|
Treat metacarpal fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,958.50
|
|
Treat metacarpal fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,627.00
|
|
Treat metatarsal fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Treat metatarsal fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,913.97
|
|
Treat midfoot fracture each
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,893.86
|
|
Treat midfoot fracture each
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,192.78
|
|
Treat penis lesion graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,631.74
|
|
Treat penis lesion graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,976.07
|
|
Treat radius fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,750.12
|
|
Treat radius fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$9,499.20
|
|
Treat sesamoid bone fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Treat skull fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,621.80
|
|
Treat spinal cord lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$985.43
|
|
Treat spinal cord lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,304.32
|
|
Treat sternum fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$423.00
|
|
Treat tail bone fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,786.00
|
|
Treat thigh fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$661.00
|
|
Treat thigh fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,372.60
|
|
Treat thigh fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,021.04
|
|
Treat thigh fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$716.95
|
|
Treat thigh fx growth plate
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$421.50
|
|
Treat thigh fx growth plate
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,938.38
|
|
Treat thumb fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Treat thumb fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Treat toe dislocation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Treat toe dislocation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$855.66
|
|
Treat toe dislocation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,111.65
|
|
Treat toe fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,981.06
|
|
Treat trigeminal nerve
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,610.79
|
|
Treat trigeminal tract
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,786.00
|
|
Treat ulnar fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,861.60
|
|
Treat ulnar fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,419.00
|
|
Treat vaginal bleeding
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$400.86
|
|
Treat wrist bone fracture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,907.64
|
|
Treat wrist dislocation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$760.00
|
|
Treponema pallidum ag if
|
$13.40 |
$13.40 |
$13.40 |
$13.40
|
|
Treponema pallidum antibody
|
$14.56 |
$14.56 |
$14.56 |
$72.80
|
|
Trg gene rearrangement anal
|
$221.65 |
$221.65 |
$221.65 |
$455.70
|
|
Trh stimulation panel
|
$73.93 |
$73.93 |
$73.93 |
$73.93
|
|
Trichinella antibody
|
$13.82 |
$13.82 |
$13.82 |
$70.65
|
|
Trichomonas assay w/optic
|
$16.82 |
$16.82 |
$16.82 |
$66.00
|
|
#tricyclicantidprssnt
|
$62.79 |
$62.79 |
$62.79 |
$57.08
|
|
Triglycerides
|
$6.31 |
$6.31 |
$6.31 |
$54.60
|
|
Trim nail(s)
|
$60.82 |
$60.82 |
$60.82 |
$70.29
|
|
Trim nondyst nails
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$124.22
|
|
Trluml dil aq o/f can without st
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,760.49
|
|
Trluml dil aq o/f can w/st
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,716.03
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$15,111.95
|
|
Trmt of fracture (femoral shaft) 27500
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$777.00
|
|
Trnscath plc stent crv crtd without prtct
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$11,099.98
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,329.36
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,805.85
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,322.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,355.65
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,328.30
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,190.24
|
|
Trnsplj pd lvr&bwl cd154+cll
|
$704.80 |
$704.80 |
$704.80 |
$640.73
|
|
Trnspl rej kdn mrna qpcr 139
|
$1,772.49 |
$1,772.49 |
$1,772.49 |
$3,240.00
|
|
Troponin quantitative
|
$13.72 |
$13.72 |
$13.72 |
$123.75
|
|
Tr retinal les preterm inf
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,736.63
|
|
Trurl dstrj prst8 tiss rf wv
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,385.60
|
|
Tubal Ligation (Laparoscopic)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,948.77
|
|
Tumor cell deplete of harvst
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$547.20
|
|
Tvh >250 gms 58290
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,839.00
|
|
Tx closed distal humerus fx
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$786.00
|
|
Tx closed hip disl traumatic without anes
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$657.28
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,874.79
|
|
Tx closed tib shaft fx without manip
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$635.46
|
|
Tx contour defects >10.0 cc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$755.08
|
|
Tx contour defects 1.1-5.0cc 11951
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$724.37
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,449.44
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,281.00
|
|
Tx open nsl fx uncomp
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,007.22
|
|
Tx open nsl sptl fx
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,289.04
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$469.20
|
|
Tympanic membrane repair
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,856.00
|
|
Tympanolysis transcanal 69450
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,837.72
|
|
Tympanometry & reflex thresh
|
$75.92 |
$75.92 |
$75.92 |
$173.18
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$911.43
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,740.80
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,547.81
|
|
Tyms gene com variants
|
$192.29 |
$192.29 |
$192.29 |
$192.29
|
|
Typhoid vaccine oral
|
$8.63 |
$8.63 |
$8.63 |
$74.75
|
|
U2af1 gene common variants
|
$212.58 |
$212.58 |
$212.58 |
$193.25
|
|
Ua w/micro/comp poc
|
$4.42 |
$4.42 |
$4.42 |
$24.45
|
|
Ugt1a1 gene analy common variants
|
$257.40 |
$257.40 |
$257.40 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$240.46 |
$240.46 |
$240.46 |
$403.26
|
|
Ultrasound chest
|
$180.29 |
$180.29 |
$180.29 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$113.33 |
$113.33 |
$113.33 |
$340.14
|
