|
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
|
$123.73 |
$123.73 |
$331.53 |
$423.00
|
|
Treat tail bone fracture
|
$3,127.64 |
$3,127.64 |
$3,127.64 |
$3,839.54
|
|
Treat thigh fracture
|
$78.05 |
$78.05 |
$582.92 |
$661.00
|
|
Treat thigh fracture
|
$5,868.23 |
$5,868.23 |
$5,868.23 |
$6,510.40
|
|
Treat thigh fracture
|
$69.65 |
$69.65 |
$1,311.46 |
$1,893.86
|
|
Treat thigh fracture
|
$10,964.16 |
$10,964.16 |
$10,964.16 |
$4,726.80
|
|
Treat thigh fracture
|
$69.65 |
$69.65 |
$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
|
$94.68 |
$94.68 |
$421.50 |
$475.68
|
|
Treat thigh fx growth plate
|
$110.60 |
$110.60 |
$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
|
$610.58 |
$610.58 |
$801.97 |
$1,678.55
|
|
Treat ulnar fracture
|
$7,777.43 |
$7,777.43 |
$7,777.43 |
$6,653.00
|
|
Treat vaginal bleeding
|
$298.03 |
$298.03 |
$341.34 |
$392.00
|
|
Treat wrist bone fracture
|
$69.65 |
$69.65 |
$649.79 |
$1,749.06
|
|
Treat wrist dislocation
|
$81.03 |
$81.03 |
$901.61 |
$656.25
|
|
Treponema pallidum antibody
|
$26.25 |
$26.25 |
$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
|
$0.70 |
$0.70 |
$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
|
|
#tricyclicantidprssnt
|
$3.68 |
$3.68 |
$3.68 |
$45.40
|
|
Triglycerides
|
$39.38 |
$39.38 |
$255.15 |
$57.91
|
|
Trim nail(s)
|
$91.21 |
$91.21 |
$91.21 |
$78.40
|
|
Trim nondyst nails
|
$20.48 |
$20.48 |
$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
|
$78.05 |
$78.05 |
$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
|
$3,425.63 |
$3,425.63 |
$4,982.62 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$2,631.00 |
$2,631.00 |
$3,172.93 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$1,577.10 |
$1,577.10 |
$8,196.29 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$1,577.10 |
$1,577.10 |
$11,249.74 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$3,362.45 |
$3,362.45 |
$15,649.78 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,334.90 |
$1,334.90 |
$5,602.63 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,383.73 |
$1,383.73 |
$4,450.30 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$794.33 |
$794.33 |
$4,770.98 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$562.80 |
$562.80 |
$5,527.30 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$1,289.23 |
$1,289.23 |
$4,336.09 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$5,719.01 |
$5,719.01 |
$5,719.01 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$2,124.68 |
$2,124.68 |
$2,124.68 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$188.30 |
$188.30 |
$4,549.10 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$4,167.42 |
$4,167.42 |
$4,167.42 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$4,548.51 |
$4,548.51 |
$4,548.51 |
$2,551.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$3,174.23 |
$3,174.23 |
$3,174.23 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$2,931.76 |
$2,931.76 |
$2,931.76 |
$2,486.75
|
|
Troponin quantitative
|
$46.73 |
$46.73 |
$241.65 |
$125.00
|
|
Tr retinal les preterm inf
|
$884.17 |
$884.17 |
$884.17 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$2,656.28 |
$2,656.28 |
$2,656.28 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$1,393.28 |
$1,393.28 |
$1,393.28 |
$2,196.00
|
|
Tubal Ligation (Laparoscopic)
|
$4,948.77 |
$4,948.77 |
$4,948.77 |
$4,323.20
|
|
Tube drain vert dev st 5-40f
|
$72.21 |
$72.21 |
$72.21 |
$27.60
|
|
Tube trach disp innr can 5 xlt
|
$392.88 |
$392.88 |
$667.76 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$222.08 |
$222.08 |
$464.89 |
$155.98
|
|
Tubular dressing
|
$17.50 |
$17.50 |
$20.93 |
$28.46
|
|
Tvh >250 gms 58290
|
$6,872.92 |
$6,872.92 |
$6,872.92 |
$6,872.92
|
|
Tx atrial fib pulm vein isol
|
$12,806.85 |
$12,806.85 |
$36,478.99 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$6,339.84 |
$6,339.84 |
$6,339.84 |
$589.00
|
|
Tx closed hip disl traumatic without anes
|
$120.93 |
$120.93 |
$763.79 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,241.28 |
$1,241.28 |
$3,874.79 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$74.03 |
$74.03 |
$575.33 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$1,827.21 |
$1,827.21 |
$1,827.21 |
$918.06
|
|
Tx contour defects 1.1-5.0cc 11951
|
$695.84 |
$695.84 |
$695.84 |
$849.50
|
|
Tx l/r atrial fib addl
|
$4,098.33 |
$4,098.33 |
$6,395.20 |
$6,986.85
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$5,167.55 |
$5,167.55 |
$5,167.55 |
$4,521.61
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$3,636.23 |
$3,636.23 |
$3,636.23 |
$4,537.59
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$3,364.80 |
$3,364.80 |
$3,364.80 |
$4,595.50
|
|
Tx open nsl fx uncomp
|
$4,173.52 |
$4,173.52 |
$4,173.52 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$4,308.40 |
$4,308.40 |
$4,308.40 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$5,585.50 |
$5,585.50 |
$5,585.50 |
$4,529.60
|
|
Tx tarsal bone fx without manip 28450
|
$72.10 |
$72.10 |
$532.46 |
$423.15
|
|
Tympanic membrane repair
|
$104.13 |
$104.13 |
$2,836.60 |
$2,133.48
|
|
Tympanolysis transcanal 69450
|
$5,550.20 |
$5,550.20 |
$5,550.20 |
$3,837.72
|
|
Tympanometry & reflex thresh
|
$227.29 |
$227.29 |
$227.29 |
$173.18
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$54.25 |
$54.25 |
$780.46 |
$911.43
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$11,063.54 |
$11,063.54 |
$11,063.54 |
$6,740.80
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$9,481.40 |
$9,481.40 |
$9,481.40 |
$7,000.36
|
|
Tyms gene com variants
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$192.29
|
|
Typhoid vaccine oral
|
$7.53 |
$7.53 |
$7.53 |
$63.28
|
|
Ua w/micro/comp poc
|
$2.63 |
$2.63 |
$34.20 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$1,476.60 |
$1,476.60 |
$1,476.60 |
$438.75
|
|
Ultrasound breast complete
|
$442.26 |
$442.26 |
$442.26 |
$532.00
|
