|
Trans cath replace aortic valve 33366
|
$14,593.50 |
$14,593.50 |
$25,539.49 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,127.40 |
$4,127.40 |
$4,127.40 |
$4,822.00
|
|
Transcutaneous hgb 88738
|
$31.12 |
$31.12 |
$31.12 |
$13.20
|
|
Transferrin
|
$119.00 |
$119.85 |
$243.00 |
$82.00
|
|
Transorl lwr esophgl myotomy
|
$4,229.53 |
$4,229.53 |
$5,503.20 |
$6,594.64
|
|
Transparent film >16<=48 in
|
$18.02 |
$18.02 |
$18.02 |
$12.95
|
|
Transparent film <= 16 sq in
|
$14.78 |
$14.78 |
$14.78 |
$4.50
|
|
Transplt allo hct/donor
|
$28,236.60 |
$28,236.60 |
$28,236.60 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$3,388.64 |
$3,388.64 |
$3,388.64 |
$2,751.65
|
|
Transplt autol hct/donor
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$589.80 |
$589.80 |
$643.21 |
$563.55
|
|
Transvaginal Pregnancy Ultrasound
|
$509.00 |
$589.80 |
$589.80 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$3,085.68 |
$3,085.68 |
$8,258.47 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$7,540.20 |
$7,540.20 |
$7,540.20 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$7,235.25 |
$7,235.25 |
$10,123.80 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,019.25 |
$1,019.25 |
$2,286.90 |
$940.80
|
|
Treat ankle dislocation
|
$1,292.70 |
$1,292.70 |
$3,563.19 |
$2,358.40
|
|
Treat big toe fracture
|
$3,478.12 |
$3,478.12 |
$3,478.12 |
$4,454.10
|
|
Treat clavicle dislocation 23545
|
$520.80 |
$520.80 |
$825.57 |
$692.80
|
|
Treat elbow dislocation
|
$1,408.80 |
$1,408.80 |
$3,477.41 |
$2,322.40
|
|
Treat elbow dislocation
|
$7,292.92 |
$7,292.92 |
$7,292.92 |
$7,292.92
|
|
Treat elbow fracture
|
$13,908.81 |
$13,908.81 |
$13,908.81 |
$9,791.00
|
|
Treat elbow fracture
|
$1,650.90 |
$1,650.90 |
$2,687.10 |
$2,055.00
|
|
Treat finger fracture each
|
$1,808.00 |
$1,862.25 |
$1,862.25 |
$1,592.00
|
|
Treat foot dislocation
|
$345.75 |
$345.75 |
$435.60 |
$405.60
|
|
Treat foot dislocation
|
$3,160.37 |
$3,160.37 |
$5,221.80 |
$4,192.86
|
|
Treat foot dislocation
|
$807.09 |
$1,267.50 |
$1,267.50 |
$535.60
|
|
Treat foot dislocation
|
$314.85 |
$314.85 |
$733.69 |
$445.80
|
|
Treat foot dislocation
|
$245.81 |
$245.81 |
$424.50 |
$440.04
|
|
Treat fracture of radius
|
$1,862.25 |
$1,862.25 |
$2,116.73 |
$1,839.55
|
|
Treat fracture of radius
|
$1,023.90 |
$1,023.90 |
$1,849.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$343.95 |
$343.95 |
$1,348.67 |
$731.04
|
|
Treat hip dislocation
|
$1,408.80 |
$1,408.80 |
$3,445.45 |
$2,211.05
|
|
Treat hip dislocation
|
$1,292.70 |
$1,292.70 |
$4,625.34 |
$2,643.60
|
|
Treat hip socket fracture
|
$1,701.75 |
$1,701.75 |
$3,424.29 |
$1,340.10
|
|
Treat humerus fracture
|
$2,327.55 |
$2,327.55 |
$2,413.16 |
$1,808.80
|
|
Treat humerus fracture
|
$12,653.00 |
$12,653.00 |
$12,653.00 |
$10,902.51
|
|
Treat humerus fracture
|
$2,045.35 |
$2,327.55 |
$2,327.55 |
$1,790.00
|
|
Treat kneecap dislocation
|
$1,440.30 |
$1,440.30 |
$2,042.03 |
$1,063.40
|
|
Treat knee dislocation
|
$1,292.70 |
$1,292.70 |
$2,592.08 |
$2,211.05
|
|
Treat knee fracture 27530
|
$256.95 |
$256.95 |
$256.95 |
$550.73
|
|
Treat knee fracture(s)
|
$424.50 |
$424.50 |
$1,296.00 |
$643.26
|
|
Treat knuckle dislocation
|
$1,894.05 |
$1,894.05 |
$1,894.05 |
$1,726.01
|
|
Treat knuckle dislocation
|
$5,611.05 |
$5,611.05 |
$5,611.05 |
$4,332.00
|
|
Treat lower leg dislocation
|
$408.15 |
$408.15 |
$480.00 |
$532.60
|
|
Treat lower leg fracture
|
$12,905.86 |
$12,905.86 |
$12,905.86 |
$12,905.86
|
|
Treat lower leg fracture
|
$12,653.00 |
$12,653.00 |
$12,653.00 |
$12,653.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$12,184.35 |
$12,184.35 |
$12,184.35 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$6,865.79 |
$12,184.35 |
$12,184.35 |
$8,590.40
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,907.85 |
$1,907.85 |
$4,468.97 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$202.80 |
