|
Treat knee fracture
|
$540.93 |
$540.93 |
$540.93 |
$2,938.00
|
|
Treat knee fracture 27530
|
$204.82 |
$204.82 |
$204.82 |
$550.00
|
|
Treat knuckle dislocation
|
$275.69 |
$275.69 |
$275.69 |
$1,523.90
|
|
Treat knuckle dislocation
|
$390.07 |
$390.07 |
$390.07 |
$4,332.00
|
|
Treat lower jaw fracture 21462
|
$781.47 |
$781.47 |
$781.47 |
$7,000.36
|
|
Treat lower leg bone lesion
|
$396.53 |
$396.53 |
$396.53 |
$3,977.49
|
|
Treat lower leg dislocation
|
$506.73 |
$506.73 |
$506.73 |
$6,311.00
|
|
Treat lower leg fracture
|
$568.29 |
$568.29 |
$568.29 |
$6,475.41
|
|
Treat lower leg fracture
|
$742.71 |
$742.71 |
$742.71 |
$14,241.77
|
|
Treat lower leg fracture
|
$872.48 |
$872.48 |
$872.48 |
$12,653.00
|
|
Treat lower leg joint
|
$472.15 |
$472.15 |
$472.15 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$555.56 |
$555.56 |
$555.56 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$702.81 |
$702.81 |
$702.81 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$499.70 |
$499.70 |
$499.70 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$196.46 |
$196.46 |
$196.46 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$77.90 |
$77.90 |
$77.90 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$77.90 |
$77.90 |
$77.90 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$127.68 |
$127.68 |
$127.68 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$250.80 |
$250.80 |
$250.80 |
$3,982.44
|
|
Treatment mouth roof lesion
|
$94.05 |
$94.05 |
$94.05 |
$4,256.70
|
|
Treatment of ankle fracture
|
$430.35 |
$430.35 |
$430.35 |
$8,412.89
|
|
Treatment of ankle fracture
|
$507.49 |
$507.49 |
$507.49 |
$8,453.60
|
|
Treatment of ankle fracture
|
$580.64 |
$580.64 |
$580.64 |
$7,907.11
|
|
Treatment of ankle fracture
|
$651.89 |
$651.89 |
$651.89 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$301.72 |
$301.72 |
$301.72 |
$520.80
|
|
Treatment of fibula fracture
|
$473.67 |
$473.67 |
$473.67 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$201.21 |
$201.21 |
$201.21 |
$491.50
|
|
Treatment of foot infection
|
$91.58 |
$91.58 |
$91.58 |
$2,614.25
|
|
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
|
$57.19 |
$57.19 |
$57.19 |
$70.40
|
|
Trg gene rearrangement anal
|
$38.29 |
$38.29 |
$38.29 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$19.57 |
$19.57 |
$19.57 |
$43.21
|
|
Trichinella antibody
|
$18.03 |
$18.03 |
$18.03 |
$70.20
|
|
#tricyclicantidprssnt
|
$103.74 |
$103.74 |
$103.74 |
$50.86
|
|
Triglycerides
|
$47.88 |
$47.88 |
$47.88 |
$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
|
$1,746.67 |
$1,746.67 |
$1,746.67 |
$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
|