| Application finger splint static (29130) |
$67.20 |
$96 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$126 |
$180 |
0.8× |
| Application Long Leg Splint (29505) |
$838.60 |
$1,198 |
5.4× |
| Application short arm splint forearm-hand static (29125) |
$112 |
$160 |
0.9× |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
$68.60–$81.20 |
$98–$116 |
varies |
| Arterial puncture (36600) |
$66.50 |
$95 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$129.50 |
$185 |
0.4× |
| Aspirate pleura w/ imaging (32555) |
$140 |
$200 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$631.40 |
$902 |
3.3× |
| Blood Transfusion Service (36430) |
$157.50 |
$225 |
0.4× |
| Clear outer ear canal (69200) |
$184.80 |
$264 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$596.40 |
$852 |
2.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$786.80 |
$1,124 |
3.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$382.20 |
$546 |
1.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$575.40 |
$822 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$455 |
$650 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$711.90 |
$1,017 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$107.10 |
$153 |
0.5× |
| Collection of venous blood by venipuncture (36415) |
$10.50 |
$15 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$205.80 |
$294 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$98 |
$140 |
0.3× |
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines |
$74.55–$74.90 |
$106.50–$107 |
varies |
| Draw Blood Off Venous Device (36591) |
$24.50 |
$35 |
0.2× |
I&d abscess simple (10060)
range across 4 matching MRF lines |
$25.90–$349.30 |
$37–$499 |
varies |
| Incision & removal foreign body subq tiss simple (10120) |
$187.60 |
$268 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$116.20 |
$166 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$135.10 |
$193 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$192.50 |
$275 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$87.50 |
$125 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$43.40 |
$62 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$147 |
$210 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$54.60 |
$78 |
1.0× |
| Remove foreign body from eye (65205) |
$109.20 |
$156 |
0.9× |
| Remove Nasal Foreign Body (30300) |
$152.60 |
$218 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$329 |
$470 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$357.70 |
$511 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$314.30 |
$449 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$346.50 |
$495 |
0.9× |
| Repair tongue laceration (41252) |
$295.40 |
$422 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$140 |
$200 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$71.40 |
$102 |
0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$250.60 |
$358 |
0.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$189 |
$270 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$342.30 |
$489 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$189 |
$270 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$189 |
$270 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$189 |
$270 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$189 |
$270 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$189 |
$270 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$189 |
$270 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$189 |
$270 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$413 |
$590 |
0.6× |
| Strapping hand/finger (29280) |
$24.50 |
$35 |
0.4× |
| Strapping toes (29550) |
$24.50 |
$35 |
0.4× |
| Strapping Unna Boot (29580) |
$99.40 |
$142 |
0.6× |
| Treat knee fracture (27532) |
$988.40 |
$1,412 |
0.3× |
| Trim skin lesion (11055) |
$27.30 |
$39 |
0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$337.40 |
$482 |
0.5× |