| Abd paracentesis w/imaging (49083) |
$1,428 |
$2,380 |
1.6× |
| Application finger splint static (29130) |
$184.20 |
$307 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$184.20 |
$307 |
1.2× |
| Application Long Leg Splint (29505) |
$184.20 |
$307 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$189.60 |
$316 |
1.5× |
| Application short leg splint calf foot (29515) |
$184.20 |
$307 |
1.2× |
Arterial puncture (36600)
range across 2 matching MRF lines |
$73.80–$133.80 |
$123–$223 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$470.40 |
$784 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$373.20 |
$622 |
1.3× |
| Aspirate Pleura W/O Imaging (32554) |
$1,294.80 |
$2,158 |
2.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$260.40 |
$434 |
1.4× |
| Bladder Irrigation (51700) |
$316.80 |
$528 |
1.3× |
| Bladder Scan (51798) |
$50.40 |
$84 |
0.9× |
| Blood Transfusion Service (36430) |
$603 |
$1,005 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$3,211.80 |
$5,353 |
2.0× |
| Chemical Cautery Tissue (17250) |
$250.20 |
$417 |
1.3× |
| Chest tube placement (32551) |
$1,581.60 |
$2,636 |
1.0× |
| Clear outer ear canal (69200) |
$184.80 |
$308 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$922.20 |
$1,537 |
0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$2,835.60 |
$4,726 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$259.80 |
$433 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$901.20 |
$1,502 |
0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$901.20 |
$1,502 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$259.80 |
$433 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,976.40 |
$3,294 |
1.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,545.20 |
$4,242 |
9.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$259.80 |
$433 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$259.80 |
$433 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$259.80 |
$433 |
1.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$178.80 |
$298 |
1.4× |
| Collection of venous blood by venipuncture (36415) |
$22.80 |
$38 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$252.60 |
$421 |
2.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$864 |
$1,440 |
1.3× |
| Drainage of finger abscess simple (26010) |
$278.40 |
$464 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$2,052.60 |
$3,421 |
1.3× |
| Draw Blood Off Venous Device (36591) |
$178.80 |
$298 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$234 |
$390 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199.20 |
$332 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$126 |
$210 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$882.60 |
$1,471 |
0.6× |
| I&d abscess simple (10060) |
$330.60 |
$551 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$493.80 |
$823 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$490.20 |
$817 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$333 |
$555 |
1.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$164.40 |
$274 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$304.20 |
$507 |
2.5× |
| Insert non-tunnel cv cath (36556) |
$1,616.40 |
$2,694 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$192.60 |
$321 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$159 |
$265 |
1.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,759.20 |
$2,932 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$415.80 |
$693 |
1.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$33.60 |
$56 |
1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$33.60 |
$56 |
1.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$490.20 |
$817 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$921.60 |
$1,536 |
1.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,315.20 |
$2,192 |
0.8× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$105–$210 |
$175–$350 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$110.40 |
$184 |
2.0× |
| Removal of nail bed (11750) |
$480 |
$800 |
1.2× |
| Remove foreign body from eye (65205) |
$262.80 |
$438 |
2.1× |
| Remove Nasal Foreign Body (30300) |
$315.60 |
$526 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$847.20 |
$1,412 |
2.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,878.60 |
$3,131 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$263.40 |
$439 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$276.60 |
$461 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$263.40 |
$439 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$263.40 |
$439 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$263.40 |
$439 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.80 |
$548 |
0.8× |
| Repair of nail bed (11760) |
$276.60 |
$461 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$247.20 |
$412 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$247.20 |
$412 |
1.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$153.60 |
$256 |
0.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,944.60 |
$3,241 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$353.40 |
$589 |
0.6× |
| Rplc Gtube No Revj Trc (43762) |
$378 |
$630 |
1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$276.60 |
$461 |
1.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$276.60 |
$461 |
0.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,243.80 |
$2,073 |
2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$263.40 |
$439 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$276.60 |
$461 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$276.60 |
$461 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$263.40 |
$439 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$276.60 |
$461 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276.60 |
$461 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$263.40 |
$439 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$276.60 |
$461 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$276.60 |
$461 |
0.7× |
| Strapping Unna Boot (29580) |
$196.20 |
$327 |
1.3× |
| Treat knee fracture (27532) |
$900 |
$1,500 |
0.3× |
| Treat Tail Bone Fracture (27200) |
$259.80 |
$433 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$391.20 |
$652 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$725.40 |
$1,209 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$276.60 |
$461 |
0.7× |
| Vaginal delivery only (59409) |
$3,384.60 |
$5,641 |
1.1× |