|
Treat elbow dislocation
|
$530.50 |
$530.50 |
$530.50 |
$2,223.20
|
|
Treat elbow dislocation
|
$751.50 |
$751.50 |
$751.50 |
$7,292.92
|
|
Treat elbow fracture
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$11,488.80
|
|
Treat elbow fracture
|
$632.50 |
$632.50 |
$632.50 |
$1,919.13
|
|
Treat eyelid by injection
|
$32.00 |
$32.00 |
$32.00 |
$481.44
|
|
Treat finger fracture each
|
$503.50 |
$503.50 |
$503.50 |
$4,132.02
|
|
Treat finger fracture each
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$1,536.00
|
|
Treat foot bone lesion
|
$599.00 |
$599.00 |
$599.00 |
$3,839.54
|
|
Treat foot dislocation
|
$184.50 |
$184.50 |
$184.50 |
$396.30
|
|
Treat foot dislocation
|
$170.50 |
$170.50 |
$170.50 |
$445.80
|
|
Treat fracture of radius
|
$541.00 |
$541.00 |
$541.00 |
$1,790.00
|
|
Treat fracture of radius
|
$590.50 |
$590.50 |
$590.50 |
$1,849.00
|
|
Treat fracture of ulna
|
$500.50 |
$500.50 |
$500.50 |
$726.05
|
|
Treat hand dislocation
|
$462.50 |
$462.50 |
$462.50 |
$1,749.06
|
|
Treat heel fracture
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$8,269.81
|
|
Treat hip dislocation
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$2,192.80
|
|
Treat hip dislocation
|
$378.50 |
$378.50 |
$378.50 |
$2,641.60
|
|
Treat hip socket fracture
|
$255.50 |
$255.50 |
$255.50 |
$1,392.00
|
|
Treat humerus fracture
|
$930.50 |
$930.50 |
$930.50 |
$13,278.70
|
|
Treat humerus fracture
|
$907.00 |
$907.00 |
$907.00 |
$12,896.80
|
|
Treat humerus fracture
|
$628.50 |
$628.50 |
$628.50 |
$1,771.43
|
|
Treat humerus fracture
|
$977.00 |
$977.00 |
$977.00 |
$12,653.00
|
|
Treat humerus fracture
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$10,742.40
|
|
Treat humerus fracture
|
$780.50 |
$780.50 |
$780.50 |
$11,250.40
|
|
Treat humerus fracture
|
$881.50 |
$881.50 |
$881.50 |
$10,629.07
|
|
Treat kneecap dislocation
|
$530.00 |
$530.00 |
$530.00 |
$1,068.90
|
|
Treat kneecap fracture
|
$797.50 |
$797.50 |
$797.50 |
$6,311.00
|
|
Treat knee dislocation
|
$1,476.50 |
$1,476.50 |
$1,476.50 |
$2,220.89
|
|
Treat knee fracture
|
$935.50 |
$935.50 |
$935.50 |
$3,486.60
|
|
Treat knee fracture
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$4,521.40
|
|
Treat knee fracture
|
$864.00 |
$864.00 |
$864.00 |
$2,938.00
|
|
Treat knee fracture 27530
|
$462.50 |
$462.50 |
$462.50 |
$550.00
|
|
Treat knee fracture(s)
|
$496.00 |
$496.00 |
$496.00 |
$642.00
|
|
Treat knuckle dislocation
|
$435.50 |
$435.50 |
$435.50 |
$1,523.90
|
|
Treat knuckle dislocation
|
$605.00 |
$605.00 |
$605.00 |
$4,332.00
|
|
Treat lower leg fracture
|
$1,183.50 |
$1,183.50 |
$1,183.50 |
$14,241.77
|
|
Treat lower leg fracture
|
$1,392.50 |
$1,392.50 |
$1,392.50 |
$12,653.00
|
|
Treat lower leg joint
|
$747.50 |
$747.50 |
$747.50 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$868.50 |
$868.50 |
$868.50 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$1,093.00 |
$1,093.00 |
$1,093.00 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$781.00 |
$781.00 |
$781.00 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,884.00 |
$1,884.00 |
$1,884.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$167.00 |
$167.00 |
$167.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$48.00 |
$48.00 |
$48.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$575.00 |
$575.00 |
$575.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,884.00 |
$1,884.00 |
$1,884.00 |
$3,982.44
|
|
Treatment of anal fissure w/dilat 46940
|
$1,334.50 |
$1,334.50 |
$1,334.50 |
$3,245.23
|
|
Treatment of ankle fracture
|
$10,292.00 |
$10,292.00 |
$10,292.00 |
$8,412.89
|
|
Treatment of ankle fracture
|
$9,508.00 |
$9,508.00 |
$9,508.00 |
$8,453.60
|
|
