| Application cast elbow finger short arm (29075) |
$97.50 |
$130 |
0.3× |
| Application cast shoulder hand long arm (29065) |
$328.50 |
$438 |
1.1× |
| Application Hip Spica Cast 1 Leg (29305) |
$649.50 |
$866 |
2.1× |
| Application long arm splint shoulder hand (29105) |
$134.25 |
$179 |
0.7× |
| Application of long leg cast (29345) |
$360.75 |
$481 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$129.75 |
$173 |
0.9× |
| Apply short leg cast (29405) |
$298.50 |
$398 |
1.0× |
| Apply short leg splint (29515) |
$110.25 |
$147 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$165.38 |
$220.50 |
0.5× |
| Blood transfusion service (36430) |
$595.50 |
$794 |
1.2× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$3,400.50 |
$4,534 |
2.0× |
| Closed Rx Radial Shaft Fx (25500) |
$792.75 |
$1,057 |
2.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,881.38 |
$2,508.50 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$603 |
$804 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$652.13 |
$869.50 |
2.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,095.75 |
$1,461 |
0.6× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$780.75 |
$1,041 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$516 |
$688 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$616.13 |
$821.50 |
2.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$543.75 |
$725 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$664.88 |
$886.50 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$423 |
$564 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$242.25 |
$323 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$429.75 |
$573 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$731.63 |
$975.50 |
2.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$681.38 |
$908.50 |
2.5× |
| Colpoperineorrhaphy non ob (57210) |
$1,505.25 |
$2,007 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$144 |
$192 |
1.0× |
| Debride tissue/muscle (11043) |
$569.63 |
$759.50 |
0.7× |
| Drainage of skene's gland abscess or cyst (53060) |
$355.13 |
$473.50 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$478.13 |
$637.50 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$262.50 |
$350 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$295.88 |
$394.50 |
0.4× |
| I&d vulva/perineal abscess (56405) |
$345 |
$460 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$232.50 |
$310 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$370.50 |
$494 |
1.6× |
| Incisional biopsy skin single lesion (11106) |
$157.50 |
$210 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$120.38 |
$160.50 |
0.5× |
| Removal foreign body intranasal (30300) |
$271.50 |
$362 |
1.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$210.38 |
$280.50 |
0.4× |
| Removal of nail bed (11750) |
$239.25 |
$319 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$194.25 |
$259 |
0.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$108.75 |
$145 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$126 |
$168 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$135.38 |
$180.50 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,189.88 |
$1,586.50 |
2.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,020 |
$1,360 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$600 |
$800 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$372 |
$496 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$999.75 |
$1,333 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$472.50 |
$630 |
1.0× |
| Repair of nail bed (11760) |
$484.13 |
$645.50 |
0.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$824.25 |
$1,099 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$201.38 |
$268.50 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$442.50 |
$590 |
2.0× |
| Skin pinch graft (15050) |
$1,128.75 |
$1,505 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$241.50 |
$322 |
0.3× |
| Tracheotomy tube change (31502) |
$329.25 |
$439 |
1.2× |
| Treat clavicle fracture (23505) |
$810 |
$1,080 |
0.5× |
| Treat Thumb Dislocation (26641) |
$897 |
$1,196 |
3.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,163.25 |
$1,551 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$662.25 |
$883 |
2.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$508.88 |
$678.50 |
0.6× |