| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$289.60 |
$362 |
1.7× |
| Application finger splint static (29130) |
$262.40 |
$328 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$288.80 |
$361 |
1.7× |
| Application Long Leg Splint (29505) |
$303.20 |
$379 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$301.60 |
$377 |
2.2× |
| Application short leg splint calf foot (29515) |
$396 |
$495 |
2.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$384.80 |
$481 |
2.3× |
| Apply Short Leg Cast (29405) |
$316 |
$395 |
1.1× |
| Arterial puncture (36600) |
$152 |
$190 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$498.40 |
$623 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$671.20 |
$839 |
2.1× |
| Aspirate Pleura W/O Imaging (32554) |
$937.60 |
$1,172 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$261.60 |
$327 |
1.3× |
| Bladder Irrigation (51700) |
$391.20 |
$489 |
1.5× |
| Bladder Scan (51798) |
$198.40 |
$248 |
3.3× |
| Blepharotomy drainage abscess eyelid (67700) |
$615.20 |
$769 |
1.9× |
| Blood Transfusion Service (36430) |
$989.60 |
$1,237 |
2.2× |
| Catheter aspiration nasotracheal spx (31720) |
$239.20 |
$299 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$236 |
$295 |
0.9× |
| Chest tube placement (32551) |
$973.60 |
$1,217 |
0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,343.20 |
$1,679 |
0.8× |
| Clear outer ear canal (69200) |
$211.20 |
$264 |
1.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$605.60 |
$757 |
2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$622.40 |
$778 |
2.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$569.60 |
$712 |
2.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$449.60 |
$562 |
1.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,650.40 |
$2,063 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,155.20 |
$1,444 |
0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,202.40 |
$1,503 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,492 |
$1,865 |
0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$498.40 |
$623 |
2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,091.20 |
$1,364 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$466.40 |
$583 |
1.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,972.80 |
$2,466 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$638.40 |
$798 |
2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$424 |
$530 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,687.20 |
$2,109 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,016 |
$2,520 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$525.60 |
$657 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$503.20 |
$629 |
2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$415.20 |
$519 |
1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$960 |
$1,200 |
3.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$640.80 |
$801 |
2.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$670.40 |
$838 |
2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$369.60 |
$462 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$621.60 |
$777 |
2.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,875.20 |
$3,594 |
1.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,246.40 |
$2,808 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$549.60 |
$687 |
2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,106.40 |
$1,383 |
0.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$168.80 |
$211 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$19.20 |
$24 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$425.60 |
$532 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$392.80 |
$491 |
2.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$450.40 |
$563 |
3.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$742.40 |
$928 |
1.8× |
| Declot vascular device (36593) |
$596 |
$745 |
1.8× |
| Dilate Esophagus 1/Mult Pass (43450) |
$2,649.60 |
$3,312 |
2.9× |
| Dilation Esophagus Guide Wire (43453) |
$3,169.60 |
$3,962 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$810.40 |
$1,013 |
1.1× |
| Drainage Mouth Roof Lesion (42000) |
$439.20 |
$549 |
1.8× |
| Drainage of gum lesion (41800) |
$450.40 |
$563 |
3.3× |
| Draw Blood Off Venous Device (36591) |
$188.80 |
$236 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$440 |
$550 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$310.40 |
$388 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$352 |
$440 |
1.7× |
| Epidural Blood Patch (62273) |
$2,073.60 |
$2,592 |
2.9× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,930.40 |
$2,413 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$215.20 |
$269 |
1.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,316.80 |
$1,646 |
1.8× |
| Fetal Contraction Stress Test (59020) |
$631.20 |
$789 |
3.1× |
| Fetal non-stress test (59025) |
$387.20 |
$484 |
1.9× |
| I&d abscess simple (10060) |
$487.20 |
$609 |
2.4× |
| I&d perianal abscess superficial (46050) |
$1,452 |
$1,815 |
1.5× |
| Incise external hemorrhoid (46083) |
$643.20 |
$804 |
2.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$697.60 |
$872 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,872 |
$4,840 |
2.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$619.20 |
$774 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$356 |
$445 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$499.20 |
$624 |
1.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$400 |
$500 |
2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$680.80 |
$851 |
2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$602.40 |
$753 |
1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,265.60 |
$1,582 |
1.8× |
| Insert cervical dilator (59200) |
$574.40 |
$718 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$236.80 |
$296 |
1.7× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$192–$211.20 |
$240–$264 |
varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,530.40 |
$3,163 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$944 |
$1,180 |
3.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$38.40 |
$48 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$64 |
$80 |
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) |
$290.40 |
$363 |
0.9× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$677.60 |
$847 |
1.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$798.40 |
$998 |
1.9× |
| Pelvic examination under anesthesia (other than local) (57410) |
$4,263.20 |
$5,329 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$489.60 |
$612 |
1.1× |
| Removal Embedded Foreign Body Eyelid (67938) |
$614.40 |
$768 |
1.9× |
| Removal foreign body foot deep (28192) |
$3,110.40 |
$3,888 |
1.8× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,465.60 |
$1,832 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$85.60 |
$107 |
1.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$178.40 |
$223 |
3.0× |
| Removal of nail bed (11750) |
$849.60 |
$1,062 |
2.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$381.60 |
$477 |
1.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$329.60 |
$412 |
1.2× |
| Remove foreign body from eye (65205) |
$341.60 |
$427 |
2.5× |
| Remove Intrauterine Device (58301) |
$455.20 |
$569 |
1.5× |
| Remove Nasal Foreign Body (30300) |
$336 |
$420 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$611.20 |
$764 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$896 |
$1,120 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,018.40 |
$1,273 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$580 |
$725 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$552 |
$690 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$572 |
$715 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$608.80 |
$761 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$506.40 |
$633 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$528.80 |
$661 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$764 |
$955 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$804.80 |
$1,006 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$506.40 |
$633 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$644 |
$805 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$608.80 |
$761 |
1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$425.60 |
$532 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$367.20 |
$459 |
2.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,340.80 |
$2,926 |
1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$504 |
$630 |
2.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,526.40 |
$1,908 |
2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,132.80 |
$1,416 |
2.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,628.80 |
$2,036 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$708 |
$885 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$441.60 |
$552 |
2.2× |
| 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) |
$504 |
$630 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$461.60 |
$577 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$509.60 |
$637 |
2.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$506.40 |
$633 |
2.5× |
| Skin sub graft trnk/arm/leg (15271) |
$3,042.40 |
$3,803 |
4.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$460 |
$575 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$572 |
$715 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,217.60 |
$1,522 |
1.7× |
| Strapping Unna Boot (29580) |
$304 |
$380 |
1.8× |
| Thrombolytic Therapy Stroke (37195) |
$752.80 |
$941 |
2.2× |
| Thyroid biopsy (60100) |
$1,436.80 |
$1,796 |
2.0× |
| Treat Humerus Fracture (24505) |
$1,364.80 |
$1,706 |
0.8× |
| Treat Thumb Dislocation (26641) |
$415.20 |
$519 |
1.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,223.20 |
$2,779 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$498.40 |
$623 |
2.0× |
| Tx Gastro Intub W/Asp (43753) |
$525.60 |
$657 |
2.4× |