|
Transcath closure of vsd
|
$6,050.00 |
$6,050.00 |
$24,787.60 |
$18,837.00
|
|
Transcatheter bx s&i
|
$2,697.75 |
$2,697.75 |
$2,998.04 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$770.00 |
$770.00 |
$770.00 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$17,106.18
|
|
Transcath occlusion cns
|
$4,839.12 |
$4,839.12 |
$7,987.65 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$8,557.45 |
$8,557.45 |
$14,994.26 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$16,201.90 |
$16,201.90 |
$16,201.90 |
$4,627.00
|
|
Transferrin
|
$67.10 |
$67.10 |
$72.05 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,009.80 |
$1,009.80 |
$1,142.35 |
$988.24
|
|
Transperi needle place pros
|
$5,216.64 |
$5,216.64 |
$5,216.64 |
$6,203.00
|
|
Transplj hematopoietic boost
|
$2,360.93 |
$2,360.93 |
$2,360.93 |
$1,952.28
|
|
Transplt allo hct/donor
|
$29,097.20 |
$29,097.20 |
$30,619.88 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$2,057.00 |
$2,057.00 |
$2,587.20 |
$1,939.86
|
|
Transplt autol hct/donor
|
$4,527.38 |
$4,527.38 |
$4,963.75 |
$3,665.25
|
|
Trauma partial team response w/critical care services level 4
|
$9,759.75 |
$9,759.75 |
$16,201.90 |
$5,104.55
|
|
Tray bonemarrw oncontrol 102mm
|
$491.03 |
$491.03 |
$723.69 |
$977.62
|
|
Treat ankle dislocation
|
$2,584.72 |
$2,584.72 |
$2,584.72 |
$2,207.20
|
|
Treat big toe fracture
|
$2,975.83 |
$2,975.83 |
$2,975.83 |
$3,981.06
|
|
Treat cheek bone fracturemalar 21360
|
$8,570.65 |
$8,570.65 |
$8,570.65 |
$6,465.11
|
|
Treat elbow dislocation
|
$3,211.78 |
$3,211.78 |
$4,940.10 |
$2,326.40
|
|
Treat elbow fracture
|
$2,532.53 |
$2,532.53 |
$6,586.80 |
$2,125.60
|
|
Treat eyelid by injection
|
$133.58 |
$133.58 |
$133.58 |
$472.21
|
|
Treat finger fracture each
|
$5,521.45 |
$5,521.45 |
$5,521.45 |
$4,108.00
|
|
Treat finger fracture each
|
$2,217.22 |
$2,217.22 |
$3,100.35 |
$1,815.75
|
|
Treat foot dislocation
|
$619.90 |
$619.90 |
$755.15 |
$435.60
|
|
Treat foot dislocation
|
$969.10 |
$969.10 |
$969.10 |
$527.28
|
|
Treat foot dislocation
|
$861.30 |
$861.30 |
$861.30 |
$478.40
|
|
Treat fracture of radius
|
$1,372.08 |
$1,372.08 |
$2,712.05 |
$2,030.33
|
|
Treat fracture of radius
|
$1,062.49 |
$1,062.49 |
$1,540.55 |
$2,316.75
|
|
Treat fracture of ulna
|
$969.10 |
$969.10 |
$1,056.06 |
$766.72
|
|
Treat hip dislocation
|
$1,477.85 |
$1,477.85 |
$2,024.16 |
$2,561.90
|
|
Treat hip socket fracture
|
$741.95 |
$741.95 |
$741.95 |
$1,340.10
|
|
Treat hip wall fracture
|
$6,369.55 |
$6,369.55 |
$6,369.55 |
$4,048.20
|
|
Treat humerus fracture
|
$1,447.16 |
$1,447.16 |
$3,003.00 |
$1,950.60
|
|
Treat humerus fracture
|
$1,259.12 |
$1,259.12 |
$2,615.25 |
$2,045.35
|
|
Treat kneecap dislocation
|
$1,937.10 |
$1,937.10 |
$2,002.00 |
$1,351.35
|
|
Treat knee dislocation
|
$2,024.16 |
$2,024.16 |
$2,024.16 |
$2,592.08
|
|
Treat knee fracture
|
$5,425.20 |
$5,425.20 |
$5,425.20 |
$4,424.00
|
|
Treat knee fracture
|
$7,197.85 |
$7,197.85 |
$7,197.85 |
$5,848.00
|
|
Treat knee fracture
|
$3,460.60 |
$3,460.60 |
$3,460.60 |
$3,985.60
|
|
Treat knee fracture 27530
|
$659.23 |
$659.23 |
$659.23 |
$580.20
|
|
Treat knee fracture(s)
|
$367.40 |
$367.40 |
$729.30 |
$642.00
|
|
Treat knuckle dislocation
|
$1,259.12 |
$1,259.12 |
$1,259.12 |
$1,893.86
|
|
Treat knuckle dislocation
|
$5,532.45 |
$5,532.45 |
$5,532.45 |
$3,839.54
|
|
Treat lower jaw fracture 21462
|
$5,288.80 |
$5,288.80 |
$5,288.80 |
$6,311.00
|
|
Treat lower leg fracture
|
$28,292.00 |
$28,292.00 |
$28,292.00 |
$12,905.86
|
|
Treat lower leg fracture
|
$28,292.00 |
$28,292.00 |
$28,292.00 |
$12,653.00
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$26,602.40 |
$26,602.40 |
$26,602.40 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$9,916.50 |
$9,916.50 |
$9,916.50 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$277.42 |
$277.42 |
$385.55 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$188.76 |
$188.76 |
