| Abd paracentesis w/imaging (49083) |
$1,933.60 |
$2,417 |
2.1× |
| Application cast elbow finger short arm (29075) |
$301.60 |
$377 |
1.0× |
| Application finger splint static (29130) |
$276.80 |
$346 |
2.0× |
| Application long arm splint shoulder hand (29105) |
$266.40 |
$333 |
1.6× |
| Application Long Leg Splint (29505) |
$415.20 |
$519 |
2.5× |
| Application short arm splint forearm-hand static (29125) |
$196 |
$245 |
1.4× |
| Application short leg splint calf foot (29515) |
$382.40 |
$478 |
2.3× |
| Apply hand/wrist cast (29085) |
$236 |
$295 |
1.4× |
| Apply Short Leg Cast (29405) |
$356 |
$445 |
1.2× |
| Arterial puncture (36600) |
$93.60 |
$117 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$508.80 |
$636 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$687.20 |
$859 |
2.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$488 |
$610 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$428.80 |
$536 |
2.1× |
| Bladder Irrigation (51700) |
$536 |
$670 |
2.1× |
| Bladder Scan (51798) |
$185.60 |
$232 |
3.0× |
| Blood Transfusion Service (36430) |
$1,044.80 |
$1,306 |
2.3× |
| Change Cystostomy Tube Simple (51705) |
$596 |
$745 |
2.3× |
| Chest tube placement (32551) |
$1,628.80 |
$2,036 |
1.0× |
| Clear outer ear canal (69200) |
$268.80 |
$336 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,016 |
$1,270 |
4.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$577.60 |
$722 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$716 |
$895 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,004 |
$1,255 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$475.20 |
$594 |
1.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$482.40 |
$603 |
1.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$596 |
$745 |
2.3× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$996.80 |
$1,246 |
0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$510.40 |
$638 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$460 |
$575 |
1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,461.60 |
$3,077 |
1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$576 |
$720 |
2.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$522.40 |
$653 |
2.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,607.20 |
$2,009 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$491.20 |
$614 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,348.80 |
$1,686 |
0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$423.20 |
$529 |
1.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,576.80 |
$1,971 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$547.20 |
$684 |
2.1× |
| Closed tx septal&nose fx (21337) |
$2,832.80 |
$3,541 |
0.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$470.40 |
$588 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,672 |
$2,090 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$529.60 |
$662 |
2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$463.20 |
$579 |
1.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$525.60 |
$657 |
2.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,154.40 |
$1,443 |
2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$472 |
$590 |
1.9× |
| 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) |
$453.60 |
$567 |
1.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$564.80 |
$706 |
2.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$464 |
$580 |
1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$609.60 |
$762 |
2.4× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$332.80 |
$416 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$788.80 |
$986 |
3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$556.80 |
$696 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$641.60 |
$802 |
2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$468.80 |
$586 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$567.20 |
$709 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,461.60 |
$1,827 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$602.40 |
$753 |
2.4× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,600 |
$2,000 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$568.80 |
$711 |
2.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,225.60 |
$2,782 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$370.40 |
$463 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$636 |
$795 |
2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$399.20 |
$499 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$552.80 |
$691 |
2.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,192 |
$2,740 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$668 |
$835 |
2.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$530.40 |
$663 |
2.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,592.80 |
$1,991 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$368.80 |
$461 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$385.60 |
$482 |
1.5× |
| Cltx Medial Ankle Fx (27760) |
$561.60 |
$702 |
2.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$733.60 |
$917 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$478.40 |
$598 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$664 |
$830 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$424.80 |
$531 |
1.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$494.40 |
$618 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,096 |
$2,620 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$424 |
$530 |
1.7× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$573.60 |
$717 |
2.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$556.80 |
$696 |
2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,368 |
$1,710 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$161.60 |
$202 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$26.40 |
$33 |
2.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$411.20 |
$514 |
3.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$236 |
$295 |
1.7× |
| Control oropharyngeal hemorrhage simple (42960) |
$650.40 |
$813 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$448 |
$560 |
3.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$449.60 |
$562 |
1.8× |
| Cystourethroscopy (52000) |
$1,180.80 |
$1,476 |
1.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,826.40 |
$2,283 |
2.5× |
| Debride nail 1-5 (11720) |
$136.80 |
$171 |
2.2× |
| Debride nail 6 or more (11721) |
$159.20 |
$199 |
2.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$640 |
$800 |
1.5× |
| Delivery of placenta (59414) |
$1,239.20 |
$1,549 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$633.60 |
$792 |
0.9× |
| Drainage of finger abscess simple (26010) |
$485.60 |
$607 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$2,106.40 |
$2,633 |
1.2× |
