|
Treatment of thigh fracture
|
$1,677.00 |
$1,677.00 |
$1,677.00 |
$487.50
|
|
Treatment of thigh fracture
|
$2,930.20 |
$2,930.20 |
$2,930.20 |
$1,749.06
|
|
Treatment of thigh fracture
|
$5,109.00 |
$5,109.00 |
$5,109.00 |
$4,785.00
|
|
Treatment of thigh fracture
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$570.40
|
|
Treatment of thigh fracture
|
$2,116.40 |
$2,116.40 |
$2,116.40 |
$6,389.60
|
|
Treatment of thigh fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,790.00
|
|
Treatment of thigh fracture
|
$4,321.20 |
$4,321.20 |
$4,321.20 |
$2,896.50
|
|
Treatment of thigh fracture
|
$3,764.80 |
$3,764.80 |
$3,764.80 |
$2,254.50
|
|
Treatment of thigh fracture
|
$5,505.50 |
$5,505.50 |
$5,505.50 |
$4,380.00
|
|
Treatment of thigh fracture
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$3,796.00
|
|
Treatment of tibia fracture
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$6,183.84
|
|
Treatment of tibia fracture
|
$3,260.40 |
$3,260.40 |
$3,260.40 |
$6,347.40
|
|
Treatment of tibia fracture
|
$3,757.00 |
$3,757.00 |
$3,757.00 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$716.95 |
$716.95 |
$716.95 |
$371.40
|
|
Treatment of urethra lesion
|
$787.80 |
$787.80 |
$787.80 |
$4,061.71
|
|
Treatment of urethra lesion
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,874.36
|
|
Treatment radiation delivery level 2
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$867.24
|
|
Treat metacarpal fracture
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$4,289.60
|
|
Treat metacarpal fracture
|
$1,838.20 |
$1,838.20 |
$1,838.20 |
$5,741.00
|
|
Treat metatarsal fracture
|
$936.00 |
$936.00 |
$936.00 |
$3,839.54
|
|
Treat metatarsal fracture
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$8,241.00
|
|
Treat midfoot fracture each
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,893.86
|
|
Treat midfoot fracture each
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$6,445.00
|
|
Treat neck spine fracture
|
$5,418.40 |
$5,418.40 |
$5,418.40 |
$3,572.80
|
|
Treat odontoid fx without graft
|
$5,907.20 |
$5,907.20 |
$5,907.20 |
$5,448.00
|
|
Treat pelvic fracture(s)
|
$2,717.00 |
$2,717.00 |
$2,717.00 |
$1,506.40
|
|
Treat pelvic ring fracture
|
$4,089.80 |
$4,089.80 |
$4,089.80 |
$2,223.20
|
|
Treat pelvic ring fracture
|
$4,189.90 |
$4,189.90 |
$4,189.90 |
$2,727.20
|
|
Treat pelvic ring fracture
|
$5,441.80 |
$5,441.80 |
$5,441.80 |
$3,332.00
|
|
Treat radius fracture
|
$2,173.60 |
$2,173.60 |
$2,173.60 |
$7,907.11
|
|
Treat radius fracture
|
$2,563.60 |
$2,563.60 |
$2,563.60 |
$9,791.00
|
|
Treat skull fracture
|
$4,583.80 |
$4,583.80 |
$4,583.80 |
$2,984.80
|
|
Treat spinal cord lesion
|
$683.80 |
$683.80 |
$683.80 |
$1,142.50
|
|
Treat spinal cord lesion
|
$3,992.95 |
$3,992.95 |
$3,992.95 |
$1,337.00
|
|
Treat spine fracture
|
$5,166.20 |
$5,166.20 |
$5,166.20 |
$3,485.60
|
|
Treat sternum fracture
|
$716.95 |
$716.95 |
$716.95 |
$423.00
|
|
Treat thigh fracture
|
$1,510.60 |
$1,510.60 |
$1,510.60 |
$661.00
|
|
Treat thigh fracture
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$6,510.40
|
|
Treat thigh fracture
|
$4,578.60 |
$4,578.60 |
$4,578.60 |
$3,933.60
|
|
Treat thigh fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,893.86
|
|
Treat thigh fracture
|
$4,726.80 |
$4,726.80 |
$4,726.80 |
$4,726.80
|
|
Treat thigh fracture
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$618.80
|
|
Treat thigh fracture
|
$2,802.80 |
$2,802.80 |
$2,802.80 |
$2,802.80
|
|
Treat thigh fracture
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$2,008.18
|
|
Treat thigh fracture
|
$4,726.80 |
$4,726.80 |
$4,726.80 |
$3,580.50
|
|
Treat thigh fx growth plate
