|
Toxoplasma antibody igm
|
$71.20 |
$71.20 |
$71.20 |
$83.20
|
|
Tpmt gene com vrnts
|
$533.60 |
$533.60 |
$533.60 |
$381.55
|
|
Tracheobrnchsc thru est trachs incisn
|
$256.00 |
$256.00 |
$256.00 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$104.00 |
$104.00 |
$104.00 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$163.97 |
$163.97 |
$163.97 |
$77.65
|
|
Transferrin
|
$102.40 |
$102.40 |
$102.40 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$295.20 |
$295.20 |
$295.20 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$2,046.82 |
$2,046.82 |
$2,046.82 |
$3,900.04
|
|
Trauma partial team response w/critical care services level 4
|
$961.60 |
$961.60 |
$961.60 |
$5,455.00
|
|
Treat ankle dislocation
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$2,207.20
|
|
Treat ectopic pregnancy
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$5,855.00
|
|
Treat ectopic pregnancy
|
$1,146.40 |
$1,146.40 |
$1,146.40 |
$6,000.90
|
|
Treat elbow dislocation
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$2,326.40
|
|
Treat elbow dislocation
|
$9,407.20 |
$9,407.20 |
$9,407.20 |
$7,292.92
|
|
Treat elbow fracture
|
$836.80 |
$836.80 |
$836.80 |
$2,125.60
|
|
Treat eyelid lesion 67850
|
$318.40 |
$318.40 |
$318.40 |
$1,146.13
|
|
Treat finger fracture each
|
$732.00 |
$732.00 |
$732.00 |
$4,108.00
|
|
Treat finger fracture each
|
$2,251.20 |
$2,251.20 |
$2,251.20 |
$1,815.75
|
|
Treat foot bone lesion
|
$836.80 |
$836.80 |
$836.80 |
$3,839.54
|
|
Treat foot dislocation
|
$348.00 |
$348.00 |
$348.00 |
$527.28
|
|
Treat foot dislocation
|
$508.00 |
$508.00 |
$508.00 |
$404.04
|
|
Treat fracture of radius
|
$2,251.20 |
$2,251.20 |
$2,251.20 |
$2,030.33
|
|
Treat fracture of radius
|
$896.00 |
$896.00 |
$896.00 |
$2,316.75
|
|
Treat fracture of ulna
|
$739.20 |
$739.20 |
$739.20 |
$766.72
|
|
Treat hand bone lesion
|
$816.80 |
$816.80 |
$816.80 |
$1,893.86
|
|
Treat hand dislocation
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
$1,893.86
|
|
Treat heel fracture
|
$1,659.20 |
$1,659.20 |
$1,659.20 |
$7,907.11
|
|
Treat hip dislocation
|
$2,684.80 |
$2,684.80 |
$2,684.80 |
$2,561.90
|
|
Treat humerus fracture
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$6,311.00
|
|
Treat humerus fracture
|
$920.00 |
$920.00 |
$920.00 |
$1,950.60
|
|
Treat humerus fracture
|
$806.40 |
$806.40 |
$806.40 |
$2,045.35
|
|
Treat kneecap dislocation
|
$728.00 |
$728.00 |
$728.00 |
$1,351.35
|
|
Treat kneecap dislocation
|
$1,316.80 |
$1,316.80 |
$1,316.80 |
$5,886.74
|
|
Treat kneecap fracture
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$5,741.00
|
|
Treat knee fracture
|
$1,321.60 |
$1,321.60 |
$1,321.60 |
$4,424.00
|
|
Treat knee fracture
|
$1,745.60 |
$1,745.60 |
$1,745.60 |
$5,848.00
|
|
Treat knee fracture 27530
|
$460.80 |
$460.80 |
$460.80 |
$580.20
|
|
Treat knuckle dislocation
|
$632.80 |
$632.80 |
$632.80 |
$1,893.86
|
|
Treat lower leg bone lesion
|
$879.20 |
$879.20 |
$879.20 |
$3,839.54
|
|
Treat lower leg dislocation
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
$6,072.59
|
|
Treat lower leg fracture
|
$1,964.80 |
$1,964.80 |
$1,964.80 |
$12,653.00
|
|
Treat lower leg joint
|
$1,049.60 |
$1,049.60 |
$1,049.60 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$1,548.80 |
$1,548.80 |
$1,548.80 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,090.40 |
$1,090.40 |
$1,090.40 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$541.60 |
$541.60 |
$541.60 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$86.40 |
$86.40 |
$86.40 |
$241.15
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$446.40 |
$446.40 |
$446.40 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$654.40 |
$654.40 |
$654.40 |
$3,820.53
|
|
Treatment of ankle fracture
