|
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
|
$356.00 |
$356.00 |
$356.00 |
$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
|
$3,118.52 |
$3,118.52 |
$3,118.52 |
$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
|
$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
|
|
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
|
$20.91 |
$20.91 |
$20.91 |
$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
|
$35.20 |
$35.20 |
$35.20 |
$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
|
$2,555.20 |
$2,555.20 |
$2,555.20 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$8,195.24 |
$8,195.24 |
$8,195.24 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$14,908.96 |
$14,908.96 |
$14,908.96 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$4,017.60 |
$4,017.60 |
$4,017.60 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$10,622.91 |
$10,622.91 |
$10,622.91 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$9,565.92 |
$9,565.92 |
$9,565.92 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$15,408.00 |
$15,408.00 |
$15,408.00 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$5,491.97 |
$5,491.97 |
$5,491.97 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$8,721.97 |
$8,721.97 |
$8,721.97 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,940.08 |
$4,940.08 |
$4,940.08 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,164.62 |
$5,164.62 |
$5,164.62 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$4,110.76 |
$4,110.76 |
$4,110.76 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$2,656.80 |
$2,656.80 |
$2,656.80 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$542.40 |
$542.40 |
$542.40 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,460.80 |
$2,460.80 |
$2,460.80 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,128.80 |
$2,128.80 |
$2,128.80 |
$2,551.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,954.40 |
$1,954.40 |
$1,954.40 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$2,486.75
|
|
Trnsplj pd lvr&bwl cd154+cll
|
$615.11 |
$615.11 |
$615.11 |
$704.80
|
|
Trnspl rej kdn mrna qpcr 139
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
$3,232.32
|
|
Troponin quantitative
|
$64.28 |
$64.28 |
$64.28 |
$125.00
|
|
Tr retinal les preterm inf
|
$5,792.00 |
$5,792.00 |
$5,792.00 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$4,385.60 |
$4,385.60 |
$4,385.60 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$1,711.58 |
$1,711.58 |
$1,711.58 |
$2,196.00
|
|
Tte w or without fol w/con,stres
|
$1,711.58 |
$1,711.58 |
$1,711.58 |
$1,643.14
|
|
Tte w or without fol w/cont, com
|
$1,711.58 |
$1,711.58 |
$1,711.58 |
$1,266.50
|
|
Tte w or without fol w/cont, f/u
|
$1,711.58 |
$1,711.58 |
$1,711.58 |
$1,178.00
|
|
Tubal Ligation (Laparoscopic)
|
$920.80 |
$920.80 |
$920.80 |
$4,323.20
|
|
Tubing (oxygen) per foot
|
$0.40 |
$0.40 |
$0.40 |
$0.40
|
|
Tvh >250 gms 58290
|
$2,885.60 |
$2,885.60 |
$2,885.60 |
$6,872.92
|
|
Tvh w/mmk 58267
|
$2,665.60 |
$2,665.60 |
$2,665.60 |
$1,747.20
|
|
Tx atrial fib pulm vein isol
|
$32,426.20 |
$32,426.20 |
$32,426.20 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$1,861.87 |
$1,861.87 |
$1,861.87 |
$589.00
|
|
Tx closed hip disl traumatic without anes
|
$905.60 |
$905.60 |
$905.60 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,027.20 |
$3,027.20 |
$3,027.20 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$1,692.80 |
$1,692.80 |
$1,692.80 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$388.80 |
$388.80 |
$388.80 |
$918.06
|
|
Tx contour defects 1.1-5.0cc 11951
|
$262.40 |
$262.40 |
$262.40 |
$849.50
|
|
Tx ectopic pregnancy abdl pregnancy 59130
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$2,277.60
|
|
Tx ectopic pregnancy ntrstl prtl rescj uter 59136
|
$2,159.20 |
$2,159.20 |
$2,159.20 |
$2,159.20
|
|
Tx l/r atrial fib addl
|
$18,268.70 |
$18,268.70 |
$18,268.70 |
$6,986.85
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$4,521.61
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$3,985.72 |
$3,985.72 |
$3,985.72 |
$4,537.59
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$5,585.88 |
$5,585.88 |
$5,585.88 |
$4,595.50
|
|
Tx open nsl fx uncomp
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$1,567.20 |
$1,567.20 |
$1,567.20 |
$4,308.40
|
