|
Treat elbow fracture
|
$722.16 |
$722.16 |
$722.16 |
$11,488.80
|
|
Treat elbow fracture
|
$463.14 |
$463.14 |
$463.14 |
$6,316.80
|
|
Treat hand bone lesion
|
$382.14 |
$382.14 |
$382.14 |
$3,073.20
|
|
Treat hip dislocation
|
$497.16 |
$497.16 |
$497.16 |
$2,192.80
|
|
Treat hip dislocation
|
$738.90 |
$738.90 |
$738.90 |
$4,206.80
|
|
Treat hip fracture(s)
|
$1,227.96 |
$1,227.96 |
$1,227.96 |
$7,625.80
|
|
Treat humerus fracture
|
$593.28 |
$593.28 |
$593.28 |
$13,278.70
|
|
Treat humerus fracture
|
$575.46 |
$575.46 |
$575.46 |
$12,896.80
|
|
Treat humerus fracture
|
$396.90 |
$396.90 |
$396.90 |
$1,771.43
|
|
Treat humerus fracture
|
$623.34 |
$623.34 |
$623.34 |
$12,653.00
|
|
Treat humerus fracture
|
$694.08 |
$694.08 |
$694.08 |
$10,742.40
|
|
Treat humerus fracture
|
$499.68 |
$499.68 |
$499.68 |
$11,250.40
|
|
Treat humerus fracture
|
$565.02 |
$565.02 |
$565.02 |
$10,629.07
|
|
Treat kneecap fracture
|
$508.14 |
$508.14 |
$508.14 |
$6,311.00
|
|
Treat knee dislocation
|
$434.16 |
$434.16 |
$434.16 |
$2,220.89
|
|
Treat knee fracture
|
$593.28 |
$593.28 |
$593.28 |
$3,486.60
|
|
Treat knee fracture
|
$789.12 |
$789.12 |
$789.12 |
$4,521.40
|
|
Treat knuckle dislocation
|
$280.80 |
$280.80 |
$280.80 |
$1,523.90
|
|
Treat lower leg fracture
|
$753.30 |
$753.30 |
$753.30 |
$14,241.77
|
|
Treat lower leg fracture
|
$883.80 |
$883.80 |
$883.80 |
$12,653.00
|
|
Treat lower leg joint
|
$479.34 |
$479.34 |
$479.34 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$563.40 |
$563.40 |
$563.40 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$712.62 |
$712.62 |
$712.62 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$507.42 |
$507.42 |
$507.42 |
$8,370.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$130.14 |
$130.14 |
$130.14 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$124.92 |
$124.92 |
$124.92 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$187.20 |
$187.20 |
$187.20 |
$203.35
|
|
Treatment of ankle fracture
|
$436.32 |
$436.32 |
$436.32 |
$8,412.89
|
|
Treatment of ankle fracture
|
$514.26 |
$514.26 |
$514.26 |
$8,453.60
|
|
Treatment of ankle fracture
|
$589.32 |
$589.32 |
$589.32 |
$7,907.11
|
|
Treatment of ankle fracture
|
$660.96 |
$660.96 |
$660.96 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$307.44 |
$307.44 |
$307.44 |
$520.80
|
|
Treatment of fibula fracture
|
$480.24 |
$480.24 |
$480.24 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$205.38 |
$205.38 |
$205.38 |
$491.50
|
|
Treatment of foot infection
|
$787.32 |
$787.32 |
$787.32 |
$3,821.05
|
|
Treatment of heel fracture 28400
|
$172.98 |
$172.98 |
$172.98 |
$473.00
|
|
Treatment of thigh fracture
|
$887.58 |
$887.58 |
$887.58 |
$5,109.00
|
|
Treatment of thigh fracture
|
$655.92 |
$655.92 |
$655.92 |
$3,409.00
|
|
Treatment of thigh fracture
|
$640.80 |
$640.80 |
$640.80 |
$3,764.80
|
|
Treatment of thigh fracture
|
$808.74 |
$808.74 |
$808.74 |
$5,505.50
|
|
Treatment of thigh fracture
|
$637.74 |
$637.74 |
$637.74 |
$3,796.00
|
|
Treatment of tibia fracture
|
$664.74 |
$664.74 |
$664.74 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$145.44 |
$145.44 |
$145.44 |
$369.70
|
|
Treatment radiation delivery level 2
|
$731.34 |
$731.34 |
$731.34 |
$767.65
|
|
Treat neck spine fracture
|
$984.78 |
$984.78 |
$984.78 |
$3,572.80
|
|
Treat radius fracture
|
$451.26 |
$451.26 |
$451.26 |
$7,807.24
|
|
Treat radius fracture
|
$496.98 |
$496.98 |
$496.98 |
$14,061.89
|
|
Treat spine fracture
|
$972.18 |
$972.18 |
$972.18 |
$3,485.60
|
|
Treat thigh fracture
|
$605.52 |
$605.52 |
$605.52 |
$6,510.40
|
|
Treat thigh fracture
|
$791.10 |
$791.10 |
$791.10 |
$4,083.00
|
|
Treat thigh fracture
|
$812.52 |
$812.52 |
$812.52 |
$4,726.80
