|
Transcatheter bx s&i
|
$2,445.60 |
$2,445.60 |
$2,445.60 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$9,950.40 |
$9,950.40 |
$9,950.40 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$17,580.00 |
$17,580.00 |
$17,580.00 |
$13,093.20
|
|
Transcath occlusion cns
|
$8,308.00 |
$8,308.00 |
$8,308.00 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$14,039.20 |
$14,039.20 |
$14,039.20 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$13,403.20 |
$13,403.20 |
$13,403.20 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,750.40 |
$3,750.40 |
$3,750.40 |
$4,822.00
|
|
Transplt allo hct/donor
|
$11,460.80 |
$11,460.80 |
$11,460.80 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$3,653.60 |
$3,653.60 |
$3,653.60 |
$2,751.65
|
|
Transplt autol hct/donor
|
$5,302.40 |
$5,302.40 |
$5,302.40 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$592.80 |
$592.80 |
$592.80 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$492.80 |
$492.80 |
$492.80 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$2,432.99 |
$2,432.99 |
$2,432.99 |
$3,141.85
|
|
Trauma partial team response w/critical care services level 4
|
$6,764.00 |
$6,764.00 |
$6,764.00 |
$4,471.50
|
|
Treat ankle dislocation
|
$2,109.60 |
$2,109.60 |
$2,109.60 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$699.20 |
$699.20 |
$699.20 |
$692.80
|
|
Treat elbow dislocation
|
$2,322.40 |
$2,322.40 |
$2,322.40 |
$2,311.20
|
|
Treat elbow fracture
|
$2,168.00 |
$2,168.00 |
$2,168.00 |
$2,027.40
|
|
Treat finger fracture each
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$1,592.00
|
|
Treat foot dislocation
|
$570.40 |
$570.40 |
$570.40 |
$405.60
|
|
Treat foot dislocation
|
$3,535.20 |
$3,535.20 |
$3,535.20 |
$4,192.86
|
|
Treat foot dislocation
|
$592.00 |
$592.00 |
$592.00 |
$527.28
|
|
Treat foot dislocation
|
$381.60 |
$381.60 |
$381.60 |
$440.04
|
|
Treat fracture of radius
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$1,821.60
|
|
Treat fracture of radius
|
$2,359.20 |
$2,359.20 |
$2,359.20 |
$1,849.00
|
|
Treat fracture of ulna
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$726.05
|
|
Treat hip dislocation
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,211.05
|
|
Treat hip socket fracture
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,344.00
|
|
Treat humerus fracture
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$1,790.00
|
|
Treat humerus fracture
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$1,790.00
|
|
Treat kneecap dislocation
|
$1,302.40 |
$1,302.40 |
$1,302.40 |
$1,068.06
|
|
Treat knee dislocation
|
$3,068.00 |
$3,068.00 |
$3,068.00 |
$2,220.89
|
|
Treat knee fracture 27530
|
$767.20 |
$767.20 |
$767.20 |
$550.73
|
|
Treat knee fracture(s)
|
$577.60 |
$577.60 |
$577.60 |
$643.26
|
|
Treat knuckle dislocation
|
$2,058.40 |
$2,058.40 |
$2,058.40 |
$1,693.20
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,400.80 |
$3,400.80 |
$3,400.80 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$302.40 |
$302.40 |
$302.40 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$196.00 |
$196.00 |
$196.00 |
$147.48
|
|
Treatment of ankle fracture 27786
|
$703.20 |
$703.20 |
$703.20 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$665.60 |
$665.60 |
$665.60 |
$515.45
|
|
Treatment of foot infection
|
$3,890.40 |
$3,890.40 |
$3,890.40 |
$2,928.60
|
|
Treatment of heel fracture 28400
|
$508.80 |
$508.80 |
$508.80 |
$473.00
|
|
Treatment of thigh fracture
|
$652.80 |
$652.80 |
$652.80 |
$487.50
|
|
Treatment of thigh fracture
|
$631.20 |
$631.20 |
$631.20 |
$548.90
|
|
Treatment of thigh fracture
|
$1,869.60 |
$1,869.60 |
$1,869.60 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$561.60 |
$561.60 |
$561.60 |
$371.40
|
|
Treatment radiation delivery level 2
|
$2,852.80 |
$2,852.80 |
$2,852.80 |
$830.70
|
|
Treat spinal cord lesion
|
$2,845.60 |
$2,845.60 |
$2,845.60 |
$1,337.00
|
|
Treat sternum fracture
|
$596.00 |
$596.00 |
$596.00 |
$423.00
|
|
Treat thigh fracture
|
$631.20 |
$631.20 |
$631.20 |
$661.00
|
|
Treat thigh fracture
|
