|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$526.00 |
$526.00 |
$526.00 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$206.80 |
$206.80 |
$206.80 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$109.40 |
$109.40 |
$109.40 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$120.20 |
$120.20 |
$120.20 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$207.00 |
$207.00 |
$207.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$264.00 |
$264.00 |
$264.00 |
$3,982.44
|
|
Treatment mouth roof lesion
|
$160.00 |
$160.00 |
$160.00 |
$4,256.70
|
|
Treatment of ankle fracture
|
$453.00 |
$453.00 |
$453.00 |
$8,412.89
|
|
Treatment of ankle fracture
|
$534.20 |
$534.20 |
$534.20 |
$8,453.60
|
|
Treatment of ankle fracture
|
$611.20 |
$611.20 |
$611.20 |
$7,907.11
|
|
Treatment of ankle fracture
|
$686.20 |
$686.20 |
$686.20 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$317.60 |
$317.60 |
$317.60 |
$520.80
|
|
Treatment of fibula fracture
|
$498.60 |
$498.60 |
$498.60 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$231.00 |
$231.00 |
$231.00 |
$491.50
|
|
Treatment of foot infection
|
$96.40 |
$96.40 |
$96.40 |
$2,614.25
|
|
Treatment of foot infection
|
$261.40 |
$261.40 |
$261.40 |
$3,821.05
|
|
Treatment of heel fracture 28400
|
$183.60 |
$183.60 |
$183.60 |
$473.00
|
|
Treatment of miscarriage
|
$255.80 |
$255.80 |
$255.80 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$184.60 |
$184.60 |
$184.60 |
$3,589.62
|
|
Treatment of penis lesion
|
$430.40 |
$430.40 |
$430.40 |
$4,081.37
|
|
Treatment of penis lesion
|
$297.80 |
$297.80 |
$297.80 |
$3,515.40
|
|
Treatment of retinal lesion
|
$348.40 |
$348.40 |
$348.40 |
$1,033.14
|
|
Treatment of thigh fracture
|
$923.00 |
$923.00 |
$923.00 |
$5,109.00
|
|
Treatment of thigh fracture
|
$378.40 |
$378.40 |
$378.40 |
$548.90
|
|
Treatment of thigh fracture
|
$478.40 |
$478.40 |
$478.40 |
$6,389.60
|
|
Treatment of thigh fracture
|
$474.00 |
$474.00 |
$474.00 |
$1,772.97
|
|
Treatment of thigh fracture
|
$682.80 |
$682.80 |
$682.80 |
$3,409.00
|
|
Treatment of thigh fracture
|
$666.80 |
$666.80 |
$666.80 |
$3,764.80
|
|
Treatment of thigh fracture
|
$842.40 |
$842.40 |
$842.40 |
$5,505.50
|
|
Treatment of thigh fracture
|
$663.60 |
$663.60 |
$663.60 |
$3,796.00
|
|
Treatment of tibia fracture
|
$417.40 |
$417.40 |
$417.40 |
$6,183.84
|
|
Treatment of tibia fracture
|
$624.80 |
$624.80 |
$624.80 |
$8,665.60
|
|
Treatment of tibia fracture
|
$691.00 |
$691.00 |
$691.00 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$90.20 |
$90.20 |
$90.20 |
$369.70
|
|
Treatment of urethra lesion
|
$125.40 |
$125.40 |
$125.40 |
$3,817.53
|
|
Treatment x10sv retinopathy
|
$210.60 |
$210.60 |
$210.60 |
$1,513.20
|
|
Treat metacarpal fracture
|
$347.20 |
$347.20 |
$347.20 |
$3,977.49
|
|
Treat metacarpal fracture
|
$412.40 |
$412.40 |
$412.40 |
$5,464.97
|
|
Treat metatarsal fracture
|
$284.60 |
$284.60 |
$284.60 |
$3,839.54
|
|
Treat metatarsal fracture
|
$400.40 |
$400.40 |
$400.40 |
$8,453.60
|
|
Treat midfoot fracture each
|
$455.60 |
$455.60 |
$455.60 |
$6,192.78
|
|
Treat neck spine fracture
|
$1,018.20 |
$1,018.20 |
$1,018.20 |
$3,572.80
|
|
Treat pelvic fracture(s)
|
$47.20 |
$47.20 |
$47.20 |
$1,506.40
|
|
Treat pelvic ring fracture
|
$499.80 |
$499.80 |
$499.80 |
$2,727.20
|
|
Treat radius fracture
|
$467.60 |
$467.60 |
$467.60 |
$7,807.24
|
|
Treat radius fracture
|
$515.60 |
$515.60 |
$515.60 |
$14,061.89
|
|
Treat slipped epiphysis
|
$642.40 |
$642.40 |
$642.40 |
$4,499.12
|
|
Treat spine fracture
|
$1,004.80 |
$1,004.80 |
$1,004.80 |
$3,485.60
|
|
Treat thigh fracture
|
$348.60 |
$348.60 |
$348.60 |
$661.00
|
|
Treat thigh fracture
|
$629.40 |
