|
Treatment of miscarriage
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,734.50
|
|
Treatment of penis lesion
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Treatment of penis lesion
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,515.40
|
|
Treatment of rectal prolapse
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,052.80
|
|
Treatment of retinal lesion
|
$353.74 |
$353.74 |
$353.74 |
$1,741.60
|
|
Treatment of retinal lesion
|
$649.19 |
$649.19 |
$649.19 |
$1,336.20
|
|
Treatment of retinal lesion
|
$4,462.45 |
$4,462.45 |
$4,462.45 |
$5,419.00
|
|
Treatment of thigh fracture
|
$283.86 |
$283.86 |
$283.86 |
$487.50
|
|
Treatment of thigh fracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,749.06
|
|
Treatment of thigh fracture
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$4,785.00
|
|
Treatment of thigh fracture
|
$283.86 |
$283.86 |
$283.86 |
$570.40
|
|
Treatment of thigh fracture
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,389.60
|
|
Treatment of thigh fracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,790.00
|
|
Treatment of thigh fracture
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$2,896.50
|
|
Treatment of thigh fracture
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$2,254.50
|
|
Treatment of thigh fracture
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$4,380.00
|
|
Treatment of thigh fracture
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$3,796.00
|
|
Treatment of tibia fracture
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,183.84
|
|
Treatment of tibia fracture
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$6,347.40
|
|
Treatment of tibia fracture
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$283.86 |
$283.86 |
$283.86 |
$371.40
|
|
Treatment of urethra lesion
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,061.71
|
|
Treatment of urethra lesion
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,061.71
|
|
Treatment of urethra lesion
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$2,874.36
|
|
Treatment radiation delivery level 2
|
$311.20 |
$394.05 |
$394.05 |
$867.24
|
|
Treatment x10sv retinopathy
|
$649.19 |
$649.19 |
$649.19 |
$1,513.20
|
|
Treat metacarpal fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,289.60
|
|
Treat metacarpal fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$5,741.00
|
|
Treat metatarsal fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat metatarsal fracture
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,241.00
|
|
Treat midfoot fracture each
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,893.86
|
|
Treat midfoot fracture each
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,445.00
|
|
Treat neck spine fracture
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$3,572.80
|
|
Treat odontoid fx w/graft
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$13,116.76
|
|
Treat odontoid fx without graft
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$5,448.00
|
|
Treat penis lesion graft
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,986.78
|
|
Treat penis lesion graft
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
$7,976.07
|
|
Treat radius fracture
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Treat radius fracture
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$9,791.00
|
|
Treat sesamoid bone fracture
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Treat skull fracture
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Treat slipped epiphysis
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$3,359.20
|
|
Treat slipped epiphysis
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$3,342.87
|
|
Treat slipped epiphysis
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$3,342.87
|
|
Treat slipped epiphysis
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$3,342.87
|
|
Treat slipped epiphysis
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$7,413.38
|
|
Treat spinal cord lesion
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,142.50
|
|
Treat spinal cord lesion
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,337.00
|
|
Treat spine fracture
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$3,485.60
|
|
Treat sternum fracture
|
$283.86 |
$283.86 |
$283.86 |
$423.00
|
|
Treat tail bone fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat thigh fracture
|
$283.86 |
$283.86 |
$283.86 |
$661.00
|
|
Treat thigh fracture
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,510.40
|
|
Treat thigh fracture
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$3,933.60
|
|
Treat thigh fracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,893.86
|
|
Treat thigh fracture
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$4,726.80
|
|
Treat thigh fracture
|
$283.86 |
$283.86 |
$283.86 |
$618.80
|
|
Treat thigh fracture
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$2,802.80
|
|
Treat thigh fracture
|
$1,642.82 |
$1,642.82 |
$1,642.82 |
$2,008.18
|
|
Treat thigh fracture
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$3,580.50
|
|
Treat thigh fx growth plate
|
$283.86 |
$283.86 |
$283.86 |
$475.68
|
|
Treat thigh fx growth plate
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,938.38
|
|
Treat thigh fx growth plate
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$7,413.38
|
|
Treat thorax spine fracture
|
$13,116.76 |
$13,116.76 |
$13,116.76 |
$3,624.00
|
|
Treat thumb fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$2,508.80
|
|
Treat thumb fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat toe dislocation
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat toe dislocation
|
$314.28 |
$314.28 |
$314.28 |
$756.00
|
|
Treat toe dislocation
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat toe fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat trigeminal nerve
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$3,754.40
|
|
Treat trigeminal tract
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$3,786.00
|
|
Treat ulnar fracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,678.55
|
|
Treat ulnar fracture
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,653.00
|
|
Treat vaginal bleeding
|
$238.06 |
$238.06 |
$238.06 |
$392.00
|
|
Treat wrist bone fracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,749.06
|
|
Treat wrist dislocation
|
$283.86 |
$283.86 |
$283.86 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$135.45 |
$135.45 |
$135.45 |
$73,346.25
|
|
Treponema pallidum ag if
|
$12.18 |
$12.18 |
$12.18 |
$33.60
|
|
Treponema pallidum antibody
|
$13.24 |
$13.24 |
$13.24 |
$72.05
|
|
Treprostinil injection
|
$55.82 |
$55.82 |
$55.82 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$201.50 |
$201.50 |
$201.50 |
$465.30
|
|
Trh stimulation panel
|
$67.21 |
$67.21 |
$67.21 |
$117.75
|
|
Trichinella antibody
|
$12.56 |
$12.56 |
$12.56 |
$70.65
|
|
Trichomonas assay w/optic
|
$15.29 |
$15.29 |
$15.29 |
$57.40
|
|
Triglycerides
|
$5.74 |
$5.74 |
$5.74 |
$57.91
|
|
Trilaciclib 300 mg intravenous solution
|
$5.36 |
$5.36 |
$5.36 |
$3,903.74
|
|
Trim nail(s)
|
$70.29 |
$70.29 |
$70.29 |
$78.40
|
|
Trim nondyst nails
|
$70.29 |
$70.29 |
$70.29 |
$115.70
|
|
Triptorelin pamoate
|
$466.73 |
$466.73 |
$466.73 |
$4,619.39
|
|
Trluml dil aq o/f can without st
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
$5,497.39
|
|
Trluml dil aq o/f can w/st
|
$6,105.79 |
$6,105.79 |
$6,105.79 |
$4,942.18
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$15,258.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$283.86 |
$283.86 |
$283.86 |
$716.95
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,419.98 |
$13,419.98 |
$13,419.98 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,396.89 |
$6,396.89 |
$6,396.89 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$4,418.00
|