|
Transvaginal Pregnancy Ultrasound
|
$678.60 |
$678.60 |
$678.60 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$480.60 |
$480.60 |
$480.60 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$448.80 |
$448.80 |
$448.80 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$194.40 |
$194.40 |
$194.40 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$6,448.80 |
$6,448.80 |
$6,448.80 |
$4,471.50
|
|
Treat ankle dislocation
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$2,358.40
|
|
Treat ankle dislocation
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$5,741.00
|
|
Treat ankle fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$5,488.00
|
|
Treat elbow dislocation
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$2,311.20
|
|
Treat elbow fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$9,791.00
|
|
Treat elbow fracture
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$2,027.40
|
|
Treat elbow fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$6,839.00
|
|
Treat finger fracture each
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$1,592.00
|
|
Treat foot dislocation
|
$801.60 |
$801.60 |
$801.60 |
$527.28
|
|
Treat foot dislocation
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$3,839.54
|
|
Treat fracture of radius
|
$825.60 |
$825.60 |
$825.60 |
$1,821.60
|
|
Treat fracture of ulna
|
$499.80 |
$499.80 |
$499.80 |
$726.05
|
|
Treat heel fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$7,907.11
|
|
Treat hip dislocation
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$2,211.05
|
|
Treat hip dislocation
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$2,612.00
|
|
Treat hip dislocation
|
$13,761.60 |
$13,761.60 |
$13,761.60 |
$7,413.38
|
|
Treat hip fracture(s)
|
$17,662.20 |
$17,662.20 |
$17,662.20 |
$7,413.38
|
|
Treat hip fracture(s)
|
$20,373.60 |
$20,373.60 |
$20,373.60 |
$7,625.80
|
|
Treat hip socket fracture
|
$7,571.40 |
$7,571.40 |
$7,571.40 |
$1,344.00
|
|
Treat hip wall fracture
|
$10,417.20 |
$10,417.20 |
$10,417.20 |
$7,413.38
|
|
Treat humerus fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$9,803.49
|
|
Treat humerus fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$12,299.10
|
|
Treat humerus fracture
|
$3,250.80 |
$3,250.80 |
$3,250.80 |
$1,790.00
|
|
Treat humerus fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$10,902.51
|
|
Treat humerus fracture
|
$7,589.40 |
$7,589.40 |
$7,589.40 |
$10,742.40
|
|
Treat kneecap dislocation
|
$1,931.40 |
$1,931.40 |
$1,931.40 |
$1,068.06
|
|
Treat kneecap dislocation
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$6,070.00
|
|
Treat kneecap fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$6,839.00
|
|
Treat knee dislocation
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$2,220.89
|
|
Treat knee dislocation
|
$13,918.80 |
$13,918.80 |
$13,918.80 |
$7,413.38
|
|
Treat knee fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$3,486.60
|
|
Treat knee fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$4,521.40
|
|
Treat knee fracture
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$3,460.60
|
|
Treat knee fracture 27530
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$550.73
|
|
Treat knee fracture(s)
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$643.26
|
|
Treat knuckle dislocation
|
$4,695.00 |
$4,695.00 |
$4,695.00 |
$1,693.20
|
|
Treat knuckle dislocation
|
$6,497.40 |
$6,497.40 |
$6,497.40 |
$4,332.00
|
|
Treat lower leg fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$6,475.41
|
|
Treat lower leg fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$12,905.86
|
|
Treat lower leg fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$12,653.00
|
|
Treat lower leg joint
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$7,747.20 |
$7,747.20 |
$7,747.20 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$7,747.20 |
$7,747.20 |
$7,747.20 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$7,747.20 |
$7,747.20 |
$7,747.20 |
