|
Treat kneecap fracture
|
$11,051.25 |
$11,051.25 |
$11,051.25 |
$6,839.00
|
|
Treat knee dislocation
|
$2,220.89 |
$2,220.89 |
$2,220.89 |
$2,211.05
|
|
Treat knee fracture 27530
|
$452.81 |
$452.81 |
$452.81 |
$550.73
|
|
Treat knee fracture(s)
|
$381.15 |
$381.15 |
$381.15 |
$643.26
|
|
Treat knuckle dislocation
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$1,726.01
|
|
Treat knuckle dislocation
|
$5,036.85 |
$5,036.85 |
$5,036.85 |
$4,332.00
|
|
Treat lower jaw fracture 21462
|
$8,803.45 |
$8,803.45 |
$8,803.45 |
$7,000.36
|
|
Treat lower leg bone lesion
|
$4,092.85 |
$4,092.85 |
$4,092.85 |
$4,092.85
|
|
Treat lower leg dislocation
|
$616.97 |
$616.97 |
$616.97 |
$532.60
|
|
Treat lower leg dislocation
|
$6,072.59 |
$6,072.59 |
$6,072.59 |
$6,072.59
|
|
Treat lower leg fracture
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,475.41
|
|
Treat lower leg fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$12,905.86
|
|
Treat lower leg fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$12,653.00
|
|
Treat lower leg joint
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$8,280.41 |
$8,280.41 |
$8,280.41 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$9,217.75 |
$9,217.75 |
$9,217.75 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$7,218.81 |
$7,218.81 |
$7,218.81 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,916.04 |
$3,916.04 |
$3,916.04 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$328.50 |
$328.50 |
$420.58 |
$226.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$197.23 |
$197.23 |
$218.32 |
$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
|
$2,424.47 |
$2,424.47 |
$2,424.47 |
$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
|
$7,141.80 |
$7,141.80 |
$7,141.80 |
$7,913.97
|
|
Treatment of ankle fracture
|
$8,789.77 |
$8,789.77 |
$8,789.77 |
$8,453.60
|
|
Treatment of ankle fracture
|
$7,348.32 |
$7,348.32 |
$7,348.32 |
$7,906.00
|
|
Treatment of ankle fracture
|
$8,647.07 |
$8,647.07 |
$8,647.07 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$466.22 |
$466.22 |
$466.22 |
$528.00
|
|
Treatment of choroid lesion
|
$1,242.48 |
$1,242.48 |
$1,242.48 |
$1,253.20
|
|
Treatment of corneal lesion
|
$431.53 |
$431.53 |
$431.53 |
$856.80
|
|
Treatment of eyelid lesions
|
$281.05 |
$281.05 |
$281.05 |
$352.04
|
|
Treatment of fibula fracture
|
$7,069.90 |
$7,069.90 |
$7,069.90 |
$6,307.00
|
|
Treatment of fibula fracture 27780
|
$404.29 |
$404.29 |
$404.29 |
$528.00
|
|
Treatment of foot infection
|
$2,614.25 |
$2,614.25 |
$2,614.25 |
$2,928.60
|
|
Treatment of foot infection
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Treatment of gum lesion
|
$3,164.85 |
$3,164.85 |
$3,164.85 |
$3,164.85
|
|
Treatment of heel fracture 28400
|
$412.37 |
$412.37 |
$412.37 |
$478.40
|
|
Treatment of miscarriage
|
$3,958.20 |
$3,958.20 |
$3,958.20 |
$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
|
$1,242.48 |
$1,242.48 |
$1,242.48 |
$1,741.60
|
|
Treatment of retinal lesion
|
$1,522.19 |
$1,522.19 |
$1,522.19 |
$1,336.20
|
|
Treatment of thigh fracture
|
$380.62 |
$380.62 |
$380.62 |
$487.50
|
|
Treatment of thigh fracture
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$1,749.06
|
|
Treatment of thigh fracture
|
$486.35 |
$486.35 |
$486.35 |
$570.40
|
|
Treatment of thigh fracture
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,389.60
|
|
Treatment of thigh fracture
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$1,790.00
|
|
Treatment of tibia fracture
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,183.84
|
|
Treatment of tibia fracture
|
$12,630.95 |
$12,630.95 |
$12,630.95 |
$6,347.40
|
|
Treatment of tibia fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$390.11 |
$390.11 |
$390.11 |
$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
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$867.24
|
|
Treatment x10sv retinopathy
|
$1,782.20 |
$1,782.20 |
$1,782.20 |
$1,513.20
|
|
Treat metacarpal fracture
|
$3,617.93 |
$3,617.93 |
$3,617.93 |
$4,289.60
|
|
Treat metacarpal fracture
|
$5,464.97 |
$5,464.97 |
$5,464.97 |
$5,741.00
|
|
Treat metatarsal fracture
|
$3,834.85 |
$3,834.85 |
$3,834.85 |
$3,839.54
|
|
Treat metatarsal fracture
|
$4,485.13 |
$4,485.13 |
$4,485.13 |
$8,241.00
|
|
Treat midfoot fracture each
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$1,893.86
|
|
Treat midfoot fracture each
|
$6,192.78 |
$6,192.78 |
$6,192.78 |
$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
|
$7,547.90 |
$7,547.90 |
$7,547.90 |
$7,907.11
|
|
Treat radius fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$9,791.00
|
|
Treat sesamoid bone fracture
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$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
|
$1,278.64 |
$1,278.64 |
$1,278.64 |
$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
|
$486.35 |
$486.35 |
$486.35 |
$661.00
|
|
Treat thigh fracture
|
$7,372.60 |
$7,372.60 |
$7,372.60 |
$6,510.40
|
|
Treat thigh fracture
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$1,893.86
|
|
Treat thigh fracture
|
$773.84 |
$773.84 |
$773.84 |
$618.80
|
|
Treat thigh fracture
|
$1,551.47 |
$1,551.47 |
$1,551.47 |
$2,008.18
|
|
Treat thigh fx growth plate
|
$421.50 |
$421.50 |
$421.50 |
$475.68
|
|
Treat thigh fx growth plate
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$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
|
$4,318.29 |
$4,318.29 |
$4,318.29 |
$3,839.54
|
|
Treat trigeminal nerve
|
$3,610.79 |
$3,610.79 |
$3,610.79 |
$3,754.40
|
|
Treat ulnar fracture
|
$1,607.38 |
$1,607.38 |
$1,607.38 |
$1,678.55
|
|
Treat ulnar fracture
|
$5,926.25 |
$5,926.25 |
$5,926.25 |
$6,653.00
|
|
Treat vaginal bleeding
|
$341.34 |
$341.34 |
$341.34 |
$392.00
|
|
Treat wrist bone fracture
|
$1,445.79 |
$1,445.79 |
$1,445.79 |
$1,749.06
|
|
Treat wrist dislocation
|
$876.57 |
$876.57 |
$876.57 |
$656.25
|
|
Treponema pallidum antibody
|
$95.24 |
$95.24 |
$166.58 |
$72.05
|
|
Treprostinil injection
|
$22,919.76 |
$22,919.76 |
$22,919.76 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$452.33 |
$452.33 |
$577.50 |
$465.30
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$12.06 |
$12.06 |
$171.04 |
$43.00
|
|
Triamcinolone hexacetonl inj
|
$123.23 |
$123.23 |
$123.23 |
$21.36
|
|
Trichinella antibody
|
$111.71 |
$111.71 |
$111.71 |
$70.65
|
|
Triglycerides
|
$109.56 |
$109.56 |
$255.15 |
$57.91
|