|
Training self management diabetes individual outpatient department per 30 minutes
|
$104.00 |
$104.00 |
$104.00 |
$101.25
|
|
Transcath occlusion non-cns
|
$7,466.50 |
$7,466.50 |
$7,466.50 |
$10,031.28
|
|
Transcutaneous carboxyhb
|
$31.00 |
$31.00 |
$31.00 |
$33.57
|
|
Transferrin
|
$73.50 |
$73.50 |
$73.50 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$875.50 |
$875.50 |
$875.50 |
$983.00
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$3,406.62 |
$3,406.62 |
$3,406.62 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$684.00 |
$684.00 |
$684.00 |
$4,523.04
|
|
Treat ankle dislocation
|
$2,901.50 |
$2,901.50 |
$2,901.50 |
$2,358.40
|
|
Treat elbow dislocation
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$2,223.20
|
|
Treat elbow fracture
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$1,919.13
|
|
Treat eyelid by injection
|
$714.00 |
$714.00 |
$714.00 |
$481.44
|
|
Treat eyelid lesion 67850
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$1,146.13
|
|
Treat finger fracture each
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$1,536.00
|
|
Treat foot bone lesion
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$3,839.54
|
|
Treat foot dislocation
|
$283.50 |
$283.50 |
$283.50 |
$527.28
|
|
Treat foot dislocation
|
$494.50 |
$494.50 |
$494.50 |
$445.80
|
|
Treat fracture of radius
|
$927.50 |
$927.50 |
$927.50 |
$1,790.00
|
|
Treat fracture of ulna
|
$399.50 |
$399.50 |
$399.50 |
$726.05
|
|
Treat heel fracture
|
$15,467.00 |
$15,467.00 |
$15,467.00 |
$8,269.81
|
|
Treat hip dislocation
|
$2,182.00 |
$2,182.00 |
$2,182.00 |
$2,641.60
|
|
Treat hip socket fracture
|
$305.00 |
$305.00 |
$305.00 |
$1,392.00
|
|
Treat humerus fracture
|
$2,170.50 |
$2,170.50 |
$2,170.50 |
$1,771.43
|
|
Treat humerus fracture
|
$2,711.50 |
$2,711.50 |
$2,711.50 |
$1,771.43
|
|
Treat kneecap dislocation
|
$325.00 |
$325.00 |
$325.00 |
$1,068.90
|
|
Treat kneecap fracture
|
$14,612.00 |
$14,612.00 |
$14,612.00 |
$6,311.00
|
|
Treat knee fracture 27530
|
$494.50 |
$494.50 |
$494.50 |
$550.00
|
|
Treat knee fracture(s)
|
$494.50 |
$494.50 |
$494.50 |
$642.00
|
|
Treat lower leg dislocation
|
$399.50 |
$399.50 |
$399.50 |
$530.75
|
|
Treat lower leg fracture
|
$11,893.50 |
$11,893.50 |
$11,893.50 |
$14,241.77
|
|
Treat lower leg fracture
|
$8,411.34 |
$8,411.34 |
$8,411.34 |
$12,653.00
|
|
Treat lower leg joint
|
$4,313.50 |
$4,313.50 |
$4,313.50 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$13,356.50 |
$13,356.50 |
$13,356.50 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$12,332.00 |
$12,332.00 |
$12,332.00 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$10,888.00 |
$10,888.00 |
$10,888.00 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,410.00 |
$4,410.00 |
$4,410.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$74.00 |
$74.00 |
$74.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$72.50 |
$72.50 |
$72.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$574.50 |
$574.50 |
$574.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$5,720.00 |
$5,720.00 |
$5,720.00 |
$3,982.44
|
|
Treatment of ankle fracture
|
$10,242.00 |
$10,242.00 |
$10,242.00 |
$8,412.89
|
|
Treatment of ankle fracture
|
$10,907.00 |
$10,907.00 |
$10,907.00 |
$8,453.60
|
|
Treatment of ankle fracture
|
$14,707.00 |
$14,707.00 |
$14,707.00 |
$7,907.11
|
|
Treatment of ankle fracture
|
$6,954.67 |
$6,954.67 |
$6,954.67 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$547.00 |
$547.00 |
$547.00 |
$520.80
|
|
Treatment of corneal lesion
|
$500.50 |
$500.50 |
$500.50 |
$856.80
|
|
Treatment of fibula fracture
|
$7,232.34 |
$7,232.34 |
$7,232.34 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$494.50 |
$494.50 |
$494.50 |
$491.50
|
|
Treatment of foot infection
|
$3,760.00 |
$3,760.00 |
$3,760.00 |
$2,614.25
|
|
Treatment of heel fracture 28400
|
$399.50 |
$399.50 |
$399.50 |
$473.00
|
|
Treatment of mouth lesion physical 40820
