| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,070.40 |
$1,338 |
1.2× |
| Application cast elbow finger short arm (29075) |
$211.20 |
$264 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$183.20 |
$229 |
3.0× |
| Application finger splint static (29130) |
$194.40 |
$243 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$281.60 |
$352 |
1.7× |
| Application Long Leg Splint (29505) |
$290.40 |
$363 |
1.7× |
| Application Short Arm Splint Dynamic (29126) |
$276 |
$345 |
2.0× |
| Application short arm splint forearm-hand static (29125) |
$248.80 |
$311 |
1.8× |
| Application short leg splint calf foot (29515) |
$268 |
$335 |
1.6× |
| Apply long arm cast (29065) |
$253.60 |
$317 |
0.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$381.60 |
$477 |
2.3× |
| Apply Short Leg Cast (29405) |
$256 |
$320 |
0.9× |
| Apply short leg cast (29425) |
$241.60 |
$302 |
0.8× |
| Arterial puncture (36600) |
$156 |
$195 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$484.80 |
$606 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$727.20 |
$909 |
2.3× |
| Aspirate pleura w/ imaging (32555) |
$1,148.80 |
$1,436 |
1.8× |
| Aspirate Pleura W/O Imaging (32554) |
$1,015.20 |
$1,269 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$300 |
$375 |
1.5× |
| Blood Transfusion Service (36430) |
$987.20 |
$1,234 |
2.2× |
| Catheter aspiration nasotracheal spx (31720) |
$214.40 |
$268 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$530.40 |
$663 |
2.1× |
| Chest tube placement (32551) |
$1,140 |
$1,425 |
0.7× |
| Clear outer ear canal (69200) |
$252.80 |
$316 |
1.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,832.80 |
$2,291 |
7.3× |
| Closed Treatment Sesamoid Fracture (28530) |
$246.40 |
$308 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$584 |
$730 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$500.80 |
$626 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,004 |
$1,255 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$403.20 |
$504 |
1.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$362.40 |
$453 |
1.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$407.20 |
$509 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$530.40 |
$663 |
2.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$332.80 |
$416 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$488 |
$610 |
1.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$373.60 |
$467 |
1.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$361.60 |
$452 |
1.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,272 |
$1,590 |
0.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$331.20 |
$414 |
1.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$246.40 |
$308 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,243.20 |
$1,554 |
0.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$358.40 |
$448 |
1.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$373.60 |
$467 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$392.80 |
$491 |
1.6× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$429.60 |
$537 |
1.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,077.60 |
$1,347 |
4.3× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,344.80 |
$1,681 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$340 |
$425 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,287.20 |
$2,859 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$564.80 |
$706 |
2.2× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,538.40 |
$1,923 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$904.80 |
$1,131 |
0.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$355.20 |
$444 |
1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$427.20 |
$534 |
1.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$400.80 |
$501 |
1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$469.60 |
$587 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$343.20 |
$429 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$408 |
$510 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,272 |
$1,590 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$464.80 |
$581 |
1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$300.80 |
$376 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$490.40 |
$613 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$306.40 |
$383 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$392.80 |
$491 |
1.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$340.80 |
$426 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$548.80 |
$686 |
2.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$400 |
$500 |
1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$720 |
$900 |
2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$444 |
$555 |
1.8× |
| Cltx Medial Ankle Fx (27760) |
$405.60 |
$507 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$512.80 |
$641 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$360.80 |
$451 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$464.80 |
$581 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$370.40 |
$463 |
1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$345.60 |
$432 |
1.4× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,048 |
$1,310 |
4.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$564.80 |
$706 |
2.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,110.40 |
$1,388 |
0.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$246.40 |
$308 |
1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$412.80 |
$516 |
1.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$400.80 |
$501 |
1.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$480.80 |
$601 |
1.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$116.80 |
$146 |
0.9× |
| Collection of venous blood by venipuncture (36415) |
$25.60 |
$32 |
2.7× |
| Complex drainage wound (10180) |
$4,240 |
$5,300 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$273.60 |
$342 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$323.20 |
$404 |
2.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$333.60 |
$417 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$684.80 |
$856 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,055.20 |
$1,319 |
2.5× |
| Delivery of placenta (59414) |
$3,419.20 |
$4,274 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$170.40 |
$213 |
0.8× |
| Drainage external auditory canal abscess (69020) |
$729.60 |
$912 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$809.60 |
$1,012 |
1.1× |
| Drainage of finger abscess simple (26010) |
$410.40 |
$513 |
2.0× |
| Drainage of gum lesion (41800) |
$348 |
$435 |
2.6× |
