|
Tracheostoma revision; simple, without flap rotation
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$124.00 |
$124.00 |
$124.00 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$971.20 |
$971.20 |
$971.20 |
$678.70
|
|
Transab esoph hiat hern repair 43332
|
$2,835.20 |
$2,835.20 |
$2,835.20 |
$2,835.20
|
|
Transab esoph hiat hern rpr
|
$3,096.80 |
$3,096.80 |
$3,096.80 |
$3,096.80
|
|
Transcath biopsy
|
$558.40 |
$558.40 |
$558.40 |
$4,285.93
|
|
Transcath closure of asd
|
$2,110.40 |
$2,110.40 |
$2,110.40 |
$17,352.58
|
|
Transcath closure of vsd
|
$2,861.60 |
$2,861.60 |
$2,861.60 |
$17,458.00
|
|
Transcatheter bx s&i
|
$994.40 |
$994.40 |
$994.40 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$1,043.20 |
$1,043.20 |
$1,043.20 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$4,409.60 |
$4,409.60 |
$4,409.60 |
$13,384.80
|
|
Transcath occlusion non-cns
|
$2,193.60 |
$2,193.60 |
$2,193.60 |
$10,452.00
|
|
Trans cath replace aortic valve 33366
|
$3,853.60 |
$3,853.60 |
$3,853.60 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,304.80 |
$1,304.80 |
$1,304.80 |
$4,822.00
|
|
Transcrv abltj utrn fibrd rf
|
$7,965.60 |
$7,965.60 |
$7,965.60 |
$8,750.72
|
|
Transcutaneous carboxyhb
|
$33.57 |
$33.57 |
$33.57 |
$31.85
|
|
Transcutaneous hgb 88738
|
$12.80 |
$12.80 |
$12.80 |
$13.20
|
|
Transcutaneous methb
|
$19.20 |
$19.20 |
$19.20 |
$19.20
|
|
Transfer of abdominal muscle
|
$4,070.40 |
$4,070.40 |
$4,070.40 |
$5,886.74
|
|
Transfer of embryo
|
$631.20 |
$631.20 |
$631.20 |
$587.60
|
|
Transfer of iliopsoas muscle
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$6,311.00
|
|
Transfer of iliopsoas muscle
|
$4,432.00 |
$4,432.00 |
$4,432.00 |
$4,432.00
|
|
Transfer of spinal muscle
|
$4,268.80 |
$4,268.80 |
$4,268.80 |
$4,268.80
|
|
Transferrin
|
$64.28 |
$64.28 |
$64.28 |
$82.00
|
|
Transfer skin pedicle flap
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$3,189.12
|
|
Transfer tendon to pelvis
|
$3,412.80 |
$3,412.80 |
$3,412.80 |
$3,839.54
|
|
Transperi needle place pros
|
$1,947.20 |
$1,947.20 |
$1,947.20 |
$6,203.00
|
|
Transplant forearm tendon
|
$1,528.00 |
$1,528.00 |
$1,528.00 |
$3,624.06
|
|
Transplant forearm tendon
|
$1,772.00 |
$1,772.00 |
$1,772.00 |
$3,839.54
|
|
Transplant/graft hand tendon
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$3,594.44
|
|
Transplant/graft palm tendon
|
$2,314.40 |
$2,314.40 |
$2,314.40 |
$3,839.54
|
|
Transplant hand tendon
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$3,839.54
|
|
Transplant of thigh tendon
|
$3,030.40 |
$3,030.40 |
$3,030.40 |
$7,507.19
|
|
Transplant palm tendon
|
$2,003.20 |
$2,003.20 |
$2,003.20 |
$3,839.54
|
|
Transplants of thigh tendons
|
$4,496.00 |
$4,496.00 |
$4,496.00 |
$7,913.97
|
|
Transplant ureter to skin
|
$4,776.00 |
$4,776.00 |
$4,776.00 |
$4,776.00
|
|
Transplj hematopoietic boost
|
$310.40 |
$310.40 |
$310.40 |
$2,667.20
|
|
Transplt allo hct/donor
|
$600.80 |
$600.80 |
$600.80 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$322.40 |
$322.40 |
$322.40 |
$2,751.65
|
|
Transplt autol hct/donor
|
$444.80 |
$444.80 |
$444.80 |
$3,986.00
|
|
Transposition of vein valve
|
$4,968.00 |
$4,968.00 |
$4,968.00 |
$6,366.08
|
|
Transthor cath for stent
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$3,612.00
|
|
Transthor diaphrag hern repair 43334
|
$3,052.00 |
$3,052.00 |
$3,052.00 |
$3,052.00
|
|
Transurethral rf treatment
|
$5,109.60 |
$5,109.60 |
$5,109.60 |
$3,281.20
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$605.05 |
$605.05 |
$605.05 |
$558.35
|
|
Transvaginal Pregnancy Ultrasound
|
$480.16 |
$480.16 |
$480.16 |
$501.60
|
|
Transvrs a-arch grf hypthrm
|
$7,971.20 |
$7,971.20 |
$7,971.20 |
$6,120.80
|
|
Trastuzumab 150 mg intravenous solution
|
$109.60 |
$109.60 |
$109.60 |
$3,141.85
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$130.85 |
$130.85 |
