|
Treat thigh fracture
|
$430.05 |
$430.05 |
$430.05 |
$2,802.80
|
|
Treat thigh fracture
|
$702.75 |
$702.75 |
$702.75 |
$3,580.50
|
|
Treat thigh fx growth plate
|
$1,052.80 |
$1,052.80 |
$1,052.80 |
$475.68
|
|
Treat thigh fx growth plate
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$1,938.38
|
|
Treat thumb fracture
|
$2,508.80 |
$2,508.80 |
$2,508.80 |
$2,508.80
|
|
Treat thumb fracture
|
$379.20 |
$379.20 |
$3,147.20 |
$3,786.00
|
|
Treat toe dislocation
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Treat toe dislocation
|
$890.40 |
$890.40 |
$890.40 |
$756.39
|
|
Treat toe dislocation
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,821.05
|
|
Treat toe fracture
|
$2,508.80 |
$2,508.80 |
$2,508.80 |
$3,839.54
|
|
Treat trigeminal nerve
|
$5,924.80 |
$5,924.80 |
$5,924.80 |
$3,754.40
|
|
Treat trigeminal tract
|
$7,106.40 |
$7,106.40 |
$7,106.40 |
$4,350.00
|
|
Treat ulnar fracture
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$1,662.00
|
|
Treat ulnar fracture
|
$390.15 |
$390.15 |
$19,857.60 |
$5,926.25
|
|
Treat vaginal bleeding
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$379.60
|
|
Treat wrist bone fracture
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$1,548.40
|
|
Treat wrist dislocation
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$66,774.33 |
$66,774.33 |
$66,774.33 |
$73,346.25
|
|
Treponema pallidum ag if
|
$33.60 |
$33.60 |
$33.60 |
$33.60
|
|
Treponema pallidum antibody
|
$26.25 |
$26.25 |
$57.68 |
$70.40
|
|
Treprostinil injection
|
$20,538.91 |
$20,538.91 |
$20,538.91 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$39.00 |
$39.00 |
$543.20 |
$455.70
|
|
Trh stimulation panel
|
$655.20 |
$655.20 |
$655.20 |
$117.75
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$8.33 |
$8.33 |
$17.70 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$219.45 |
$219.45 |
$219.45 |
$223.56
|
|
Triamcinolone hexacetonl inj
|
$21.36 |
$21.36 |
$21.36 |
$21.36
|
|
Trichinella antibody
|
$14.24 |
$14.24 |
$51.52 |
$70.20
|
|
Trichomonas assay w/optic
|
$54.32 |
$54.32 |
$54.32 |
$55.50
|
|
#tricyclicantidprssnt
|
$8.70 |
$8.70 |
$16.24 |
$50.86
|
|
Triglycerides
|
$29.70 |
$29.70 |
$91.84 |
$58.05
|
|
Trimethobenzamide hci 250mg
|
$14.00 |
$14.00 |
$14.00 |
$14.00
|
|
Trimethobenzamide hcl inj
|
$72.06 |
$72.06 |
$72.06 |
$117.49
|
|
Trim nail(s)
|
$459.20 |
$459.20 |
$459.20 |
$79.00
|
|
Trim nondyst nails
|
$280.00 |
$280.00 |
$280.00 |
$113.40
|
|
Triptorelin pamoate
|
$9,604.29 |
$9,604.29 |
$9,604.29 |
$4,619.39
|
|
Trluml dil aq o/f can without st
|
$10,365.60 |
$10,365.60 |
$10,365.60 |
$5,419.00
|
|
Trluml dil aq o/f can w/st
|
$4,642.40 |
$4,642.40 |
$4,642.40 |
$4,928.00
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$27,798.40 |
$27,798.40 |
$27,798.40 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$492.80 |
$492.80 |
$492.80 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$2,284.65 |
$2,284.65 |
$6,165.60 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$1,976.80 |
$1,976.80 |
$4,917.15 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$4,911.20 |
$4,911.20 |
$4,911.20 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$3,627.60 |
$3,627.60 |
$12,908.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$481.80 |
$481.80 |
$18,642.40 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$8,124.00 |
$8,124.00 |
$32,760.00 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,573.40 |
$2,573.40 |
$10,679.20 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,052.95 |
$3,052.95 |
$4,614.40 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,083.45 |
$1,083.45 |
$7,033.60 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,083.45 |
$1,083.45 |
