|
Treatment of thigh fracture
|
$1,094.00 |
$1,094.00 |
$1,094.00 |
$3,409.00
|
|
Treatment of thigh fracture
|
$1,071.50 |
$1,071.50 |
$1,071.50 |
$3,764.80
|
|
Treatment of thigh fracture
|
$1,347.50 |
$1,347.50 |
$1,347.50 |
$5,505.50
|
|
Treatment of thigh fracture
|
$1,062.50 |
$1,062.50 |
$1,062.50 |
$3,796.00
|
|
Treatment of tibia fracture
|
$676.50 |
$676.50 |
$676.50 |
$6,183.84
|
|
Treatment of tibia fracture
|
$1,005.50 |
$1,005.50 |
$1,005.50 |
$8,665.60
|
|
Treatment of tibia fracture
|
$1,111.00 |
$1,111.00 |
$1,111.00 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$147.50 |
$147.50 |
$147.50 |
$369.70
|
|
Treatment of urethra lesion
|
$207.50 |
$207.50 |
$207.50 |
$2,874.36
|
|
Treat metacarpal fracture
|
$553.50 |
$553.50 |
$553.50 |
$3,977.49
|
|
Treat metacarpal fracture
|
$655.50 |
$655.50 |
$655.50 |
$5,464.97
|
|
Treat metatarsal fracture
|
$457.50 |
$457.50 |
$457.50 |
$3,839.54
|
|
Treat metatarsal fracture
|
$649.50 |
$649.50 |
$649.50 |
$8,453.60
|
|
Treat midfoot fracture each
|
$743.50 |
$743.50 |
$743.50 |
$6,192.78
|
|
Treat radius fracture
|
$824.50 |
$824.50 |
$824.50 |
$14,061.89
|
|
Treat thigh fracture
|
$1,011.50 |
$1,011.50 |
$1,011.50 |
$6,510.40
|
|
Treat thigh fracture
|
$1,320.50 |
$1,320.50 |
$1,320.50 |
$4,083.00
|
|
Treat thigh fracture
|
$1,355.50 |
$1,355.50 |
$1,355.50 |
$4,726.80
|
|
Treat thigh fracture
|
$452.00 |
$452.00 |
$452.00 |
$618.80
|
|
Treat thigh fracture
|
$829.50 |
$829.50 |
$829.50 |
$2,802.80
|
|
Treat thigh fracture
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$2,032.10
|
|
Treat thigh fracture
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$3,580.50
|
|
Treat thumb fracture
|
$693.00 |
$693.00 |
$693.00 |
$3,786.00
|
|
Treat toe dislocation
|
$260.00 |
$260.00 |
$260.00 |
$3,839.54
|
|
Treat toe dislocation
|
$144.50 |
$144.50 |
$144.50 |
$756.39
|
|
Treat toe fracture
|
$463.50 |
$463.50 |
$463.50 |
$3,839.54
|
|
Treat ulnar fracture
|
$505.00 |
$505.00 |
$505.00 |
$1,662.00
|
|
Treat ulnar fracture
|
$746.50 |
$746.50 |
$746.50 |
$5,926.25
|
|
Treat wrist bone fracture
|
$503.00 |
$503.00 |
$503.00 |
$1,548.40
|
|
Treat wrist dislocation
|
$580.50 |
$580.50 |
$580.50 |
$656.25
|
|
Treponema pallidum antibody
|
$44.00 |
$44.00 |
$44.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$270.00 |
$270.00 |
$270.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$8.00 |
$8.00 |
$8.00 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$25.00 |
$25.00 |
$25.00 |
$223.56
|
|
#tricyclicantidprssnt
|
$5.00 |
$5.00 |
$5.00 |
$50.86
|
|
Triglycerides
|
$51.00 |
$51.00 |
$51.00 |
$58.05
|
|
Trim nail(s)
|
$8.50 |
$8.50 |
$8.50 |
$79.00
|
|
Trim nondyst nails
|
$8.50 |
$8.50 |
$8.50 |
$113.40
|
|
Triptorelin pamoate
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$6,332.00 |
$6,332.00 |
$6,332.00 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$206.00 |
$206.00 |
$206.00 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$558.50 |
$558.50 |
$558.50 |
$754.80
|
|
Trnscath plc stnt ante carotid art
|
$913.00 |
$913.00 |
$913.00 |
$6,069.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$327.50 |
$327.50 |
$327.50 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$419.50 |
$419.50 |
$419.50 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$251.00 |
$251.00 |
$251.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$133.00 |
$133.00 |
$133.00 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$365.00 |
$365.00 |
$365.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$929.50 |
$929.50 |
$929.50 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$224.50 |
$224.50 |
$224.50 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$691.50 |
$691.50 |
$691.50 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$843.50 |
$843.50 |
$843.50 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$748.00 |
