|
Treatment of thigh fracture
|
$2,574.40 |
$2,574.40 |
$2,574.40 |
$570.40
|
|
Treatment of thigh fracture
|
$4,995.51 |
$4,995.51 |
$4,995.51 |
$6,389.60
|
|
Treatment of thigh fracture
|
$2,494.25 |
$2,494.25 |
$3,347.20 |
$1,790.00
|
|
Treatment of thigh fracture
|
$4,920.00 |
$4,920.00 |
$69,899.13 |
$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 |
$44,057.26 |
$6,347.40
|
|
Treatment of tibia fracture
|
$4,913.60 |
$4,913.60 |
$51,339.26 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$300.80 |
$300.80 |
$300.80 |
$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
|
$711.28 |
$711.28 |
$2,838.55 |
$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 |
$15,193.20 |
$4,289.60
|
|
Treat metacarpal fracture
|
$6,377.64 |
$6,377.64 |
$27,149.40 |
$5,741.00
|
|
Treat metatarsal fracture
|
$906.40 |
$906.40 |
$906.40 |
$3,839.54
|
|
Treat metatarsal fracture
|
$1,378.40 |
$1,378.40 |
$30,884.28 |
$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 |
$5,126.00 |
$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 |
$42,130.09 |
$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
|
$3,315.00 |
$3,315.00 |
$3,485.60 |
$3,485.60
|
|
Treat sternum fracture
|
$401.28 |
$401.28 |
$401.28 |
$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
|
$3,441.00 |
$3,441.00 |
$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 |
$39,035.11 |
$6,653.00
|
|
Treat vaginal bleeding
|
$426.40 |
$426.40 |
$426.40 |
$392.00
|
|
Treat wrist bone fracture
|
$2,252.80 |
$2,252.80 |
$2,252.80 |
$1,749.06
|
|
Treat wrist dislocation
|
$2,169.60 |
$2,169.60 |
$2,169.60 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$127,265.40 |
$127,265.40 |
$127,265.40 |
$73,346.25
|
|
Treponema pallidum ag if
|
$38.58 |
$38.58 |
$38.58 |
$33.60
|
|
Treponema pallidum antibody
|
$48.57 |
$48.57 |
$74.10 |
$72.05
|
|
Treprostinil injection
|
$63,666.00 |
$63,666.00 |
$63,666.00 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$452.80 |
$452.80 |
$856.70 |
$465.30
|
|
Trh stimulation panel
|
$168.80 |
$168.80 |
$168.80 |
$117.75
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$21.07 |
$21.07 |
$39.90 |
$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 |
$120.25 |
$57.91
|
|
Trilaciclib 300 mg intravenous solution
|
$8,065.15 |
$8,065.15 |
$8,065.15 |
$3,903.74
|
|
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
|
$98.94 |
$98.94 |
$98.94 |
$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
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$1,146.40 |
$1,146.40 |
$1,146.40 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$535.20 |
$535.20 |
$535.20 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$1,672.00 |
$1,672.00 |
$2,555.20 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$2,503.20 |
$2,503.20 |
$12,390.30 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$13,654.70 |
$13,654.70 |
$14,408.55 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$12,247.39 |
$12,247.39 |
$17,160.00 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$13,501.15 |
$13,501.15 |
$15,653.44 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$4,068.35 |
$4,068.35 |
$15,653.44 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$15,653.44 |
$15,653.44 |
$45,198.40 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,687.93 |
$6,687.93 |
$7,973.55 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$920.40 |
$920.40 |
$11,224.50 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$190.45 |
$190.45 |
$7,670.08 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$498.00 |
$498.00 |
$7,974.08 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$386.75 |
$386.75 |
$6,687.93 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$2,656.80 |
$2,656.80 |
$36,605.58 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$542.40 |
$542.40 |
$49,798.62 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,900.80 |
$1,900.80 |
$2,195.00 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,460.80 |
$2,460.80 |
$22,828.95 |
$3,091.20
|
