|
Treatment of ankle fracture 27786
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
$528.00
|
|
Treatment of choroid lesion
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$1,253.20
|
|
Treatment of corneal lesion
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$856.80
|
|
Treatment of eyelid lesions
|
$315.20 |
$315.20 |
$315.20 |
$352.04
|
|
Treatment of fibula fracture
|
$3,502.40 |
$3,502.40 |
$3,502.40 |
$6,307.00
|
|
Treatment of fibula fracture 27780
|
$1,502.40 |
$1,502.40 |
$1,502.40 |
$528.00
|
|
Treatment of foot infection
|
$1,109.60 |
$1,109.60 |
$1,109.60 |
$2,928.60
|
|
Treatment of foot infection
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$3,839.54
|
|
Treatment of head injury 62010
|
$3,604.00 |
$3,604.00 |
$3,604.00 |
$3,604.00
|
|
Treatment of heel fracture 28400
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$478.40
|
|
Treatment of miscarriage
|
$988.80 |
$988.80 |
$988.80 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$638.40 |
$638.40 |
$638.40 |
$3,734.50
|
|
Treatment of penis lesion
|
$1,575.20 |
$1,575.20 |
$1,575.20 |
$4,081.37
|
|
Treatment of penis lesion
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$3,515.40
|
|
Treatment of rectal prolapse
|
$380.80 |
$380.80 |
$380.80 |
$1,052.80
|
|
Treatment of retinal lesion
|
$2,982.40 |
$2,982.40 |
$2,982.40 |
$1,741.60
|
|
Treatment of retinal lesion
|
$2,566.40 |
$2,566.40 |
$2,566.40 |
$1,336.20
|
|
Treatment of retinal lesion
|
$6,939.20 |
$6,939.20 |
$6,939.20 |
$5,419.00
|
|
Treatment of thigh fracture
|
$2,484.80 |
$2,484.80 |
$2,484.80 |
$487.50
|
|
Treatment of thigh fracture
|
$3,939.20 |
$3,939.20 |
$3,939.20 |
$1,749.06
|
|
Treatment of thigh fracture
|
$6,582.40 |
$6,582.40 |
$6,582.40 |
$4,785.00
|
|
Treatment of thigh fracture
|
$2,574.40 |
$2,574.40 |
$2,574.40 |
$570.40
|
|
Treatment of thigh fracture
|
$3,248.00 |
$3,248.00 |
$3,248.00 |
$6,389.60
|
|
Treatment of thigh fracture
|
$3,347.20 |
$3,347.20 |
$3,347.20 |
$1,790.00
|
|
Treatment of thigh fracture
|
$4,920.00 |
$4,920.00 |
$4,920.00 |
$2,896.50
|
|
Treatment of thigh fracture
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$2,254.50
|
|
Treatment of thigh fracture
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$4,380.00
|
|
Treatment of thigh fracture
|
$4,768.00 |
$4,768.00 |
$4,768.00 |
$3,796.00
|
|
Treatment of tibia fracture
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$6,183.84
|
|
Treatment of tibia fracture
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$6,347.40
|
|
Treatment of tibia fracture
|
$4,913.60 |
$4,913.60 |
$4,913.60 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$462.23 |
$462.23 |
$462.23 |
$371.40
|
|
Treatment of urethra lesion
|
$1,138.40 |
$1,138.40 |
$1,138.40 |
$4,061.71
|
|
Treatment of urethra lesion
|
$509.60 |
$509.60 |
$509.60 |
$4,061.71
|
|
Treatment of urethra lesion
|
$559.20 |
$559.20 |
$559.20 |
$2,874.36
|
|
Treatment radiation delivery level 2
|
$655.62 |
$655.62 |
$655.62 |
$867.24
|
|
Treatment x10sv retinopathy
|
$3,531.20 |
$3,531.20 |
$3,531.20 |
$1,513.20
|
|
Treat metacarpal fracture
|
$1,179.20 |
$1,179.20 |
$1,179.20 |
$4,289.60
|
|
Treat metacarpal fracture
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$5,741.00
|
|
Treat metatarsal fracture
|
$906.40 |
$906.40 |
$906.40 |
$3,839.54
|
|
Treat metatarsal fracture
|
$1,378.40 |
$1,378.40 |
$1,378.40 |
$8,241.00
|
|
Treat midfoot fracture each
|
$716.80 |
$716.80 |
$716.80 |
$1,893.86
|
|
Treat midfoot fracture each
|
$1,570.40 |
$1,570.40 |
$1,570.40 |
$6,445.00
|
|
Treat neck spine fracture
|
$3,572.80 |
$3,572.80 |
$3,572.80 |
$3,572.80
|
|
Treat odontoid fx without graft
|
$3,868.80 |
$3,868.80 |
$3,868.80 |
$5,448.00
|
|
Treat penis lesion graft
|
$2,021.60 |
$2,021.60 |
$2,021.60 |
$5,986.78
|
|
Treat penis lesion graft
|
$2,368.00 |
$2,368.00 |
