|
Treatment of choroid lesion
|
$1,253.20 |
$1,253.20 |
$1,253.20 |
$1,253.20
|
|
Treatment of corneal lesion
|
$878.80 |
$878.80 |
$878.80 |
$856.80
|
|
Treatment of fibula fracture
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$535.60 |
$535.60 |
$535.60 |
$491.50
|
|
Treatment of foot infection
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$2,614.25
|
|
Treatment of foot infection
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$3,821.05
|
|
Treatment of gum lesion
|
$3,062.80 |
$3,062.80 |
$3,062.80 |
$3,164.85
|
|
Treatment of heel fracture 28400
|
$535.60 |
$535.60 |
$535.60 |
$473.00
|
|
Treatment of miscarriage
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$3,400.80 |
$3,400.80 |
$3,400.80 |
$3,589.62
|
|
Treatment of retinal lesion
|
$899.60 |
$899.60 |
$899.60 |
$1,580.87
|
|
Treatment of retinal lesion
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$1,033.14
|
|
Treatment of retinal lesion
|
$5,278.00 |
$5,278.00 |
$5,278.00 |
$5,405.82
|
|
Treatment of thigh fracture
|
$785.20 |
$785.20 |
$785.20 |
$476.16
|
|
Treatment of thigh fracture
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$1,748.40
|
|
Treatment of thigh fracture
|
$795.60 |
$795.60 |
$795.60 |
$548.90
|
|
Treatment of thigh fracture
|
$5,111.60 |
$5,111.60 |
$5,111.60 |
$6,389.60
|
|
Treatment of thigh fracture
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$1,772.97
|
|
Treatment of tibia fracture
|
$5,652.40 |
$5,652.40 |
$5,652.40 |
$6,183.84
|
|
Treatment of tibia fracture
|
$11,481.60 |
$11,481.60 |
$11,481.60 |
$8,665.60
|
|
Treatment of tibia fracture
|
$7,087.60 |
$7,087.60 |
$7,087.60 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$452.40 |
$452.40 |
$452.40 |
$369.70
|
|
Treatment of urethra lesion
|
$4,555.20 |
$4,555.20 |
$4,555.20 |
$2,874.36
|
|
Treatment x10sv retinopathy
|
$1,513.20 |
$1,513.20 |
$1,513.20 |
$1,513.20
|
|
Treat metacarpal fracture
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,977.49
|
|
Treat metacarpal fracture
|
$6,297.20 |
$6,297.20 |
$6,297.20 |
$5,464.97
|
|
Treat metatarsal fracture
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$8,453.60
|
|
Treat midfoot fracture each
|
$1,773.20 |
$1,773.20 |
$1,773.20 |
$1,851.78
|
|
Treat spinal cord lesion
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,142.50
|
|
Treat spinal cord lesion
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$1,337.00
|
|
Treat sternum fracture
|
$691.60 |
$691.60 |
$691.60 |
$423.00
|
|
Treat thigh fracture
|
$764.40 |
$764.40 |
$764.40 |
$661.00
|
|
Treat thigh fracture
|
$6,510.40 |
$6,510.40 |
$6,510.40 |
$6,510.40
|
|
Treat thigh fracture
|
$946.40 |
$946.40 |
$946.40 |
$1,893.86
|
|
Treat thigh fracture
|
$618.80 |
$618.80 |
$618.80 |
$618.80
|
|
Treat thigh fx growth plate
|
$780.00 |
$780.00 |
$780.00 |
$475.68
|
|
Treat thigh fx growth plate
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$1,938.38
|
|
Treat thumb fracture
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$2,508.80
|
|
Treat thumb fracture
|
$6,838.00 |
$6,838.00 |
$6,838.00 |
$3,786.00
|
|
Treat toe dislocation
|
$561.60 |
$561.60 |
$561.60 |
$756.39
|
|
Treat toe fracture
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$3,839.54
|
|
Treat trigeminal nerve
|
$3,754.40 |
$3,754.40 |
$3,754.40 |
$3,754.40
|
|
Treat trigeminal tract
|
$3,754.40 |
$3,754.40 |
$3,754.40 |
$4,350.00
|
|
Treat ulnar fracture
|
$946.40 |
$946.40 |
$946.40 |
$1,662.00
|
|
Treat ulnar fracture
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$5,926.25
|
|
Treat vaginal bleeding
|
$379.60 |
$379.60 |
$379.60 |
$379.60
|
|
Treat wrist bone fracture
|
$946.40 |
$946.40 |
$946.40 |
$1,548.40
|
|
Treat wrist dislocation
|
$665.60 |
$665.60 |
$665.60 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$62,004.74 |