|
|
Treat thigh fracture
|
$496.98 |
$496.98 |
$496.98 |
$2,802.80
|
|
Treat thigh fracture
|
$637.20 |
$637.20 |
$637.20 |
$2,032.10
|
|
Treat thorax spine fracture
|
$1,008.36 |
$1,008.36 |
$1,008.36 |
$3,624.00
|
|
Treat ulnar fracture
|
$292.32 |
$292.32 |
$292.32 |
$1,662.00
|
|
Treat ulnar fracture
|
$447.12 |
$447.12 |
$447.12 |
$5,926.25
|
|
Treat wrist bone fracture
|
$300.24 |
$300.24 |
$300.24 |
$1,548.40
|
|
Treponema pallidum antibody
|
$53.82 |
$53.82 |
$53.82 |
$70.40
|
|
Trg gene rearrangement anal
|
$36.27 |
$36.27 |
$36.27 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$32.04 |
$32.04 |
$32.04 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$98.70 |
$98.70 |
$98.70 |
$223.56
|
|
Triamcinolone diacetate inj
|
$33.48 |
$33.48 |
$33.48 |
$3.60
|
|
Trichinella antibody
|
$17.08 |
$17.08 |
$17.08 |
$70.20
|
|
#tricyclicantidprssnt
|
$25.43 |
$25.43 |
$25.43 |
$50.86
|
|
Triglycerides
|
$69.48 |
$69.48 |
$69.48 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$20.05 |
$20.05 |
$20.05 |
$117.49
|
|
Trim nail(s)
|
$69.66 |
$69.66 |
$69.66 |
$79.00
|
|
Trim nondyst nails
|
$41.58 |
$41.58 |
$41.58 |
$113.40
|
|
Trnscath plc stent crv crtd without prtct
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$1,417.50 |
$1,417.50 |
$1,417.50 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,146.64 |
$6,146.64 |
$6,146.64 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$5,133.78 |
$5,133.78 |
$5,133.78 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$10,615.68 |
$10,615.68 |
$10,615.68 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,199.96 |
$2,199.96 |
$2,199.96 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,298.16 |
$1,298.16 |
$1,298.16 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,226.70 |
$1,226.70 |
$1,226.70 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,066.50 |
$1,066.50 |
$1,066.50 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,123.74 |
$1,123.74 |
$1,123.74 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$578.34 |
$578.34 |
$578.34 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$138.06 |
$138.06 |
$138.06 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$478.44 |
$478.44 |
$478.44 |
$2,371.50
|
|
Troponin quantitative
|
$128.52 |
$128.52 |
$128.52 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$77.76 |
$77.76 |
$77.76 |
$2,012.40
|
|
Tx atrial fib pulm vein isol
|
$11,779.20 |
$11,779.20 |
$11,779.20 |
$29,030.54
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$397.62 |
$397.62 |
$397.62 |
$3,977.49
|
|
Tx l/r atrial fib addl
|
$3,282.30 |
$3,282.30 |
$3,282.30 |
$6,769.00
|
|
Tx tarsal bone fx without manip 28450
|
$143.46 |
$143.46 |
$143.46 |
$416.16
|
|
Tympanometry & reflex thresh
|
$205.38 |
$205.38 |
$205.38 |
$170.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$410.76 |
$410.76 |
$410.76 |
$394.20
|
|
Ultrasound breast complete
|
$352.08 |
$352.08 |
$352.08 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$448.74 |
$448.74 |
$448.74 |
$449.35
|
|
Ultrasound chest
|
$343.08 |
$343.08 |
$343.08 |
$460.85
|
|
Ultrasound encephalogram
|
$162.00 |
$162.00 |
$162.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$545.58 |
$545.58 |
$545.58 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$321.84 |
$321.84 |
$321.84 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$289.98 |
$289.98 |
$289.98 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$581.58 |
$581.58 |
$581.58 |
$720.15
|
|
Ultrasound guide intraoperative
|
$549.18 |
$549.18 |
$549.18 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$556.02 |
$556.02 |
$556.02 |
$560.00
|
|
Ultrasound joint complete left
|
$428.94 |
$428.94 |
$428.94 |
$556.14
|
