| Application long arm splint shoulder hand (29105) |
$285 |
$285 |
1.7× |
| Application long leg splint thigh ankle/toes (29505) |
$395 |
$395 |
2.3× |
| Application short arm splint forearm-hand static (29125) |
$189 |
$189 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$145 |
$145 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$171 |
$171 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$140 |
$140 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$182 |
$182 |
0.9× |
| Bladder Scan (51798) |
$358.75 |
$358.75 |
5.9× |
| Blood transfusion service (36430) |
$1,486 |
$1,486 |
3.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$650 |
$650 |
2.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$858.50 |
$858.50 |
3.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$844.50 |
$844.50 |
3.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$341.50 |
$341.50 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$420 |
$420 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$450 |
$450 |
3.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$295 |
$295 |
2.1× |
| Cryotherapy of skin (17340) |
$306 |
$306 |
5.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$207 |
$207 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$202 |
$202 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$132 |
$132 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$133 |
$133 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$167 |
$167 |
0.8× |
| Egd remove lesion snare (43251) |
$3,412.50 |
$3,412.50 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$75 |
$75 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$446 |
$446 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$223 |
$223 |
0.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$178 |
$178 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$241 |
$241 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$223 |
$223 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$285 |
$285 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$366 |
$366 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$121 |
$121 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$821 |
$821 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$187 |
$187 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$294 |
$294 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$393 |
$393 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$229 |
$229 |
0.1× |
| I&d abscess simple (10060) |
$209.50 |
$209.50 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$297 |
$297 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$378 |
$378 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$458 |
$458 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$289 |
$289 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$302 |
$302 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$102 |
$102 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$398 |
$398 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$105 |
$105 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$118 |
$118 |
0.6× |
| Insert Drug Implant Device (11981) |
$269 |
$269 |
1.9× |
| Insert Temp Bladder Cath (51702) |
$294 |
$294 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$189.50 |
$189.50 |
1.4× |
| Ligation of hemorrhoid(s) (46221) |
$2,050 |
$2,050 |
2.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$50 |
$50 |
1.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$394 |
$394 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$171 |
$171 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$156 |
$156 |
0.4× |
| Puncture Aspiration (10160) |
$200 |
$200 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$91 |
$91 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$136.50 |
$136.50 |
2.2× |
| Removal of intrauterine device (iud) (58301) |
$175 |
$175 |
0.6× |
| Removal of nail bed (11750) |
$379 |
$379 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$132.50 |
$132.50 |
0.6× |
| Remove drug implant device (11982) |
$259 |
$259 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$155 |
$155 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,082 |
$1,082 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$492 |
$492 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$559 |
$559 |
1.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$282 |
$282 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$135 |
$135 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$135 |
$135 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$320 |
$320 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$375 |
$375 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$476.75 |
$476.75 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$232.50 |
$232.50 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$509.50 |
$509.50 |
2.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$282.50 |
$282.50 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$430.25 |
$430.25 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$156 |
$156 |
0.4× |
| Trim skin lesion (11055) |
$46 |
$46 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$119 |
$119 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$15 |
$15 |
0.2× |
| Venipuncture (36415) |
$31 |
$31 |
3.3× |