|
Transcath occlusion non-cns
|
$7,799.00 |
$7,799.00 |
$7,799.00 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$13,413.00 |
$13,413.00 |
$13,413.00 |
$4,775.16
|
|
Transferrin
|
$82.00 |
$82.00 |
$82.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$805.50 |
$805.50 |
$805.50 |
$983.00
|
|
Transparent film >16<=48 in
|
$13.78 |
$13.78 |
$13.78 |
$12.95
|
|
Transparent film <= 16 sq in
|
$2.18 |
$2.18 |
$2.18 |
$4.50
|
|
Transplt autol hct/donor
|
$2,602.00 |
$2,602.00 |
$2,602.00 |
$3,786.00
|
|
Trauma partial team response w/critical care services level 4
|
$3,598.50 |
$3,598.50 |
$3,598.50 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$109.71 |
$109.71 |
$109.71 |
$940.80
|
|
Treat ankle dislocation
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$2,358.40
|
|
Treat ankle dislocation
|
$4,159.00 |
$4,159.00 |
$4,159.00 |
$5,886.74
|
|
Treat clavicle dislocation 23545
|
$1,120.50 |
$1,120.50 |
$1,120.50 |
$705.60
|
|
Treat elbow dislocation
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$2,223.20
|
|
Treat elbow fracture
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$1,919.13
|
|
Treat eyelid by injection
|
$447.00 |
$447.00 |
$447.00 |
$481.44
|
|
Treat eyelid lesion 67850
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$1,146.13
|
|
Treat finger fracture each
|
$838.50 |
$838.50 |
$838.50 |
$1,536.00
|
|
Treat foot dislocation
|
$263.00 |
$263.00 |
$263.00 |
$396.30
|
|
Treat foot dislocation
|
$4,419.00 |
$4,419.00 |
$4,419.00 |
$4,192.86
|
|
Treat foot dislocation
|
$377.00 |
$377.00 |
$377.00 |
$527.28
|
|
Treat foot dislocation
|
$445.00 |
$445.00 |
$445.00 |
$445.80
|
|
Treat fracture of radius
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$1,790.00
|
|
Treat fracture of radius
|
$835.50 |
$835.50 |
$835.50 |
$1,849.00
|
|
Treat fracture of ulna
|
$1,450.50 |
$1,450.50 |
$1,450.50 |
$726.05
|
|
Treat hand bone lesion
|
$4,137.50 |
$4,137.50 |
$4,137.50 |
$3,073.20
|
|
Treat hip dislocation
|
$1,846.50 |
$1,846.50 |
$1,846.50 |
$2,192.80
|
|
Treat hip dislocation
|
$2,461.50 |
$2,461.50 |
$2,461.50 |
$2,641.60
|
|
Treat hip socket fracture
|
$1,991.50 |
$1,991.50 |
$1,991.50 |
$1,392.00
|
|
Treat humerus fracture
|
$838.50 |
$838.50 |
$838.50 |
$1,771.43
|
|
Treat humerus fracture
|
$838.50 |
$838.50 |
$838.50 |
$1,771.43
|
|
Treat knee dislocation
|
$1,378.50 |
$1,378.50 |
$1,378.50 |
$2,220.89
|
|
Treat knee fracture 27530
|
$380.00 |
$380.00 |
$380.00 |
$550.00
|
|
Treat knee fracture(s)
|
$401.00 |
$401.00 |
$401.00 |
$642.00
|
|
Treat knuckle dislocation
|
$838.50 |
$838.50 |
$838.50 |
$1,523.90
|
|
Treatment incomplete abortion completed surgically any trimester
|
$2,258.50 |
$2,258.50 |
$2,258.50 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$243.00 |
$243.00 |
$243.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$89.00 |
$89.00 |
$89.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$158.50 |
$158.50 |
$158.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$2,258.50 |
$2,258.50 |
$2,258.50 |
$3,982.44
|
|
Treatment of ankle fracture 27786
|
$203.00 |
$203.00 |
$203.00 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$264.00 |
$264.00 |
$264.00 |
$491.50
|
|
Treatment of heel fracture 28400
|
$263.00 |
$263.00 |
$263.00 |
$473.00
|
|
Treatment of miscarriage
|
$2,258.50 |
$2,258.50 |
$2,258.50 |
$4,146.69
|
|
Treatment of retinal lesion
|
$899.50 |
$899.50 |
$899.50 |
$1,033.14
|
|
Treatment of thigh fracture
|
$343.50 |
$343.50 |
$343.50 |
$476.16
|
|
Treatment of thigh fracture
|
$2,303.00 |
$2,303.00 |
$2,303.00 |
$1,748.40
|
|
Treatment of thigh fracture
|
$401.00 |
$401.00 |
$401.00 |
$548.90
|
|
Treatment of thigh fracture
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$321.00 |
$321.00 |
$321.00 |
$369.70
|
|
Treatment radiation delivery level 2
|
$371.00 |
$371.00 |
$371.00 |
