|
Treat kneecap fracture
|
$791.40 |
$791.40 |
$791.40 |
$6,311.00
|
|
Treat knee dislocation
|
$675.00 |
$675.00 |
$675.00 |
$2,220.89
|
|
Treat knee fracture
|
$925.80 |
$925.80 |
$925.80 |
$3,486.60
|
|
Treat knee fracture
|
$1,230.90 |
$1,230.90 |
$1,230.90 |
$4,521.40
|
|
Treat knee fracture
|
$854.10 |
$854.10 |
$854.10 |
$2,938.00
|
|
Treat knee fracture 27530
|
$345.30 |
$345.30 |
$345.30 |
$550.00
|
|
Treat knuckle dislocation
|
$435.30 |
$435.30 |
$435.30 |
$1,523.90
|
|
Treat knuckle dislocation
|
$615.90 |
$615.90 |
$615.90 |
$4,332.00
|
|
Treat lower jaw fracture 21462
|
$1,233.90 |
$1,233.90 |
$1,233.90 |
$7,000.36
|
|
Treat lower leg bone lesion
|
$626.10 |
$626.10 |
$626.10 |
$3,977.49
|
|
Treat lower leg dislocation
|
$800.10 |
$800.10 |
$800.10 |
$6,311.00
|
|
Treat lower leg fracture
|
$897.30 |
$897.30 |
$897.30 |
$6,475.41
|
|
Treat lower leg fracture
|
$1,172.70 |
$1,172.70 |
$1,172.70 |
$14,241.77
|
|
Treat lower leg fracture
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$12,653.00
|
|
Treat lower leg joint
|
$745.50 |
$745.50 |
$745.50 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$877.20 |
$877.20 |
$877.20 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$1,109.70 |
$1,109.70 |
$1,109.70 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$789.00 |
$789.00 |
$789.00 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$310.20 |
$310.20 |
$310.20 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$164.10 |
$164.10 |
$164.10 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$15.90 |
$15.90 |
$15.90 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$294.90 |
$294.90 |
$294.90 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$396.00 |
$396.00 |
$396.00 |
$3,982.44
|
|
Treatment mouth roof lesion
|
$240.00 |
$240.00 |
$240.00 |
$4,256.70
|
|
Treatment of ankle fracture
|
$679.50 |
$679.50 |
$679.50 |
$8,412.89
|
|
Treatment of ankle fracture
|
$801.30 |
$801.30 |
$801.30 |
$8,453.60
|
|
Treatment of ankle fracture
|
$916.80 |
$916.80 |
$916.80 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,029.30 |
$1,029.30 |
$1,029.30 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$476.40 |
$476.40 |
$476.40 |
$520.80
|
|
Treatment of fibula fracture
|
$747.90 |
$747.90 |
$747.90 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$346.50 |
$346.50 |
$346.50 |
$491.50
|
|
Treatment of foot infection
|
$144.60 |
$144.60 |
$144.60 |
$2,614.25
|
|
Treatment of foot infection
|
$392.10 |
$392.10 |
$392.10 |
$3,821.05
|
|
Treatment of heel fracture 28400
|
$275.40 |
$275.40 |
$275.40 |
$473.00
|
|
Treatment of miscarriage
|
$383.70 |
$383.70 |
$383.70 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$276.90 |
$276.90 |
$276.90 |
$3,589.62
|
|
Treatment of penis lesion
|
$645.60 |
$645.60 |
$645.60 |
$4,081.37
|
|
Treatment of penis lesion
|
$446.70 |
$446.70 |
$446.70 |
$3,515.40
|
|
Treatment of retinal lesion
|
$522.60 |
$522.60 |
$522.60 |
$1,033.14
|
|
Treatment of thigh fracture
|
$1,384.50 |
$1,384.50 |
$1,384.50 |
$5,109.00
|
|
Treatment of thigh fracture
|
$567.60 |
$567.60 |
$567.60 |
$548.90
|
|
Treatment of thigh fracture
|
$717.60 |
$717.60 |
$717.60 |
$6,389.60
|
|
Treatment of thigh fracture
|
$711.00 |
$711.00 |
$711.00 |
$1,772.97
|
|
Treatment of thigh fracture
|
$1,024.20 |
$1,024.20 |
$1,024.20 |
$3,409.00
|
|
Treatment of thigh fracture
|
$1,000.20 |
$1,000.20 |
$1,000.20 |
$3,764.80
|
|
Treatment of thigh fracture
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$5,505.50
|
|
Treatment of thigh fracture
|
$995.40 |
$995.40 |
$995.40 |
$3,796.00
|
|
Treatment of tibia fracture
|
$626.10 |
$626.10 |
$626.10 |
$6,183.84
|
|
Treatment of tibia fracture
