| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$220 |
$275 |
1.3× |
| Application cast elbow finger short arm (29075) |
$336 |
$420 |
1.2× |
| Application finger splint static (29130) |
$271.20 |
$339 |
2.0× |
| Application long arm splint shoulder hand (29105) |
$320 |
$400 |
1.9× |
| Application Long Leg Splint (29505) |
$405.60 |
$507 |
2.4× |
| Application short arm splint forearm-hand static (29125) |
$285.60 |
$357 |
2.1× |
| Application short leg splint calf foot (29515) |
$372.80 |
$466 |
2.2× |
| Apply hand/wrist cast (29085) |
$262.40 |
$328 |
1.6× |
| Apply Multlay Comprs Lwr Leg (29581) |
$303.20 |
$379 |
1.8× |
| Apply Short Leg Cast (29405) |
$352.80 |
$441 |
1.2× |
| Arterial puncture (36600) |
$186.40 |
$233 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$627.20 |
$784 |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$501.60 |
$627 |
2.4× |
| Bladder Irrigation (51700) |
$525.60 |
$657 |
2.1× |
| Bladder Scan (51798) |
$182.40 |
$228 |
3.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,424 |
$4,280 |
1.6× |
| Blood Transfusion Service (36430) |
$844.80 |
$1,056 |
1.9× |
| Cataract surgery complex (66982) |
$4,160.80 |
$5,201 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$577.60 |
$722 |
2.3× |
| Chemical Cautery Tissue (17250) |
$440 |
$550 |
2.1× |
| Chest tube placement (32551) |
$1,588 |
$1,985 |
1.0× |
| Clear outer ear canal (69200) |
$230.40 |
$288 |
1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$987.20 |
$1,234 |
3.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$560.80 |
$701 |
2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$680.80 |
$851 |
2.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$460.80 |
$576 |
1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$469.60 |
$587 |
1.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$796 |
$995 |
3.2× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$996.80 |
$1,246 |
0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$496.80 |
$621 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$446.40 |
$558 |
1.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,125.60 |
$2,657 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,392.80 |
$2,991 |
1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$560 |
$700 |
2.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$507.20 |
$634 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,594.40 |
$1,993 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$476.80 |
$596 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,473.60 |
$1,842 |
0.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$419.20 |
$524 |
1.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,547.20 |
$1,934 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$537.60 |
$672 |
2.1× |
| Closed tx septal&nose fx (21337) |
$2,754.40 |
$3,443 |
0.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$462.40 |
$578 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$483.20 |
$604 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,625.60 |
$2,032 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$518.40 |
$648 |
2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$450.40 |
$563 |
1.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$511.20 |
$639 |
2.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,122.40 |
$1,403 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$462.40 |
$578 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,422.40 |
$3,028 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$440.80 |
$551 |
1.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$722.40 |
$903 |
2.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$451.20 |
$564 |
1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$568 |
$710 |
2.3× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$332.80 |
$416 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$765.60 |
$957 |
3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$503.20 |
$629 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$624 |
$780 |
2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$456 |
$570 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$551.20 |
$689 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,421.60 |
$1,777 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$591.20 |
$739 |
2.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$612.80 |
$766 |
2.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,184 |
$2,730 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$359.20 |
$449 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$618.40 |
$773 |
2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$388 |
$485 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$536.80 |
$671 |
2.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,131.20 |
$2,664 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$649.60 |
$812 |
2.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$491.20 |
$614 |
1.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,563.20 |
$1,954 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$357.60 |
$447 |
1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$374.40 |
$468 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$587.20 |
$734 |
2.3× |
| Cltx Medial Ankle Fx (27760) |
$539.20 |
$674 |
2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$900 |
$1,125 |
3.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$464.80 |
$581 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$949.60 |
$1,187 |
3.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$412.80 |
$516 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$474.40 |
$593 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,037.60 |
$2,547 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$412 |
$515 |
1.6× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$737.60 |
$922 |
2.9× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$556 |
$695 |
2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,329.60 |
$1,662 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$157.60 |
$197 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$25.60 |
$32 |
2.7× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$2,194.40 |
$2,743 |
1.8× |
| Colonoscopy thru stoma (44388) |
$2,118.40 |
$2,648 |
2.2× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,252 |
$2,815 |
1.8× |
| Colonoscopy W/Resection (45390) |
$1,871.20 |
$2,339 |
0.7× |
| Colonoscopy w/submucosal inj (45381) |
$1,846.40 |
$2,308 |
1.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,846.40 |
$2,308 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$400.80 |
$501 |
2.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$264.80 |
$331 |
1.9× |
| Control oropharyngeal hemorrhage simple (42960) |
$632.80 |
$791 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$548.80 |
$686 |
4.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$496 |
$620 |
2.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,036 |
$3,795 |
1.4× |
| Cystourethroscopy (52000) |
$1,046.40 |
$1,308 |
1.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,776 |
$2,220 |
2.5× |
| Delivery of placenta (59414) |
$1,064.80 |
$1,331 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,753.60 |
$2,192 |
1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$616 |
$770 |
0.9× |
| Drainage of finger abscess simple (26010) |
$472.80 |
$591 |
2.3× |
| Drainage of gum lesion (41800) |
$401.60 |
$502 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$2,047.20 |
$2,559 |
1.2× |
| Draw Blood Off Venous Device (36591) |
$166.40 |