$748.00 |
$748.00 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$724.50 |
$724.50 |
$724.50 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$558.00 |
$558.00 |
$558.00 |
$2,406.77
|
|
Troponin quantitative
|
$208.00 |
$208.00 |
$208.00 |
$127.20
|
|
Tubal Ligation (Laparoscopic)
|
$405.00 |
$405.00 |
$405.00 |
$4,323.20
|
|
Tvh w/mmk 58267
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$2,058.60
|
|
Tx closed distal humerus fx
|
$954.50 |
$954.50 |
$954.50 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$216.50 |
$216.50 |
$216.50 |
$581.07
|
|
Tx closed tib shaft fx without manip
|
$395.50 |
$395.50 |
$395.50 |
$535.60
|
|
Tx contour defects 1.1-5.0cc 11951
|
$76.00 |
$76.00 |
$76.00 |
$804.23
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$827.50 |
$827.50 |
$827.50 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$580.50 |
$580.50 |
$580.50 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$627.00 |
$627.00 |
$627.00 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$676.00 |
$676.00 |
$676.00 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$230.50 |
$230.50 |
$230.50 |
$416.16
|
|
Ugt1a1 gene analy common variants
|
$180.00 |
$180.00 |
$180.00 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$391.00 |
$391.00 |
$391.00 |
$394.20
|
|
Ultrasound breast complete
|
$304.00 |
$304.00 |
$304.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$517.00 |
$517.00 |
$517.00 |
$449.35
|
|
Ultrasound chest
|
$314.00 |
$314.00 |
$314.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$29.50 |
$29.50 |
$29.50 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$36.50 |
$36.50 |
$36.50 |
$296.80
|
|
Ultrasound encephalogram
|
$36.00 |
$36.00 |
$36.00 |
$488.80
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$45.00 |
$45.00 |
$45.00 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$17.00 |
$17.00 |
$17.00 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$38.50 |
$38.50 |
$38.50 |
$720.15
|
|
Ultrasound guide intraoperative
|
$445.00 |
$445.00 |
$445.00 |
$632.85
|
|
Ultrasound joint complete left
|
$52.00 |
$52.00 |
$52.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$171.00 |
$171.00 |
$171.00 |
$425.45
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$110.50 |
$110.50 |
$110.50 |
$707.20
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$37.50 |
$37.50 |
$37.50 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$267.00 |
$267.00 |
$267.00 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$38.50 |
$38.50 |
$38.50 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$393.50 |
$393.50 |
$393.50 |
$486.50
|
|
Ultrasound scrotum and contents
|
$476.00 |
$476.00 |
$476.00 |
$608.90
|
|
Ultrasound transvaginal non obstetric
|
$292.50 |
$292.50 |
$292.50 |
$558.35
|
|
Unlisted hematology&coagj px
|
$47.50 |
$47.50 |
$47.50 |
$39.52
|
|
Unlisted laparoscopic liver biopy 47379
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$5,419.00
|
|
Unlisted laparoscopic procedure 49659
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$6,838.32
|
|
Unlisted laparoscopic reduction intestine 44238
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$5,419.00
|
|
Unlisted laparoscopy procedure biliary tract 47579
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$6,463.42
|
|
Unlisted laps px appendix
|
$825.00 |
$825.00 |
$825.00 |
$3,617.40
|
|
Unlisted laps px lymphtc sys
|
$21.50 |
$21.50 |
$21.50 |
$6,870.89
|
|
Unlisted laps px uterus
|
$1,081.00 |
$1,081.00 |
$1,081.00 |
$4,627.00
|
|
Unlisted maaa
|
$587.00 |
$587.00 |
$587.00 |
$235.20
|
|
Unlisted muscskel px head
|
$109.50 |
$109.50 |
$109.50 |
$478.46
|
|
Unlisted procedure colon
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$1,702.50
|
|
Unlisted procedure esophagus
|
$1,411.50 |
$1,411.50 |
$1,411.50 |
$1,998.88
|