|
$937.20 |
$937.20 |
$937.20 |
$8,665.60
|
|
Treatment of tibia fracture
|
$1,036.50 |
$1,036.50 |
$1,036.50 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$135.30 |
$135.30 |
$135.30 |
$369.70
|
|
Treatment of urethra lesion
|
$188.10 |
$188.10 |
$188.10 |
$3,817.53
|
|
Treatment x10sv retinopathy
|
$315.90 |
$315.90 |
$315.90 |
$1,513.20
|
|
Treat metacarpal fracture
|
$520.80 |
$520.80 |
$520.80 |
$3,977.49
|
|
Treat metacarpal fracture
|
$618.60 |
$618.60 |
$618.60 |
$5,464.97
|
|
Treat metatarsal fracture
|
$426.90 |
$426.90 |
$426.90 |
$3,839.54
|
|
Treat metatarsal fracture
|
$600.60 |
$600.60 |
$600.60 |
$8,453.60
|
|
Treat midfoot fracture each
|
$683.40 |
$683.40 |
$683.40 |
$6,192.78
|
|
Treat neck spine fracture
|
$1,527.30 |
$1,527.30 |
$1,527.30 |
$3,572.80
|
|
Treat pelvic fracture(s)
|
$70.80 |
$70.80 |
$70.80 |
$1,506.40
|
|
Treat pelvic ring fracture
|
$749.70 |
$749.70 |
$749.70 |
$2,727.20
|
|
Treat radius fracture
|
$701.40 |
$701.40 |
$701.40 |
$7,807.24
|
|
Treat radius fracture
|
$773.40 |
$773.40 |
$773.40 |
$14,061.89
|
|
Treat slipped epiphysis
|
$963.60 |
$963.60 |
$963.60 |
$4,499.12
|
|
Treat spine fracture
|
$1,507.20 |
$1,507.20 |
$1,507.20 |
$3,485.60
|
|
Treat thigh fracture
|
$522.90 |
$522.90 |
$522.90 |
$661.00
|
|
Treat thigh fracture
|
$944.10 |
$944.10 |
$944.10 |
$6,510.40
|
|
Treat thigh fracture
|
$1,234.50 |
$1,234.50 |
$1,234.50 |
$4,083.00
|
|
Treat thigh fracture
|
$502.20 |
$502.20 |
$502.20 |
$1,893.86
|
|
Treat thigh fracture
|
$1,267.80 |
$1,267.80 |
$1,267.80 |
$4,726.80
|
|
Treat thigh fracture
|
$420.00 |
$420.00 |
$420.00 |
$618.80
|
|
Treat thigh fracture
|
$774.90 |
$774.90 |
$774.90 |
$2,802.80
|
|
Treat thigh fracture
|
$993.60 |
$993.60 |
$993.60 |
$2,032.10
|
|
Treat thigh fracture
|
$1,269.30 |
$1,269.30 |
$1,269.30 |
$3,580.50
|
|
Treat thorax spine fracture
|
$1,563.30 |
$1,563.30 |
$1,563.30 |
$3,624.00
|
|
Treat thumb fracture
|
$524.40 |
$524.40 |
$524.40 |
$2,508.80
|
|
Treat thumb fracture
|
$674.10 |
$674.10 |
$674.10 |
$3,786.00
|
|
Treat toe dislocation
|
$237.90 |
$237.90 |
$237.90 |
$3,839.54
|
|
Treat toe fracture
|
$430.20 |
$430.20 |
$430.20 |
$3,839.54
|
|
Treat ulnar fracture
|
$695.40 |
$695.40 |
$695.40 |
$5,926.25
|
|
Treat vaginal bleeding
|
$126.00 |
$126.00 |
$126.00 |
$379.60
|
|
Treat wrist bone fracture
|
$465.00 |
$465.00 |
$465.00 |
$1,548.40
|
|
Treat wrist dislocation
|
$451.50 |
$451.50 |
$451.50 |
$656.25
|
|
Treponema pallidum antibody
|
$90.90 |
$90.90 |
$90.90 |
$70.40
|
|
Trg gene rearrangement anal
|
$78.00 |
$78.00 |
$78.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$29.10 |
$29.10 |
$29.10 |
$43.21
|
|
Triamcinolone diacetate inj
|
$21.00 |
$21.00 |
$21.00 |
$3.60
|
|
Triamcinolone hexacetonl inj
|
$5.70 |
$5.70 |
$5.70 |
$21.36
|
|
#tricyclicantidprssnt
|
$42.38 |
$42.38 |
$42.38 |
$50.86
|
|
Triglycerides
|
$58.50 |
$58.50 |
$58.50 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$36.30 |
$36.30 |
$36.30 |
$117.49
|
|
Trim nail(s)
|
$229.20 |
$229.20 |
$229.20 |
$79.00
|
|
Trim nondyst nails
|
$23.10 |
$23.10 |
$23.10 |
$113.40
|
|
Trluml dil aq o/f can without st
|
$657.00 |
$657.00 |
$657.00 |
$5,419.00
|
|
Trluml dil aq o/f can w/st
|
$759.30 |
$759.30 |
$759.30 |
$4,928.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$560.70 |
$560.70 |
$560.70 |
$754.80
|
|
Trnscath plc stent crv crtd w/prtct
|
$947.10 |
$947.10 |
$947.10 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$200.40 |
$200.40 |
$200.40 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$145.20 |
$145.20 |
$145.20 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$295.80 |
$295.80 |
$295.80 |
$15,330.11
|
