|
Treat foot dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$527.28
|
|
Treat foot dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$478.40
|
|
Treat foot dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$404.04
|
|
Treat fracture of radius
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$2,030.33
|
|
Treat fracture of radius
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$2,316.75
|
|
Treat fracture of ulna
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$766.72
|
|
Treat hand bone lesion
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
|
Treat hand dislocation
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
|
Treat heel fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,907.11
|
|
Treat hip dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,561.90
|
|
Treat hip dislocation
|
$8,552.69 |
$8,552.69 |
$8,552.69 |
$3,152.05
|
|
Treat hip socket fracture
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$1,340.10
|
|
Treat humerus fracture
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,950.60
|
|
Treat humerus fracture
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,045.35
|
|
Treat humerus fracture
|
$37,605.75 |
$37,605.75 |
$37,605.75 |
$14,061.89
|
|
Treat kneecap dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$1,351.35
|
|
Treat knee dislocation
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,592.08
|
|
Treat knee fracture 27530
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$580.20
|
|
Treat knee fracture(s)
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$642.00
|
|
Treat knuckle dislocation
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$1,893.86
|
|
Treat lower leg dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$532.60
|
|
Treat lower leg dislocation
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$4,350.00
|
|
Treat lower leg fracture
|
$38,029.94 |
$38,029.94 |
$38,029.94 |
$12,905.86
|
|
Treat lower leg joint
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$8,370.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$755.41 |
$755.41 |
$755.41 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$604.33 |
$604.33 |
$604.33 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$581.00 |
$581.00 |
$581.00 |
$210.00
|
|
Treatment of ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,907.11
|
|
Treatment of ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,907.11
|
|
Treatment of ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,348.32
|
|
Treatment of ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,807.24
|
|
Treatment of ankle fracture 27786
|
$550.94 |
$550.94 |
$550.94 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$558.75
|
|
Treatment of heel fracture 28400
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$494.00
|
|
Treatment of thigh fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$467.25
|
|
Treatment of thigh fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$1,893.86
|
|
Treatment of thigh fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$659.00
|
|
Treatment of thigh fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,055.00
|
|
Treatment of toe fracture 28510
|
$812.54 |
$812.54 |
$812.54 |
$371.40
|
|
Treatment radiation delivery level 2
|
$2,197.00 |
$2,197.00 |
$2,197.00 |
$735.00
|
|
Treat metacarpal fracture
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,958.50
|
|
Treat metacarpal fracture
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$4,627.00
|
|
Treat metatarsal fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,913.97
|
|
Treat midfoot fracture each
|
$5,498.16 |
$5,498.16 |
$5,498.16 |
$1,893.86
|
|
Treat midfoot fracture each
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$6,192.78
|
|
Treat radius fracture
|
$37,605.75 |
$37,605.75 |
$37,605.75 |
$9,499.20
|
|
Treat sternum fracture
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$423.00
|
|
Treat thigh fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$661.00
|
|
Treat thigh fracture
|
$11,270.44 |
$11,270.44 |
$11,270.44 |
$2,021.04
|
|
Treat thigh fracture
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$716.95
|
|
Treat thigh fracture
|
$22,572.22 |
$22,572.22 |
$22,572.22 |
$2,090.14
|
|
Treat thigh fx growth plate
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$421.50
|
|
Treat thigh fx growth plate
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$1,938.38
|
|
Treat toe dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$3,839.54
|
|
Treat toe dislocation
|
$749.52 |
$749.52 |
$749.52 |
$855.66
|
|
Treat toe fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$3,981.06
|
|
Treat ulnar fracture
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,861.60
|
|
Treat vaginal bleeding
|
$860.33 |
$860.33 |
$860.33 |
$400.86
|
|
Treat wrist bone fracture
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$1,907.64
|
|
Treat wrist dislocation
|
$2,126.45 |
$2,126.45 |
$2,126.45 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$170,352.16 |
$170,352.16 |
$170,352.16 |
$101,032.80
|
|
Treponema pallidum antibody
|
$191.03 |
$191.03 |
$191.03 |
$72.80
|
|
Trg gene rearrangement anal
|
$2,992.34 |
$2,992.34 |
$2,992.34 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$493.38 |
$493.38 |
$493.38 |
$55.80
|
|
Trichinella antibody
|
$247.29 |
$247.29 |
$247.29 |
$70.65
|
|
Trichomonas assay w/optic
|
$190.79 |
$190.79 |
$190.79 |
$66.00
|
|
#tricyclicantidprssnt
|
$159.31 |
$159.31 |
$159.31 |
$57.08
|
|
Triglycerides
|
$114.78 |
$114.78 |
$114.78 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$1,334.45 |
$1,334.45 |
$1,334.45 |
$128.00
|
|
Trim nondyst nails
|
$257.03 |
$257.03 |
$257.03 |
$124.22
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$18,801.65 |
$18,801.65 |
$18,801.65 |
$15,111.95
|
|
Trml dstrj ios bvn ea addl
|
$7,080.00 |
$7,080.00 |
$7,080.00 |
$9,781.50
|
|
Trmt of fracture (femoral shaft) 27500
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$777.00
|
|
Trnscath plc stent crv crtd without prtct
|
$47,065.17 |
$47,065.17 |
$47,065.17 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$11,309.72 |
$11,309.72 |
$11,309.72 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$16,163.27 |
$16,163.27 |
$16,163.27 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$25,704.83 |
$25,704.83 |
$25,704.83 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$31,841.74 |
$31,841.74 |
$31,841.74 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$34,919.22 |
$34,919.22 |
$34,919.22 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$18,710.40 |
$18,710.40 |
$18,710.40 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$9,184.34 |
$9,184.34 |
$9,184.34 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$11,836.73 |
$11,836.73 |
$11,836.73 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$18,710.40 |
$18,710.40 |
$18,710.40 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$22,194.66 |
$22,194.66 |
$22,194.66 |
$4,329.36
|
|
Troponin quantitative
|
$249.45 |
$249.45 |
$249.45 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$4,515.64 |
$4,515.64 |
$4,515.64 |
$1,582.75
|
|
Tubal Ligation (Laparoscopic)
|
$15,191.33 |
$15,191.33 |
$15,191.33 |
$4,948.77
|
|
Tx atrial fib pulm vein isol
|
$57,603.19 |
$57,603.19 |
$57,603.19 |
$32,426.20
|
|
Tx closed distal humerus fx
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$786.00
|
|
Tx closed hip disl traumatic without anes
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$657.28
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,874.79
|
|
Tx closed tib shaft fx without manip
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$635.46
|
|
Tx contour defects >10.0 cc
|
$1,693.24 |
$1,693.24 |
$1,693.24 |
$755.08
|
|
Tx contour defects 1.1-5.0cc 11951
|
$1,693.24 |
$1,693.24 |
$1,693.24 |
$724.37
|
|
Tx l/r atrial fib addl
|
$21,079.53 |
$21,079.53 |
$21,079.53 |
$7,717.80
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$10,807.53 |
$10,807.53 |
$10,807.53 |
$4,499.12
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$4,499.12
|
