|
Treat lower leg joint
|
$989.40 |
$989.40 |
$989.40 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$1,465.20 |
$1,465.20 |
$1,465.20 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$651.60 |
$651.60 |
$651.60 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$136.20 |
$136.20 |
$136.20 |
$228.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$780.00 |
$780.00 |
$780.00 |
$4,230.80
|
|
Treatment of anal fissure w/dilat 46940
|
$437.40 |
$437.40 |
$437.40 |
$3,640.00
|
|
Treatment of ankle fracture
|
$901.80 |
$901.80 |
$901.80 |
$7,913.97
|
|
Treatment of ankle fracture
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$8,453.60
|
|
Treatment of ankle fracture
|
$1,220.40 |
$1,220.40 |
$1,220.40 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$594.00 |
$594.00 |
$594.00 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$571.80 |
$571.80 |
$571.80 |
$515.45
|
|
Treatment of foot infection
|
$535.20 |
$535.20 |
$535.20 |
$3,839.54
|
|
Treatment of head injury 62010
|
$3,309.00 |
$3,309.00 |
$3,309.00 |
$3,604.00
|
|
Treatment of heel fracture 28400
|
$468.60 |
$468.60 |
$468.60 |
$473.00
|
|
Treatment of miscarriage
|
$784.80 |
$784.80 |
$784.80 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$513.60 |
$513.60 |
$513.60 |
$3,734.50
|
|
Treatment of toe fracture 28510
|
$231.60 |
$231.60 |
$231.60 |
$371.40
|
|
Treat metatarsal fracture
|
$1,018.20 |
$1,018.20 |
$1,018.20 |
$8,241.00
|
|
Treat skull fracture
|
$2,333.40 |
$2,333.40 |
$2,333.40 |
$2,984.80
|
|
Treat toe fracture
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$3,839.54
|
|
Treat ulnar fracture
|
$913.80 |
$913.80 |
$913.80 |
$6,653.00
|
|
Treat vaginal bleeding
|
$273.60 |
$273.60 |
$273.60 |
$379.60
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$73,346.25 |
$73,346.25 |
$73,346.25 |
$73,346.25
|
|
Treponema pallidum antibody
|
$45.60 |
$45.60 |
$45.60 |
$72.05
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$96.56 |
$96.56 |
$96.56 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$1,684.43 |
$1,684.43 |
$1,684.43 |
$223.56
|
|
#tricyclicantidprssnt
|
$208.20 |
$208.20 |
$208.20 |
$50.54
|
|
Triglycerides
|
$42.60 |
$42.60 |
$42.60 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$119.80 |
$119.80 |
$119.80 |
$117.49
|
|
Trim nail(s)
|
$37.20 |
$37.20 |
$37.20 |
$78.40
|
|
Trim nondyst nails
|
$42.60 |
$42.60 |
$42.60 |
$114.48
|
|
Triptorelin pamoate
|
$8,654.89 |
$8,654.89 |
$8,654.89 |
$4,619.39
|
|
Trmt of fracture (femoral shaft) 27500
|
$974.40 |
$974.40 |
$974.40 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$2,047.80 |
$2,047.80 |
$2,047.80 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$1,795.80 |
$1,795.80 |
$1,795.80 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,943.20 |
$3,943.20 |
$3,943.20 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$504.00 |
$504.00 |
$504.00 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,812.20 |
$2,812.20 |
$2,812.20 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$658.80 |
$658.80 |
$658.80 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$352.20 |
$352.20 |
$352.20 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$174.60 |
$174.60 |
$174.60 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$509.40 |
$509.40 |
$509.40 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$2,085.60 |
$2,085.60 |
$2,085.60 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$435.00 |
$435.00 |
$435.00 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,493.40 |
$1,493.40 |
$1,493.40 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$1,672.20 |
$1,672.20 |
$1,672.20 |
$2,527.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,529.40 |
$1,529.40 |
$1,529.40 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$1,189.20 |
$1,189.20 |
