|
Treat humerus fracture
|
$1,029.00 |
$1,029.00 |
$1,880.33 |
|
|
Treat kneecap dislocation
|
$823.73 |
$1,068.06 |
$2,100.35 |
|
|
Treat knee dislocation
|
$1,066.45 |
$1,066.45 |
$1,281.48 |
|
|
Treat knee fracture 27530
|
$294.41 |
$942.88 |
$1,005.90 |
|
|
Treat knee fracture(s)
|
$176.00 |
$176.00 |
$176.00 |
|
|
Treat knuckle dislocation
|
$424.21 |
$1,083.18 |
$1,083.18 |
|
|
Treat lower leg dislocation
|
$176.00 |
$176.00 |
$604.90 |
|
|
Treat lower leg dislocation
|
$684.18 |
$684.18 |
$684.18 |
|
|
Treatment incomplete abortion completed surgically any trimester
|
$344.80 |
$1,440.00 |
$1,640.10 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$123.28 |
$190.68 |
$283.04 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$102.06 |
$123.28 |
$144.50 |
|
|
Treatment mouth roof lesion
|
$1,643.04 |
$1,662.60 |
$1,805.25 |
|
|
Treatment of ankle fracture 27786
|
$214.76 |
$399.00 |
$748.85 |
|
|
Treatment of fibula fracture 27780
|
$244.86 |
$244.86 |
$736.95 |
|
|
Treatment of heel fracture 28400
|
$244.86 |
$290.28 |
$589.05 |
|
|
Treatment of mouth lesion physical 40820
|
$92.00 |
$92.00 |
$92.00 |
|
|
Treatment of retinal lesion
|
$558.60 |
$558.60 |
$565.25 |
|
|
Treatment of thigh fracture
|
$192.34 |
$192.34 |
$192.34 |
|
|
Treatment of thigh fracture
|
$176.00 |
$1,554.00 |
$1,554.00 |
|
|
Treatment of thigh fracture
|
$192.34 |
$736.26 |
$1,238.45 |
|
|
Treatment of thigh fracture
|
$286.44 |
$1,029.00 |
$1,995.92 |
|
|
Treatment of thigh fracture
|
$1,645.83 |
$1,645.83 |
$1,645.83 |
|
|
Treatment of tibia fracture
|
$5,166.00 |
$5,166.00 |
$5,971.39 |
|
|
Treatment of toe fracture 28510
|
$109.62 |
$109.62 |
$306.27 |
|
|
Treatment radiation delivery level 2
|
$449.50 |
$472.08 |
$530.41 |
|
|
Treat metacarpal fracture
|
$7,337.40 |
$7,337.40 |
$7,337.40 |
|
|
Treat midfoot fracture each
|
$181.72 |
$181.72 |
$290.50 |
|
|
Treat spinal cord lesion
|
$1,078.52 |
$1,078.52 |
$1,078.52 |
|
|
Treat spinal cord lesion
|
$487.14 |
$737.94 |
$737.94 |
|
|
Treat sternum fracture
|
$119.50 |
$119.50 |
$205.57 |
|
|
Treat thigh fracture
|
$192.34 |
$192.34 |
$804.73 |
|
|
Treat thigh fx growth plate
|
$813.41 |
$813.41 |
$813.41 |
|
|
Treat toe dislocation
|
$1,443.14 |
$1,443.14 |
$1,443.14 |
|
|
Treat ulnar fracture
|
$705.36 |
$1,029.00 |
$1,914.18 |
|
|
Treat vaginal bleeding
|
$147.84 |
$147.84 |
$567.72 |
|
|
Treat wrist bone fracture
|
$250.74 |
$250.74 |
$250.74 |
|
|
Treat wrist dislocation
|
$165.00 |
$474.60 |
$1,064.20 |
|
|
Treponema pallidum antibody
|
$38.43 |
$47.50 |
$216.75 |
|
|
Treprostinil injection
|
$366.07 |
$33,423.60 |
$67,643.00 |
|
|
Treprostinil, non-comp unit
|
$2,246.64 |
$34,177.33 |
$69,168.40 |
|
|
Trg gene rearrangement anal
|
$445.88 |
$445.88 |
$445.88 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$4.00 |
$136.29 |
$275.83 |
|
|
Triamcinolone a inj prs-free
|
$303.54 |
$303.54 |
$614.30 |
|
|
Trichinella antibody
|
$52.99 |
$72.24 |
$124.95 |
|
|
#tricyclicantidprssnt
|
$53.33 |
$53.33 |
$53.33 |
|
|
Triglycerides
|
$29.90 |
$60.90 |
$118.15 |
|
|
Trilaciclib 300 mg intravenous solution
|
$729.11 |
$3,328.55 |
$6,736.34 |
|
|
Trimethobenzamide hcl inj
|
$11.74 |
$107.13 |
$216.80 |
|
|
Trim nondyst nails
|
$33.52 |
$48.72 |
$155.55 |
|
|
Triptorelin pamoate
|
$275.33 |
$1,256.94 |
$2,543.80 |
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$3,672.81 |
$3,672.81 |
$3,672.81 |
|
|
Trml dstrj ios bvn ea addl
|
$3,011.57 |
$3,011.57 |
$3,011.57 |
|
|
Trmt of fracture (femoral shaft) 27500
|
$192.34 |
$192.34 |
$192.34 |
|
|