Treatment of ankle fracture
|
$10,647.00 |
$10,647.00 |
$10,647.00 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$320.50 |
$320.50 |
$320.50 |
$520.80
|
|
Treatment of corneal lesion
|
$310.00 |
$310.00 |
$310.00 |
$856.80
|
|
Treatment of fibula fracture
|
$757.00 |
$757.00 |
$757.00 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$353.00 |
$353.00 |
$353.00 |
$491.50
|
|
Treatment of foot infection
|
$154.00 |
$154.00 |
$154.00 |
$2,614.25
|
|
Treatment of heel fracture 28400
|
$353.00 |
$353.00 |
$353.00 |
$473.00
|
|
Treatment of miscarriage
|
$3,218.50 |
$3,218.50 |
$3,218.50 |
$4,146.69
|
|
Treatment of penis lesion
|
$447.00 |
$447.00 |
$447.00 |
$3,515.40
|
|
Treatment of retinal lesion
|
$467.50 |
$467.50 |
$467.50 |
$1,033.14
|
|
Treatment of thigh fracture
|
$1,399.50 |
$1,399.50 |
$1,399.50 |
$5,109.00
|
|
Treatment of thigh fracture
|
$783.50 |
$783.50 |
$783.50 |
$548.90
|
|
Treatment of thigh fracture
|
$725.00 |
$725.00 |
$725.00 |
$6,389.60
|
|
Treatment of thigh fracture
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$1,772.97
|
|
Treatment of thigh fracture
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$3,409.00
|
|
Treatment of thigh fracture
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$3,764.80
|
|
Treatment of thigh fracture
|
$1,280.50 |
$1,280.50 |
$1,280.50 |
$5,505.50
|
|
Treatment of thigh fracture
|
$1,006.50 |
$1,006.50 |
$1,006.50 |
$3,796.00
|
|
Treatment of tibia fracture
|
$631.00 |
$631.00 |
$631.00 |
$6,183.84
|
|
Treatment of tibia fracture
|
$945.50 |
$945.50 |
$945.50 |
$8,665.60
|
|
Treatment of tibia fracture
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$236.50 |
$236.50 |
$236.50 |
$369.70
|
|
Treatment of urethra lesion
|
$195.00 |
$195.00 |
$195.00 |
$2,874.36
|
|
Treat metacarpal fracture
|
$511.50 |
$511.50 |
$511.50 |
$3,977.49
|
|
Treat metacarpal fracture
|
$608.00 |
$608.00 |
$608.00 |
$5,464.97
|
|
Treat metatarsal fracture
|
$415.50 |
$415.50 |
$415.50 |
$3,839.54
|
|
Treat metatarsal fracture
|
$6,470.00 |
$6,470.00 |
$6,470.00 |
$8,453.60
|
|
Treat midfoot fracture each
|
$688.50 |
$688.50 |
$688.50 |
$6,192.78
|
|
Treat radius fracture
|
$771.50 |
$771.50 |
$771.50 |
$14,061.89
|
|
Treat thigh fracture
|
$953.00 |
$953.00 |
$953.00 |
$6,510.40
|
|
Treat thigh fracture
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$4,083.00
|
|
Treat thigh fracture
|
$1,281.50 |
$1,281.50 |
$1,281.50 |
$4,726.80
|
|
Treat thigh fracture
|
$421.00 |
$421.00 |
$421.00 |
$618.80
|
|
Treat thigh fracture
|
$782.50 |
$782.50 |
$782.50 |
$2,802.80
|
|
Treat thigh fracture
|
$1,024.50 |
$1,024.50 |
$1,024.50 |
$2,032.10
|
|
Treat thigh fracture
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$3,580.50
|
|
Treat thumb fracture
|
$642.00 |
$642.00 |
$642.00 |
$3,786.00
|
|
Treat toe dislocation
|
$242.00 |
$242.00 |
$242.00 |
$3,839.54
|
|
Treat toe dislocation
|
$133.00 |
$133.00 |
$133.00 |
$756.39
|
|
Treat toe fracture
|
$426.50 |
$426.50 |
$426.50 |
$3,839.54
|
|
Treat ulnar fracture
|
$467.50 |
$467.50 |
$467.50 |
$1,662.00
|
|
Treat ulnar fracture
|
$696.00 |
$696.00 |
$696.00 |
$5,926.25
|
|
Treat wrist bone fracture
|
$464.00 |
$464.00 |
$464.00 |
$1,548.40
|
|
Treat wrist dislocation
|
$535.00 |
$535.00 |
$535.00 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$59,670.00 |
$59,670.00 |
$59,670.00 |
$73,346.25
|
|
Treponema pallidum antibody
|
$87.50 |
$87.50 |
$87.50 |
$70.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$28.00 |
$28.00 |
$28.00 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$220.00 |
$220.00 |
$220.00 |
$223.56
|
|
Triglycerides
|
$51.00 |
$51.00 |
$51.00 |
$58.05
|
|
Trim nail(s)
|
$93.50 |
$93.50 |
$93.50 |
$79.00
|
