| Application finger splint static (29130) |
— |
$236 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$69 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$42 |
— |
| Application short leg splint calf foot (29515) |
— |
$146 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$375 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$313 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$273 |
— |
| Blood transfusion service (36430) |
— |
$1,002 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$104 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$454 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$636 |
— |
| Debride nail 1-5 (11720) |
— |
$188 |
— |
| Debride nail 6 or more (11721) |
— |
$313 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,725 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$94 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$2,178 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$104 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$2,178 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$908 |
— |
| Excision of nail fold toe (11765) |
— |
$94 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$173 |
— |
| I&d abscess simple (10060) |
— |
$69 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$354 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$69 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$500 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$313 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$119 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$625 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$270 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$636 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$375 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$138 |
— |
| Removal fb intranasal (30300) |
— |
$454 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$69 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$182 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$32 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$250 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$104 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$454 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$454 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$187 |
— |
| Replace g/c tube perc (49450) |
— |
$1,089 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$200 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$250 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$282 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$104 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$173 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$454 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$454 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$187 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$454 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$207 |
— |
| Strapping unna boot (29580) |
— |
$363 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$104 |
— |
| Trim skin lesions over 4 (11057) |
— |
$138 |
— |
| Venipuncture (36415) |
— |
$15 |
— |