| Abd paracentesis w/imaging (49083) |
$1,740 |
$2,175 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$422.48 |
$528.10 |
0.5× |
| Application Finger Splint Dynamic (29131) |
$73.60 |
$92 |
1.2× |
| Application finger splint static (29130) |
$120 |
$150 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$228 |
$285 |
1.4× |
| Application Long Leg Splint (29505) |
$244.80 |
$306 |
1.5× |
| Application of long leg cast (29345) |
$320 |
$400 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$225.60 |
$282 |
1.7× |
| Application short leg splint calf foot (29515) |
$272 |
$340 |
1.6× |
| Apply short leg cast (29425) |
$244.80 |
$306 |
0.9× |
| Arterial puncture (36600) |
$172.80 |
$216 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$329.60 |
$412 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$1,660 |
$2,075 |
2.6× |
| Aspirate Pleura W/O Imaging (32554) |
$1,256.40 |
$1,570.50 |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$298.40 |
$373 |
1.5× |
Bladder Irrigation (51700)
range across 2 matching MRF lines |
$74.40–$214.80 |
$93–$268.50 |
varies |
| Bladder Scan (51798) |
$102.40 |
$128 |
1.7× |
| Blood Transfusion Service (36430) |
$857.60 |
$1,072 |
1.9× |
| Change Cystostomy Tube Simple (51705) |
$272.80 |
$341 |
1.1× |
| Chest tube placement (32551) |
$1,243.20 |
$1,554 |
0.8× |
| Clear outer ear canal (69200) |
$154.40 |
$193 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,225.60 |
$1,532 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$259.20 |
$324 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,225.60 |
$1,532 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$684.80 |
$856 |
2.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,280.80 |
$1,601 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,280.80 |
$1,601 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$552.80 |
$691 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$446 |
$557.50 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$394.40 |
$493 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,225.60 |
$1,532 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$336 |
$420 |
1.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,280.80 |
$1,601 |
0.8× |
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines |
$118–$140.80 |
$147.50–$176 |
varies |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$8–$25.60 |
$10–$32 |
varies |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$239.20 |
$299 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$284 |
$355 |
2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$269.60 |
$337 |
0.6× |
| Declot vascular device (36593) |
$352.80 |
$441 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$189.60 |
$237 |
0.9× |
| Drainage of finger abscess simple (26010) |
$152.80 |
$191 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$1,193.60 |
$1,492 |
0.7× |
| Draw Blood Off Venous Device (36591) |
$133.60 |
$167 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$328.80 |
$411 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$217.60 |
$272 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$266.40 |
$333 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$159.60 |
$199.50 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$304 |
$380 |
0.7× |
| Fna bx w/us gdn 1st les (10005) |
$651.20 |
$814 |
0.9× |
| I&d abscess simple (10060) |
$306.40 |
$383 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$277.60 |
$347 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$320 |
$400 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$356 |
$445 |
1.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$142.40 |
$178 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$312 |
$390 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$771.20 |
$964 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$309.60 |
$387 |
2.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$164.80 |
$206 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,629.60 |
$5,787 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$545.60 |
$682 |
2.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$12.80 |
$16 |
0.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$44 |
$55 |
1.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$963.20 |
$1,204 |
2.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$226.40 |
$283 |
0.7× |
| Open tx interphalangeal joint dislocation (26785) |
$780 |
$975 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$192.80 |
$241 |
0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$556 |
$695 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,236 |
$1,545 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56.80 |
$71 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$99.20 |
$124 |
1.6× |
| Removal of nail bed (11750) |
$360 |
$450 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$204.80 |
$256 |
0.7× |
| Remove foreign body from eye (65205) |
$160 |
$200 |
1.2× |
| Remove Nasal Foreign Body (30300) |
$421.60 |
$527 |
3.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$464 |
$580 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$722.40 |
$903 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$701.60 |
$877 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$366.40 |
$458 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$330.40 |
$413 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$581.60 |
$727 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$564.80 |
$706 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$455.20 |
$569 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$479.20 |
$599 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$338.80 |
$423.50 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$380 |
$475 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$492 |
$615 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$320 |
$400 |
0.7× |
| Rplc Gtube No Revj Trc (43762) |
$150.40 |
$188 |
0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$276 |
$345 |
1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$463.20 |
$579 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$407.20 |
$509 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$496 |
$620 |
2.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$248.40 |
$310.50 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$322.40 |
$403 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$340 |
$425 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$376 |
$470 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$376.80 |
$471 |
0.9× |
| Strapping ankle (29540) |
$57.60 |
$72 |
0.3× |
| Strapping elbow or wrist (29260) |
$187.20 |
$234 |
3.1× |
| Strapping hand/finger (29280) |
$157.60 |
$197 |
2.6× |
| Strapping Hip (29520) |
$187.20 |
$234 |
1.4× |
| Strapping knee (29530) |
$163.20 |
$204 |
1.2× |
| Strapping shoulder (29240) |
$145.60 |
$182 |
1.1× |
| Strapping Unna Boot (29580) |
$300 |
$375 |
1.8× |
| Thrombolytic Therapy Stroke (37195) |
$657.60 |
$822 |
1.9× |
| Vaginal delivery only (59409) |
$1,276 |
$1,595 |
0.4× |