|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$193.65 |
$193.65 |
$193.65 |
$148.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$3,638.60 |
$3,638.60 |
$3,638.60 |
$4,230.80
|
|
Treatment mouth roof lesion
|
$2,162.04 |
$2,162.04 |
$2,162.04 |
$4,256.70
|
|
Treatment of anal fissure w/dilat 46940
|
$2,943.60 |
$2,943.60 |
$2,943.60 |
$3,640.00
|
|
Treatment of ankle fracture
|
$6,836.22 |
$6,836.22 |
$6,836.22 |
$7,913.97
|
|
Treatment of ankle fracture
|
$7,456.70 |
$7,456.70 |
$7,456.70 |
$8,453.60
|
|
Treatment of ankle fracture
|
$6,662.72 |
$6,662.72 |
$6,662.72 |
$7,906.00
|
|
Treatment of ankle fracture
|
$8,545.69 |
$8,545.69 |
$8,545.69 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$528.00 |
$528.00 |
$528.00 |
$528.00
|
|
Treatment of choroid lesion
|
$1,242.48 |
$1,242.48 |
$1,242.48 |
$1,253.20
|
|
Treatment of corneal lesion
|
$440.15 |
$440.15 |
$440.15 |
$856.80
|
|
Treatment of eyelid lesions
|
$177.02 |
$177.02 |
$177.02 |
$352.04
|
|
Treatment of fibula fracture
|
$6,373.79 |
$6,373.79 |
$6,373.79 |
$6,307.00
|
|
Treatment of fibula fracture 27780
|
$581.99 |
$581.99 |
$581.99 |
$528.00
|
|
Treatment of foot infection
|
$3,187.47 |
$3,187.47 |
$3,187.47 |
$2,928.60
|
|
Treatment of foot infection
|
$2,361.44 |
$2,361.44 |
$2,361.44 |
$3,839.54
|
|
Treatment of gum lesion
|
$3,164.85 |
$3,164.85 |
$3,164.85 |
$3,164.85
|
|
Treatment of heel fracture 28400
|
$498.97 |
$498.97 |
$498.97 |
$478.40
|
|
Treatment of miscarriage
|
$4,146.69 |
$4,146.69 |
$4,146.69 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$2,641.78 |
$2,641.78 |
$2,641.78 |
$3,734.50
|
|
Treatment of penis lesion
|
$5,528.58 |
$5,528.58 |
$5,528.58 |
$4,081.37
|
|
Treatment of penis lesion
|
$3,922.84 |
$3,922.84 |
$3,922.84 |
$3,515.40
|
|
Treatment of rectal prolapse
|
$194.79 |
$194.79 |
$194.79 |
$1,052.80
|
|
Treatment of retinal lesion
|
$1,580.87 |
$1,580.87 |
$1,580.87 |
$1,741.60
|
|
Treatment of retinal lesion
|
$1,575.91 |
$1,575.91 |
$1,575.91 |
$1,336.20
|
|
Treatment of thigh fracture
|
$452.18 |
$452.18 |
$452.18 |
$487.50
|
|
Treatment of thigh fracture
|
$388.65 |
$388.65 |
$388.65 |
$1,749.06
|
|
Treatment of thigh fracture
|
$735.14 |
$735.14 |
$735.14 |
$570.40
|
|
Treatment of thigh fracture
|
$5,865.39 |
$5,865.39 |
$5,865.39 |
$6,389.60
|
|
Treatment of thigh fracture
|
$1,362.45 |
$1,362.45 |
$1,362.45 |
$1,790.00
|
|
Treatment of tibia fracture
|
$5,341.52 |
$5,341.52 |
$5,341.52 |
$6,183.84
|
|
Treatment of tibia fracture
|
$11,824.88 |
$11,824.88 |
$11,824.88 |
$6,347.40
|
|
Treatment of tibia fracture
|
$10,814.75 |
$10,814.75 |
$10,814.75 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$477.10 |
$477.10 |
$477.10 |
$371.40
|
|
Treatment of urethra lesion
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$4,061.71
|
|
Treatment of urethra lesion
|
$2,935.76 |
$2,935.76 |
$2,935.76 |
$4,061.71
|
|
Treatment of urethra lesion
|
$3,427.35 |
$3,427.35 |
$3,427.35 |
$2,874.36
|
|
Treatment radiation delivery level 2
|
$2,550.00 |
$2,550.00 |
$2,550.00 |
$867.24
|
|
Treatment x10sv retinopathy
|
$1,853.59 |
$1,853.59 |
$1,853.59 |
$1,513.20
|
|
Treat metacarpal fracture
|
$3,617.93 |
$3,617.93 |
$3,617.93 |
$4,289.60
|
|
Treat metacarpal fracture
|
$6,192.94 |
$6,192.94 |
$6,192.94 |
$5,741.00
|
|
Treat metatarsal fracture
|
$3,834.85 |
$3,834.85 |
$3,834.85 |
$3,839.54
|
|
Treat metatarsal fracture
|
$5,748.05 |
$5,748.05 |
$5,748.05 |
$8,241.00
|
|
Treat midfoot fracture each
|
$414.20 |
$414.20 |
$414.20 |
$1,893.86
|
|
Treat midfoot fracture each
|
$4,493.63 |
$4,493.63 |
$4,493.63 |
$6,445.00
|
|
Treat penis lesion graft
|
$7,360.78 |
$7,360.78 |
$7,360.78 |
$5,986.78
|
|
Treat penis lesion graft
|
$7,976.07 |
$7,976.07 |
$7,976.07 |
$7,976.07
|
|
Treat radius fracture
|
$8,302.69 |
$8,302.69 |
$8,302.69 |
$7,907.11
|
|
Treat radius fracture
|
$8,769.75 |
$8,769.75 |
$8,769.75 |
$9,791.00
|
