|
Treatment of foot infection
|
$166.06 |
$166.06 |
$166.06 |
$3,821.05
|
|
Treatment of heel fracture 28400
|
$161.50 |
$161.50 |
$161.50 |
$473.00
|
|
Treatment of miscarriage
|
$243.01 |
$243.01 |
$243.01 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$112.86 |
$112.86 |
$112.86 |
$3,589.62
|
|
Treatment of penis lesion
|
$408.88 |
$408.88 |
$408.88 |
$4,081.37
|
|
Treatment of penis lesion
|
$282.91 |
$282.91 |
$282.91 |
$3,515.40
|
|
Treatment of retinal lesion
|
$330.98 |
$330.98 |
$330.98 |
$1,033.14
|
|
Treatment of thigh fracture
|
$876.85 |
$876.85 |
$876.85 |
$5,109.00
|
|
Treatment of thigh fracture
|
$338.77 |
$338.77 |
$338.77 |
$548.90
|
|
Treatment of thigh fracture
|
$454.48 |
$454.48 |
$454.48 |
$6,389.60
|
|
Treatment of thigh fracture
|
$450.30 |
$450.30 |
$450.30 |
$1,772.97
|
|
Treatment of thigh fracture
|
$648.66 |
$648.66 |
$648.66 |
$3,409.00
|
|
Treatment of thigh fracture
|
$633.46 |
$633.46 |
$633.46 |
$3,764.80
|
|
Treatment of thigh fracture
|
$800.28 |
$800.28 |
$800.28 |
$5,505.50
|
|
Treatment of thigh fracture
|
$630.42 |
$630.42 |
$630.42 |
$3,796.00
|
|
Treatment of tibia fracture
|
$396.53 |
$396.53 |
$396.53 |
$6,183.84
|
|
Treatment of tibia fracture
|
$593.56 |
$593.56 |
$593.56 |
$8,665.60
|
|
Treatment of tibia fracture
|
$656.45 |
$656.45 |
$656.45 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$85.69 |
$85.69 |
$85.69 |
$369.70
|
|
Treatment of urethra lesion
|
$119.13 |
$119.13 |
$119.13 |
$3,817.53
|
|
Treatment x10sv retinopathy
|
$200.07 |
$200.07 |
$200.07 |
$1,513.20
|
|
Treat metacarpal fracture
|
$329.84 |
$329.84 |
$329.84 |
$3,977.49
|
|
Treat metacarpal fracture
|
$391.78 |
$391.78 |
$391.78 |
$5,464.97
|
|
Treat metatarsal fracture
|
$270.37 |
$270.37 |
$270.37 |
$3,839.54
|
|
Treat metatarsal fracture
|
$380.38 |
$380.38 |
$380.38 |
$8,453.60
|
|
Treat midfoot fracture each
|
$432.82 |
$432.82 |
$432.82 |
$6,192.78
|
|
Treat neck spine fracture
|
$967.29 |
$967.29 |
$967.29 |
$3,572.80
|
|
Treat pelvic fracture(s)
|
$44.84 |
$44.84 |
$44.84 |
$1,506.40
|
|
Treat pelvic ring fracture
|
$474.81 |
$474.81 |
$474.81 |
$2,727.20
|
|
Treat radius fracture
|
$444.22 |
$444.22 |
$444.22 |
$7,807.24
|
|
Treat radius fracture
|
$489.82 |
$489.82 |
$489.82 |
$14,061.89
|
|
Treat slipped epiphysis
|
$610.28 |
$610.28 |
$610.28 |
$4,499.12
|
|
Treat spinal cord lesion
|
$964.25 |
$964.25 |
$964.25 |
$1,337.00
|
|
Treat spine fracture
|
$954.56 |
$954.56 |
$954.56 |
$3,485.60
|
|
Treat thigh fracture
|
$325.09 |
$325.09 |
$325.09 |
$661.00
|
|
Treat thigh fracture
|
$597.93 |
$597.93 |
$597.93 |
$6,510.40
|
|
Treat thigh fracture
|
$781.85 |
$781.85 |
$781.85 |
$4,083.00
|
|
Treat thigh fracture
|
$318.06 |
$318.06 |
$318.06 |
$1,893.86
|
|
Treat thigh fracture
|
$802.94 |
$802.94 |
$802.94 |
$4,726.80
|
|
Treat thigh fracture
|
$263.72 |
$263.72 |
$263.72 |
$618.80
|
|
Treat thigh fracture
|
$490.77 |
$490.77 |
$490.77 |
$2,802.80
|
|
Treat thigh fracture
|
$629.28 |
$629.28 |
$629.28 |
$2,032.10
|
|
Treat thigh fracture
|
$803.89 |
$803.89 |
$803.89 |
$3,580.50
|
|
Treat thorax spine fracture
|
$990.09 |
$990.09 |
$990.09 |
$3,624.00
|
|
Treat thumb fracture
|
$332.12 |
$332.12 |
$332.12 |
$2,508.80
|
|
Treat thumb fracture
|
$426.93 |
$426.93 |
$426.93 |
$3,786.00
|
|
Treat toe dislocation
|
$150.67 |
$150.67 |
$150.67 |
$3,839.54
|
|
Treat toe fracture
|
$272.46 |
$272.46 |
$272.46 |
$3,839.54
|
|
Treat ulnar fracture
|
$440.42 |
$440.42 |
$440.42 |
$5,926.25
|
|
Treat vaginal bleeding
|
$79.80 |
$79.80 |
$79.80 |
$379.60
|
|
Treat wrist bone fracture
|
$294.50 |
$294.50 |
$294.50 |
$1,548.40
|
|
Treat wrist dislocation
|
$285.95 |
$285.95 |