|
$1,453.40 |
$1,453.40 |
$1,453.40 |
$475.68
|
|
Treat thorax spine fracture
|
$5,400.20 |
$5,400.20 |
$5,400.20 |
$3,624.00
|
|
Treat thumb fracture
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$2,508.80
|
|
Treat thumb fracture
|
$2,064.40 |
$2,064.40 |
$2,064.40 |
$3,839.54
|
|
Treat toe dislocation
|
$720.20 |
$720.20 |
$720.20 |
$3,839.54
|
|
Treat toe dislocation
|
$794.30 |
$794.30 |
$794.30 |
$756.00
|
|
Treat toe fracture
|
$1,461.20 |
$1,461.20 |
$1,461.20 |
$3,839.54
|
|
Treat ulnar fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,678.55
|
|
Treat ulnar fracture
|
$2,176.20 |
$2,176.20 |
$2,176.20 |
$6,653.00
|
|
Treat vaginal bleeding
|
$601.25 |
$601.25 |
$601.25 |
$392.00
|
|
Treat wrist bone fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,749.06
|
|
Treat wrist dislocation
|
$1,271.40 |
$1,271.40 |
$1,271.40 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$8,608.52 |
$8,608.52 |
$8,608.52 |
$73,346.25
|
|
Treponema pallidum antibody
|
$59.15 |
$59.15 |
$59.15 |
$72.05
|
|
Treprostinil injection
|
$1,489.78 |
$1,489.78 |
$1,489.78 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$903.50 |
$903.50 |
$903.50 |
$465.30
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$195.00 |
$195.00 |
$195.00 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$1,694.16 |
$1,694.16 |
$1,694.16 |
$223.56
|
|
Triamcinolone diacetate inj
|
$3.90 |
$3.90 |
$3.90 |
$3.60
|
|
Trichinella antibody
|
$56.55 |
$56.55 |
$56.55 |
$70.65
|
|
Trichomonas assay w/optic
|
$68.90 |
$68.90 |
$68.90 |
$57.40
|
|
Triglycerides
|
$26.00 |
$26.00 |
$26.00 |
$57.91
|
|
Trimethobenzamide hcl inj
|
$77.32 |
$77.32 |
$77.32 |
$117.49
|
|
Trim nail(s)
|
$48.75 |
$48.75 |
$48.75 |
$78.40
|
|
Trim nondyst nails
|
$115.70 |
$115.70 |
$115.70 |
$115.70
|
|
Triptorelin pamoate
|
$13,470.60 |
$13,470.60 |
$13,470.60 |
$4,619.39
|
|
Trluml dil aq o/f can without st
|
$2,179.45 |
$2,179.45 |
$2,179.45 |
$5,497.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$1,859.00 |
$1,859.00 |
$1,859.00 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$980.20 |
$980.20 |
$980.20 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$12,792.00 |
$12,792.00 |
$12,792.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$13,954.20 |
$13,954.20 |
$13,954.20 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$9,127.30 |
$9,127.30 |
$9,127.30 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$8,990.80 |
$8,990.80 |
$8,990.80 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$24,007.10 |
$24,007.10 |
$24,007.10 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$7,138.95 |
$7,138.95 |
$7,138.95 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$1,066.65 |
$1,066.65 |
$1,066.65 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$3,283.15 |
$3,283.15 |
$3,283.15 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,527.20 |
$2,527.20 |
$2,527.20 |
$2,551.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$2,282.80 |
$2,282.80 |
$2,282.80 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$1,656.20 |
$1,656.20 |
$1,656.20 |
$2,486.75
|
|
Trnsplj pd lvr&bwl cd154+cll
|
$2,873.65 |
$2,873.65 |
$2,873.65 |
$704.80
|
|
Troponin quantitative
|
$55.90 |
$55.90 |
$55.90 |
$125.00
|
|
Tr retinal les preterm inf
|
$4,661.80 |
$4,661.80 |
$4,661.80 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$1,695.85 |
$1,695.85 |
$1,695.85 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$2,952.95 |
$2,952.95 |
$2,952.95 |
$2,196.00
|
|
Tte w or without fol w/con,stres
|
$2,952.95 |
$2,952.95 |
$2,952.95 |
$1,643.14
|
|
Tte w or without fol w/cont, com
|
$2,952.95 |
$2,952.95 |
$2,952.95 |
$1,266.50
|
