| Anoscopy diagnostic (46600) |
$165.75 |
$221 |
1.4× |
| Application finger splint static (29130) |
$88.50 |
$118 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$213.75 |
$285 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$213.75 |
$285 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$165.75 |
$221 |
1.4× |
| Application short leg splint calf foot (29515) |
$213.75 |
$285 |
1.5× |
| Arterial puncture (36600) |
$318.75 |
$425 |
2.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$386.25 |
$515 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$386.25 |
$515 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$386.25 |
$515 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$266.25 |
$355 |
1.5× |
| Bladder Scan (51798) |
$202.50 |
$270 |
3.8× |
| Blood transfusion service (36430) |
$730.81 |
$974.41 |
1.8× |
| Bone Marrow Biopsy (38221) |
$2,127 |
$2,836 |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$363.09 |
$484.12 |
1.9× |
| Change Cystostomy Tube Simple (51705) |
$362.25 |
$483 |
1.6× |
| Chest tube placement (32551) |
$1,551 |
$2,068 |
1.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$281.25 |
$375 |
2.4× |
| Closed Treatment Coccygeal Fracture (27200) |
$339 |
$452 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$339 |
$452 |
1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$339 |
$452 |
1.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$339 |
$452 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$339 |
$452 |
1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$339 |
$452 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$339 |
$452 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$339 |
$452 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$339 |
$452 |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$339 |
$452 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$339 |
$452 |
1.5× |
| Colpocentesis (57020) |
$3,585.75 |
$4,781 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$165.75 |
$221 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$165.75 |
$221 |
1.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$5,831.25 |
$7,775 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$165.75 |
$221 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$770.25 |
$1,027 |
2.1× |
| Drainage of hematoma/fluid (10140) |
$2,127 |
$2,836 |
1.4× |
| Draw blood off venous device (36591) |
$281.25 |
$375 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$490.50 |
$654 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$266.25 |
$355 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$266.25 |
$355 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$165.75 |
$221 |
1.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,477.50 |
$1,970 |
1.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$392.25 |
$523 |
2.0× |
| I&d abscess simple (10060) |
$266.25 |
$355 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$903.75 |
$1,205 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$490.50 |
$654 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$903.75 |
$1,205 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,127 |
$2,836 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$490.50 |
$654 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$253.50 |
$338 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$423.75 |
$565 |
1.6× |
| Incision of rectal abscess (46040) |
$1,477.50 |
$1,970 |
1.4× |
| Initial tx 1st degree burn local tx (16000) |
$266.25 |
$355 |
1.5× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$21,375 |
$28,500 |
2.3× |
| Insert Bladder Cath Complex (51703) |
$275.25 |
$367 |
2.4× |
| Insert non-tunnel cv cath (36556) |
$1,022.25 |
$1,363 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,551 |
$2,068 |
0.5× |
| Insert picc cath (36569) |
$2,650.50 |
$3,534 |
1.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$966.75 |
$1,289 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$276.21 |
$368.28 |
2.3× |
| Insert tunneled cv cath (36561) |
$9,375 |
$12,500 |
3.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$165.75 |
$221 |
1.4× |
| Intro Gastrointestinal Tube (44500) |
$1,173 |
$1,564 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$421.88 |
$562.50 |
2.0× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,119.75 |
$1,493 |
1.3× |
| Removal fb intranasal (30300) |
$165.75 |
$221 |
1.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,127 |
$2,836 |
1.4× |
| Removal foreign body pharynx (42809) |
$520.50 |
$694 |
1.3× |
| Removal of nail bed (11750) |
$490.50 |
$654 |
1.3× |
| Remove anal fist subq (46270) |
$3,653.25 |
$4,871 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$165.75 |
$221 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$165.75 |
$221 |
1.4× |
| Remv&replc cvd gen mult lead (33264) |
$65,625 |
$87,500 |
2.3× |
| Remv&replc pm gen dual lead (33228) |
$20,625 |
$27,500 |
2.2× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$3,585.75 |
$4,781 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$490.50 |
$654 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$490.50 |
$654 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$490.50 |
$654 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$490.50 |
$654 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$490.50 |
$654 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$490.50 |
$654 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$490.50 |
$654 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$770.25 |
$1,027 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$490.50 |
$654 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$490.50 |
$654 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$770.25 |
$1,027 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,474.25 |
$3,299 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$490.50 |
$654 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$490.50 |
$654 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$490.50 |
$654 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$770.25 |
$1,027 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$490.50 |
$654 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,474.25 |
$3,299 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$520.50 |
$694 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$165.75 |
$221 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,350 |
$1,800 |
2.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$490.50 |
$654 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$490.50 |
$654 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$266.25 |
$355 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$266.25 |
$355 |
1.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$490.50 |
$654 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$266.25 |
$355 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$266.25 |
$355 |
1.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$266.25 |
$355 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$266.25 |
$355 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$266.25 |
$355 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$266.25 |
$355 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$266.25 |
$355 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$845.25 |
$1,127 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$490.50 |
$654 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$857.25 |
$1,143 |
1.4× |
| Strapping shoulder (29240) |
$165.75 |
$221 |
1.4× |
| Strapping thorax (29200) |
$213.75 |
$285 |
1.5× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,927.50 |
$2,570 |
1.4× |
| Trach Tube Change (31502) |
$562.50 |
$750 |
2.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$730.50 |
$974 |
3.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,795.50 |
$2,394 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$339 |
$452 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$770.25 |
$1,027 |
1.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$490.50 |
$654 |
1.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$253.50 |
$338 |
1.4× |
| Vaginal delivery only (59409) |
$3,585.75 |
$4,781 |
1.2× |
| Venipuncture (36415) |
$11.62 |
$15.50 |
1.2× |
| Venipuncture, cutdown; age 1 or over (36425) |
$520.50 |
$694 |
1.3× |