$285.95 |
$656.25
|
|
Treponema pallidum antibody
|
$77.14 |
$77.14 |
$77.14 |
$70.40
|
|
Trg gene rearrangement anal
|
$49.40 |
$49.40 |
$49.40 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$17.57 |
$17.57 |
$17.57 |
$43.21
|
|
Trichinella antibody
|
$18.03 |
$18.03 |
$18.03 |
$70.20
|
|
#tricyclicantidprssnt
|
$110.39 |
$110.39 |
$110.39 |
$50.86
|
|
Triglycerides
|
$32.30 |
$32.30 |
$32.30 |
$58.05
|
|
Trim nail(s)
|
$145.16 |
$145.16 |
$145.16 |
$79.00
|
|
Trim nondyst nails
|
$35.91 |
$35.91 |
$35.91 |
$113.40
|
|
Trluml dil aq o/f can without st
|
$416.10 |
$416.10 |
$416.10 |
$5,419.00
|
|
Trluml dil aq o/f can w/st
|
$480.89 |
$480.89 |
$480.89 |
$4,928.00
|
|
Trnscath plc stent crv crtd w/prtct
|
$599.83 |
$599.83 |
$599.83 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$126.92 |
$126.92 |
$126.92 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,348.85 |
$6,348.85 |
$6,348.85 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$9,523.37 |
$9,523.37 |
$9,523.37 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,621.24 |
$2,621.24 |
$2,621.24 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,817.67 |
$3,817.67 |
$3,817.67 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,621.24 |
$2,621.24 |
$2,621.24 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,354.89 |
$1,354.89 |
$1,354.89 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$2,621.24 |
$2,621.24 |
$2,621.24 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$572.09 |
$572.09 |
$572.09 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$137.18 |
$137.18 |
$137.18 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$444.60 |
$444.60 |
$444.60 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$545.49 |
$545.49 |
$545.49 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$472.72 |
$472.72 |
$472.72 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$432.06 |
$432.06 |
$432.06 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$337.06 |
$337.06 |
$337.06 |
$2,406.77
|
|
Troponin quantitative
|
$54.34 |
$54.34 |
$54.34 |
$127.20
|
|
Trurl dstrj prst8 tiss rf wv
|
$253.65 |
$253.65 |
$253.65 |
$4,228.00
|
|
Truss add to std pad scrotal
|
$15.20 |
$15.20 |
$15.20 |
$75.60
|
|
Tubal Ligation (Laparoscopic)
|
$242.25 |
$242.25 |
$242.25 |
$4,323.20
|
|
Tvh >250 gms 58290
|
$739.48 |
$739.48 |
$739.48 |
$6,872.92
|
|
Tvh w/mmk 58267
|
$689.51 |
$689.51 |
$689.51 |
$2,058.60
|
|
Tx atrial fib pulm vein isol
|
$17,825.61 |
$17,825.61 |
$17,825.61 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$111.15 |
$111.15 |
$111.15 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$391.59 |
$391.59 |
$391.59 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$226.10 |
$226.10 |
$226.10 |
$535.60
|
|
Tx l/r atrial fib addl
|
$4,609.40 |
$4,609.40 |
$4,609.40 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$498.94 |
$498.94 |
$498.94 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$344.47 |
$344.47 |
$344.47 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$374.49 |
$374.49 |
$374.49 |
$4,421.00
|
|
Tx open nsl fx uncomp
|
$301.53 |
$301.53 |
$301.53 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$429.21 |
$429.21 |
$429.21 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$403.75 |
$403.75 |
$403.75 |
$4,499.12
|
|
Tx septic abortion surgical 59830
|
$295.83 |
$295.83 |
$295.83 |
$896.40
|
|
Tx tarsal bone fx without manip 28450
|
$134.33 |
$134.33 |
$134.33 |
$416.16
|
|
Tympanic membrane repair
|
$188.86 |
$188.86 |
$188.86 |
$2,638.87
|
|
Tympanolysis transcanal 69450
|
$366.32 |
$366.32 |
$366.32 |
$3,837.72
|
|
Tympanometry & reflex thresh
|
$14.82 |
$14.82 |
$14.82 |
$170.00
|