$202.80 |
$349.13 |
$230.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$154.65 |
$154.65 |
$221.58 |
$148.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,858.95 |
$1,858.95 |
$3,820.53 |
$4,230.80
|
|
Treatment of ankle fracture
|
$6,662.72 |
$6,662.72 |
$6,662.72 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$279.90 |
$279.90 |
$613.13 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$256.95 |
$256.95 |
$256.95 |
$528.00
|
|
Treatment of foot infection
|
$3,805.20 |
$3,805.20 |
$3,805.20 |
$3,839.54
|
|
Treatment of heel fracture 28400
|
$279.90 |
$279.90 |
$279.90 |
$478.40
|
|
Treatment of miscarriage
|
$1,858.95 |
$1,858.95 |
$1,858.95 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$4,596.60 |
$4,596.60 |
$4,596.60 |
$3,734.50
|
|
Treatment of thigh fracture
|
$268.20 |
$268.20 |
$268.20 |
$487.50
|
|
Treatment of thigh fracture
|
$1,389.72 |
$2,661.45 |
$2,661.45 |
$1,749.06
|
|
Treatment of thigh fracture
|
$380.85 |
$380.85 |
$502.76 |
$570.40
|
|
Treatment of thigh fracture
|
$6,731.17 |
$6,731.17 |
$6,731.17 |
$6,389.60
|
|
Treatment of thigh fracture
|
$2,327.55 |
$2,327.55 |
$2,483.24 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$211.95 |
$211.95 |
$380.08 |
$371.40
|
|
Treatment radiation delivery level 2
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$835.20
|
|
Treatment x10sv retinopathy
|
$1,574.83 |
$1,574.83 |
$1,574.83 |
$1,513.20
|
|
Treat metacarpal fracture
|
$3,409.05 |
$3,409.05 |
$3,409.05 |
$5,741.00
|
|
Treat midfoot fracture each
|
$1,047.87 |
$1,047.87 |
$2,327.55 |
$1,893.86
|
|
Treat spinal cord lesion
|
$1,304.32 |
$1,304.32 |
$1,304.32 |
$1,337.00
|
|
Treat thigh fracture
|
$1,337.47 |
$1,337.47 |
$1,337.47 |
$1,893.86
|
|
Treat thigh fracture
|
$3,548.94 |
$3,548.94 |
$3,548.94 |
$2,008.18
|
|
Treat thigh fx growth plate
|
$424.50 |
$424.50 |
$424.50 |
$475.68
|
|
Treat thigh fx growth plate
|
$1,938.38 |
$1,938.38 |
$2,665.20 |
$1,938.38
|
|
Treat toe dislocation
|
$389.40 |
$389.40 |
$1,863.91 |
$756.00
|
|
Treat toe dislocation
|
$3,098.15 |
$3,098.15 |
$3,098.15 |
$3,839.54
|
|
Treat ulnar fracture
|
$1,678.55 |
$2,327.55 |
$2,327.55 |
$1,678.55
|
|
Treat vaginal bleeding
|
$306.90 |
$306.90 |
$306.90 |
$392.00
|
|
Treat wrist bone fracture
|
$1,481.31 |
$2,327.55 |
$2,327.55 |
$1,749.06
|
|
Treat wrist dislocation
|
$429.45 |
$429.45 |
$901.61 |
$656.25
|
|
Treponema pallidum antibody
|
$98.29 |
$175.20 |
$175.20 |
$72.05
|
|
Treprostinil injection
|
$22,919.76 |
$25,211.74 |
$25,211.74 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$265.20 |
$265.20 |
$606.38 |
$465.30
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$25.61 |
$25.61 |
$171.04 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$1,869.12 |
$1,869.12 |
$1,869.12 |
$223.56
|
|
Triamcinolone hexacetonl inj
|
$123.23 |
$123.23 |
$123.23 |
$21.36
|
|
Trichinella antibody
|
$73.06 |
$94.05 |
$94.05 |
$70.65
|
|
#tricyclicantidprssnt
|
$57.44 |
$57.44 |
$57.44 |
$48.81
|
|
Triglycerides
|
$255.15 |
$265.20 |
$299.31 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$117.49 |
$117.49 |
$117.49 |
$117.49
|
|
Trim nondyst nails
|
$84.15 |
$84.15 |
$127.69 |
$115.20
|
|
Triptorelin pamoate
|
$1,706.82 |
$1,706.82 |
$1,706.82 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$15,111.95 |
$15,111.95 |
$21,248.85 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$10,353.85 |
$10,353.85 |
$10,624.65 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$520.80 |
$520.80 |
$1,322.09 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$9,687.14 |
$19,103.10 |
$19,103.10 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$13,302.73 |
$19,103.10 |
$19,103.10 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$10,132.11 |
$10,132.11 |
$19,103.10 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$9,418.42 |
$11,631.90 |
$11,631.90 |
$8,372.00
|
