|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$42.04 |
$422.76 |
$497.65 |
|
|
Treatment missed abortion completed surgically 1st trimester
|
$9,383.00 |
$9,383.00 |
$9,383.00 |
|
|
Treatment of anal fissure w/dilat 46940
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
|
Treatment of ankle fracture
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Treatment of ankle fracture
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Treatment of ankle fracture
|
$7,906.00 |
$7,906.00 |
$64,410.91 |
|
|
Treatment of ankle fracture
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Treatment of ankle fracture 27786
|
$615.03 |
$858.00 |
$4,862.00 |
|
|
Treatment of choroid lesion
|
$722.28 |
$722.28 |
$722.28 |
|
|
Treatment of fibula fracture
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Treatment of fibula fracture 27780
|
$806.13 |
$806.13 |
$4,609.00 |
|
|
Treatment of foot infection
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Treatment of foot infection
|
$6,318.00 |
$6,318.00 |
$6,318.00 |
|
|
Treatment of heel fracture 28400
|
$858.00 |
$900.51 |
$4,609.00 |
|
|
Treatment of miscarriage
|
$10,666.00 |
$10,666.00 |
$10,666.00 |
|
|
Treatment of mouth lesion physical 40820
|
$8,466.00 |
$8,466.00 |
$8,466.00 |
|
|
Treatment of penis lesion
|
$8,040.00 |
$8,040.00 |
$8,040.00 |
|
|
Treatment of rectal prolapse
|
$2,516.00 |
$2,516.00 |
$2,516.00 |
|
|
Treatment of retinal lesion
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
|
|
Treatment of retinal lesion
|
$673.53 |
$673.53 |
$3,920.00 |
|
|
Treatment of retinal lesion
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
|
|
Treatment of thigh fracture
|
$419.64 |
$419.64 |
$864.00 |
|
|
Treatment of thigh fracture
|
$917.28 |
$917.28 |
$5,805.00 |
|
|
Treatment of thigh fracture
|
$289.38 |
$289.38 |
$858.00 |
|
|
Treatment of thigh fracture
|
$6,651.45 |
$6,651.45 |
$7,906.00 |
|
|
Treatment of thigh fracture
|
$1,495.26 |
$1,495.26 |
$19,265.30 |
|
|
Treatment of tibia fracture
|
$6,183.84 |
$6,183.84 |
$6,183.84 |
|
|
Treatment of tibia fracture
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Treatment of toe fracture 28510
|
$858.00 |
$900.51 |
$6,336.00 |
|
|
Treatment of urethra lesion
|
$1,659.84 |
$1,659.84 |
$1,659.84 |
|
|
Treatment of urethra lesion
|
$2,751.84 |
$2,751.84 |
$8,241.00 |
|
|
Treatment of urethra lesion
|
$1,659.84 |
$1,659.84 |
$1,659.84 |
|
|
Treatment radiation delivery level 2
|
$237.99 |
$378.69 |
$3,507.46 |
|
|
Treatment x10sv retinopathy
|
$1,183.26 |
$1,183.26 |
$3,920.00 |
|
|
Treat metacarpal fracture
|
$6,183.84 |
$6,183.84 |
$9,791.00 |
|
|
Treat metacarpal fracture
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Treat metatarsal fracture
|
$14,239.29 |
$14,239.29 |
$14,239.29 |
|
|
Treat metatarsal fracture
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Treat midfoot fracture each
|
$973.44 |
$973.44 |
$6,307.00 |
|
|
Treat midfoot fracture each
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Treat penis lesion graft
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
|
|
Treat penis lesion graft
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
|
|
Treat radius fracture
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Treat radius fracture
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Treat spinal cord lesion
|
$2,420.73 |
$2,420.73 |
$2,420.73 |
|
|
Treat thigh fracture
|
$262.86 |
$262.86 |
$858.00 |
|
|
Treat thigh fracture
|
$3,446.82 |
$3,446.82 |
$5,763.00 |
|
|
Treat thigh fracture
|
$560.82 |
$560.82 |
$858.00 |
|
|
Treat thigh fx growth plate
|
$858.00 |
$858.00 |
$858.00 |
|
|
Treat thigh fx growth plate
|
$2,048.67 |
$2,048.67 |