$200.75 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$138.05 |
$138.05 |
$175.18 |
$210.00
|
|
Treatment of ankle fracture
|
$26,602.40 |
$26,602.40 |
$26,602.40 |
$7,907.11
|
|
Treatment of ankle fracture 27786
|
$512.60 |
$512.60 |
$801.52 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$612.76 |
$612.76 |
$612.76 |
$558.75
|
|
Treatment of heel fracture 28400
|
$683.54 |
$683.54 |
$683.54 |
$494.00
|
|
Treatment of mouth lesion physical 40820
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$3,544.29
|
|
Treatment of retinal lesion
|
$350.46 |
$350.46 |
$350.46 |
$1,580.87
|
|
Treatment of thigh fracture
|
$574.14 |
$574.14 |
$574.14 |
$467.25
|
|
Treatment of thigh fracture
|
$1,159.73 |
$1,159.73 |
$1,159.73 |
$1,893.86
|
|
Treatment of thigh fracture
|
$624.91 |
$624.91 |
$624.91 |
$659.00
|
|
Treatment of thigh fracture
|
$1,061.78 |
$1,061.78 |
$1,768.25 |
$2,055.00
|
|
Treatment of thigh fracture
|
$5,848.15 |
$5,848.15 |
$5,848.15 |
$4,768.00
|
|
Treatment of tibia fracture
|
$28,292.00 |
$28,292.00 |
$28,292.00 |
$6,347.40
|
|
Treatment of toe fracture 28510
|
$321.20 |
$321.20 |
$321.20 |
$371.40
|
|
Treatment radiation delivery level 2
|
$510.95 |
$510.95 |
$926.75 |
$735.00
|
|
Treatment x10sv retinopathy
|
$836.82 |
$836.82 |
$836.82 |
$1,574.83
|
|
Treat metacarpal fracture
|
$3,137.75 |
$3,137.75 |
$3,137.75 |
$3,958.50
|
|
Treat metacarpal fracture
|
$7,392.55 |
$7,392.55 |
$7,392.55 |
$4,627.00
|
|
Treat midfoot fracture each
|
$2,895.75 |
$2,895.75 |
$2,895.75 |
$1,893.86
|
|
Treat toe fracture
|
$12,552.10 |
$12,552.10 |
$12,552.10 |
$3,981.06
|
|
Treat ulnar fracture
|
$1,447.16 |
$1,447.16 |
$2,905.65 |
$1,861.60
|
|
Treat wrist bone fracture
|
$2,712.05 |
$2,712.05 |
$2,712.05 |
$1,907.64
|
|
Treat wrist dislocation
|
$536.25 |
$536.25 |
$596.31 |
$760.00
|
|
Treponema pallidum antibody
|
$77.00 |
$77.00 |
$82.50 |
$72.80
|
|
Trg gene rearrangement anal
|
$587.40 |
$587.40 |
$651.20 |
$455.70
|
|
Trichinella antibody
|
$82.50 |
$82.50 |
$82.50 |
$70.65
|
|
Trichomonas assay w/optic
|
$70.95 |
$70.95 |
$71.50 |
$66.00
|
|
#tricyclicantidprssnt
|
$25.30 |
$25.30 |
$34.65 |
$57.08
|
|
Triglycerides
|
$37.40 |
$37.40 |
$38.50 |
$54.60
|
|
Trim nondyst nails
|
$106.70 |
$106.70 |
$106.70 |
$124.22
|
|
Trmt of fracture (femoral shaft) 27500
|
$712.14 |
$712.14 |
$712.14 |
$777.00
|
|
Trnscath plc stent crv crtd without prtct
|
$13,438.42 |
$13,438.42 |
$18,257.25 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$14,726.86 |
$14,726.86 |
$19,397.95 |
$11,099.98
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,956.61 |
$6,956.61 |
$17,050.00 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$8,814.80 |
$8,814.80 |
$18,700.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$17,591.53 |
$17,591.53 |
$18,700.00 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,732.02 |
$2,732.02 |
$4,735.50 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,214.92 |
$4,214.92 |
$4,906.55 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,080.55 |
$3,080.55 |
$3,534.24 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,080.55 |
$3,080.55 |
$3,746.60 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$2,575.43 |
$2,575.43 |
$9,699.25 |
$4,329.36
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$707.00 |
$707.00 |
$707.00 |
$4,805.85
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$169.55 |
$169.55 |
$169.55 |
$2,343.60
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,509.10 |
$2,509.10 |
$2,879.30 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$591.71 |
$591.71 |
$591.71 |
$3,322.20
|
|
Troponin quantitative
|
$66.55 |
$66.55 |
$92.40 |
$123.75
|
|
Tte w or without contr, cont ecg
|
$1,549.90 |
$1,549.90 |
$1,549.90 |
$1,876.20
|
|
Tte w or without fol w/con,stres
|
$1,282.60 |
$1,282.60 |
$1,733.16 |
$1,582.75
|
|
Tte w or without fol w/cont, com
|
$829.40 |
$829.40 |
$2,049.90 |
$1,220.31
|
