| Application finger splint static (29130) |
$362.70 |
$558 |
2.2× |
| Application long arm splint shoulder hand (29105) |
$466.70 |
$718 |
2.3× |
| Application Long Leg Splint (29505) |
$466.70 |
$718 |
2.3× |
| Application of rigid total contact leg cast (29445) |
$776.10 |
$1,194 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$6,011.20 |
$9,248 |
36.2× |
| Application short arm splint forearm-hand static (29125) |
$372.45 |
$573 |
2.2× |
| Application short leg splint calf foot (29515) |
$466.70 |
$718 |
2.3× |
| Apply Multlay Comprs Lwr Leg (29581) |
$867.10 |
$1,334 |
4.3× |
| Apply Short Leg Cast (29405) |
$776.10 |
$1,194 |
2.2× |
| Arterial puncture (36600) |
$323.70 |
$498 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$770.25 |
$1,185 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$862.55 |
$1,327 |
2.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$6,011.20 |
$9,248 |
15.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$750.75 |
$1,155 |
2.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$750.75 |
$1,155 |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$516.10 |
$794 |
2.1× |
| Biopsy bone open deep (20245) |
$6,808.75 |
$10,475 |
1.9× |
| Blood Transfusion Service (36430) |
$915.85 |
$1,409 |
1.7× |
| Bx Cervix (57500) |
$1,820 |
$2,800 |
1.6× |
| Catheter aspiration nasotracheal spx (31720) |
$526.50 |
$810 |
1.9× |
| Change Cystostomy Tube Simple (51705) |
$783.90 |
$1,206 |
2.5× |
| Chemical Cautery Tissue (17250) |
$577.85 |
$889 |
2.3× |
| Chest tube placement (32551) |
$4,037.80 |
$6,212 |
2.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$4,000.10 |
$6,154 |
2.0× |
| Clear outer ear canal (69200) |
$362.70 |
$558 |
2.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$718.90 |
$1,106 |
2.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$642.20 |
$988 |
2.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$700.70 |
$1,078 |
2.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$7,855.25 |
$12,085 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$4,479.80 |
$6,892 |
2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$700.70 |
$1,078 |
2.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$4,479.80 |
$6,892 |
2.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$626.60 |
$964 |
2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$4,479.80 |
$6,892 |
2.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$718.90 |
$1,106 |
2.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$718.90 |
$1,106 |
2.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$718.90 |
$1,106 |
2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$927.55 |
$1,427 |
3.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$718.90 |
$1,106 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$4,479.80 |
$6,892 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$668.20 |
$1,028 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$663 |
$1,020 |
2.2× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$642.20 |
$988 |
2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,573 |
$2,420 |
5.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$4,000.10 |
$6,154 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$718.90 |
$1,106 |
2.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$731.90 |
$1,126 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$2,042.30 |
$3,142 |
6.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$700.70 |
$1,078 |
2.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$4,000.10 |
$6,154 |
2.0× |
| Collection of venous blood by venipuncture (36415) |
$36.40 |
$56 |
3.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$859.95 |
$1,323 |
2.3× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$906.75 |
$1,395 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$362.70 |
$558 |
2.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$6,011.20 |
$9,248 |
36.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,504.10 |
$2,314 |
1.6× |
| Debride nail 1-5 (11720) |
$159.90 |
$246 |
2.2× |
| Debride nail 6 or more (11721) |
$183.30 |
$282 |
2.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$4,525.30 |
$6,962 |
2.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,018.55 |
$1,567 |
2.0× |
| Drainage of finger abscess simple (26010) |
$6,011.20 |
$9,248 |
24.0× |
| Drainage of gum lesion (41800) |
$6,011.20 |
$9,248 |
36.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$992.55 |
