|
Treat lower leg bone lesion
|
$354.79 |
$354.79 |
$354.79 |
$3,977.49
|
|
Treat lower leg dislocation
|
$453.39 |
$453.39 |
$453.39 |
$6,311.00
|
|
Treat lower leg fracture
|
$508.47 |
$508.47 |
$508.47 |
$6,475.41
|
|
Treat lower leg fracture
|
$664.53 |
$664.53 |
$664.53 |
$14,241.77
|
|
Treat lower leg fracture
|
$780.64 |
$780.64 |
$780.64 |
$12,653.00
|
|
Treat lower leg joint
|
$422.45 |
$422.45 |
$422.45 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$497.08 |
$497.08 |
$497.08 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$628.83 |
$628.83 |
$628.83 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$447.10 |
$447.10 |
$447.10 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$711.28 |
$711.28 |
$711.28 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$139.91 |
$139.91 |
$139.91 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$108.80 |
$108.80 |
$108.80 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$136.17 |
$136.17 |
$136.17 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$758.20 |
$758.20 |
$758.20 |
$3,982.44
|
|
Treatment mouth roof lesion
|
$775.03 |
$775.03 |
$775.03 |
$4,256.70
|
|
Treatment of ankle fracture
|
$385.05 |
$385.05 |
$385.05 |
$8,412.89
|
|
Treatment of ankle fracture
|
$454.07 |
$454.07 |
$454.07 |
$8,453.60
|
|
Treatment of ankle fracture
|
$519.52 |
$519.52 |
$519.52 |
$7,907.11
|
|
Treatment of ankle fracture
|
$583.27 |
$583.27 |
$583.27 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$269.96 |
$269.96 |
$269.96 |
$520.80
|
|
Treatment of fibula fracture
|
$423.81 |
$423.81 |
$423.81 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$196.35 |
$196.35 |
$196.35 |
$491.50
|
|
Treatment of foot infection
|
$359.55 |
$359.55 |
$359.55 |
$2,614.25
|
|
Treatment of foot infection
|
$1,307.30 |
$1,307.30 |
$1,307.30 |
$3,821.05
|
|
Treatment of heel fracture 28400
|
$156.06 |
$156.06 |
$156.06 |
$473.00
|
|
Treatment of miscarriage
|
$217.43 |
$217.43 |
$217.43 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$156.91 |
$156.91 |
$156.91 |
$3,589.62
|
|
Treatment of penis lesion
|
$365.84 |
$365.84 |
$365.84 |
$4,081.37
|
|
Treatment of penis lesion
|
$253.13 |
$253.13 |
$253.13 |
$3,515.40
|
|
Treatment of retinal lesion
|
$296.14 |
$296.14 |
$296.14 |
$1,033.14
|
|
Treatment of thigh fracture
|
$784.55 |
$784.55 |
$784.55 |
$5,109.00
|
|
Treatment of thigh fracture
|
$321.64 |
$321.64 |
$321.64 |
$548.90
|
|
Treatment of thigh fracture
|
$406.64 |
$406.64 |
$406.64 |
$6,389.60
|
|
Treatment of thigh fracture
|
$402.90 |
$402.90 |
$402.90 |
$1,772.97
|
|
Treatment of thigh fracture
|
$580.38 |
$580.38 |
$580.38 |
$3,409.00
|
|
Treatment of thigh fracture
|
$566.78 |
$566.78 |
$566.78 |
$3,764.80
|
|
Treatment of thigh fracture
|
$716.04 |
$716.04 |
$716.04 |
$5,505.50
|
|
Treatment of thigh fracture
|
$564.06 |
$564.06 |
$564.06 |
$3,796.00
|
|
Treatment of tibia fracture
|
$354.79 |
$354.79 |
$354.79 |
$6,183.84
|
|
Treatment of tibia fracture
|
$531.08 |
$531.08 |
$531.08 |
$8,665.60
|
|
Treatment of tibia fracture
|
$587.35 |
$587.35 |
$587.35 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$76.67 |
$76.67 |
$76.67 |
$369.70
|
|
Treatment of urethra lesion
|
$758.03 |
$758.03 |
$758.03 |
$3,817.53
|
|
Treatment radiation delivery level 2
|
$252.96 |
$252.96 |
$252.96 |
$767.65
|
|
Treatment x10sv retinopathy
|
$179.01 |
$179.01 |
$179.01 |
$1,513.20
|
|
Treat metacarpal fracture
|
$295.12 |
$295.12 |
$295.12 |
$3,977.49
|
|
Treat metacarpal fracture
|
$350.54 |
$350.54 |
$350.54 |
$5,464.97
|
|
Treat metatarsal fracture
|
$241.91 |
$241.91 |
$241.91 |
$3,839.54
|
|
Treat metatarsal fracture
|
$340.34 |