$8,370.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$246.60 |
$246.60 |
$246.60 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$234.00 |
$234.00 |
$234.00 |
$147.48
|
|
Treatment of ankle fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$7,913.97
|
|
Treatment of ankle fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$8,453.60
|
|
Treatment of ankle fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$7,906.00
|
|
Treatment of ankle fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$825.60 |
$825.60 |
$825.60 |
$528.00
|
|
Treatment of fibula fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$6,307.00
|
|
Treatment of fibula fracture 27780
|
$825.60 |
$825.60 |
$825.60 |
$515.45
|
|
Treatment of heel fracture 28400
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$473.00
|
|
Treatment of thigh fracture
|
$13,663.20 |
$13,663.20 |
$13,663.20 |
$4,785.00
|
|
Treatment of thigh fracture
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$548.90
|
|
Treatment of thigh fracture
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$1,790.00
|
|
Treatment of thigh fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$2,896.50
|
|
Treatment of thigh fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$2,254.50
|
|
Treatment of thigh fracture
|
$7,589.40 |
$7,589.40 |
$7,589.40 |
$4,380.00
|
|
Treatment of thigh fracture
|
$7,589.40 |
$7,589.40 |
$7,589.40 |
$3,796.00
|
|
Treatment of tibia fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$6,347.40
|
|
Treatment of tibia fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$825.60 |
$825.60 |
$825.60 |
$371.40
|
|
Treatment radiation delivery level 2
|
$787.80 |
$787.80 |
$787.80 |
$830.70
|
|
Treat metatarsal fracture
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$3,839.54
|
|
Treat metatarsal fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$8,241.00
|
|
Treat pelvic ring fracture
|
$11,319.00 |
$11,319.00 |
$11,319.00 |
$2,223.20
|
|
Treat pelvic ring fracture
|
$10,960.80 |
$10,960.80 |
$10,960.80 |
$2,727.20
|
|
Treat pelvic ring fracture
|
$14,461.20 |
$14,461.20 |
$14,461.20 |
$3,332.00
|
|
Treat radius fracture
|
$6,347.40 |
$6,347.40 |
$6,347.40 |
$7,907.11
|
|
Treat thigh fracture
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$661.00
|
|
Treat thigh fracture
|
$12,076.20 |
$12,076.20 |
$12,076.20 |
$3,933.60
|
|
Treat thigh fracture
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$1,893.86
|
|
Treat thigh fracture
|
$15,467.40 |
$15,467.40 |
$15,467.40 |
$4,726.80
|
|
Treat thigh fracture
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$618.80
|
|
Treat thigh fracture
|
$8,407.20 |
$8,407.20 |
$8,407.20 |
$2,802.80
|
|
Treat thigh fracture
|
$9,977.40 |
$9,977.40 |
$9,977.40 |
$2,008.18
|
|
Treat thigh fracture
|
$12,345.00 |
$12,345.00 |
$12,345.00 |
$3,580.50
|
|
Treat toe dislocation
|
$3,505.20 |
$3,505.20 |
$3,505.20 |
$756.00
|
|
Treat ulnar fracture
|
$3,365.40 |
$3,365.40 |
$3,365.40 |
$1,678.55
|
|
Treat ulnar fracture
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$6,653.00
|
|
Treat vaginal bleeding
|
$3,505.20 |
$3,505.20 |
$3,505.20 |
$379.60
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$258.60 |
$258.60 |
$258.60 |
$73,346.25
|
|
Treponema pallidum antibody
|
$36.60 |
$36.60 |
$36.60 |
$72.05
|
|
Trg gene rearrangement anal
|
$781.20 |
$781.20 |
$781.20 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$15.00 |
$15.00 |
$15.00 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$351.00 |
$351.00 |
$351.00 |
$223.56
|
|
Trichinella antibody
|
$316.80 |
$316.80 |
$316.80 |
$70.65
|
|
Triglycerides
|
$121.80 |
$121.80 |
$121.80 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$94.40 |
$94.40 |
$94.40 |
$117.49
|
|
Trim nail(s)
|
$117.60 |
$117.60 |
$117.60 |
$78.40
|
|
Trim nondyst nails
|
$129.00 |
$129.00 |
$129.00 |
$114.48
|
|
Trnscath plc stent crv crtd without prtct
|
$5,782.20 |
$5,782.20 |
$5,782.20 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$5,782.20 |
$5,782.20 |
$5,782.20 |
$9,767.25
|