$130.85 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$2,150.03 |
$2,150.03 |
$2,150.03 |
$4,523.04
|
|
Trb@ gene rearrange dirprobe
|
$112.00 |
$112.00 |
$112.00 |
$73.46
|
|
Treat ankle dislocation
|
$2,425.60 |
$2,425.60 |
$2,425.60 |
$2,358.40
|
|
Treat ankle dislocation
|
$3,531.20 |
$3,531.20 |
$3,531.20 |
$7,913.97
|
|
Treat ankle dislocation
|
$3,950.40 |
$3,950.40 |
$3,950.40 |
$5,741.00
|
|
Treat ankle fracture
|
$5,144.00 |
$5,144.00 |
$5,144.00 |
$5,488.00
|
|
Treat big toe fracture
|
$3,308.80 |
$3,308.80 |
$3,308.80 |
$4,454.10
|
|
Treat cheek bone fracturemalar 21360
|
$2,534.40 |
$2,534.40 |
$2,534.40 |
$6,489.73
|
|
Treat chest lining
|
$3,888.00 |
$3,888.00 |
$3,888.00 |
$3,888.00
|
|
Treat clavicle dislocation 23545
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$692.80
|
|
Treat each add spine fx
|
$675.20 |
$675.20 |
$675.20 |
$603.24
|
|
Treat ectopic pregnancy
|
$1,896.80 |
$1,896.80 |
$1,896.80 |
$3,986.00
|
|
Treat ectopic pregnancy
|
$1,851.20 |
$1,851.20 |
$1,851.20 |
$6,707.99
|
|
Treat elbow dislocation
|
$2,326.40 |
$2,326.40 |
$2,326.40 |
$2,322.40
|
|
Treat elbow dislocation
|
$3,513.60 |
$3,513.60 |
$3,513.60 |
$7,292.92
|
|
Treat elbow fracture
|
$5,355.20 |
$5,355.20 |
$5,355.20 |
$9,791.00
|
|
Treat elbow fracture
|
$2,726.40 |
$2,726.40 |
$2,726.40 |
$2,055.00
|
|
Treat elbow fracture
|
$3,313.60 |
$3,313.60 |
$3,313.60 |
$6,839.00
|
|
Treat eyelid by injection
|
$208.00 |
$208.00 |
$208.00 |
$472.21
|
|
Treat eyelid lesion 67850
|
$1,062.40 |
$1,062.40 |
$1,062.40 |
$1,146.13
|
|
Treat finger fracture each
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$4,192.86
|
|
Treat finger fracture each
|
$916.93 |
$916.93 |
$916.93 |
$1,592.00
|
|
Treat foot bone lesion
|
$1,460.80 |
$1,460.80 |
$1,460.80 |
$3,839.54
|
|
Treat foot dislocation
|
$972.80 |
$972.80 |
$972.80 |
$410.00
|
|
Treat foot dislocation
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$4,192.86
|
|
Treat foot dislocation
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$2,856.00
|
|
Treat foot dislocation
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$535.60
|
|
Treat foot dislocation
|
$1,899.20 |
$1,899.20 |
$1,899.20 |
$5,112.80
|
|
Treat foot dislocation
|
$533.60 |
$533.60 |
$533.60 |
$445.80
|
|
Treat foot dislocation
|
$816.80 |
$816.80 |
$816.80 |
$440.04
|
|
Treat foot dislocation
|
$960.80 |
$960.80 |
$960.80 |
$3,839.54
|
|
Treat fracture of radius
|
$2,901.50 |
$2,901.50 |
$2,901.50 |
$1,839.55
|
|
Treat fracture of radius
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$2,404.80 |
$2,404.80 |
$2,404.80 |
$731.04
|
|
Treat/graft heel fracture
|
$6,318.40 |
$6,318.40 |
$6,318.40 |
$10,629.07
|
|
Treat hand bone lesion
|
$1,343.20 |
$1,343.20 |
$1,343.20 |
$3,073.20
|
|
Treat hand dislocation
|
$1,123.20 |
$1,123.20 |
$1,123.20 |
$1,772.97
|
|
Treat hand dislocation
|
$1,415.20 |
$1,415.20 |
$1,415.20 |
$3,839.54
|
|
Treat hand dislocation
|
$1,532.00 |
$1,532.00 |
$1,532.00 |
$3,986.00
|
|
Treat heel fracture
|
$5,548.80 |
$5,548.80 |
$5,548.80 |
$7,907.11
|
|
Treat hip dislocation
|
$3,716.80 |
$3,716.80 |
$3,716.80 |
$2,211.05
|
|
Treat hip dislocation
|
$1,779.20 |
$1,779.20 |
$1,779.20 |
$2,643.60
|
|
Treat hip socket fracture
|
$4,795.20 |
$4,795.20 |
$4,795.20 |
$1,340.10
|
|
Treat humerus fracture
|
$4,324.80 |
$4,324.80 |
$4,324.80 |
$9,803.49
|
|
Treat humerus fracture
|
$4,227.20 |
$4,227.20 |
$4,227.20 |
$12,299.10
|
|
Treat humerus fracture
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$1,808.80
|
|
Treat humerus fracture
|
$4,574.40 |
$4,574.40 |
$4,574.40 |
$10,902.51
|
|
Treat humerus fracture
|
$5,112.00 |
$5,112.00 |
$5,112.00 |
$10,742.40
|
|
Treat humerus fracture
|
$2,632.00 |
$2,632.00 |
$2,632.00 |
$1,790.00
|
|
Treat humerus fracture
|
$3,604.80 |
$3,604.80 |
$3,604.80 |
$10,629.07
|
|
Treat humerus fracture
|
$4,096.00 |
$4,096.00 |
$4,096.00 |
$7,906.00
|
