| Application finger splint static (29130) |
$141 |
$282 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$110 |
$220 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$179.50 |
$359 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$110 |
$220 |
0.9× |
| Application short leg splint calf foot (29515) |
$179.50 |
$359 |
1.1× |
| Arterial puncture (36600) |
$48 |
$96 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,483.50 |
$4,967 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$198.50 |
$397 |
1.0× |
| Bladder Scan (51798) |
$95.50 |
$191 |
1.7× |
| Blood transfusion service (36430) |
$497 |
$994 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$120.50 |
$241 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$343 |
$686 |
0.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$628.80 |
$1,257.60 |
2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$184 |
$368 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,492.50 |
$2,985 |
1.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$167.50 |
$335 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,055.43 |
$4,110.85 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$310 |
$620 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$334 |
$668 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$259 |
$518 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$148.50 |
$297 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$321.50 |
$643 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$138.50 |
$277 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$173.50 |
$347 |
1.4× |
| Declot vascular device (36593) |
$318.50 |
$637 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$903.50 |
$1,807 |
1.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,544.50 |
$3,089 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$369.50 |
$739 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$157.50 |
$315 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$536.50 |
$1,073 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$819.50 |
$1,639 |
0.5× |
| Draw blood off venous device (36591) |
$114 |
$228 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$39.50 |
$79 |
0.3× |
| Excision of nail fold toe (11765) |
$129.50 |
$259 |
0.3× |
| Fetal Contraction Stress Test (59020) |
$329 |
$658 |
1.7× |
| Fetal non-stress test (59025) |
$268.50 |
$537 |
1.4× |
| I&d abscess simple (10060) |
$187 |
$374 |
1.0× |
| I&d perianal abscess superficial (46050) |
$346 |
$692 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$124.50 |
$249 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$197.50 |
$395 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,014 |
$2,028 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$452 |
$904 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$184.50 |
$369 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$148 |
$296 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$209 |
$418 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$1,695.50 |
$3,391 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$169 |
$338 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$158.50 |
$317 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,378.50 |
$4,757 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$407 |
$814 |
1.8× |
| Lithotripsy (50590) |
$11,927.50 |
$23,855 |
3.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$253.50 |
$507 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$425.50 |
$851 |
1.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$154.50 |
$309 |
0.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,676 |
$3,352 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$434 |
$868 |
1.8× |
| Placement of needle for intraosseous infusion (36680) |
$257 |
$514 |
0.6× |
| Removal fb intranasal (30300) |
$51.50 |
$103 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$296.50 |
$593 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$83 |
$166 |
1.5× |
| Removal of nail bed (11750) |
$293 |
$586 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$76 |
$152 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$116.50 |
$233 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$199 |
$398 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$284.50 |
$569 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$343 |
$686 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$247 |
$494 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$216 |
$432 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$238 |
$476 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$124.50 |
$249 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$209 |
$418 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$230 |
$460 |
0.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$229.50 |
$459 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$252.50 |
$505 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$278 |
$556 |
0.7× |
| Repair of nail bed (11760) |
$124.50 |
$249 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$76 |
$152 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$124 |
$248 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$474.50 |
$949 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$191 |
$382 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$210 |
$420 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$231 |
$462 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$254 |
$508 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$191 |
$382 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$231 |
$462 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$210 |
$420 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$254 |
$508 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$586.50 |
$1,173 |
0.9× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$663 |
$1,326 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$881.50 |
$1,763 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$148 |
$296 |
0.6× |