$1,527 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$516.10 |
$794 |
2.1× |
| Endometrial Biopsy (58100) |
$562.90 |
$866 |
2.2× |
| Evacuation of subungual hematoma (11740) |
$323.70 |
$498 |
1.9× |
| Fluid Pressure Muscle (20950) |
$6,721.65 |
$10,341 |
7.6× |
| I&d abscess simple (10060) |
$529.10 |
$814 |
2.1× |
| I&d perianal abscess superficial (46050) |
$6,721.65 |
$10,341 |
5.8× |
| I&d pilonidal cyst complicated (10081) |
$778.05 |
$1,197 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$1,787.50 |
$2,750 |
2.0× |
| Incise external hemorrhoid (46083) |
$763.75 |
$1,175 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,018.55 |
$1,567 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$992.55 |
$1,527 |
2.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$562.90 |
$866 |
2.2× |
| Incision of rectal abscess (46040) |
$3,335.15 |
$5,131 |
2.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$840.45 |
$1,293 |
2.2× |
| Injection single tendon origin/insertion (20551) |
$750.75 |
$1,155 |
2.0× |
| Injection therapeutic carpal tunnel (20526) |
$750.75 |
$1,155 |
2.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$6,721.65 |
$10,341 |
7.6× |
| Insert Drug Implant Device (11981) |
$362.70 |
$558 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$8,220.55 |
$12,647 |
2.1× |
| Insert Temp Bladder Cath (51702) |
$332.80 |
$512 |
2.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,461.25 |
$5,325 |
1.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$8,220.55 |
$12,647 |
2.1× |
| Intubation endotracheal emergency procedure (31500) |
$698.10 |
$1,074 |
2.4× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
— |
$2,372 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$2,372 |
— |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) |
— |
$2,372 |
— |
| Perq device breast 1st imag (19281) |
$1,834.30 |
$2,822 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$6,011.20 |
$9,248 |
10.8× |
| Punch biopsy skin single lesion (11104) |
$869.70 |
$1,338 |
1.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$6,721.65 |
$10,341 |
7.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$159.90 |
$246 |
2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$189.80 |
$292 |
2.6× |
| Removal of implant from finger or hand (26320) |
$8,366.15 |
$12,871 |
4.1× |
| Removal of nail bed (11750) |
$992.55 |
$1,527 |
2.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$516.10 |
$794 |
2.1× |
| Remove drug implant device (11982) |
$825.50 |
$1,270 |
1.5× |
| Remove Intrauterine Device (58301) |
$906.75 |
$1,395 |
2.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$6,011.20 |
$9,248 |
6.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,018.55 |
$1,567 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,018.55 |
$1,567 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,018.55 |
$1,567 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$6,011.20 |
$9,248 |
6.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$992.55 |
$1,527 |
2.0× |
| Replace g/c tube perc (49450) |
$2,385.50 |
$3,670 |
2.1× |
| Rplc Gtube No Revj Trc (43762) |
$670.15 |
$1,031 |
2.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$529.10 |
$814 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,141.40 |
$1,756 |
2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$529.10 |
$814 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$529.10 |
$814 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$592.80 |
$912 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$529.10 |
$814 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$529.10 |
$814 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$592.80 |
$912 |
2.4× |
| Skin sub graft face/nk/hf/g (15275) |
$4,918.55 |
$7,567 |
5.3× |
| Skin sub graft trnk/arm/leg (15271) |
$4,918.55 |
$7,567 |
5.3× |
| Skin sub grft t/arm/lg child (15273) |
$10,111.40 |
$15,556 |
3.9× |
| Skn sub grft f/n/hf/g child (15277) |
$4,918.55 |
$7,567 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$529.10 |
$814 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,018.55 |
$1,567 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,018.55 |
$1,567 |
2.0× |
| Strapping Unna Boot (29580) |
$852.15 |
$1,311 |
4.2× |
| Treat Finger Fracture Each (26727) |
$6,715.80 |
$10,332 |
1.6× |
| Trim skin lesion (11055) |
$516.10 |
$794 |
2.1× |
| Trim skin lesions 2 to 4 (11056) |
$577.85 |
$889 |
2.3× |
| Trim skin lesions over 4 (11057) |
$577.85 |
$889 |
2.3× |