| Abd paracentesis w/imaging (49083) |
$826.40 |
$1,033 |
0.9× |
| Application finger splint static (29130) |
$186.40 |
$233 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$381.60 |
$477 |
2.2× |
| Application Long Leg Splint (29505) |
$208 |
$260 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$203.20 |
$254 |
1.4× |
| Application short leg splint calf foot (29515) |
$208 |
$260 |
1.2× |
| Apply Multlay Comprs Lwr Leg (29581) |
$146.40 |
$183 |
0.8× |
| Arterial puncture (36600) |
$100 |
$125 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$185.60 |
$232 |
0.6× |
| Aspirate pleura w/ imaging (32555) |
$736 |
$920 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$164 |
$205 |
0.8× |
| Bladder Scan (51798) |
$145.60 |
$182 |
2.3× |
| Blood Transfusion Service (36430) |
$1,447.20 |
$1,809 |
3.1× |
| Bx breast 1st lesion us imag (19083) |
$1,877.60 |
$2,347 |
1.1× |
| Chemical Cautery Tissue (17250) |
$189.60 |
$237 |
0.9× |
| Chest tube placement (32551) |
$853.60 |
$1,067 |
0.5× |
| Clear outer ear canal (69200) |
$240.80 |
$301 |
1.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,000 |
$1,250 |
3.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,081.60 |
$1,352 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$744 |
$930 |
2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$881.60 |
$1,102 |
0.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$956.80 |
$1,196 |
0.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$450.40 |
$563 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$331.20 |
$414 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$584.80 |
$731 |
2.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$844 |
$1,055 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$605.60 |
$757 |
2.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$840 |
$1,050 |
3.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$172.80 |
$216 |
0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,428 |
$1,785 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$104.80 |
$131 |
0.7× |
| Collection of venous blood by venipuncture (36415) |
$24 |
$30 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$196.80 |
$246 |
1.4× |
| Control oropharyngeal hemorrhage simple (42960) |
$605.60 |
$757 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$539.20 |
$674 |
0.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,489.60 |
$1,862 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$380.80 |
$476 |
0.9× |
| Declot vascular device (36593) |
$723.20 |
$904 |
2.0× |
| Destruct B9 Lesion 1-14 (17110) |
$209.60 |
$262 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$159.20 |
$199 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$2,136 |
$2,670 |
1.2× |
| Draw Blood Off Venous Device (36591) |
$100 |
$125 |
0.7× |
| Dressing Change Under Anesthesia (15852) |
$408 |
$510 |
0.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$341.60 |
$427 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$428.80 |
$536 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$346.40 |
$433 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$346.40 |
$433 |
1.6× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,454.40 |
$3,068 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$138.40 |
$173 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$584.80 |
$731 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$580.80 |
$726 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$664 |
$830 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$765.60 |
$957 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,354.40 |
$1,693 |
0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$528 |
$660 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$729.60 |
$912 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$957.60 |
$1,197 |
1.3× |
| I&d abscess simple (10060) |
$280 |
$350 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$324 |
$405 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$466.40 |
$583 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$510.40 |
$638 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$350.40 |
$438 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$313.60 |
$392 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$408 |
$510 |
0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$181.60 |
$227 |
0.8× |
| Insert cath pleura w/o image (32556) |
$995.20 |
$1,244 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$2,475.20 |
$3,094 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$224 |
$280 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$129.60 |
$162 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,369.60 |
$2,962 |
1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,970.40 |
$2,463 |
1.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$648.80 |
$811 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$822.40 |
$1,028 |
3.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$308 |
$385 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$340.80 |
$426 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$247.20 |
$309 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$108.80 |
$136 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$133.60 |
$167 |
2.1× |
| Remove foreign body from eye (65205) |
$203.20 |
$254 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$416 |
$520 |
2.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,297.60 |
$1,622 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$770.40 |
$963 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$429.60 |
$537 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$540.80 |
$676 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$590.40 |
$738 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$590.40 |
$738 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$657.60 |
$822 |
1.5× |
| Repair tongue laceration (41252) |
$960.80 |
$1,201 |
3.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$100.80 |
$126 |
0.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$1,285.60 |
$1,607 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$600.80 |
$751 |
0.9× |
| Rpr blood vessel direct lower extremity (35226) |
$2,509.60 |
$3,137 |
3.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$519.20 |
$649 |
2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$281.60 |
$352 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$346.40 |
$433 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$432.80 |
$541 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$303.20 |
$379 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$735.20 |
$919 |
3.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$576 |
$720 |
2.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$432.80 |
$541 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$631.20 |
$789 |
1.4× |
| Strapping ankle (29540) |
$34.40 |
$43 |
0.2× |
| Strapping knee (29530) |
$34.40 |
$43 |
0.2× |
| Strapping shoulder (29240) |
$34.40 |
$43 |
0.2× |
| Strapping thorax (29200) |
$34.40 |
$43 |
0.2× |
| Strapping Unna Boot (29580) |
$137.60 |
$172 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$688 |
$860 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$776 |
$970 |
2.9× |
| Unlisted Procedure Casting/Strapping (29799) |
$34.40 |
$43 |
0.2× |