$1,656.80 |
$1,656.80 |
$1,656.80 |
$1,893.86
|
|
Treat thigh fracture
|
$876.00 |
$876.00 |
$876.00 |
$618.80
|
|
Treat thigh fracture
|
$1,627.20 |
$1,627.20 |
$1,627.20 |
$2,008.18
|
|
Treat thigh fx growth plate
|
$336.80 |
$336.80 |
$336.80 |
$475.68
|
|
Treat ulnar fracture
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$1,678.55
|
|
Treat vaginal bleeding
|
$628.00 |
$628.00 |
$628.00 |
$379.60
|
|
Treat wrist dislocation
|
$620.00 |
$620.00 |
$620.00 |
$656.25
|
|
Treprostinil injection
|
$7,897.88 |
$7,897.88 |
$7,897.88 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$2,160.47 |
$2,160.47 |
$2,160.47 |
$2,970.72
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$38.11 |
$38.11 |
$38.11 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$480.63 |
$480.63 |
$480.63 |
$223.56
|
|
Triamcinolone hexacetonl inj
|
$30.45 |
$30.45 |
$30.45 |
$21.36
|
|
Trimethobenzamide hcl inj
|
$35.17 |
$35.17 |
$35.17 |
$117.49
|
|
Trim nondyst nails
|
$112.80 |
$112.80 |
$112.80 |
$114.48
|
|
Triptorelin pamoate
|
$1,788.64 |
$1,788.64 |
$1,788.64 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$11,744.80 |
$11,744.80 |
$11,744.80 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$4,742.40 |
$4,742.40 |
$4,742.40 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$853.60 |
$853.60 |
$853.60 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$9,884.00 |
$9,884.00 |
$9,884.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$14,461.60 |
$14,461.60 |
$14,461.60 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$8,556.80 |
$8,556.80 |
$8,556.80 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$12,773.60 |
$12,773.60 |
$12,773.60 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,922.40 |
$13,922.40 |
$13,922.40 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$16,978.40 |
$16,978.40 |
$16,978.40 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,698.40 |
$6,698.40 |
$6,698.40 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,478.40 |
$6,478.40 |
$6,478.40 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,276.80 |
$6,276.80 |
$6,276.80 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$6,002.40 |
$6,002.40 |
$6,002.40 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$4,784.00 |
$4,784.00 |
$4,784.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,701.60 |
$2,701.60 |
$2,701.60 |
$2,986.34
|
|
Truss double with standard pad
|
$170.76 |
$170.76 |
$170.76 |
$201.60
|
|
Truss single with standard pad
|
$112.44 |
$112.44 |
$112.44 |
$128.80
|
|
Tte w or without contr, cont ecg
|
$2,543.20 |
$2,543.20 |
$2,543.20 |
$2,075.90
|
|
Tte w or without fol w/con,stres
|
$2,320.00 |
$2,320.00 |
$2,320.00 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$1,914.40 |
$1,914.40 |
$1,914.40 |
$1,254.50
|
|
Tte w or without fol w/cont, f/u
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$1,178.00
|
|
Tumor cell deplete of harvst
|
$547.20 |
$547.20 |
$547.20 |
$1,315.60
|
|
Tx atrial fib pulm vein isol
|
$30,373.60 |
$30,373.60 |
$30,373.60 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$2,962.40 |
$2,962.40 |
$2,962.40 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$729.60 |
$729.60 |
$729.60 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,872.00 |
$3,872.00 |
$3,872.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$758.40 |
$758.40 |
$758.40 |
$535.60
|
|
Tx l/r atrial fib addl
|
$15,746.40 |
$15,746.40 |
$15,746.40 |
$6,986.85
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$4,110.40 |
$4,110.40 |
$4,110.40 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$5,129.60 |
$5,129.60 |
$5,129.60 |
$4,499.12
|
|
Tx open nsl fx uncomp
|
$3,860.00 |
$3,860.00 |
$3,860.00 |
$3,837.72
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$3,938.40 |
$3,938.40 |
$3,938.40 |
$4,529.60
|
|
Tx tarsal bone fx without manip 28450
|
$439.20 |
$439.20 |
$439.20 |
$419.73
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$1,130.40 |
$1,130.40 |
$1,130.40 |
$911.43
|
|
Ultrasound breast complete
|
$343.20 |
$343.20 |
$343.20 |
$532.00
|