$767.65
|
|
Treatment x10sv retinopathy
|
$899.50 |
$899.50 |
$899.50 |
$1,513.20
|
|
Treat midfoot fracture each
|
$1,824.50 |
$1,824.50 |
$1,824.50 |
$1,851.78
|
|
Treat spinal cord lesion
|
$1,142.50 |
$1,142.50 |
$1,142.50 |
$1,142.50
|
|
Treat spinal cord lesion
|
$1,337.00 |
$1,337.00 |
$1,337.00 |
$1,337.00
|
|
Treat thigh fracture
|
$434.50 |
$434.50 |
$434.50 |
$661.00
|
|
Treat thigh fracture
|
$2,239.50 |
$2,239.50 |
$2,239.50 |
$1,893.86
|
|
Treat thigh fracture
|
$1,329.50 |
$1,329.50 |
$1,329.50 |
$618.80
|
|
Treat thigh fracture
|
$2,231.50 |
$2,231.50 |
$2,231.50 |
$2,032.10
|
|
Treat toe dislocation
|
$763.50 |
$763.50 |
$763.50 |
$756.39
|
|
Treat ulnar fracture
|
$838.50 |
$838.50 |
$838.50 |
$1,662.00
|
|
Treat vaginal bleeding
|
$397.50 |
$397.50 |
$397.50 |
$379.60
|
|
Treat wrist bone fracture
|
$862.50 |
$862.50 |
$862.50 |
$1,548.40
|
|
Treat wrist dislocation
|
$287.50 |
$287.50 |
$287.50 |
$656.25
|
|
Treponema pallidum antibody
|
$47.00 |
$47.00 |
$47.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$260.50 |
$260.50 |
$260.50 |
$455.70
|
|
Trichinella antibody
|
$83.00 |
$83.00 |
$83.00 |
$70.20
|
|
Triglycerides
|
$55.50 |
$55.50 |
$55.50 |
$58.05
|
|
Trim nail(s)
|
$103.00 |
$103.00 |
$103.00 |
$79.00
|
|
Trim nondyst nails
|
$108.50 |
$108.50 |
$108.50 |
$113.40
|
|
Trmt of fracture (femoral shaft) 27500
|
$462.50 |
$462.50 |
$462.50 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$14,086.00 |
$14,086.00 |
$14,086.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$16,028.50 |
$16,028.50 |
$16,028.50 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$17,539.00 |
$17,539.00 |
$17,539.00 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,983.00 |
$6,983.00 |
$6,983.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,983.00 |
$6,983.00 |
$6,983.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$9,682.00 |
$9,682.00 |
$9,682.00 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,188.00 |
$3,188.00 |
$3,188.00 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,174.50 |
$6,174.50 |
$6,174.50 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,174.50 |
$6,174.50 |
$6,174.50 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$6,174.50 |
$6,174.50 |
$6,174.50 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$4,846.00 |
$4,846.00 |
$4,846.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$3,078.00 |
$3,078.00 |
$3,078.00 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$3,078.00 |
$3,078.00 |
$3,078.00 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$3,607.00 |
$3,607.00 |
$3,607.00 |
$2,406.77
|
|
Troponin quantitative
|
$276.00 |
$276.00 |
$276.00 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$1,632.80
|
|
Tubular dressing
|
$28.46 |
$28.46 |
$28.46 |
$28.46
|
|
Tx atrial fib pulm vein isol
|
$16,895.50 |
$16,895.50 |
$16,895.50 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$377.00 |
$377.00 |
$377.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$211.00 |
$211.00 |
$211.00 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,739.00 |
$1,739.00 |
$1,739.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$445.50 |
$445.50 |
$445.50 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$636.50 |
$636.50 |
$636.50 |
$944.00
|
|
Tx l/r atrial fib addl
|
$6,769.00 |
$6,769.00 |
$6,769.00 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$3,801.00 |
$3,801.00 |
$3,801.00 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$3,350.00 |
$3,350.00 |
$3,350.00 |
$4,468.55
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$4,158.00 |
$4,158.00 |
$4,158.00 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$263.00 |
$263.00 |
$263.00 |
$416.16
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$818.00 |
$818.00 |
$818.00 |
$911.43
|
|
Ua w/micro/comp poc
|
$10.00 |
$10.00 |
$10.00 |
$23.00
|