| Drainage of hematoma/fluid (10140) |
$2,604 |
$3,255 |
1.5× |
| Draw Blood Off Venous Device (36591) |
$116.80 |
$146 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$526.40 |
$658 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$380 |
$475 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$327.20 |
$409 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$171.20 |
$214 |
1.3× |
| I&d abscess peritonsillar (42700) |
$500.80 |
$626 |
2.1× |
| I&d abscess simple (10060) |
$430.40 |
$538 |
2.1× |
| I&d perianal abscess superficial (46050) |
$1,456.80 |
$1,821 |
1.5× |
| I&d pilonidal cyst complicated (10081) |
$1,258.40 |
$1,573 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$554.40 |
$693 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$668 |
$835 |
1.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,836 |
$3,545 |
1.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$613.60 |
$767 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$524 |
$655 |
1.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$273.60 |
$342 |
1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$952.80 |
$1,191 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$303.20 |
$379 |
2.3× |
| Insert cath pleura w/o image (32556) |
$2,207.20 |
$2,759 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$1,734.40 |
$2,168 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$204 |
$255 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$164 |
$205 |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,635.20 |
$5,794 |
1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,348 |
$1,685 |
0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$784.80 |
$981 |
1.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$671.20 |
$839 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$552.80 |
$691 |
2.3× |
| Laryngoscopy diagnostic (31505) |
$280.80 |
$351 |
1.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$5,520 |
$6,900 |
1.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$41.60 |
$52 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$68 |
$85 |
2.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,100 |
$1,375 |
2.6× |
| Placement of needle for intraosseous infusion (36680) |
$472.80 |
$591 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$474.40 |
$593 |
1.1× |
| Puncture Aspiration Cyst Breast (19000) |
$842.40 |
$1,053 |
1.2× |
| Removal foreign body foot deep (28192) |
$3,536 |
$4,420 |
2.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,217.60 |
$1,522 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$147.20 |
$184 |
2.4× |
| Removal of foreign body from pharynx (42809) |
$456 |
$570 |
1.0× |
| Removal of nail bed (11750) |
$828 |
$1,035 |
2.0× |
| Remove foreign body from eye (65205) |
$221.60 |
$277 |
1.6× |
| Remove Intrauterine Device (58301) |
$540.80 |
$676 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$222.40 |
$278 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,208.80 |
$1,511 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,431.20 |
$1,789 |
3.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$598.40 |
$748 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$600 |
$750 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$634.40 |
$793 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$663.20 |
$829 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$899.20 |
$1,124 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$527.20 |
$659 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$629.60 |
$787 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$712 |
$890 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$834.40 |
$1,043 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$668 |
$835 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$683.20 |
$854 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,120.80 |
$1,401 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$733.60 |
$917 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,321.60 |
$2,902 |
1.1× |
| Repair of nail bed (11760) |
$771.20 |
$964 |
1.0× |
| Repair tongue laceration (41252) |
$774.40 |
$968 |
3.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$357.60 |
$447 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,336.80 |
$2,921 |
1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$440.80 |
$551 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$474.40 |
$593 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$334.40 |
$418 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$352.80 |
$441 |
1.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$597.60 |
$747 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$400.80 |
$501 |
2.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$452.80 |
$566 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$320.80 |
$401 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$500.80 |
$626 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$370.40 |
$463 |
1.8× |
| Skin Tissue Procedure (17999) |
$2,631.20 |
$3,289 |
12.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$339.20 |
$424 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$476 |
$595 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$509.60 |
$637 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$888 |
$1,110 |
1.2× |
| Strapping ankle (29540) |
$164.80 |
$206 |
1.0× |
| Strapping hand/finger (29280) |
$132 |
$165 |
2.2× |
| Strapping knee (29530) |
$181.60 |
$227 |
1.3× |
| Strapping shoulder (29240) |
$192.80 |
$241 |
1.4× |
| Strapping toes (29550) |
$129.60 |
$162 |
2.2× |
| Strapping Unna Boot (29580) |
$251.20 |
$314 |
1.5× |
| Thrombolytic Therapy Stroke (37195) |
$948.80 |
$1,186 |
2.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,299.20 |
$2,874 |
1.5× |
| Treat humerus fracture (23600) |
$405.60 |
$507 |
1.6× |
| Treat Knuckle Dislocation (26700) |
$447.20 |
$559 |
1.8× |
| Treat Metatarsal Fracture (28475) |
$588.80 |
$736 |
2.3× |
| Treat Tail Bone Fracture (27200) |
$316.80 |
$396 |
1.3× |
| Treat Thumb Dislocation (26641) |
$406.40 |
$508 |
1.6× |
| Treat Thumb Fracture (26645) |
$1,000 |
$1,250 |
0.6× |
| Treat toe dislocation (28630) |
$386.40 |
$483 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$522.40 |
$653 |
2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,271.20 |
$1,589 |
1.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,732.80 |
$3,416 |
1.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$316.80 |
$396 |
1.3× |
| Unlisted procedure forearm or wrist (25999) |
$3,847.20 |
$4,809 |
15.3× |
| Unlisted Procedure Hands/Fingers (26989) |
$2,298.40 |
$2,873 |
9.1× |