |
$1,691.25 |
$5,637.50 |
0.6× |
| Drainage of gum lesion (41800) |
$52.20 |
$174 |
0.4× |
| Draw blood off venous device (36591) |
$38.85 |
$129.50 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$223.20 |
$744 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$187.50 |
$625 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$178.95 |
$596.50 |
1.0× |
| Episiotomy or vaginal repair (59300) |
$5,340.61 |
$17,802.06 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$68.85 |
$229.50 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$2,721.49 |
$9,071.64 |
1.8× |
| Fine needle aspiration without imaging guidance (10021) |
$210.90 |
$703 |
0.6× |
| Fluoro exam of g/colon tube (49465) |
$277.20 |
$924 |
1.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$288.45 |
$961.50 |
1.4× |
| I&D Abscess Peritonsillar (42700) |
$124.35 |
$414.50 |
0.6× |
| I&d abscess simple (10060) |
$178.50 |
$595 |
1.0× |
| I&d perianal abscess superficial (46050) |
$546 |
$1,820 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$379.65 |
$1,265.50 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$228.45 |
$761.50 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$981.30 |
$3,271 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$228.45 |
$761.50 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$118.80 |
$396 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$193.50 |
$645 |
0.7× |
| Incision of rectal abscess (46040) |
$1,260 |
$4,200 |
1.1× |
| Initial tx 1st degree burn local tx (16000) |
$124.95 |
$416.50 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$509.70 |
$1,699 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$385.35 |
$1,284.50 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$187.05 |
$623.50 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$446.85 |
$1,489.50 |
0.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$187.05 |
$623.50 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$57.90 |
$193 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$1,166.10 |
$3,887 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,166.10 |
$3,887 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$216.50 |
$721.68 |
1.8× |
| Insert tunneled cv cath (36561) |
$1,781.85 |
$5,939.50 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$97.05 |
$323.50 |
0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$4,882.65 |
$16,275.50 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$385.05 |
$1,283.50 |
1.8× |
| Irrigate corpora cavernosa for priapism (54220) |
$161.40 |
$538 |
0.7× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$1,096.65 |
$3,655.50 |
5.9× |
| Myelography Lumbar Injection (62304) |
$523.50 |
$1,745 |
0.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$421.35 |
$1,404.50 |
0.6× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$421.35 |
$1,404.50 |
0.6× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$139.65 |
$465.50 |
0.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$225.90 |
$753 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$750.30 |
$2,501 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$1,279.95 |
$4,266.50 |
2.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$281.10 |
$937 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$259.95 |
$866.50 |
0.6× |
| Puncture Aspiration (10160) |
$169.95 |
$566.50 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$413.55 |
$1,378.50 |
0.6× |
| Removal fb intranasal (30300) |
$216.50 |
$721.68 |
1.8× |
| Removal foreign body foot subcutaneous (28190) |
$388.20 |
$1,294 |
0.6× |
| Removal foreign body pharynx (42809) |
$282.15 |
$940.50 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$39.30 |
$131 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$39.30 |
$131 |
0.7× |
| Removal of nail bed (11750) |
$263.25 |
$877.50 |
0.7× |
| Remove foreign body from eye (65210) |
$259.95 |
$866.50 |
0.6× |
| Remove intrvas foreign body (37197) |
$1,179.60 |
$3,932 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$216.50 |
$721.68 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$50.10 |
$167 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$284.85 |
$949.50 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$225 |
$750 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$228.45 |
$761.50 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$240 |
$800 |
0.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$355.35 |
$1,184.50 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$319.50 |
$1,065 |
0.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$214.35 |
$714.50 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$214.35 |
$714.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$146.25 |
$487.50 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$163.80 |
$546 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$210.90 |
$703 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$146.25 |
$487.50 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$210.90 |
$703 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$441 |
$1,469.99 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$146.25 |
$487.50 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$351.45 |
$1,171.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$210.90 |
$703 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$210.90 |
$703 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$319.50 |
$1,065 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,045.05 |
$3,483.50 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$210.90 |
$703 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$163.80 |
$546 |
0.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$319.50 |
$1,065 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$210.90 |
$703 |
0.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,045.05 |
$3,483.50 |
0.5× |
| Repair Tongue Laceration (41250) |
$165.60 |
$552 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$165.60 |
$552 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$50.10 |
$167 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$319.50 |
$1,065 |
0.5× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$145.65 |
$485.50 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$409.50 |
$1,365 |
0.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$964.65 |
$3,215.50 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$210.90 |
$703 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$68.85 |
$229.50 |
0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$68.85 |
$229.50 |
0.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$210.90 |
$703 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$68.85 |
$229.50 |
0.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$68.85 |
$229.50 |
0.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$68.85 |
$229.50 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$68.85 |
$229.50 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$68.85 |
$229.50 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$68.85 |
$229.50 |
0.4× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$891 |
$2,970 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$68.85 |
$229.50 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$210.90 |
$703 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$210.90 |
$703 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$428.25 |
$1,427.50 |
0.7× |
| Strapping ankle (29540) |
$58.65 |
$195.50 |
0.4× |
| Strapping elbow/wrist (29260) |
$58.65 |
$195.50 |
1.1× |
| Strapping knee (29530) |
$58.65 |
$195.50 |
0.5× |
| Strapping shoulder (29240) |
$58.65 |
$195.50 |
0.5× |
| Strapping thorax (29200) |
$52.35 |
$174.50 |
0.3× |
| Strapping toes (29550) |
$52.35 |
$174.50 |
1.0× |
| Strapping unna boot (29580) |
$76.28 |
$254.25 |
0.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$329.85 |
$1,099.50 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$262.80 |
$876 |
0.5× |
| Thrombolytic Therapy, Stroke (37195) |
$264.60 |
$882 |
0.9× |
| Trach Tube Change (31502) |
$137.40 |
$458 |
0.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$145.65 |
$485.50 |
0.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$964.65 |
$3,215.50 |
0.7× |
| Treat finger dislocation (26775) |
$164.25 |
$547.50 |
0.6× |
| Treat Metatarsal Fracture (28475) |
$154.20 |
$514 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$81.45 |
$271.50 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$355.35 |
$1,184.50 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$333.38 |
$1,111.25 |
0.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$661.05 |
$2,203.50 |
0.8× |
| Vaginal delivery only (59409) |
$1,019.10 |
$3,397 |
0.3× |
| Venipuncture (36415) |
$16.36 |
$54.54 |
1.8× |