| Abd paracentesis w/imaging (49083) |
$834 |
$834 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$916 |
$916 |
1.0× |
Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$406–$498 |
$406–$498 |
varies |
Application Long Leg Splint (29505) range across 2 matching MRF lines |
$437–$483 |
$437–$483 |
varies |
| Application short arm splint forearm-hand static (29125) |
$350 |
$350 |
2.6× |
Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$281–$284 |
$281–$284 |
varies |
| Apply Multlay Comprs Lwr Leg (29581) |
$380 |
$380 |
2.3× |
| Apply Short Leg Cast (29405) |
$539 |
$539 |
1.9× |
| Arterial puncture (36600) |
$477 |
$477 |
3.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$342 |
$342 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$408 |
$408 |
1.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,781 |
$1,781 |
0.8× |
| Bladder Irrigation (51700) |
$295 |
$295 |
1.2× |
| Blood Transfusion Service (36430) |
$595 |
$595 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$760 |
$760 |
3.0× |
| Chest tube placement (32551) |
$1,280 |
$1,280 |
0.8× |
| Clear outer ear canal (69200) |
$550 |
$550 |
4.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$2,004 |
$2,004 |
8.0× |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$2,079–$2,563 |
$2,079–$2,563 |
varies |
| Closed tx knee dislocation w/o anesthesia (27550) |
$2,620 |
$2,620 |
10.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,148 |
$1,148 |
4.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,100 |
$3,100 |
1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$637 |
$637 |
2.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,596 |
$1,596 |
6.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,139 |
$2,139 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,267 |
$3,267 |
2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$494 |
$494 |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,403 |
$1,403 |
5.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,334 |
$1,334 |
5.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$720 |
$720 |
2.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$286 |
$286 |
2.1× |
| Collection of venous blood by venipuncture (36415) |
$40 |
$40 |
4.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$485 |
$485 |
3.6× |
| Drainage of gum lesion (41800) |
$836 |
$836 |
6.2× |
| Draw Blood Off Venous Device (36591) |
$110 |
$110 |
0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$543 |
$543 |
0.8× |
Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$155–$214 |
$155–$214 |
varies |
| Fetal non-stress test (59025) |
$352 |
$352 |
1.7× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$463–$477 |
$463–$477 |
varies |
| I&d pilonidal cyst simple (10080) |
$817 |
$817 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$927 |
$927 |
2.2× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$600–$627 |
$600–$627 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$652 |
$652 |
3.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$1,401 |
$1,401 |
4.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$335 |
$335 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$161 |
$161 |
0.5× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$548–$802 |
$548–$802 |
varies |
| Insert Temp Bladder Cath (51702) |
$298 |
$298 |
2.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$238 |
$238 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$282 |
$282 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$1,091 |
$1,091 |
4.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$55 |
$55 |
1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$67 |
$67 |
2.3× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$639–$655 |
$639–$655 |
varies |
| Placement of needle for intraosseous infusion (36680) |
$888 |
$888 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$218 |
$218 |
3.6× |
| Removal of nail bed (11750) |
$542 |
$542 |
1.3× |
| Remove foreign body from eye (65205) |
$255 |
$255 |
1.9× |
| Remove Nasal Foreign Body (30300) |
$483 |
$483 |
3.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,365 |
$1,365 |
3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,650 |
$2,650 |
6.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,206 |
$1,206 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,372 |
$1,372 |
3.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$776 |
$776 |
1.9× |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$1,206–$1,208 |
$1,206–$1,208 |
varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,409 |
$1,409 |
1.9× |
Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$1,628–$1,836 |
$1,628–$1,836 |
varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$669 |
$669 |
1.6× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$834–$1,099 |
$834–$1,099 |
varies |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$1,065–$1,235 |
$1,065–$1,235 |
varies |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$428–$434 |
$428–$434 |
varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$1,373 |
$1,373 |
6.7× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$714–$906 |
$714–$906 |
varies |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$775–$1,063 |
$775–$1,063 |
varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$1,122 |
$1,122 |
5.5× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$714–$749 |
$714–$749 |
varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,424 |
$1,424 |
6.9× |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$834–$1,122 |
$834–$1,122 |
varies |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$775–$906 |
$775–$906 |
varies |
| Strapping Unna Boot (29580) |
$227 |
$227 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,617 |
$1,617 |
6.4× |