| Draw Blood Off Venous Device (36591) |
$60.80 |
$76 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$660 |
$825 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$527.20 |
$659 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$439.20 |
$549 |
2.1× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,236 |
$2,795 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$261.60 |
$327 |
1.9× |
| Fetal non-stress test (59025) |
$264.80 |
$331 |
1.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,644.80 |
$2,056 |
1.7× |
| I&d abscess simple (10060) |
$537.60 |
$672 |
2.6× |
| I&d pilonidal cyst simple (10080) |
$720.80 |
$901 |
1.0× |
| Incise external hemorrhoid (46083) |
$407.20 |
$509 |
1.6× |
| Incise finger tendon sheath (26055) |
$1,963.20 |
$2,454 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,355.20 |
$2,944 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$809.60 |
$1,012 |
1.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$356.80 |
$446 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$710.40 |
$888 |
2.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$266.40 |
$333 |
1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$416 |
$520 |
1.3× |
| Injection single tendon origin/insertion (20551) |
$416.80 |
$521 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$626.40 |
$783 |
2.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,020.80 |
$1,276 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$270.40 |
$338 |
2.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$188.80 |
$236 |
1.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$999.20 |
$1,249 |
2.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$874.40 |
$1,093 |
2.1× |
| Intubation endotracheal emergency procedure (31500) |
$466.40 |
$583 |
1.9× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$696.80 |
$871 |
3.4× |
| 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 |
2.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,100 |
$1,375 |
2.6× |
| Placement of needle for intraosseous infusion (36680) |
$494.40 |
$618 |
1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$536 |
$670 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,448 |
$1,810 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$104.80 |
$131 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$172.80 |
$216 |
2.8× |
| Removal of foreign body from pharynx (42809) |
$380.80 |
$476 |
0.8× |
| Removal of nail bed (11750) |
$455.20 |
$569 |
1.1× |
| Removal or bivalving full arm or full leg cast (29705) |
$408 |
$510 |
1.4× |
| Remove foreign body from eye (65235) |
$3,752.80 |
$4,691 |
1.6× |
| Remove foreign body from eye (65205) |
$348.80 |
$436 |
2.5× |
| Remove Nasal Foreign Body (30300) |
$321.60 |
$402 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$962.40 |
$1,203 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$771.20 |
$964 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$867.20 |
$1,084 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,427.20 |
$1,784 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$634.40 |
$793 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$787.20 |
$984 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$880 |
$1,100 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$946.40 |
$1,183 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,304 |
$1,630 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$929.60 |
$1,162 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$540.80 |
$676 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$715.20 |
$894 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$887.20 |
$1,109 |
1.2× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,857.60 |
$2,322 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$887.20 |
$1,109 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$887.20 |
$1,109 |
2.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$852 |
$1,065 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,088 |
$1,360 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$674.40 |
$843 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,100 |
$3,875 |
1.5× |
| Repair of nail bed (11760) |
$980 |
$1,225 |
1.3× |
| Repair tongue laceration (41252) |
$1,057.60 |
$1,322 |
4.3× |
| Repair tongue laceration (41250) |
$520.80 |
$651 |
1.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$451.20 |
$564 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$440 |
$550 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$447.20 |
$559 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,679.20 |
$2,099 |
2.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$520 |
$650 |
2.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,158.40 |
$1,448 |
1.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$560.80 |
$701 |
2.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,403.20 |
$1,754 |
2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,552 |
$1,940 |
2.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$680.80 |
$851 |
1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$365.60 |
$457 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$376 |
$470 |
1.8× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$683.20 |
$854 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$365.60 |
$457 |
1.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$640 |
$800 |
3.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$365.60 |
$457 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$696 |
$870 |
3.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$454.40 |
$568 |
2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$365.60 |
$457 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$474.40 |
$593 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$729.60 |
$912 |
1.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,243.20 |
$1,554 |
1.7× |
| Strapping ankle (29540) |
$228.80 |
$286 |
1.4× |
| Strapping elbow or wrist (29260) |
$192 |
$240 |
3.2× |
| Thrombolytic Therapy Stroke (37195) |
$852.80 |
$1,066 |
2.5× |
| Treat humerus fracture (24500) |
$544.80 |
$681 |
2.1× |
| Treat Knuckle Dislocation (26700) |
$603.20 |
$754 |
2.4× |
| Treat metacarpal fracture (26607) |
$3,193.60 |
$3,992 |
0.9× |
| Treat toe dislocation (28630) |
$510.40 |
$638 |
2.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,626.40 |
$3,283 |
1.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$724.80 |
$906 |
2.8× |
| Trim skin lesion (11055) |
$264 |
$330 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,440 |
$1,800 |
1.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$802.40 |
$1,003 |
1.9× |
| Vaginal delivery only (59409) |
$3,338.40 |
$4,173 |
1.0× |
| Wedge excision skin nail fold (11765) |
$471.20 |
$589 |
1.1× |
| Windowing of cast (29730) |
$284 |
$355 |
1.7× |