|
Treat ankle dislocation
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,207.20
|
|
Treat ankle dislocation
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,807.24
|
|
Treat big toe fracture
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$466.14 |
$466.14 |
$466.14 |
$734.00
|
|
Treat elbow dislocation
|
$6,781.98 |
$6,781.98 |
$6,781.98 |
$2,326.40
|
|
Treat elbow fracture
|
$4,007.58 |
$4,007.58 |
$4,007.58 |
$2,125.60
|
|
Treat elbow fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$8,453.60
|
|
Treat eyelid by injection
|
$954.21 |
$954.21 |
$954.21 |
$472.21
|
|
Treat finger fracture each
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$4,108.00
|
|
Treat finger fracture each
|
$2,077.23 |
$2,077.23 |
$2,077.23 |
$1,815.75
|
|
Treat foot dislocation
|
$466.14 |
$466.14 |
$466.14 |
$435.60
|
|
Treat foot dislocation
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,935.24
|
|
Treat foot dislocation
|
$466.14 |
$466.14 |
$466.14 |
$527.28
|
|
Treat foot dislocation
|
$466.14 |
$466.14 |
$466.14 |
$478.40
|
|
Treat foot dislocation
|
$466.14 |
$466.14 |
$466.14 |
$404.04
|
|
Treat fracture of radius
|
$2,296.02 |
$2,296.02 |
$2,296.02 |
$2,030.33
|
|
Treat fracture of radius
|
$2,613.75 |
$2,613.75 |
$2,613.75 |
$2,316.75
|
|
Treat fracture of ulna
|
$466.14 |
$466.14 |
$466.14 |
$766.72
|
|
Treat hand dislocation
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$1,893.86
|
|
Treat hip dislocation
|
$3,161.49 |
$3,161.49 |
$3,161.49 |
$2,561.90
|
|
Treat hip dislocation
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$3,152.05
|
|
Treat hip socket fracture
|
$2,258.79 |
$2,258.79 |
$2,258.79 |
$1,340.10
|
|
Treat humerus fracture
|
$28,751.76 |
$28,751.76 |
$28,751.76 |
$11,850.08
|
|
Treat humerus fracture
|
$1,958.91 |
$1,958.91 |
$1,958.91 |
$1,950.60
|
|
Treat humerus fracture
|
$28,751.76 |
$28,751.76 |
$28,751.76 |
$12,653.00
|
|
Treat humerus fracture
|
$1,958.91 |
$1,958.91 |
$1,958.91 |
$2,045.35
|
|
Treat kneecap dislocation
|
$6,781.98 |
$6,781.98 |
$6,781.98 |
$1,351.35
|
|
Treat knee dislocation
|
$3,161.49 |
$3,161.49 |
$3,161.49 |
$2,592.08
|
|
Treat knee fracture 27530
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$580.20
|
|
Treat knee fracture(s)
|
$466.14 |
$466.14 |
$466.14 |
$642.00
|
|
Treat knuckle dislocation
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$1,893.86
|
|
Treat lower leg dislocation
|
$466.14 |
$466.14 |
$466.14 |
$532.60
|
|
Treat lower leg dislocation
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$4,350.00
|
|
Treat lower leg fracture
|
$28,751.76 |
$28,751.76 |
$28,751.76 |
$12,905.86
|
|
Treat lower leg fracture
|
$28,751.76 |
$28,751.76 |
$28,751.76 |
$12,653.00
|
|
Treat lower leg joint
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,687.01 |
$5,687.01 |
$5,687.01 |
$3,806.40
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$518.67 |
$518.67 |
$518.67 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,364.29 |
$6,364.29 |
$6,364.29 |
$3,820.53
|
|
Treatment mouth roof lesion
|
$6,404.07 |
$6,404.07 |
$6,404.07 |
$4,350.00
|
|
Treatment of ankle fracture
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$7,907.11
|
|
Treatment of ankle fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,907.11
|
|
Treatment of ankle fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,348.32
|
|
Treatment of ankle fracture 27786
|
$884.34 |
$884.34 |
$884.34 |
$580.00
|
|
Treatment of fibula fracture
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$7,069.90
|
|
Treatment of fibula fracture 27780
|
$466.14 |
$466.14 |
$466.14 |
$558.75
|
|
Treatment of heel fracture 28400
|
$466.14 |
$466.14 |
$466.14 |
$494.00
|
|
Treatment of miscarriage
|
$6,364.29 |
$6,364.29 |
$6,364.29 |
$4,146.69
|
|
Treatment of thigh fracture
|
$456.45 |
$456.45 |
$456.45 |
$467.25
|
|
Treatment of thigh fracture
|