$62,004.74 |
$62,004.74 |
$73,346.25
|
|
Treponema pallidum ag if
|
$74.88 |
$74.88 |
$74.88 |
$33.60
|
|
Treponema pallidum antibody
|
$28.08 |
$28.08 |
$28.08 |
$70.40
|
|
Treprostinil injection
|
$19,071.84 |
$19,071.84 |
$19,071.84 |
$19,071.84
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$7.73 |
$7.73 |
$7.73 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$203.78 |
$203.78 |
$203.78 |
$223.56
|
|
Triamcinolone hexacetonl inj
|
$19.84 |
$19.84 |
$19.84 |
$21.36
|
|
Trichinella antibody
|
$114.92 |
$114.92 |
$114.92 |
$70.20
|
|
Trichomonas assay w/optic
|
$82.68 |
$82.68 |
$82.68 |
$55.50
|
|
#tricyclicantidprssnt
|
$136.76 |
$136.76 |
$136.76 |
$50.86
|
|
Triglycerides
|
$41.08 |
$41.08 |
$41.08 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$66.91 |
$66.91 |
$66.91 |
$117.49
|
|
Trim nail(s)
|
$114.40 |
$114.40 |
$114.40 |
$79.00
|
|
Trim nondyst nails
|
$145.60 |
$145.60 |
$145.60 |
$113.40
|
|
Triptorelin pamoate
|
$8,918.27 |
$8,918.27 |
$8,918.27 |
$4,619.39
|
|
Trluml dil aq o/f can without st
|
$5,912.40 |
$5,912.40 |
$5,912.40 |
$5,419.00
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$22,958.00 |
$22,958.00 |
$22,958.00 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$4,544.80 |
$4,544.80 |
$4,544.80 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$759.20 |
$759.20 |
$759.20 |
$754.80
|
|
Trnscath plc stent crv crtd w/prtct
|
$9,926.80 |
$9,926.80 |
$9,926.80 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$8,866.00 |
$8,866.00 |
$8,866.00 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$8,372.00 |
$8,372.00 |
$8,372.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$8,392.80 |
$8,392.80 |
$8,392.80 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$15,974.40 |
$15,974.40 |
$15,974.40 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$4,810.00 |
$4,810.00 |
$4,810.00 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,957.20 |
$3,957.20 |
$3,957.20 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,194.40 |
$2,194.40 |
$2,194.40 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,194.40 |
$2,194.40 |
$2,194.40 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$3,957.20 |
$3,957.20 |
$3,957.20 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$5,236.40 |
$5,236.40 |
$5,236.40 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$2,406.77
|
|
Troponin quantitative
|
$189.80 |
$189.80 |
$189.80 |
$127.20
|
|
Tr retinal les preterm inf
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$4,628.00 |
$4,628.00 |
$4,628.00 |
$4,228.00
|
|
Tte w or without fol w/con,stres
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$1,632.80
|
|
Tube trach fen sz 6 uncuffed
|
$306.84 |
$306.84 |
$306.84 |
$155.98
|
|
Tumor cell deplete of harvst
|
$1,315.60 |
$1,315.60 |
$1,315.60 |
$1,315.60
|
|
Tx atrial fib pulm vein isol
|
$17,732.00 |
$17,732.00 |
$17,732.00 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$594.88 |
$594.88 |
$594.88 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$535.60 |
$535.60 |
$535.60 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$535.60 |
$535.60 |
$535.60 |
$535.60
|
|
Tx l/r atrial fib addl
|
$10,904.40 |
$10,904.40 |
$10,904.40 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$5,210.40 |
$5,210.40 |
$5,210.40 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$452.40 |
$452.40 |
$452.40 |
$416.16
|
|
Tympanic membrane repair
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$2,638.87
|
|
Tympanolysis transcanal 69450
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$3,837.72
|
|
Tympanometry & reflex thresh
|
$169.00 |
$169.00 |
$169.00 |
$170.00
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$1,024.40 |
$1,024.40 |
$1,024.40 |
$911.43
|
