| Application cast elbow finger short arm (29075) |
$565.16 |
$565.16 |
2.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$616.32 |
$616.32 |
4.1× |
| Application cast shoulder hand long arm (29065) |
$556.40 |
$556.40 |
2.2× |
| Application finger splint static (29130) |
$280 |
$280 |
2.3× |
| Application long arm splint shoulder hand (29105) |
$380 |
$380 |
2.5× |
| Application long leg splint thigh ankle/toes (29505) |
$280 |
$280 |
1.9× |
| Application Short Arm Splint Dynamic (29126) |
$280 |
$280 |
2.3× |
| Application short arm splint forearm-hand static (29125) |
$280 |
$280 |
2.3× |
| Application short leg splint calf foot (29515) |
$332.50 |
$332.50 |
2.2× |
| Apply short leg cast (29405) |
$335 |
$335 |
1.3× |
| Apply short leg cast (29425) |
$358 |
$358 |
1.4× |
| Arterial puncture (36600) |
$113.27 |
$113.27 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$608 |
$608 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$657.36 |
$657.36 |
2.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$360 |
$360 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$156.50 |
$156.50 |
0.8× |
| Bladder Irrigation Simple (51700) |
$430 |
$430 |
1.9× |
| Bladder Scan (51798) |
$115 |
$115 |
2.1× |
| Blood transfusion service (36430) |
$632.50 |
$632.50 |
1.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$952.68 |
$952.68 |
4.7× |
| Change Cystostomy Tube Simple (51705) |
$110 |
$110 |
0.5× |
| Chemical Cautery Tissue (17250) |
$450 |
$450 |
2.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$175 |
$175 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,500 |
$1,500 |
6.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$965 |
$965 |
4.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$815 |
$815 |
3.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$979 |
$979 |
8.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$580 |
$580 |
4.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$400 |
$400 |
3.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$275 |
$275 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$468 |
$468 |
0.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$847.50 |
$847.50 |
4.6× |
| Destruction premalignant lesion 1st (17000) |
$282.50 |
$282.50 |
1.5× |
| Drainage Finger Abscess Simple (26010) |
$385 |
$385 |
2.1× |
| Draw blood off venous device (36591) |
$122.50 |
$122.50 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$121 |
$121 |
0.7× |
| Egd flexible foreign body removal (43247) |
$2,022 |
$2,022 |
2.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$930 |
$930 |
1.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$551.50 |
$551.50 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$920 |
$920 |
1.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$300 |
$300 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$540 |
$540 |
0.4× |
| Excision of nail fold toe (11765) |
$891.80 |
$891.80 |
2.4× |
| I&d abscess simple (10060) |
$208.50 |
$208.50 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$226 |
$226 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$115 |
$115 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$203.04 |
$203.04 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$211.50 |
$211.50 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$3,800 |
$3,800 |
1.3× |
| Insert picc cath (36569) |
$1,950 |
$1,950 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$240 |
$240 |
2.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$240 |
$240 |
2.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$949 |
$949 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$190 |
$190 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$60 |
$60 |
0.1× |
| Puncture Aspiration (10160) |
$550 |
$550 |
1.5× |
| Removal fb intranasal (30300) |
$350 |
$350 |
2.9× |
| Removal foreign body foot subcutaneous (28190) |
$1,900 |
$1,900 |
2.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$585 |
$585 |
10.8× |
| Removal of nail bed (11750) |
$511 |
$511 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$1,113.50 |
$1,113.50 |
6.0× |
| Remove foreign body from eye (65235) |
$560 |
$560 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$122 |
$122 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$70 |
$70 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,010 |
$1,010 |
2.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$540 |
$540 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,235 |
$1,235 |
3.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$540 |
$540 |
1.4× |
| Repair of nail bed (11760) |
$440 |
$440 |
0.6× |
| Repair Tongue Laceration (41250) |
$320 |
$320 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,250 |
$1,250 |
2.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$128 |
$128 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$118 |
$118 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$233.50 |
$233.50 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$965 |
$965 |
2.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$283 |
$283 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$294 |
$294 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,820 |
$1,820 |
4.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$335 |
$335 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$965 |
$965 |
5.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$231 |
$231 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,825 |
$1,825 |
9.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$331 |
$331 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$282 |
$282 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$430 |
$430 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,825 |
$1,825 |
4.9× |
| Strapping ankle (29540) |
$150 |
$150 |
1.0× |
| Strapping unna boot (29580) |
$600 |
$600 |
4.0× |
| Venipuncture (36415) |
$26 |
$26 |
2.8× |