|
$953.60 |
$953.60 |
$953.60 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$7,348.32
|
|
Treatment of ankle fracture
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$7,807.24
|
|
Treatment of ankle fracture 27786
|
$489.60 |
$489.60 |
$489.60 |
$580.00
|
|
Treatment of foot infection
|
$361.60 |
$361.60 |
$361.60 |
$1,893.86
|
|
Treatment of miscarriage
|
$644.80 |
$644.80 |
$644.80 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$379.20 |
$379.20 |
$379.20 |
$3,544.29
|
|
Treatment of thigh fracture
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$6,582.40
|
|
Treatment of thigh fracture
|
$3,217.60 |
$3,217.60 |
$3,217.60 |
$2,055.00
|
|
Treatment of tibia fracture
|
$1,322.40 |
$1,322.40 |
$1,322.40 |
$5,110.00
|
|
Treatment of tibia fracture
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$6,347.40
|
|
Treatment of toe fracture 28510
|
$188.80 |
$188.80 |
$188.80 |
$371.40
|
|
Treatment of urethra lesion
|
$336.00 |
$336.00 |
$336.00 |
$2,424.12
|
|
Treat metacarpal fracture
|
$716.00 |
$716.00 |
$716.00 |
$3,958.50
|
|
Treat metacarpal fracture
|
$851.20 |
$851.20 |
$851.20 |
$4,627.00
|
|
Treat metatarsal fracture
|
$826.40 |
$826.40 |
$826.40 |
$7,913.97
|
|
Treat radius fracture
|
$972.80 |
$972.80 |
$972.80 |
$6,750.12
|
|
Treat sternum fracture
|
$220.80 |
$220.80 |
$220.80 |
$423.00
|
|
Treat thigh fracture
|
$137.60 |
$137.60 |
$137.60 |
$661.00
|
|
Treat thigh fracture
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$7,372.60
|
|
Treat thigh fracture
|
$1,754.40 |
$1,754.40 |
$1,754.40 |
$5,883.20
|
|
Treat thigh fracture
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
$6,048.00
|
|
Treat thigh fx growth plate
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$1,938.38
|
|
Treat thumb fracture
|
$715.20 |
$715.20 |
$715.20 |
$3,839.54
|
|
Treat thumb fracture
|
$962.40 |
$962.40 |
$962.40 |
$3,839.54
|
|
Treat toe dislocation
|
$228.80 |
$228.80 |
$228.80 |
$855.66
|
|
Treat ulnar fracture
|
$966.40 |
$966.40 |
$966.40 |
$5,419.00
|
|
Treat vaginal bleeding
|
$292.00 |
$292.00 |
$292.00 |
$400.86
|
|
Treponema pallidum antibody
|
$89.60 |
$89.60 |
$89.60 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$81.03 |
$81.03 |
$81.03 |
$55.80
|
|
Trichinella antibody
|
$68.00 |
$68.00 |
$68.00 |
$70.65
|
|
Triglycerides
|
$54.40 |
$54.40 |
$54.40 |
$54.60
|
|
Trim nail(s)
|
$34.40 |
$34.40 |
$34.40 |
$72.00
|
|
Trim nondyst nails
|
$20.80 |
$20.80 |
$20.80 |
$124.22
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$1,496.80 |
$1,496.80 |
$1,496.80 |
$3,322.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$1,305.60 |
$1,305.60 |
$1,305.60 |
$2,355.65
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,189.60 |
$1,189.60 |
$1,189.60 |
$2,328.30
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$957.60 |
$957.60 |
$957.60 |
$2,190.24
|
|
Troponin quantitative
|
$124.80 |
$124.80 |
$124.80 |
$123.75
|
|
Tte w or without contr, cont ecg
|
$1,011.20 |
$1,011.20 |
$1,011.20 |
$1,876.20
|
|
Tte w or without fol w/con,stres
|
$1,011.20 |
$1,011.20 |
$1,011.20 |
$1,582.75
|
|
Tte w or without fol w/cont, com
|
$1,011.20 |
$1,011.20 |
$1,011.20 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$1,011.20 |
$1,011.20 |
$1,011.20 |
$934.93
|
|
Tubal Ligation (Laparoscopic)
|
$550.40 |
$550.40 |
$550.40 |
$4,948.77
|
|
Tvh >250 gms 58290
|
$1,700.80 |
$1,700.80 |
$1,700.80 |
$6,839.00
|
|
Tvh w/mmk 58267
|
$1,582.40 |
$1,582.40 |
$1,582.40 |
$2,665.60
|
|
Tx closed hip disl traumatic without anes
|
$264.80 |
$264.80 |
$264.80 |
$657.28
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$920.80 |
$920.80 |
$920.80 |
$3,874.79
|
|
Tx closed tib shaft fx without manip
|
$544.80 |
$544.80 |
$544.80 |
$635.46
|
