| Application cast elbow finger short arm (29075) |
$415.80 |
$693 |
1.6× |
| Application finger splint static (29130) |
$184.20 |
$307 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$184.20 |
$307 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$184.20 |
$307 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$217.20 |
$362 |
1.7× |
| Application short leg splint calf foot (29515) |
$184.20 |
$307 |
1.2× |
| Arterial puncture (36600) |
$103.80 |
$173 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$398.40 |
$664 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$273 |
$455 |
1.5× |
| Bladder Irrigation Simple (51700) |
$316.80 |
$528 |
1.4× |
| Bladder Scan (51798) |
$50.40 |
$84 |
0.9× |
| Blood transfusion service (36430) |
$603 |
$1,005 |
1.5× |
| Chest tube placement (32551) |
$1,660.80 |
$2,768 |
1.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$178.80 |
$298 |
1.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$901.20 |
$1,502 |
0.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$259.80 |
$433 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$259.80 |
$433 |
1.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$583.20 |
$972 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,409.80 |
$5,683 |
2.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,835.60 |
$4,726 |
1.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,545.20 |
$4,242 |
11.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$259.80 |
$433 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,545.20 |
$4,242 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$259.80 |
$433 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$272.40 |
$454 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$259.80 |
$433 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,409.80 |
$5,683 |
2.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$259.80 |
$433 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$259.80 |
$433 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$259.80 |
$433 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$259.80 |
$433 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$259.80 |
$433 |
1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$901.20 |
$1,502 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$901.20 |
$1,502 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$252.60 |
$421 |
2.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$864 |
$1,440 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$278.40 |
$464 |
1.5× |
| Draw blood off venous device (36591) |
$178.80 |
$298 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$426.60 |
$711 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$234 |
$390 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199.20 |
$332 |
1.1× |
| Dry Needling 3+ Muscles (20561) |
$33.60 |
$56 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$126 |
$210 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$391.20 |
$652 |
1.9× |
| I&d abscess simple (10060) |
$260.40 |
$434 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$519 |
$865 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,130 |
$3,550 |
3.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,958.60 |
$4,931 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$565.80 |
$943 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$333 |
$555 |
1.8× |
| Initial tx 1st degree burn local tx (16000) |
$164.40 |
$274 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$279.60 |
$466 |
2.3× |
| Insert non-tunnel cv cath (36556) |
$1,615.80 |
$2,693 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$202.20 |
$337 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$202.20 |
$337 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$730.80 |
$1,218 |
3.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$33.60 |
$56 |
1.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,346.40 |
$7,244 |
1.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,385.60 |
$3,976 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$367.20 |
$612 |
0.9× |
| Puncture Aspiration (10160) |
$272.40 |
$454 |
0.7× |
| Removal fb intranasal (30300) |
$193.20 |
$322 |
1.5× |
| Removal foreign body foot deep (28192) |
$2,958.60 |
$4,931 |
1.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$105 |
$175 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$165.90 |
$276.50 |
3.0× |
| Remove foreign body from eye (65210) |
$153.60 |
$256 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$193.20 |
$322 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$98.40 |
$164 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$407.40 |
$679 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$407.40 |
$679 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$276.60 |
$461 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$276.60 |
$461 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$276.60 |
$461 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$276.60 |
$461 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$276.60 |
$461 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$276.60 |
$461 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$276.60 |
$461 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$276.60 |
$461 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.80 |
$548 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$247.20 |
$412 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$247.20 |
$412 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$276.60 |
$461 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$276.60 |
$461 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$276.60 |
$461 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$276.60 |
$461 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$276.60 |
$461 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276.60 |
$461 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$276.60 |
$461 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$276.60 |
$461 |
0.7× |
| Strapping unna boot (29580) |
$196.20 |
$327 |
1.3× |
| Treat finger dislocation (26775) |
$2,545.20 |
$4,242 |
9.7× |
| Treatment closed elbow dislocation req anes (24605) |
$2,545.20 |
$4,242 |
1.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$259.80 |
$433 |
1.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,545.20 |
$4,242 |
1.7× |
| Venipuncture (36415) |
$22.80 |
$38 |
2.4× |