$3,161.49 |
$3,161.49 |
$3,161.49 |
$1,893.86
|
|
Treatment of thigh fracture
|
$466.14 |
$466.14 |
$466.14 |
$659.00
|
|
Treatment of thigh fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$6,651.45
|
|
Treatment of thigh fracture
|
$2,947.80 |
$2,947.80 |
$2,947.80 |
$2,055.00
|
|
Treatment of tibia fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$6,183.84
|
|
Treatment of toe fracture 28510
|
$1,013.88 |
$1,013.88 |
$1,013.88 |
$371.40
|
|
Treatment radiation delivery level 2
|
$1,742.67 |
$1,742.67 |
$1,742.67 |
$735.00
|
|
Treat metacarpal fracture
|
$6,559.11 |
$6,559.11 |
$6,559.11 |
$3,958.50
|
|
Treat metacarpal fracture
|
$6,559.11 |
$6,559.11 |
$6,559.11 |
$4,627.00
|
|
Treat metatarsal fracture
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$7,913.97
|
|
Treat midfoot fracture each
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$1,893.86
|
|
Treat sternum fracture
|
$456.45 |
$456.45 |
$456.45 |
$423.00
|
|
Treat thigh fracture
|
$466.14 |
$466.14 |
$466.14 |
$661.00
|
|
Treat thigh fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,372.60
|
|
Treat thigh fracture
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,021.04
|
|
Treat thigh fracture
|
$466.14 |
$466.14 |
$466.14 |
$716.95
|
|
Treat thigh fracture
|
$3,666.90 |
$3,666.90 |
$3,666.90 |
$3,548.94
|
|
Treat thigh fx growth plate
|
$466.14 |
$466.14 |
$466.14 |
$421.50
|
|
Treat toe dislocation
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$855.66
|
|
Treat toe fracture
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,981.06
|
|
Treat ulnar fracture
|
$2,077.23 |
$2,077.23 |
$2,077.23 |
$1,861.60
|
|
Treat vaginal bleeding
|
$400.86 |
$400.86 |
$400.86 |
$400.86
|
|
Treat wrist bone fracture
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$1,907.64
|
|
Treat wrist dislocation
|
$466.14 |
$466.14 |
$466.14 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$10,314.94 |
$10,314.94 |
$10,314.94 |
$101,032.80
|
|
Treponema pallidum antibody
|
$43.86 |
$43.86 |
$43.86 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$84.15 |
$84.15 |
$84.15 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$107.41 |
$107.41 |
$107.41 |
$1,309.80
|
|
#tricyclicantidprssnt
|
$5.56 |
$5.56 |
$5.56 |
$57.08
|
|
Triglycerides
|
$376.89 |
$376.89 |
$376.89 |
$54.60
|
|
Trim nondyst nails
|
$144.33 |
$144.33 |
$144.33 |
$124.22
|
|
Trmt of fracture (femoral shaft) 27500
|
$466.14 |
$466.14 |
$466.14 |
$777.00
|
|
Trnscath plc stent crv crtd w/prtct
|
$7,448.55 |
$7,448.55 |
$7,448.55 |
$11,099.98
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,876.59 |
$13,876.59 |
$13,876.59 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,809.01 |
$6,809.01 |
$6,809.01 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$10,120.44 |
$10,120.44 |
$10,120.44 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,075.12 |
$6,075.12 |
$6,075.12 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$6,075.12 |
$6,075.12 |
$6,075.12 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$5,251.47 |
$5,251.47 |
$5,251.47 |
$4,329.36
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$7,168.56 |
$7,168.56 |
$7,168.56 |
$4,805.85
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$2,440.86 |
$2,440.86 |
$2,440.86 |
$2,343.60
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$3,803.07 |
$3,803.07 |
$3,803.07 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$3,803.07 |
$3,803.07 |
$3,803.07 |
$3,322.20
|
|
Troponin quantitative
|
$494.70 |
$494.70 |
$494.70 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$2,474.52 |
$2,474.52 |
$2,474.52 |
$1,582.75
|
|
Tube trach disp innr can 5 xlt
|
$720.46 |
$720.46 |
$720.46 |
$460.58
|
|
Tx atrial fib pulm vein isol
|
$30,289.41 |
$30,289.41 |
$30,289.41 |
$32,426.20
|
|
Tx closed hip disl traumatic without anes
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$657.28
|