| Application long arm splint shoulder hand (29105) |
$408 |
$408 |
2.5× |
| Application Long Leg Splint (29505) |
$418 |
$418 |
2.5× |
| Application short arm splint forearm-hand static (29125) |
$408 |
$408 |
3.0× |
| Application short leg splint calf foot (29515) |
$275 |
$275 |
1.7× |
| Arterial puncture (36600) |
$42 |
$42 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$412 |
$412 |
1.3× |
| Aspirate pleura w/ imaging (32555) |
$2,105 |
$2,105 |
3.3× |
Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,054–$1,086 |
$1,054–$1,086 |
varies |
| Avulsion nail plate partial/complete simple 1 (11730) |
$352 |
$352 |
1.7× |
| Bladder Irrigation (51700) |
$492 |
$492 |
1.9× |
| Bladder Scan (51798) |
$169 |
$169 |
2.8× |
| Blood Transfusion Service (36430) |
$1,230 |
$1,230 |
2.7× |
| Change Cystostomy Tube Simple (51705) |
$468 |
$468 |
1.8× |
| Chest tube placement (32551) |
$1,720 |
$1,720 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$427 |
$427 |
1.7× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$408 |
$408 |
1.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$408 |
$408 |
1.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$408 |
$408 |
1.6× |
Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$396–$408 |
$396–$408 |
varies |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$408 |
$408 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$408 |
$408 |
1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$408 |
$408 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$408 |
$408 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$408 |
$408 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$400 |
$400 |
0.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$408 |
$408 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$408 |
$408 |
1.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$408 |
$408 |
1.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$408 |
$408 |
1.6× |
| Cltx Medial Ankle Fx (27760) |
$408 |
$408 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$408 |
$408 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$408 |
$408 |
1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$408 |
$408 |
1.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$396 |
$396 |
1.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$266 |
$266 |
2.0× |
Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$42–$201 |
$42–$201 |
varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$268 |
$268 |
1.3× |
| I&d abscess simple (10060) |
$845 |
$845 |
4.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$577 |
$577 |
1.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$577 |
$577 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$236 |
$236 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$236 |
$236 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$236 |
$236 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$1,037 |
$1,037 |
4.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$34 |
$34 |
1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$52 |
$52 |
1.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$930 |
$930 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$845 |
$845 |
2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$845 |
$845 |
2.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$388 |
$388 |
0.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$400 |
$400 |
0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$577 |
$577 |
2.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$577 |
$577 |
2.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$577 |
$577 |
2.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$577 |
$577 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$577 |
$577 |
2.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$577 |
$577 |
2.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$577 |
$577 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$577 |
$577 |
1.4× |
| Thrombolytic Therapy Stroke (37195) |
$468 |
$468 |
1.4× |
| Treat humerus fracture (23600) |
$408 |
$408 |
1.6× |