|
Treat sesamoid bone fracture
|
$3,834.96 |
$3,834.96 |
$3,834.96 |
$7,907.11
|
|
Treat skull fracture
|
$2,903.97 |
$2,903.97 |
$2,903.97 |
$3,837.72
|
|
Treat spinal cord lesion
|
$973.70 |
$973.70 |
$973.70 |
$1,142.50
|
|
Treat spinal cord lesion
|
$1,380.92 |
$1,380.92 |
$1,380.92 |
$1,337.00
|
|
Treat sternum fracture
|
$331.53 |
$331.53 |
$331.53 |
$423.00
|
|
Treat tail bone fracture
|
$3,127.64 |
$3,127.64 |
$3,127.64 |
$3,839.54
|
|
Treat thigh fracture
|
$582.92 |
$582.92 |
$582.92 |
$661.00
|
|
Treat thigh fracture
|
$5,868.23 |
$5,868.23 |
$5,868.23 |
$6,510.40
|
|
Treat thigh fracture
|
$1,311.46 |
$1,311.46 |
$1,311.46 |
$1,893.86
|
|
Treat thigh fracture
|
$10,964.16 |
$10,964.16 |
$10,964.16 |
$4,726.80
|
|
Treat thigh fracture
|
$1,063.36 |
$1,063.36 |
$1,063.36 |
$618.80
|
|
Treat thigh fracture
|
$2,090.14 |
$2,090.14 |
$2,090.14 |
$2,008.18
|
|
Treat thigh fx growth plate
|
$421.50 |
$421.50 |
$421.50 |
$475.68
|
|
Treat thigh fx growth plate
|
$311.89 |
$311.89 |
$311.89 |
$1,938.38
|
|
Treat thumb fracture
|
$4,737.59 |
$4,737.59 |
$4,737.59 |
$2,508.80
|
|
Treat thumb fracture
|
$6,841.45 |
$6,841.45 |
$6,841.45 |
$3,839.54
|
|
Treat toe dislocation
|
$4,057.54 |
$4,057.54 |
$4,057.54 |
$3,839.54
|
|
Treat toe dislocation
|
$1,771.42 |
$1,771.42 |
$1,771.42 |
$756.00
|
|
Treat toe dislocation
|
$3,111.65 |
$3,111.65 |
$3,111.65 |
$3,839.54
|
|
Treat toe fracture
|
$4,838.42 |
$4,838.42 |
$4,838.42 |
$3,839.54
|
|
Treat trigeminal nerve
|
$3,610.79 |
$3,610.79 |
$3,610.79 |
$3,754.40
|
|
Treat ulnar fracture
|
$801.97 |
$801.97 |
$801.97 |
$1,678.55
|
|
Treat ulnar fracture
|
$7,777.43 |
$7,777.43 |
$7,777.43 |
$6,653.00
|
|
Treat vaginal bleeding
|
$341.34 |
$341.34 |
$341.34 |
$392.00
|
|
Treat wrist bone fracture
|
$649.79 |
$649.79 |
$649.79 |
$1,749.06
|
|
Treat wrist dislocation
|
$901.61 |
$901.61 |
$901.61 |
$656.25
|
|
Treponema pallidum antibody
|
$73.69 |
$73.69 |
$73.69 |
$72.05
|
|
Treprostinil injection
|
$22,919.76 |
$22,919.76 |
$22,919.76 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$577.50 |
$577.50 |
$577.50 |
$465.30
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$171.04 |
$171.04 |
$171.04 |
$43.00
|
|
Triamcinolone hexacetonl inj
|
$123.23 |
$123.23 |
$123.23 |
$21.36
|
|
Trichinella antibody
|
$120.82 |
$120.82 |
$120.82 |
$70.65
|
|
Triglycerides
|
$255.15 |
$255.15 |
$255.15 |
$57.91
|
|
Trim nail(s)
|
$91.21 |
$91.21 |
$91.21 |
$78.40
|
|
Trim nondyst nails
|
$145.79 |
$145.79 |
$145.79 |
$115.70
|
|
Trluml dil aq o/f can without st
|
$5,497.39 |
$5,497.39 |
$5,497.39 |
$5,497.39
|
|
Trluml dil aq o/f can w/st
|
$5,954.46 |
$5,954.46 |
$5,954.46 |
$4,942.18
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$15,111.95 |
$15,111.95 |
$15,111.95 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$10,353.85 |
$10,353.85 |
$10,353.85 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$1,091.14 |
$1,091.14 |
$1,091.14 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$3,832.30 |
$3,832.30 |
$3,832.30 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$4,982.62 |
$4,982.62 |
$4,982.62 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$2,631.00 |
$2,631.00 |
$2,631.00 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$8,196.29 |
$8,196.29 |
$8,196.29 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$11,249.74 |
$11,249.74 |
$11,249.74 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$15,649.78 |
$15,649.78 |
$15,649.78 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$5,602.63 |
$5,602.63 |
$5,602.63 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,450.30 |
$4,450.30 |
$4,450.30 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,770.98 |
$4,770.98 |
$4,770.98 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,527.30 |
$5,527.30 |
$5,527.30 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$4,336.09 |
$4,336.09 |
$4,336.09 |
$3,900.60
|