$629.40 |
$629.40 |
$6,510.40
|
|
Treat thigh fracture
|
$823.00 |
$823.00 |
$823.00 |
$4,083.00
|
|
Treat thigh fracture
|
$334.80 |
$334.80 |
$334.80 |
$1,893.86
|
|
Treat thigh fracture
|
$845.20 |
$845.20 |
$845.20 |
$4,726.80
|
|
Treat thigh fracture
|
$280.00 |
$280.00 |
$280.00 |
$618.80
|
|
Treat thigh fracture
|
$516.60 |
$516.60 |
$516.60 |
$2,802.80
|
|
Treat thigh fracture
|
$662.40 |
$662.40 |
$662.40 |
$2,032.10
|
|
Treat thigh fracture
|
$846.20 |
$846.20 |
$846.20 |
$3,580.50
|
|
Treat thorax spine fracture
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$3,624.00
|
|
Treat thumb fracture
|
$349.60 |
$349.60 |
$349.60 |
$2,508.80
|
|
Treat thumb fracture
|
$449.40 |
$449.40 |
$449.40 |
$3,786.00
|
|
Treat toe dislocation
|
$158.60 |
$158.60 |
$158.60 |
$3,839.54
|
|
Treat toe fracture
|
$286.80 |
$286.80 |
$286.80 |
$3,839.54
|
|
Treat ulnar fracture
|
$463.60 |
$463.60 |
$463.60 |
$5,926.25
|
|
Treat vaginal bleeding
|
$84.00 |
$84.00 |
$84.00 |
$379.60
|
|
Treat wrist bone fracture
|
$310.00 |
$310.00 |
$310.00 |
$1,548.40
|
|
Treat wrist dislocation
|
$301.00 |
$301.00 |
$301.00 |
$656.25
|
|
Treponema pallidum antibody
|
$64.20 |
$64.20 |
$64.20 |
$70.40
|
|
Trg gene rearrangement anal
|
$52.00 |
$52.00 |
$52.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$19.40 |
$19.40 |
$19.40 |
$43.21
|
|
Triamcinolone diacetate inj
|
$14.00 |
$14.00 |
$14.00 |
$3.60
|
|
Triamcinolone hexacetonl inj
|
$3.80 |
$3.80 |
$3.80 |
$21.36
|
|
#tricyclicantidprssnt
|
$114.40 |
$114.40 |
$114.40 |
$50.86
|
|
Triglycerides
|
$28.00 |
$28.00 |
$28.00 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$24.20 |
$24.20 |
$24.20 |
$117.49
|
|
Trim nail(s)
|
$152.80 |
$152.80 |
$152.80 |
$79.00
|
|
Trim nondyst nails
|
$225.20 |
$225.20 |
$225.20 |
$113.40
|
|
Trluml dil aq o/f can without st
|
$438.00 |
$438.00 |
$438.00 |
$5,419.00
|
|
Trluml dil aq o/f can w/st
|
$506.20 |
$506.20 |
$506.20 |
$4,928.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$373.80 |
$373.80 |
$373.80 |
$754.80
|
|
Trnscath plc stent crv crtd w/prtct
|
$631.40 |
$631.40 |
$631.40 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$133.60 |
$133.60 |
$133.60 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$96.80 |
$96.80 |
$96.80 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$197.20 |
$197.20 |
$197.20 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$195.00 |
$195.00 |
$195.00 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$248.60 |
$248.60 |
$248.60 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$148.80 |
$148.80 |
$148.80 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$78.60 |
$78.60 |
$78.60 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$218.40 |
$218.40 |
$218.40 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$619.40 |
$619.40 |
$619.40 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$144.40 |
$144.40 |
$144.40 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$545.20 |
$545.20 |
$545.20 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$574.20 |
$574.20 |
$574.20 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$497.60 |
$497.60 |
$497.60 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$454.80 |
$454.80 |
$454.80 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$452.40 |
$452.40 |
$452.40 |
$2,406.77
|
|
Troponin quantitative
|
$77.20 |
$77.20 |
$77.20 |
$127.20
|
|
Trurl dstrj prst8 tiss rf wv
|
$267.00 |
$267.00 |
$267.00 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$722.00 |
$722.00 |
$722.00 |
$2,012.40
|
|
Tubal Ligation (Laparoscopic)
|
$255.00 |
$255.00 |
$255.00 |
$4,323.20
|
|
Tvh >250 gms 58290
|
$778.40 |
$778.40 |
$778.40 |
$6,872.92
|