$208 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$492 |
$615 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$353.60 |
$442 |
1.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,396.80 |
$2,996 |
1.2× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,283.20 |
$2,854 |
1.2× |
| Egd endo mucosal resection (43254) |
$2,396.80 |
$2,996 |
1.2× |
| Egd remove lesion snare (43251) |
$2,397.60 |
$2,997 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$1,607.20 |
$2,009 |
0.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,240 |
$2,800 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$232 |
$290 |
1.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$960 |
$1,200 |
1.3× |
| Fetal non-stress test (59025) |
$458.40 |
$573 |
2.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,683.20 |
$2,104 |
1.8× |
| I&d abscess simple (10060) |
$522.40 |
$653 |
2.5× |
| I&d perianal abscess superficial (46050) |
$2,070.40 |
$2,588 |
2.2× |
| I&d pilonidal cyst simple (10080) |
$701.60 |
$877 |
1.0× |
| Incise external hemorrhoid (46083) |
$565.60 |
$707 |
2.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,920 |
$3,650 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,289.60 |
$2,862 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$751.20 |
$939 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$438.40 |
$548 |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$690.40 |
$863 |
2.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,491.20 |
$3,114 |
1.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$258.40 |
$323 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$609.60 |
$762 |
1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$992.80 |
$1,241 |
1.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,286.40 |
$2,858 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$250.40 |
$313 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$230.40 |
$288 |
1.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$970.40 |
$1,213 |
2.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,248 |
$1,560 |
3.0× |
| Intubation endotracheal emergency procedure (31500) |
$483.20 |
$604 |
2.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$696.80 |
$871 |
3.4× |
| Ligation or biopsy temporal artery (37609) |
$2,968 |
$3,710 |
1.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$36 |
$45 |
1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$64.80 |
$81 |
2.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,100 |
$1,375 |
2.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$1,064.80 |
$1,331 |
3.4× |
| Placement of needle for intraosseous infusion (36680) |
$556 |
$695 |
1.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$460 |
$575 |
1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,408 |
$1,760 |
1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,870.40 |
$2,338 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$102.40 |
$128 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$177.60 |
$222 |
2.9× |
| Removal of foreign body from pharynx (42809) |
$370.40 |
$463 |
0.8× |
| Removal or bivalving full arm or full leg cast (29705) |
$370.40 |
$463 |
1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$230.40 |
$288 |
1.1× |
| Remove foreign body from eye (65235) |
$3,682.40 |
$4,603 |
1.6× |
| Remove foreign body from eye (65205) |
$341.60 |
$427 |
2.5× |
| Remove Nasal Foreign Body (30300) |
$276 |
$345 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$983.20 |
$1,229 |
2.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$748.80 |
$936 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$830.40 |
$1,038 |
2.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,585.60 |
$1,982 |
2.1× |
| Repair Ectropion Extensive (67917) |
$2,924.80 |
$3,656 |
1.2× |
| Repair Entropion Extensive (67924) |
$2,856.80 |
$3,571 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$616.80 |
$771 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$846.40 |
$1,058 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$876 |
$1,095 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$862.40 |
$1,078 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,231.20 |
$1,539 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$862.40 |
$1,078 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$525.60 |
$657 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$782.40 |
$978 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$862.40 |
$1,078 |
1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,821.60 |
$2,277 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$862.40 |
$1,078 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$862.40 |
$1,078 |
2.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$828 |
$1,035 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$986.40 |
$1,233 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$655.20 |
$819 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,070.40 |
$3,838 |
1.5× |
| Repair of nail bed (11760) |
$952.80 |
$1,191 |
1.3× |
| Repair tongue laceration (41252) |
$1,026.40 |
$1,283 |
4.2× |
| Repair tongue laceration (41250) |
$505.60 |
$632 |
1.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$751.20 |
$939 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$586.40 |
$733 |
1.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$532.80 |
$666 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,632 |
$2,040 |
2.5× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,403.20 |
$3,004 |
1.0× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$3,581.60 |
$4,477 |
1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$504.80 |
$631 |
2.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,126.40 |
$1,408 |
1.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$623.20 |
$779 |
2.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,496.80 |
$1,871 |
2.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,571.20 |
$1,964 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,578.40 |
$1,973 |
1.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$652.80 |
$816 |
1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$355.20 |
$444 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$321.60 |
$402 |
1.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$664.80 |
$831 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$448.80 |
$561 |
2.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$667.20 |
$834 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$355.20 |
$444 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$743.20 |
$929 |
3.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$441.60 |
$552 |
2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$355.20 |
$444 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$460 |
$575 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$757.60 |
$947 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$1,208.80 |
$1,511 |
1.7× |
| Strapping ankle (29540) |
$222.40 |
$278 |
1.3× |
| Strapping elbow or wrist (29260) |
$200.80 |
$251 |
3.3× |
| Treat humerus fracture (24500) |
$536 |
$670 |
2.1× |
| Treat Knuckle Dislocation (26700) |
$604.80 |
$756 |
2.4× |
| Treat metacarpal fracture (26607) |
$3,164 |
$3,955 |
0.9× |
| Treat toe dislocation (28630) |
$496.80 |
$621 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$618.40 |
$773 |
2.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,399.20 |
$1,749 |
1.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$768.80 |
$961 |
1.9× |
| Vaginal delivery only (59409) |
$3,338.40 |
$4,173 |
1.0× |
| Windowing of cast (29730) |
$299.20 |
$374 |
1.8× |