| Application finger splint static (29130) |
$97.20 |
$162 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$170.40 |
$284 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$170.40 |
$284 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$170.40 |
$284 |
1.5× |
| Application short leg splint calf foot (29515) |
$170.40 |
$284 |
1.2× |
| Arterial puncture (36600) |
$60 |
$100 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$140.40 |
$234 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$196.80 |
$328 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$105.60 |
$176 |
0.6× |
| Blood transfusion service (36430) |
$468.60 |
$781 |
1.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$60 |
$100 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$123.60 |
$206 |
0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$191.40 |
$319 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$147.60 |
$246 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$774.60 |
$1,291 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$123.60 |
$206 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$183.60 |
$306 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$202.80 |
$338 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$142.20 |
$237 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,606 |
$2,676.67 |
2.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$328.80 |
$548 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$166.20 |
$277 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,325.40 |
$2,209 |
0.9× |
| Draw blood off venous device (36591) |
$60 |
$100 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$192.60 |
$321 |
1.1× |
| Egd guide wire insertion (43248) |
$1,450.79 |
$2,417.98 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$61.80 |
$103 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$4,340.17 |
$7,233.62 |
7.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$7,494.67 |
$12,491.12 |
5.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$175.80 |
$293 |
0.9× |
| I&D Abscess Peritonsillar (42700) |
$160.80 |
$268 |
0.8× |
| I&d abscess simple (10060) |
$127.80 |
$213 |
0.7× |
| I&d perianal abscess superficial (46050) |
$684.60 |
$1,141 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$231.60 |
$386 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$216 |
$360 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$317.40 |
$529 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$109.80 |
$183 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$159 |
$265 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$556.80 |
$928 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$107.40 |
$179 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$89.40 |
$149 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$287.40 |
$479 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,398.28 |
$12,330.46 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$220.80 |
$368 |
0.6× |
| Removal fb intranasal (30300) |
$156 |
$260 |
1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$64.20 |
$107 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$78 |
$130 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$85.20 |
$142 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$630.60 |
$1,051 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$284.40 |
$474 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$353.40 |
$589 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$206.40 |
$344 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$252 |
$420 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$261 |
$435 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$274.80 |
$458 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$188.40 |
$314 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$358.25 |
$597.09 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,518 |
$2,530 |
4.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$247.20 |
$412 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$189.60 |
$316 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,496.26 |
$9,160.42 |
1.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,554.82 |
$2,591.37 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$115.80 |
$193 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$132 |
$220 |
0.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$182.40 |
$304 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$132 |
$220 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$130.20 |
$217 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$131.40 |
$219 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$169.20 |
$282 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$196.20 |
$327 |
0.6× |
| Sphincterotomy (46080) |
$3,671.37 |
$6,118.95 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$525 |
$875 |
0.9× |
| Strapping ankle (29540) |
$97.20 |
$162 |
0.7× |
| Strapping elbow/wrist (29260) |
$106.80 |
$178 |
2.1× |
| Strapping hand/finger (29280) |
$72.60 |
$121 |
1.4× |
| Strapping shoulder (29240) |
$75.60 |
$126 |
0.7× |
| Strapping toes (29550) |
$61.80 |
$103 |
1.2× |
| Thrombolytic Therapy, Stroke (37195) |
$182.40 |
$304 |
0.6× |
| Venipuncture (36415) |
$5.40 |
$9 |
0.6× |