$5,805.00 |
|
|
Treat thumb fracture
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Treat thumb fracture
|
$8,241.00 |
$8,241.00 |
$11,959.00 |
|
|
Treat toe dislocation
|
$1,608.74 |
$1,608.74 |
$1,608.74 |
|
|
Treat toe dislocation
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Treat toe fracture
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Treat ulnar fracture
|
$1,118.91 |
$1,118.91 |
$8,962.32 |
|
|
Treat ulnar fracture
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Treat vaginal bleeding
|
$716.00 |
$716.00 |
$716.00 |
|
|
Treat wrist bone fracture
|
$3,082.17 |
$3,082.17 |
$4,862.00 |
|
|
Treat wrist dislocation
|
$806.13 |
$858.00 |
$4,815.00 |
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$301.40 |
$301.40 |
$144,644.95 |
|
|
Treponema pallidum antibody
|
$36.12 |
$62.94 |
$709.61 |
|
|
Treprostinil injection
|
$245.34 |
$245.34 |
$29,031.72 |
|
|
Treprostinil, non-comp unit
|
$20.37 |
$20.37 |
$28.10 |
|
|
Trg gene rearrangement anal
|
$352.59 |
$636.87 |
$10,799.53 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$39.31 |
$583.50 |
$583.50 |
|
|
Triamcinolone a inj prs-free
|
$676.59 |
$676.59 |
$676.59 |
|
|
Trichinella antibody
|
$49.44 |
$268.32 |
$325.00 |
|
|
Triglycerides
|
$15.40 |
$76.44 |
$376.07 |
|
|
Trimethobenzamide hcl inj
|
$221.42 |
$227.97 |
$1,256.80 |
|
|
Trim nondyst nails
|
$109.16 |
$320.00 |
$471.12 |
|
|
Triptorelin pamoate
|
$2,194.93 |
$2,194.93 |
$13,158.10 |
|
|
Trluml dil aq o/f can without st
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
|
|
Trluml dil aq o/f can w/st
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$34,758.00 |
$34,758.00 |
$34,758.00 |
|
|
Trml dstrj ios bvn ea addl
|
$17,379.00 |
$17,379.00 |
$17,379.00 |
|
|
Trmt of fracture (femoral shaft) 27500
|
$858.00 |
$3,446.82 |
$3,446.82 |
|
|
Trnscath plc stent crv crtd without prtct
|
$1,389.13 |
$7,795.71 |
$21,939.04 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$1,389.13 |
$8,486.40 |
$24,150.00 |
|
|
Trnscath plc stnt ante carotid art
|
$4,865.00 |
$5,960.76 |
$5,960.76 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$784.40 |
$5,630.43 |
$8,723.00 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$737.64 |
$5,630.43 |
$8,723.00 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$7,773.09 |
$7,773.09 |
$12,291.40 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,225.22 |
$5,555.55 |
$8,811.00 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,375.22 |
$6,542.64 |
$11,000.00 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,375.22 |
$7,852.26 |
$17,761.10 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,375.22 |
$7,852.26 |
$7,852.26 |
|
|
Trnscath tx thromblytc vein ini day
|
$1,375.22 |
$7,852.26 |
$11,645.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$4,128.93 |
$4,128.93 |
$16,385.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$2,786.55 |
$2,786.55 |
$13,654.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,454.27 |
$2,454.27 |
$7,906.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,051.79 |
$2,051.79 |
$7,906.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,786.55 |
$2,786.55 |
$7,906.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$2,328.30 |
$2,328.30 |
$7,906.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$2,190.24 |
$2,190.24 |
$5,810.00 |
|
|
Trnsplj pd lvr&bwl cd154+cll
|
$30.42 |
$30.42 |
$30.42 |
|
|
Troponin quantitative
|
$58.00 |
$190.32 |
$1,376.01 |
|
|
Trurl dstrj prst8 tiss rf wv
|
$4,912.83 |
$4,912.83 |
$4,912.83 |
|
|
Tte w or without contr, cont ecg
|
$1,501.11 |
$1,501.11 |
$5,737.00 |
|
|
Tte w or without fol w/con,stres
|
$992.20 |
$1,305.33 |
$5,523.00 |
|