|
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 |
$95.24 |
$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
|
$111.71 |
$111.71 |
$111.71 |
$70.65
|
|
Triglycerides
|
$255.15 |
$255.15 |
$255.15 |
$57.91
|
|
Trim nail(s)
|
$88.22 |
$88.22 |
$88.22 |
$78.40
|
|
Trim nondyst nails
|
$125.32 |
$125.32 |
$125.32 |
$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
|
|
Trmt of fracture (femoral shaft) 27500
|
$857.58 |
$857.58 |
$857.58 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$4,186.46 |
$4,186.46 |
$4,186.46 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$6,237.34 |
$6,237.34 |
$6,237.34 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$2,537.24 |
$2,537.24 |
$2,537.24 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$9,053.72 |
$9,053.72 |
$9,053.72 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,281.86 |
$13,281.86 |
$13,281.86 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$12,223.60 |
$12,223.60 |
$12,223.60 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$4,274.73 |
$4,274.73 |
$4,274.73 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,202.93 |
$4,202.93 |
$4,202.93 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,409.40 |
$4,409.40 |
$4,409.40 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,225.80 |
$5,225.80 |
$5,225.80 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$3,979.80 |
$3,979.80 |
$3,979.80 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$5,452.47 |
$5,452.47 |
$5,452.47 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$1,804.91 |
$1,804.91 |
$1,804.91 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$4,549.10 |
$4,549.10 |
$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
|
$2,886.74 |
$2,886.74 |
$2,886.74 |
$2,551.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$3,601.86 |
$3,601.86 |
$3,601.86 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$2,406.77 |
$2,406.77 |
$2,406.77 |
$2,486.75
|
|
Troponin quantitative
|
$241.65 |
$241.65 |
$241.65 |
$125.00
|
|
Tr retinal les preterm inf
|
$884.17 |
$884.17 |
$884.17 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$2,812.54 |
$2,812.54 |
$2,812.54 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$1,266.62 |
$1,266.62 |
$1,266.62 |
$2,196.00
|
|
Tubal Ligation (Laparoscopic)
|
$4,713.11 |
$4,713.11 |
$4,713.11 |
$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
|
$667.76 |
$667.76 |
$667.76 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$464.89 |
$464.89 |
$464.89 |
$155.98
|
|
Tubular dressing
|
$20.93 |
$20.93 |
$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
|
$36,478.99 |
$36,478.99 |
$36,478.99 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$5,450.31 |
$5,450.31 |
$5,450.31 |
$589.00
|
|
Tx closed hip disl traumatic without anes
|
$885.31 |
$885.31 |
$885.31 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$411.07 |
$411.07 |
$411.07 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$1,827.21 |
$1,827.21 |
$1,827.21 |
$918.06
|