|
$5,378.00 |
$5,378.00 |
$5,378.00 |
$3,589.62
|
|
Treatment of retinal lesion
|
$624.00 |
$624.00 |
$624.00 |
$1,033.14
|
|
Treatment of thigh fracture
|
$392.00 |
$392.00 |
$392.00 |
$476.16
|
|
Treatment of thigh fracture
|
$2,170.50 |
$2,170.50 |
$2,170.50 |
$1,748.40
|
|
Treatment of thigh fracture
|
$547.00 |
$547.00 |
$547.00 |
$548.90
|
|
Treatment of thigh fracture
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$1,772.97
|
|
Treatment of tibia fracture
|
$18,602.00 |
$18,602.00 |
$18,602.00 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$463.50 |
$463.50 |
$463.50 |
$369.70
|
|
Treat metatarsal fracture
|
$15,942.00 |
$15,942.00 |
$15,942.00 |
$8,453.60
|
|
Treat midfoot fracture each
|
$16,132.00 |
$16,132.00 |
$16,132.00 |
$6,192.78
|
|
Treat thigh fracture
|
$376.00 |
$376.00 |
$376.00 |
$618.80
|
|
Treat toe fracture
|
$6,347.00 |
$6,347.00 |
$6,347.00 |
$3,839.54
|
|
Treat ulnar fracture
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$1,662.00
|
|
Treat ulnar fracture
|
$18,895.00 |
$18,895.00 |
$18,895.00 |
$5,926.25
|
|
Treponema pallidum antibody
|
$47.50 |
$47.50 |
$47.50 |
$70.40
|
|
Trg gene rearrangement anal
|
$728.50 |
$728.50 |
$728.50 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$116.10 |
$116.10 |
$116.10 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$54.00 |
$54.00 |
$54.00 |
$223.56
|
|
Trichinella antibody
|
$39.00 |
$39.00 |
$39.00 |
$70.20
|
|
#tricyclicantidprssnt
|
$5.00 |
$5.00 |
$5.00 |
$50.86
|
|
Triglycerides
|
$51.00 |
$51.00 |
$51.00 |
$58.05
|
|
Trim nondyst nails
|
$112.50 |
$112.50 |
$112.50 |
$113.40
|
|
Triptorelin pamoate
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$4,619.39
|
|
Trnscath plc stent crv crtd w/prtct
|
$6,314.50 |
$6,314.50 |
$6,314.50 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$19,677.00 |
$19,677.00 |
$19,677.00 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$3,470.50 |
$3,470.50 |
$3,470.50 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ini vein
|
$7,466.50 |
$7,466.50 |
$7,466.50 |
$15,330.11
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,624.00 |
$5,624.00 |
$5,624.00 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,196.00 |
$2,196.00 |
$2,196.00 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$2,073.00 |
$2,073.00 |
$2,073.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$6,149.00 |
$6,149.00 |
$6,149.00 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$2,423.00 |
$2,423.00 |
$2,423.00 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$3,426.00 |
$3,426.00 |
$3,426.00 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$3,262.50 |
$3,262.50 |
$3,262.50 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$3,262.50 |
$3,262.50 |
$3,262.50 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$3,262.50 |
$3,262.50 |
$3,262.50 |
$2,406.77
|
|
Troponin quantitative
|
$99.00 |
$99.00 |
$99.00 |
$127.20
|
|
Tube trach disp innr can 5 xlt
|
$146.50 |
$146.50 |
$146.50 |
$445.99
|
|
Tx closed distal humerus fx
|
$528.50 |
$528.50 |
$528.50 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$1,384.00 |
$1,384.00 |
$1,384.00 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$4,372.00 |
$4,372.00 |
$4,372.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$547.00 |
$547.00 |
$547.00 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$1,097.50 |
$1,097.50 |
$1,097.50 |
$944.00
|
|
Tx contour defects 1.1-5.0cc 11951
|
$1,097.50 |
$1,097.50 |
$1,097.50 |
$804.23
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$5,733.50 |
$5,733.50 |
$5,733.50 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$4,372.00 |
$4,372.00 |
$4,372.00 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$494.50 |
$494.50 |
$494.50 |
$416.16
|
|
Tympanic membrane repair
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$2,638.87
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$1,060.50 |
$1,060.50 |
$1,060.50 |
$911.43
|
