| Abd paracentesis w/imaging (49083) |
$284.90 |
$518 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$125.95 |
$229 |
0.1× |
| Application finger splint static (29130) |
$155.10 |
$282 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$227.70 |
$414 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$136.95 |
$249 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$208.18 |
$378.50 |
1.5× |
| Application short leg splint calf foot (29515) |
$66 |
$120 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$255.20 |
$464 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$39.05 |
$71 |
0.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$815.10 |
$1,482 |
2.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$33.55 |
$61 |
0.2× |
| Bladder Irrigation Simple (51700) |
$259.60 |
$472 |
1.0× |
| Bladder Scan (51798) |
$88 |
$160 |
1.4× |
| Blood transfusion service (36430) |
$330 |
$600 |
0.7× |
| Chest tube placement (32551) |
$216.15 |
$393 |
0.1× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,395.35 |
$2,537 |
0.8× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,284.25 |
$2,335 |
0.8× |
| Closed Treat Vert Body Fract (22310) |
$218.90 |
$398 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$201.30 |
$366 |
0.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$334.40 |
$608 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$308 |
$560 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$201.30 |
$366 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$212.85 |
$387 |
0.8× |
| Closed tx patellar fracture w/o manipulation (27520) |
$210.65 |
$383 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$201.30 |
$366 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$201.30 |
$366 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,156.55 |
$3,921 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$446.05 |
$811 |
1.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$201.30 |
$366 |
0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$201.30 |
$366 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$273.35 |
$497 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,212.75 |
$2,205 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$201.30 |
$366 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$242.55 |
$441 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$497.75 |
$905 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$201.30 |
$366 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$200.75 |
$365 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$219.45 |
$399 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,631.75 |
$4,785 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$113.30 |
$206 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$83.05 |
$151 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$67.65 |
$123 |
0.1× |
| Drainage of gum lesion (41800) |
$224.40 |
$408 |
1.6× |
| Draw blood off venous device (36591) |
$107.80 |
$196 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$216.70 |
$394 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$216.70 |
$394 |
1.0× |
| Dry Needling 3+ Muscles (20561) |
$64.35 |
$117 |
2.1× |
| Evacuation of subungual hematoma (11740) |
$20.90 |
$38 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$206.25 |
$375 |
0.8× |
| I&d abscess simple (10060) |
$218.90 |
$398 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,619.20 |
$2,944 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$73.15 |
$133 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$337.15 |
$613 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$170.50 |
$310 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$73.15 |
$133 |
0.2× |
| Injection anes other peripheral nerve/branch (64450) |
$145.75 |
$265 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$254.10 |
$462 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$1,832.60 |
$3,332 |
0.6× |
| Insert picc cath (36569) |
$1,364.55 |
$2,481 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$121.55 |
$221 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$97.35 |
$177 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$207.90 |
$378 |
0.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$263.45 |
$479 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$57.75 |
$105 |
1.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$748 |
$1,360 |
1.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$227.70 |
$414 |
0.1× |
| Puncture Aspiration (10160) |
$56.65 |
$103 |
0.1× |
| Removal fb intranasal (30300) |
$68.75 |
$125 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$23.10 |
$42 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$53.90 |
$98 |
0.9× |
| Removal of nail bed (11750) |
$178.75 |
$325 |
0.4× |
| Remove shoulder foreign body (23330) |
$1,500.40 |
$2,728 |
0.9× |
| Remv Ext Canal Foreign Body (69200) |
$52.80 |
$96 |
0.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$42.90 |
$78 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$520.85 |
$947 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$311.30 |
$566 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$343.20 |
$624 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$510.40 |
$928 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$78.65 |
$143 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$337.15 |
$613 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$184.80 |
$336 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$78.65 |
$143 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$337.15 |
$613 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$78.65 |
$143 |
0.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$136.95 |
$249 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$94.05 |
$171 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$55 |
$100 |
0.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,673.65 |
$3,043 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$63.80 |
$116 |
0.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$86.35 |
$157 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$175.45 |
$319 |
0.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$175.45 |
$319 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$56.10 |
$102 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$246.95 |
$449 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$246.95 |
$449 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$608.30 |
$1,106 |
0.8× |
| Strapping unna boot (29580) |
$43.45 |
$79 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$892.65 |
$1,623 |
1.3× |
| Thrombolytic Therapy, Stroke (37195) |
$326.15 |
$593 |
0.9× |
| Treat humerus fracture (23600) |
$201.30 |
$366 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$455.40 |
$828 |
1.8× |
| Venipuncture (36415) |
$15.40 |
$28 |
1.6× |