| Application long arm splint shoulder hand (29105) |
$178.48 |
$184 |
1.1× |
Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$378.30–$567.45 |
$390–$585 |
varies |
| Application short leg splint calf foot (29515) |
$378.30 |
$390 |
2.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$318.16 |
$328 |
1.0× |
Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$688.70–$1,242.57 |
$710–$1,281 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$909.86 |
$938 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$243.47 |
$251 |
1.2× |
Bladder Scan (51798) range across 2 matching MRF lines |
$204.67–$257.05 |
$211–$265 |
varies |
| Blood Transfusion Service (36430) |
$473.36 |
$488 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$354.05 |
$365 |
1.4× |
| Chest tube placement (32551) |
$790.55 |
$815 |
0.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$268.69 |
$277 |
0.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$438.44 |
$452 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$376.36 |
$388 |
1.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$376.36 |
$388 |
1.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$376.36 |
$388 |
1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$384.12 |
$396 |
1.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$438.44 |
$452 |
1.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$376.36 |
$388 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$460.75 |
$475 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$376.36 |
$388 |
1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$533.50 |
$550 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$395.76 |
$408 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,593.71 |
$1,643 |
1.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$376.36 |
$388 |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$508.28 |
$524 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$533.50 |
$550 |
2.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$395.76 |
$408 |
1.6× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$376.36 |
$388 |
1.5× |
Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$49.47–$313.31 |
$51–$323 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$580.06 |
$598 |
4.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$365.69 |
$377 |
0.5× |
| Draw Blood Off Venous Device (36591) |
$149.38 |
$154 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$513.13 |
$529 |
2.5× |
Fetal non-stress test (59025) range across 2 matching MRF lines |
$314.28–$330.77 |
$324–$341 |
varies |
| I&d abscess peritonsillar (42700) |
$404.49 |
$417 |
1.7× |
| I&d abscess simple (10060) |
$404.49 |
$417 |
2.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$404.49 |
$417 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$679 |
$700 |
1.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$361.81 |
$373 |
1.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,321.14 |
$1,362 |
1.5× |
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$131.92–$158.11 |
$136–$163 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$138.71 |
$143 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,560.73 |
$1,609 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$480.15 |
$495 |
2.0× |
| N block inj intercost sng (64420) |
$706.16 |
$728 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$39.77 |
$41 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$39.77 |
$41 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,051.48 |
$1,084 |
2.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,797.41 |
$1,853 |
2.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$403.52 |
$416 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$702.28 |
$724 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$719.74 |
$742 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$719.74 |
$742 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$719.74 |
$742 |
1.7× |
| Repair of nail bed (11760) |
$733.32 |
$756 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$443.29 |
$457 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$161.02 |
$166 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$345.32 |
$356 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$345.32 |
$356 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$328.83 |
$339 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$345.32 |
$356 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$345.32 |
$356 |
1.7× |
| Strapping Unna Boot (29580) |
$308.46 |
$318 |
1.9× |
| Thrombolytic Therapy Stroke (37195) |
$700.34 |
$722 |
2.1× |
| Treat humerus fracture (23600) |
$376.36 |
$388 |
1.5× |
| Treat Knuckle Dislocation (26700) |
$438.44 |
$452 |
1.7× |
| Vaginal delivery only (59409) |
$732.35 |
$755 |
0.2× |