$2,368.00 |
$7,976.07
|
|
Treat radius fracture
|
$3,220.80 |
$3,220.80 |
$3,220.80 |
$7,907.11
|
|
Treat radius fracture
|
$3,608.00 |
$3,608.00 |
$3,608.00 |
$9,791.00
|
|
Treat sesamoid bone fracture
|
$1,684.80 |
$1,684.80 |
$1,684.80 |
$7,907.11
|
|
Treat skull fracture
|
$2,425.60 |
$2,425.60 |
$2,425.60 |
$3,837.72
|
|
Treat skull fracture
|
$2,984.80 |
$2,984.80 |
$2,984.80 |
$2,984.80
|
|
Treat slipped epiphysis
|
$4,524.80 |
$4,524.80 |
$4,524.80 |
$3,359.20
|
|
Treat spinal cord lesion
|
$862.40 |
$862.40 |
$862.40 |
$1,142.50
|
|
Treat spinal cord lesion
|
$594.40 |
$594.40 |
$594.40 |
$1,337.00
|
|
Treat spine fracture
|
$3,485.60 |
$3,485.60 |
$3,485.60 |
$3,485.60
|
|
Treat sternum fracture
|
$384.86 |
$384.86 |
$384.86 |
$423.00
|
|
Treat tail bone fracture
|
$1,302.40 |
$1,302.40 |
$1,302.40 |
$3,839.54
|
|
Treat thigh fracture
|
$2,368.00 |
$2,368.00 |
$2,368.00 |
$661.00
|
|
Treat thigh fracture
|
$4,467.20 |
$4,467.20 |
$4,467.20 |
$6,510.40
|
|
Treat thigh fracture
|
$5,883.20 |
$5,883.20 |
$5,883.20 |
$3,933.60
|
|
Treat thigh fracture
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$1,893.86
|
|
Treat thigh fracture
|
$6,048.00 |
$6,048.00 |
$6,048.00 |
$4,726.80
|
|
Treat thigh fracture
|
$1,908.80 |
$1,908.80 |
$1,908.80 |
$618.80
|
|
Treat thigh fracture
|
$3,673.60 |
$3,673.60 |
$3,673.60 |
$2,802.80
|
|
Treat thigh fracture
|
$4,691.20 |
$4,691.20 |
$4,691.20 |
$2,008.18
|
|
Treat thigh fracture
|
$6,052.80 |
$6,052.80 |
$6,052.80 |
$3,580.50
|
|
Treat thigh fx growth plate
|
$2,510.40 |
$2,510.40 |
$2,510.40 |
$475.68
|
|
Treat thigh fx growth plate
|
$3,376.00 |
$3,376.00 |
$3,376.00 |
$1,938.38
|
|
Treat thorax spine fracture
|
$3,624.00 |
$3,624.00 |
$3,624.00 |
$3,624.00
|
|
Treat thumb fracture
|
$2,352.00 |
$2,352.00 |
$2,352.00 |
$2,508.80
|
|
Treat thumb fracture
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$3,839.54
|
|
Treat toe dislocation
|
$771.20 |
$771.20 |
$771.20 |
$3,839.54
|
|
Treat toe dislocation
|
$384.00 |
$384.00 |
$384.00 |
$756.00
|
|
Treat toe dislocation
|
$422.40 |
$422.40 |
$422.40 |
$3,839.54
|
|
Treat toe fracture
|
$1,426.40 |
$1,426.40 |
$1,426.40 |
$3,839.54
|
|
Treat trigeminal nerve
|
$4,137.60 |
$4,137.60 |
$4,137.60 |
$3,754.40
|
|
Treat trigeminal tract
|
$5,288.00 |
$5,288.00 |
$5,288.00 |
$3,786.00
|
|
Treat ulnar fracture
|
$2,248.00 |
$2,248.00 |
$2,248.00 |
$1,678.55
|
|
Treat ulnar fracture
|
$3,212.80 |
$3,212.80 |
$3,212.80 |
$6,653.00
|
|
Treat vaginal bleeding
|
$426.40 |
$426.40 |
$426.40 |
$392.00
|
|
Treat wrist bone fracture
|
$3,231.44 |
$3,231.44 |
$3,231.44 |
$1,749.06
|
|
Treat wrist dislocation
|
$2,169.60 |
$2,169.60 |
$2,169.60 |
$656.25
|
|
Treponema pallidum ag if
|
$38.58 |
$38.58 |
$38.58 |
$33.60
|
|
Treponema pallidum antibody
|
$48.57 |
$48.57 |
$48.57 |
$72.05
|
|
Trg gene rearrangement anal
|
$452.80 |
$452.80 |
$452.80 |
$465.30
|
|
Trh stimulation panel
|
$168.80 |
$168.80 |
$168.80 |
$117.75
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$73.40 |
$73.40 |
$73.40 |
$43.00
|
|
Triamcinolone diacetate inj
|
$0.80 |
$0.80 |
$0.80 |
$3.60
|
|
Triamcinolone hexacetonl inj
|
$8.00 |
$8.00 |
$8.00 |
$21.36
|
|
Trichinella antibody
|
$48.57 |
$48.57 |
$48.57 |
$70.65
|
|
Trichomonas assay w/optic
|
$38.58 |
$38.58 |
$38.58 |
$57.40
|
|
#tricyclicantidprssnt
|
$72.14 |
$72.14 |
$72.14 |
$45.40
|
|
Triglycerides
|
$33.57 |
$33.57 |
$33.57 |
$57.91
|
|
Trimethobenzamide hcl inj
|
$51.20 |
$51.20 |
$51.20 |
$117.49
|
|
Trim nail(s)
|
$58.40 |
$58.40 |
$58.40 |
$78.40
|
|
Trim nondyst nails
|
$136.64 |
$136.64 |
$136.64 |
$115.70
|
|
Triptorelin pamoate
|
$659.20 |
$659.20 |
$659.20 |
$4,619.39
|
|
Trluml dil aq o/f can without st
|
$4,704.00 |
$4,704.00 |
$4,704.00 |
$5,497.39
|
|
Trluml dil aq o/f can w/st
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$4,942.18
|