$1,189.20 |
$2,406.77
|
|
Troponin quantitative
|
$112.80 |
$112.80 |
$112.80 |
$127.20
|
|
Tubal Ligation (Laparoscopic)
|
$711.00 |
$711.00 |
$711.00 |
$4,323.20
|
|
Tube drain vert dev st 5-40f
|
$198.00 |
$198.00 |
$198.00 |
$27.60
|
|
Tube trach disp innr can 5 xlt
|
$146.40 |
$146.40 |
$146.40 |
$445.99
|
|
Tube trach disp innr can 6 xlt
|
$9.60 |
$9.60 |
$9.60 |
$16.80
|
|
Tube trach fen sz 6 uncuffed
|
$132.00 |
$132.00 |
$132.00 |
$155.98
|
|
Tubing (oxygen) per foot
|
$20.40 |
$20.40 |
$20.40 |
$0.40
|
|
Tvh >250 gms 58290
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
$6,872.92
|
|
Tvh w/mmk 58267
|
$2,058.60 |
$2,058.60 |
$2,058.60 |
$1,747.20
|
|
Tx closed hip disl traumatic without anes
|
$726.60 |
$726.60 |
$726.60 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,236.60 |
$1,236.60 |
$1,236.60 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$648.00 |
$648.00 |
$648.00 |
$535.60
|
|
Tx contour defects 1.1-5.0cc 11951
|
$110.40 |
$110.40 |
$110.40 |
$849.50
|
|
Tx ectopic pregnancy abdl pregnancy 59130
|
$1,776.60 |
$1,776.60 |
$1,776.60 |
$2,277.60
|
|
Tx ectopic pregnancy ntrstl prtl rescj uter 59136
|
$1,792.20 |
$1,792.20 |
$1,792.20 |
$2,159.20
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$937.20 |
$937.20 |
$937.20 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$4,499.12
|
|
Tx open nsl fx uncomp
|
$910.80 |
$910.80 |
$910.80 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$1,261.20 |
$1,261.20 |
$1,261.20 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,123.80 |
$1,123.80 |
$1,123.80 |
$4,529.60
|
|
Tx septic abortion surgical 59830
|
$896.40 |
$896.40 |
$896.40 |
$896.40
|
|
Tx tarsal bone fx without manip 28450
|
$410.40 |
$410.40 |
$410.40 |
$419.73
|
|
Tympanic membrane repair
|
$759.00 |
$759.00 |
$759.00 |
$2,638.87
|
|
Tympanolysis transcanal 69450
|
$1,069.80 |
$1,069.80 |
$1,069.80 |
$3,837.72
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$779.40 |
$779.40 |
$779.40 |
$911.43
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$2,705.40 |
$2,705.40 |
$2,705.40 |
$6,740.80
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$2,403.60 |
$2,403.60 |
$2,403.60 |
$7,000.36
|
|
Ua w/micro/comp poc
|
$8.40 |
$8.40 |
$8.40 |
$23.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$516.60 |
$516.60 |
$516.60 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$272.40 |
$272.40 |
$272.40 |
$338.00
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$324.00 |
$324.00 |
$324.00 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$844.20 |
$844.20 |
$844.20 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$72.60 |
$72.60 |
$72.60 |
$388.08
|
|
Ultrasound guide intraoperative
|
$516.60 |
$516.60 |
$516.60 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$245.40 |
$245.40 |
$245.40 |
$403.88
|
|
Ultrasound joint complete left
|
$238.80 |
$238.80 |
$238.80 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$305.40 |
$305.40 |
$305.40 |
$409.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$210.00 |
$210.00 |
$210.00 |
$335.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$361.80 |
$361.80 |
$361.80 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$275.40 |
$275.40 |
$275.40 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$318.60 |
$318.60 |
$318.60 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$398.40 |
$398.40 |
$398.40 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$233.40 |
$233.40 |
$233.40 |
$421.00
|
|
Umbilical artery cath newborn 36660
|
$144.00 |
$144.00 |
$144.00 |
$223.80
|
|
Umbilicoplasty 15847
|
$655.80 |
$655.80 |
$655.80 |
$4,172.97
|
|
Unlisted laparoscopic liver biopy 47379
|
$654.60 |
$654.60 |
$654.60 |
$6,307.38
|
|
Unlisted laparoscopic procedure 49659
|
$3,293.40 |
$3,293.40 |
$3,293.40 |
$6,838.32
|