$7,033.60 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$2,677.65 |
$2,677.65 |
$3,528.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$11,132.80 |
$11,132.80 |
$11,132.80 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$4,418.40 |
$4,418.40 |
$4,418.40 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$7,571.20 |
$7,571.20 |
$7,571.20 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$6,720.00 |
$6,720.00 |
$6,720.00 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$6,725.60 |
$6,725.60 |
$6,725.60 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$5,504.80 |
$5,504.80 |
$5,504.80 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$299.10 |
$299.10 |
$8,741.60 |
$2,406.77
|
|
Trnsplj pd lvr&bwl cd154+cll
|
$739.20 |
$739.20 |
$739.20 |
$704.80
|
|
Trnspl rej kdn mrna qpcr 139
|
$3,232.32 |
$3,232.32 |
$3,232.32 |
$3,232.32
|
|
Troponin quantitative
|
$95.55 |
$95.55 |
$285.60 |
$127.20
|
|
Tr retinal les preterm inf
|
$2,951.20 |
$2,951.20 |
$2,951.20 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$4,228.00 |
$4,228.00 |
$4,228.00 |
$4,228.00
|
|
Truskin, per sq centimeter
|
$0.56 |
$0.56 |
$0.56 |
$230.63
|
|
Truss addition to std pad wa
|
$81.20 |
$81.20 |
$81.20 |
$81.20
|
|
Truss add to std pad scrotal
|
$75.60 |
$75.60 |
$75.60 |
$75.60
|
|
Truss double with standard pad
|
$201.60 |
$201.60 |
$201.60 |
$201.60
|
|
Truss single with standard pad
|
$128.80 |
$128.80 |
$128.80 |
$128.80
|
|
Tte w or without contr, cont ecg
|
$3,158.40 |
$3,158.40 |
$3,158.40 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$2,542.40 |
$2,542.40 |
$2,542.40 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$3,046.40 |
$3,046.40 |
$3,046.40 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$2,542.40 |
$2,542.40 |
$2,542.40 |
$1,077.92
|
|
Tubal Ligation (Laparoscopic)
|
$4,323.20 |
$4,323.20 |
$4,323.20 |
$4,323.20
|
|
Tube trach disp innr can 5 xlt
|
$170.24 |
$170.24 |
$170.24 |
$445.99
|
|
Tube trach disp innr can 6 xlt
|
$212.80 |
$212.80 |
$212.80 |
$16.80
|
|
Tube trach fen sz 6 uncuffed
|
$330.44 |
$330.44 |
$330.44 |
$155.98
|
|
Tumor cell deplete of harvst
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$1,315.60
|
|
Tvh >250 gms 58290
|
$13,647.20 |
$13,647.20 |
$13,647.20 |
$6,872.92
|
|
Twelve volt battery utah/equ
|
$534.80 |
$534.80 |
$534.80 |
$534.80
|
|
Tx atrial fib pulm vein isol
|
$14,984.10 |
$14,984.10 |
$39,104.80 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$244.95 |
$244.95 |
$5,359.20 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$203.40 |
$203.40 |
$1,125.60 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$944.00
|
|
Tx contour defects 1.1-5.0cc 11951
|
$2,122.40 |
$2,122.40 |
$2,122.40 |
$804.23
|
|
Tx l/r atrial fib addl
|
$4,799.20 |
$4,799.20 |
$5,009.10 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$441.30 |
$441.30 |
$10,690.40 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$7,991.20 |
$7,991.20 |
$7,991.20 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$333.45 |
$333.45 |
$9,357.60 |
$4,421.00
|
|
Tx open nsl fx uncomp
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$358.65 |
$358.65 |
$10,925.60 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$1,047.20 |
$1,047.20 |
$1,047.20 |
$416.16
|
|
Tympanic membrane repair
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$2,638.87
|
|
Tympanolysis transcanal 69450
|
$5,325.60 |
$5,325.60 |
$5,325.60 |
$3,837.72
|
|
Tympanometry & reflex thresh
|
$509.60 |
$509.60 |
$509.60 |
$170.00
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$2,088.80 |
$2,088.80 |
$2,088.80 |
$911.43
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,839.00
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$7,000.36
|