$340.34 |
$340.34 |
$8,453.60
|
|
Treat midfoot fracture each
|
$387.26 |
$387.26 |
$387.26 |
$6,192.78
|
|
Treat neck spine fracture
|
$865.47 |
$865.47 |
$865.47 |
$3,572.80
|
|
Treat pelvic fracture(s)
|
$40.12 |
$40.12 |
$40.12 |
$1,506.40
|
|
Treat pelvic ring fracture
|
$424.83 |
$424.83 |
$424.83 |
$2,727.20
|
|
Treat radius fracture
|
$397.46 |
$397.46 |
$397.46 |
$7,807.24
|
|
Treat radius fracture
|
$438.26 |
$438.26 |
$438.26 |
$14,061.89
|
|
Treat slipped epiphysis
|
$546.04 |
$546.04 |
$546.04 |
$4,499.12
|
|
Treat spinal cord lesion
|
$585.99 |
$585.99 |
$585.99 |
$1,142.50
|
|
Treat spinal cord lesion
|
$585.99 |
$585.99 |
$585.99 |
$1,337.00
|
|
Treat spine fracture
|
$854.08 |
$854.08 |
$854.08 |
$3,485.60
|
|
Treat thigh fracture
|
$296.31 |
$296.31 |
$296.31 |
$661.00
|
|
Treat thigh fracture
|
$534.99 |
$534.99 |
$534.99 |
$6,510.40
|
|
Treat thigh fracture
|
$699.55 |
$699.55 |
$699.55 |
$4,083.00
|
|
Treat thigh fracture
|
$284.58 |
$284.58 |
$284.58 |
$1,893.86
|
|
Treat thigh fracture
|
$718.42 |
$718.42 |
$718.42 |
$4,726.80
|
|
Treat thigh fracture
|
$238.00 |
$238.00 |
$238.00 |
$618.80
|
|
Treat thigh fracture
|
$439.11 |
$439.11 |
$439.11 |
$2,802.80
|
|
Treat thigh fracture
|
$563.04 |
$563.04 |
$563.04 |
$2,032.10
|
|
Treat thigh fracture
|
$719.27 |
$719.27 |
$719.27 |
$3,580.50
|
|
Treat thorax spine fracture
|
$885.87 |
$885.87 |
$885.87 |
$3,624.00
|
|
Treat thumb fracture
|
$297.16 |
$297.16 |
$297.16 |
$2,508.80
|
|
Treat thumb fracture
|
$381.99 |
$381.99 |
$381.99 |
$3,786.00
|
|
Treat toe dislocation
|
$134.81 |
$134.81 |
$134.81 |
$3,839.54
|
|
Treat toe fracture
|
$243.78 |
$243.78 |
$243.78 |
$3,839.54
|
|
Treat ulnar fracture
|
$394.06 |
$394.06 |
$394.06 |
$5,926.25
|
|
Treat vaginal bleeding
|
$71.40 |
$71.40 |
$71.40 |
$379.60
|
|
Treat wrist bone fracture
|
$263.50 |
$263.50 |
$263.50 |
$1,548.40
|
|
Treat wrist dislocation
|
$255.85 |
$255.85 |
$255.85 |
$656.25
|
|
Treponema pallidum antibody
|
$6.75 |
$6.75 |
$6.75 |
$70.40
|
|
Trg gene rearrangement anal
|
$34.26 |
$34.26 |
$34.26 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$22.47 |
$22.47 |
$22.47 |
$43.21
|
|
Triamcinolone diacetate inj
|
$98.94 |
$98.94 |
$98.94 |
$3.60
|
|
Triamcinolone hexacetonl inj
|
$28.73 |
$28.73 |
$28.73 |
$21.36
|
|
Trichinella antibody
|
$16.13 |
$16.13 |
$16.13 |
$70.20
|
|
#tricyclicantidprssnt
|
$95.54 |
$95.54 |
$95.54 |
$50.86
|
|
Triglycerides
|
$74.29 |
$74.29 |
$74.29 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$20.57 |
$20.57 |
$20.57 |
$117.49
|
|
Trim nail(s)
|
$129.88 |
$129.88 |
$129.88 |
$79.00
|
|
Trim nondyst nails
|
$19.72 |
$19.72 |
$19.72 |
$113.40
|
|
Trluml dil aq o/f can without st
|
$372.30 |
$372.30 |
$372.30 |
$5,419.00
|
|
Trluml dil aq o/f can w/st
|
$430.27 |
$430.27 |
$430.27 |
$4,928.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$317.73 |
$317.73 |
$317.73 |
$754.80
|
|
Trnscath plc stent crv crtd w/prtct
|
$536.69 |
$536.69 |
$536.69 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$1,667.53 |
$1,667.53 |
$1,667.53 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$82.28 |
$82.28 |
$82.28 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$167.62 |
$167.62 |
$167.62 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,858.10 |
$1,858.10 |
$1,858.10 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$752.76 |
$752.76 |
$752.76 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,680.11 |
$1,680.11 |
$1,680.11 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,680.11 |
$1,680.11 |
$1,680.11 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$940.95 |
$940.95 |
$940.95 |
$3,866.70
|
