| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$787.68 |
$984.60 |
1.0× |
| Application cast elbow finger short arm (29075) |
$252.80 |
$316 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$179.66 |
$224.56 |
1.3× |
| Application finger splint static (29130) |
$113.60 |
$142 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$225.89 |
$282.36 |
1.6× |
| Application long leg splint thigh ankle/toes (29505) |
$225.89 |
$282.36 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$179.12 |
$223.90 |
1.6× |
| Application short leg splint calf foot (29515) |
$106.46 |
$133.07 |
0.8× |
| Apply short leg cast (29405) |
$252.80 |
$316 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$246.71 |
$308.39 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$255.20 |
$319 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$190.40 |
$238 |
0.7× |
| Bladder Irrigation Simple (51700) |
$425.82 |
$532.28 |
2.0× |
| Blood transfusion service (36430) |
$364 |
$455 |
1.0× |
| Chest tube placement (32551) |
$321.43 |
$401.79 |
0.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$329.90 |
$412.38 |
1.6× |
| Closed Rx Med Malleolus Fx (27760) |
$476.78 |
$595.98 |
2.2× |
| Closed Rx Radial Shaft Fx (25500) |
$425.23 |
$531.54 |
2.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$490.78 |
$613.47 |
2.3× |
| Closed Rx Trimalleolar Fx (27816) |
$461.74 |
$577.18 |
2.2× |
| Closed treat wrist dislocation (25660) |
$616.87 |
$771.09 |
2.9× |
| Closed Treatment Coccygeal Fracture (27200) |
$354.31 |
$442.89 |
1.7× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$463.90 |
$579.88 |
2.2× |
| Closed Treatment Sternum Fracture (21820) |
$312.28 |
$390.36 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$474.34 |
$592.94 |
2.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$652.18 |
$815.22 |
3.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$658.87 |
$823.59 |
3.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$851.94 |
$1,064.92 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$515.38 |
$644.24 |
2.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$468.68 |
$585.86 |
2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$329.90 |
$412.38 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$196.98 |
$246.22 |
0.9× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$435.52 |
$544.40 |
2.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$409.10 |
$511.38 |
1.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$337.24 |
$421.56 |
1.7× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$591.84 |
$739.80 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$394.42 |
$493.04 |
1.9× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$525.56 |
$656.94 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$329.90 |
$412.38 |
1.6× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,353.93 |
$1,692.41 |
1.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$582.82 |
$728.52 |
2.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$550.45 |
$688.06 |
2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$584.38 |
$730.47 |
2.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$489.28 |
$611.61 |
2.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$647.12 |
$808.90 |
3.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$289 |
$361.24 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$284.80 |
$356 |
1.3× |
| Cltx greater trochanteric fx w/o manj (27246) |
$329.90 |
$412.38 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$465.10 |
$581.38 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$452.74 |
$565.92 |
2.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$277.48 |
$346.84 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$353.86 |
$442.34 |
1.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$452.77 |
$565.96 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$169.91 |
$212.39 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$116.74 |
$145.92 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$198.14 |
$247.67 |
1.7× |
| Debride nail 1-5 (11720) |
$59.50 |
$74.38 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$337.98 |
$422.48 |
1.0× |
| Delivery placenta separate procedure (59414) |
$2,191.66 |
$2,739.56 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$424 |
$530 |
0.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$175.20 |
$219 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,269.84 |
$1,587.30 |
1.6× |
| Drain shoulder lesion (23030) |
$2,152.86 |
$2,691.07 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$284.14 |
$355.17 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$1,245.17 |
$1,556.46 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$225.22 |
$281.52 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$203.64 |
$254.55 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$120.80 |
$151 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$44.83 |
$56.04 |
0.2× |
| I&d abscess simple (10060) |
$247.46 |
$309.33 |
1.4× |
| I&d perianal abscess superficial (46050) |
$736.01 |
$920.01 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$603.82 |
$754.78 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,114.58 |
$2,643.22 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$461.24 |
$576.56 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$374.59 |
$468.24 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$381.74 |
$477.18 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$248.38 |
$310.48 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$353.25 |
$441.56 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$94.40 |
$118 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$172.80 |
$216 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$176 |
$220 |
0.2× |
| Injection anes other peripheral nerve/branch (64450) |
$86.40 |
$108 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$88 |
$110 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$179.12 |
$223.90 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$179.12 |
$223.90 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$315.62 |
$394.52 |
1.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$257.48 |
$321.85 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,941 |
$2,426.25 |
4.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$172.80 |
$216 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$638.40 |
$798 |
1.0× |
Open treatment of acute shoulder dislocation (23660)
likely a partial charge, not the full procedure |
$1,186.58 |
$1,483.23 |
0.2× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$5,922.18 |
$7,402.73 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$276.94 |
$346.18 |
0.7× |
| Puncture Aspiration (10160) |
$372.31 |
$465.39 |
1.1× |
| Removal fb intranasal (30300) |
$212.98 |
$266.22 |
1.9× |
| Removal foreign body foot deep (28192) |
$1,369.60 |
$1,712 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$597.58 |
$746.97 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$67.87 |
$84.84 |
1.3× |
| Remove foreign body from eye (65210) |
$252.74 |
$315.92 |
0.7× |
| Remove shoulder foreign body (23330) |
$665.16 |
$831.46 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$138.09 |
$172.61 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$118.71 |
$148.38 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$489.76 |
$612.20 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$621.34 |
$776.68 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$669.27 |
$836.59 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$294.10 |
$367.63 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$351.67 |
$439.58 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$405.27 |
$506.58 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$498.42 |
$623.02 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$692.74 |
$865.93 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$423.02 |
$528.78 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$391.82 |
$489.78 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$634.35 |
$792.94 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$519.64 |
$649.54 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$427.63 |
$534.54 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$465.76 |
$582.20 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$705.27 |
$881.59 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$553.34 |
$691.68 |
1.6× |
| Repair Tongue Laceration (41250) |
$373.62 |
$467.04 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$763.46 |
$954.32 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$158.34 |
$197.93 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$739.14 |
$923.94 |
1.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$353.72 |
$442.15 |
1.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$383.88 |
$479.84 |
1.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$200.69 |
$250.86 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$172 |
$215 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$220.91 |
$276.14 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$194.95 |
$243.69 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$91.25 |
$114.06 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$219.22 |
$274.02 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$224.44 |
$280.55 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$375.16 |
$468.94 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$270.16 |
$337.70 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$570.56 |
$713.20 |
0.9× |
| Strapping ankle (29540) |
$36.46 |
$45.57 |
0.3× |
| Strapping elbow/wrist (29260) |
$64.66 |
$80.82 |
1.3× |
| Strapping hand/finger (29280) |
$40.25 |
$50.31 |
0.8× |
| Strapping knee (29530) |
$37.90 |
$47.37 |
0.3× |
| Strapping shoulder (29240) |
$60.80 |
$76 |
0.5× |
| Strapping toes (29550) |
$23.57 |
$29.46 |
0.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,412.26 |
$1,765.34 |
1.1× |
| Treat Fracture Radius & Ulna (25560) |
$426.43 |
$533.04 |
2.0× |
| Treat humerus fracture (24500) |
$501.04 |
$626.30 |
2.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$510.90 |
$638.62 |
2.4× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$729.60 |
$912 |
0.1× |
| Vaginal delivery only (59409) |
$2,926.44 |
$3,658.04 |
1.0× |
| Venipuncture (36415) |
$16 |
$20 |
1.7× |