|
Treatment of ankle fracture
|
$1,362.32 |
$1,362.32 |
$1,362.32 |
$7,348.32
|
|
Treatment of ankle fracture
|
$1,413.51 |
$1,413.51 |
$1,413.51 |
$7,807.24
|
|
Treatment of ankle fracture 27786
|
$432.59 |
$432.59 |
$432.59 |
$580.00
|
|
Treatment of fibula fracture
|
$2,263.85 |
$2,263.85 |
$2,263.85 |
$7,069.90
|
|
Treatment of fibula fracture 27780
|
$429.62 |
$429.62 |
$429.62 |
$558.75
|
|
Treatment of foot infection
|
$374.71 |
$374.71 |
$374.71 |
$3,594.44
|
|
Treatment of heel fracture 28400
|
$362.84 |
$362.84 |
$362.84 |
$494.00
|
|
Treatment of thigh fracture
|
$2,090.22 |
$2,090.22 |
$2,090.22 |
$6,582.40
|
|
Treatment of thigh fracture
|
$1,058.10 |
$1,058.10 |
$1,058.10 |
$6,651.45
|
|
Treatment of thigh fracture
|
$1,543.36 |
$1,543.36 |
$1,543.36 |
$4,920.00
|
|
Treatment of thigh fracture
|
$1,516.65 |
$1,516.65 |
$1,516.65 |
$4,780.80
|
|
Treatment of thigh fracture
|
$1,928.46 |
$1,928.46 |
$1,928.46 |
$6,115.20
|
|
Treatment of thigh fracture
|
$1,572.30 |
$1,572.30 |
$1,572.30 |
$4,768.00
|
|
Treatment of tibia fracture
|
$850.34 |
$850.34 |
$850.34 |
$6,183.84
|
|
Treatment of tibia fracture
|
$1,393.48 |
$1,393.48 |
$1,393.48 |
$5,110.00
|
|
Treatment of tibia fracture
|
$1,561.17 |
$1,561.17 |
$1,561.17 |
$6,347.40
|
|
Treat metacarpal fracture
|
$758.33 |
$758.33 |
$758.33 |
$3,958.50
|
|
Treat metacarpal fracture
|
$901.53 |
$901.53 |
$901.53 |
$4,627.00
|
|
Treat metatarsal fracture
|
$572.09 |
$572.09 |
$572.09 |
$3,839.54
|
|
Treat metatarsal fracture
|
$875.56 |
$875.56 |
$875.56 |
$7,913.97
|
|
Treat midfoot fracture each
|
$941.60 |
$941.60 |
$941.60 |
$6,192.78
|
|
Treat neck spine fracture
|
$2,338.05 |
$2,338.05 |
$2,338.05 |
$5,126.00
|
|
Treat odontoid fx w/graft
|
$2,831.48 |
$2,831.48 |
$2,831.48 |
$13,116.76
|
|
Treat odontoid fx without graft
|
$2,553.23 |
$2,553.23 |
$2,553.23 |
$5,907.20
|
|
Treat radius fracture
|
$1,069.97 |
$1,069.97 |
$1,069.97 |
$6,750.12
|
|
Treat spine fracture
|
$2,283.14 |
$2,283.14 |
$2,283.14 |
$3,485.60
|
|
Treat thigh fracture
|
$709.36 |
$709.36 |
$709.36 |
$661.00
|
|
Treat thigh fracture
|
$1,406.84 |
$1,406.84 |
$1,406.84 |
$7,372.60
|
|
Treat thigh fracture
|
$1,847.58 |
$1,847.58 |
$1,847.58 |
$5,883.20
|
|
Treat thigh fracture
|
$1,898.78 |
$1,898.78 |
$1,898.78 |
$6,048.00
|
|
Treat thigh fracture
|
$607.70 |
$607.70 |
$607.70 |
$716.95
|
|
Treat thigh fracture
|
$1,166.43 |
$1,166.43 |
$1,166.43 |
$3,673.60
|
|
Treat thigh fracture
|
$1,388.29 |
$1,388.29 |
$1,388.29 |
$2,090.14
|
|
Treat thigh fracture
|
$1,912.88 |
$1,912.88 |
$1,912.88 |
$4,726.80
|
|
Treat thorax spine fracture
|
$2,378.11 |
$2,378.11 |
$2,378.11 |
$5,400.20
|
|
Treat thumb fracture
|
$981.67 |
$981.67 |
$981.67 |
$3,839.54
|
|
Treat toe dislocation
|
$310.16 |
$310.16 |
$310.16 |
$3,839.54
|
|
Treat ulnar fracture
|
$678.19 |
$678.19 |
$678.19 |
$1,861.60
|
|
Treat ulnar fracture
|
$1,021.74 |
$1,021.74 |
$1,021.74 |
$5,419.00
|
|
Treponema pallidum antibody
|
$82.37 |
$82.37 |
$82.37 |
$72.80
|
|
Trg gene rearrangement anal
|
$525.34 |
$525.34 |
$525.34 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$34.88 |
$34.88 |
$34.88 |
$55.80
|
|
Trichinella antibody
|
$109.08 |
$109.08 |
$109.08 |
$70.65
|
|
Triglycerides
|
$75.69 |
$75.69 |
$75.69 |
$54.60
|
|
Trim nondyst nails
|
$171.41 |
$171.41 |
$171.41 |
$124.22
|
|
Trnscath plc stent crv crtd w/prtct
|
$15,222.13 |
$15,222.13 |
$15,222.13 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$15,340.11 |
$15,340.11 |
$15,340.11 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$8,878.78 |
$8,878.78 |
$8,878.78 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$9,395.95 |
$9,395.95 |
$9,395.95 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$19,424.82 |
$19,424.82 |
$19,424.82 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$5,285.27 |
$5,285.27 |
$5,285.27 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$8,655.43 |
$8,655.43 |
