|
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
|
$329.50 |
$329.50 |
$329.50 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$127.50 |
$127.50 |
$127.50 |
$224.90
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$124.00 |
$124.00 |
$124.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$406.00 |
$406.00 |
$406.00 |
$3,982.44
|
|
Treatment of anal fissure w/dilat 46940
|
$155.00 |
$155.00 |
$155.00 |
$3,245.23
|
|
Treatment of ankle fracture
|
$682.00 |
$682.00 |
$682.00 |
$8,412.89
|
|
Treatment of ankle fracture
|
$807.00 |
$807.00 |
$807.00 |
$8,453.60
|
|
Treatment of ankle fracture
|
$923.50 |
$923.50 |
$923.50 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$425.00 |
$425.00 |
$425.00 |
$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
|
$425.00 |
$425.00 |
$425.00 |
$491.50
|
|
Treatment of foot infection
|
$145.50 |
$145.50 |
$145.50 |
$2,614.25
|
|
Treatment of heel fracture 28400
|
$425.00 |
$425.00 |
$425.00 |
$473.00
|
|
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
|
$544.50 |
$544.50 |
$544.50 |
$548.90
|
|
Treatment of thigh fracture
|
$725.00 |
$725.00 |
$725.00 |
$6,389.60
|
|
Treatment of thigh fracture
|
$763.00 |
$763.00 |
$763.00 |
$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
|
$133.00 |
$133.00 |
$133.00 |
$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
|
$598.00 |
$598.00 |
$598.00 |
$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
|
|
Treponema pallidum antibody
|
$42.50 |
$42.50 |
$42.50 |
$70.40
|
|
Trg gene rearrangement anal
|
$152.50 |
$152.50 |
$152.50 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$3.50 |
$3.50 |
$3.50 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$25.00 |
$25.00 |
$25.00 |
$223.56
|
|
#tricyclicantidprssnt
|
$5.00 |
$5.00 |
$5.00 |
$50.86
|
|
Triglycerides
|
$51.00 |
$51.00 |
$51.00 |
$58.05
|
|
Trim nail(s)
|
$7.50 |
$7.50 |
$7.50 |
$79.00
|
|
Trim nondyst nails
|
$92.00 |
$92.00 |
$92.00 |
$113.40
|
|
Triptorelin pamoate
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$6,429.50 |
$6,429.50 |
$6,429.50 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$193.50 |
$193.50 |
$193.50 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$522.00 |
$522.00 |
$522.00 |
$754.80
|
|
Trnscath plc stnt ante carotid art
|
$887.00 |
$887.00 |
$887.00 |
$6,069.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$315.50 |
$315.50 |
$315.50 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$407.00 |
$407.00 |
$407.00 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$243.00 |
$243.00 |
$243.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$129.00 |
$129.00 |
$129.00 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$352.50 |
$352.50 |
$352.50 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$870.00 |
$870.00 |
$870.00 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$214.00 |
$214.00 |
$214.00 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$638.50 |
$638.50 |
$638.50 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$780.00 |
$780.00 |
$780.00 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$693.50 |
$693.50 |
$693.50 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$677.00 |
$677.00 |
$677.00 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$517.50 |
$517.50 |
$517.50 |
$2,406.77
|
|
Troponin quantitative
|
$69.50 |
$69.50 |
$69.50 |
$127.20
|
|
Tubal Ligation (Laparoscopic)
|
$382.00 |
$382.00 |
$382.00 |
$4,323.20
|
|
Tvh w/mmk 58267
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$2,058.60
|
|
Tx closed distal humerus fx
|
$954.50 |
$954.50 |
$954.50 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$212.00 |
$212.00 |
$212.00 |
$581.07
|
|
Tx closed tib shaft fx without manip
|
$363.00 |
$363.00 |
$363.00 |
$535.60
|
|
Tx contour defects 1.1-5.0cc 11951
|
$72.00 |
$72.00 |
$72.00 |
$804.23
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$772.00 |
$772.00 |
$772.00 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$537.00 |
$537.00 |
$537.00 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$581.00 |
$581.00 |
$581.00 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$628.00 |
$628.00 |
$628.00 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$425.00 |
$425.00 |
$425.00 |
$416.16
|
|
Ultrasound abdomen aorta screening study aaa
|
$369.00 |
$369.00 |
$369.00 |
$394.20
|
|
Ultrasound breast complete
|
$300.00 |
$300.00 |
$300.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$254.00 |
$254.00 |
$254.00 |
$449.35
|
|
Ultrasound chest
|
$241.00 |
$241.00 |
$241.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$48.00 |
$48.00 |
$48.00 |
$338.00
|