Trnscath plc stent crv crtd without prtct
|
$2,062.18 |
$2,169.30 |
$6,233.00 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,325.80 |
$4,661.58 |
$4,661.58 |
|
|
Trnscath plc stnt ante carotid art
|
$63.00 |
$3,460.94 |
$4,302.90 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,022.70 |
$6,272.70 |
$6,723.42 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,010.50 |
$3,536.82 |
$4,487.16 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$7,359.00 |
$11,051.88 |
$15,331.80 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,279.30 |
$4,375.56 |
$4,375.56 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,162.00 |
$3,578.82 |
$4,223.81 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,427.84 |
$2,970.66 |
$4,147.11 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,427.84 |
$2,970.66 |
$4,147.11 |
|
|
Trnscath tx thromblytc vein ini day
|
$933.34 |
$1,145.34 |
$4,223.81 |
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,282.26 |
$1,282.26 |
$2,151.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$1,380.96 |
$1,380.96 |
$2,351.10 |
|
|
Troponin quantitative
|
$72.22 |
$165.06 |
$258.40 |
|
|
Tte w or without contr, cont ecg
|
$1,630.50 |
$2,318.40 |
$2,761.65 |
|
|
Tte w or without fol w/con,stres
|
$1,083.26 |
$2,318.40 |
$3,483.12 |
|
|
Tube drain vert dev st 5-40f
|
$1,070.88 |
$1,386.83 |
$1,433.84 |
|
|
Tube trach disp innr can 5 xlt
|
$264.48 |
$289.67 |
$535.25 |
|
|
Tube trach fen sz 6 uncuffed
|
$107.39 |
$117.62 |
$217.34 |
|
|
Tx atrial fib pulm vein isol
|
$19,162.92 |
$19,162.92 |
$25,696.52 |
|
|
Tx closed hip disl traumatic without anes
|
$238.56 |
$242.00 |
$411.40 |
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,256.64 |
$1,256.64 |
$1,930.58 |
|
|
Tx closed tib shaft fx without manip
|
$296.77 |
$342.30 |
$825.35 |
|
|
Tx l/r atrial fib addl
|
$8,048.46 |
$8,048.46 |
$8,993.92 |
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$348.00 |
$348.00 |
$348.00 |
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$2,348.50 |
$3,286.50 |
$3,494.30 |
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$2,003.00 |
$4,212.18 |
$6,636.68 |
|
|
Tx open nsl fx uncomp
|
$488.16 |
$488.16 |
$488.16 |
|
|
Tx tarsal bone fx without manip 28450
|
$214.49 |
$214.49 |
$214.49 |
|
|
Tympanic membrane repair
|
$403.64 |
$1,605.24 |
$1,624.35 |
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$182.16 |
$256.20 |
$470.61 |
|
|
Ua w/micro/comp poc
|
$8.30 |
$36.12 |
$61.20 |
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$802.90 |
$21,992.26 |
$44,508.14 |
|
|
Ugt1a1 gene analy common variants
|
$517.37 |
$517.37 |
$517.37 |
|
|
Ultrasound breast complete
|
$139.02 |
$179.76 |
$899.51 |
|
|
Ultrasound breast unilateral limited (both sides)
|
$139.02 |
$179.76 |
$743.50 |
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$82.80 |
$143.64 |
$332.00 |
|
|
Ultrasound dx ophth b-scan
|
$27.30 |
$27.30 |
$27.30 |
|
|
Ultrasound elastography ea l target les
|
$113.82 |
$113.82 |
$113.82 |
|
|
Ultrasound elastography parenchyma
|
$119.70 |
$119.70 |
$119.70 |
|
|
Ultrasound encephalogram
|
$385.14 |
$385.14 |
$596.58 |
|
|
Ultrasound exam follow-up
|
$226.38 |
$226.38 |
$354.45 |
|
|
Ultrasound exam k transpl w/doppler
|
$60.48 |
$60.48 |
$877.00 |
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$143.52 |
$279.72 |
$661.51 |
|
|
Ultrasound Guidance for a Needle Procedure
|
$448.14 |
$538.00 |
$830.00 |
|
|
Ultrasound guidance for vascular access
|
$460.74 |
$525.32 |
$759.90 |
|
|
Ultrasound guide intraoperative
|
$304.52 |
$622.02 |
$1,211.46 |
|