$8,655.43 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,020.38 |
$5,020.38 |
$5,020.38 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,933.56 |
$4,933.56 |
$4,933.56 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$5,106.45 |
$5,106.45 |
$5,106.45 |
$4,329.36
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$1,315.57 |
$1,315.57 |
$1,315.57 |
$4,805.85
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,007.64 |
$1,007.64 |
$1,007.64 |
$2,328.30
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$722.71 |
$722.71 |
$722.71 |
$2,190.24
|
|
Troponin quantitative
|
$244.86 |
$244.86 |
$244.86 |
$123.75
|
|
Trurl dstrj prst8 tiss rf wv
|
$543.89 |
$543.89 |
$543.89 |
$4,385.60
|
|
Tx atrial fib pulm vein isol
|
$38,402.96 |
$38,402.96 |
$38,402.96 |
$32,426.20
|
|
Tx closed hip disl traumatic without anes
|
$1,197.59 |
$1,197.59 |
$1,197.59 |
$657.28
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$856.27 |
$856.27 |
$856.27 |
$3,874.79
|
|
Tx closed tib shaft fx without manip
|
$486.76 |
$486.76 |
$486.76 |
$635.46
|
|
Tx l/r atrial fib addl
|
$16,128.86 |
$16,128.86 |
$16,128.86 |
$7,717.80
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$1,160.49 |
$1,160.49 |
$1,160.49 |
$4,449.44
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$789.49 |
$789.49 |
$789.49 |
$4,499.12
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$931.21 |
$931.21 |
$931.21 |
$4,499.12
|
|
Ua w/micro/comp poc
|
$61.59 |
$61.59 |
$61.59 |
$24.45
|
|
Ultrasound abdomen aorta screening study aaa
|
$463.01 |
$463.01 |
$463.01 |
$403.26
|
|
Ultrasound breast complete
|
$585.44 |
$585.44 |
$585.44 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$511.24 |
$511.24 |
$511.24 |
$449.35
|
|
Ultrasound chest
|
$620.32 |
$620.32 |
$620.32 |
$459.55
|
|
Ultrasound dx ophth b-scan
|
$199.60 |
$199.60 |
$199.60 |
$330.40
|
|
Ultrasound elastography ea l target les
|
$278.25 |
$278.25 |
$278.25 |
$136.11
|
|
Ultrasound elastography parenchyma
|
$556.50 |
$556.50 |
$556.50 |
$284.25
|
|
Ultrasound encephalogram
|
$985.38 |
$985.38 |
$985.38 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$490.47 |
$490.47 |
$490.47 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$604.73 |
$604.73 |
$604.73 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$732.36 |
$732.36 |
$732.36 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,472.87 |
$1,472.87 |
$1,472.87 |
$701.35
|
|
Ultrasound guide intraoperative
|
$103.14 |
$103.14 |
$103.14 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$715.29 |
$715.29 |
$715.29 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$569.86 |
$569.86 |
$569.86 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$426.65 |
$426.65 |
$426.65 |
$321.35
|
|
Ultrasound joint complete left
|
$557.99 |
$557.99 |
$557.99 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$547.60 |
$547.60 |
$547.60 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$454.11 |
$454.11 |
$454.11 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$427.40 |
$427.40 |
$427.40 |
$326.54
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$597.31 |
$597.31 |
$597.31 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$905.99 |
$905.99 |
$905.99 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$50.46 |
$50.46 |
$50.46 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$599.54 |
$599.54 |
$599.54 |
$498.00
|
|
Ultrasound scrotum and contents
|
$1,039.55 |
$1,039.55 |
$1,039.55 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$405.88 |
$405.88 |
$405.88 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$919.34 |
$919.34 |
$919.34 |
$567.44
|
|
Unlisted cytopathology px
|
$132.08 |
$132.08 |
$132.08 |
$71.65
|
|
Unlisted gi px dx nuc med
|
$1,826.81 |
$1,826.81 |
$1,826.81 |
$549.70
|
|
Unlisted laparoscopic liver biopy 47379
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$6,307.38
|
|
Unlisted laparoscopic procedure 49659
|
$9,088.02 |
$9,088.02 |
$9,088.02 |
$6,838.32
|
