|
Transfusion blood/blood component(s)
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$983.00
|
|
Transorl lwr esophgl myotomy
|
$10,439.00 |
$10,439.00 |
$10,439.00 |
$6,588.93
|
|
Transperi needle place pros
|
$812.63 |
$812.63 |
$812.63 |
$6,015.75
|
|
Transposition ovary(s)
|
$4,633.50 |
$4,633.50 |
$4,633.50 |
$3,062.80
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$9,841.25 |
$9,841.25 |
$9,841.25 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$1,549.00 |
$1,549.00 |
$1,549.00 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$480.00 |
$480.00 |
$480.00 |
$940.80
|
|
Treat ankle fracture
|
$7,415.24 |
$7,415.24 |
$7,415.24 |
$5,488.00
|
|
Treat big toe fracture
|
$5,813.00 |
$5,813.00 |
$5,813.00 |
$4,307.52
|
|
Treat ectopic pregnancy
|
$10,005.00 |
$10,005.00 |
$10,005.00 |
$6,707.99
|
|
Treat elbow dislocation
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$2,223.20
|
|
Treat elbow fracture
|
$19,406.00 |
$19,406.00 |
$19,406.00 |
$11,488.80
|
|
Treat elbow fracture
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$1,919.13
|
|
Treat elbow fracture
|
$28,131.00 |
$28,131.00 |
$28,131.00 |
$6,316.80
|
|
Treat finger fracture each
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$1,536.00
|
|
Treat foot dislocation
|
$283.50 |
$283.50 |
$283.50 |
$527.28
|
|
Treat foot dislocation
|
$347.50 |
$347.50 |
$347.50 |
$445.80
|
|
Treat fracture of radius
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$1,790.00
|
|
Treat fracture of ulna
|
$353.00 |
$353.00 |
$353.00 |
$726.05
|
|
Treat heel fracture
|
$6,207.00 |
$6,207.00 |
$6,207.00 |
$8,269.81
|
|
Treat hip dislocation
|
$2,920.00 |
$2,920.00 |
$2,920.00 |
$2,192.80
|
|
Treat hip socket fracture
|
$292.00 |
$292.00 |
$292.00 |
$1,392.00
|
|
Treat humerus fracture
|
$17,529.00 |
$17,529.00 |
$17,529.00 |
$13,278.70
|
|
Treat humerus fracture
|
$10,432.50 |
$10,432.50 |
$10,432.50 |
$12,896.80
|
|
Treat humerus fracture
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,771.43
|
|
Treat humerus fracture
|
$17,443.50 |
$17,443.50 |
$17,443.50 |
$12,653.00
|
|
Treat humerus fracture
|
$32,900.50 |
$32,900.50 |
$32,900.50 |
$10,742.40
|
|
Treat humerus fracture
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,771.43
|
|
Treat kneecap dislocation
|
$312.50 |
$312.50 |
$312.50 |
$1,068.90
|
|
Treat kneecap fracture
|
$12,228.00 |
$12,228.00 |
$12,228.00 |
$6,311.00
|
|
Treat knee fracture
|
$32,572.50 |
$32,572.50 |
$32,572.50 |
$3,486.60
|
|
Treat lower leg fracture
|
$9,235.50 |
$9,235.50 |
$9,235.50 |
$14,241.77
|
|
Treat lower leg fracture
|
$27,384.50 |
$27,384.50 |
$27,384.50 |
$12,653.00
|
|
Treat lower leg joint
|
$6,470.00 |
$6,470.00 |
$6,470.00 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$7,525.50 |
$7,525.50 |
$7,525.50 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$9,235.50 |
$9,235.50 |
$9,235.50 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$12,484.00 |
$12,484.00 |
$12,484.00 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$289.50 |
$289.50 |
$289.50 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$56.50 |
$56.50 |
$56.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$279.50 |
$279.50 |
$279.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,657.50 |
$6,657.50 |
$6,657.50 |
$3,982.44
|
|
Treatment of ankle fracture
|
$8,979.00 |
$8,979.00 |
$8,979.00 |
$8,412.89
|
|
Treatment of ankle fracture
|
$14,280.00 |
$14,280.00 |
$14,280.00 |
$8,453.60
|
|
Treatment of ankle fracture
|
$12,912.00 |
$12,912.00 |
$12,912.00 |
$7,907.11
|
|
Treatment of ankle fracture
|
$13,339.50 |
$13,339.50 |
$13,339.50 |
$7,913.97
|
|
Treatment of fibula fracture
|
$8,779.00 |
$8,779.00 |
$8,779.00 |
$6,311.00
|
|
Treatment of retinal lesion
|
$632.50 |
$632.50 |
$632.50 |
$1,033.14
|
|
Treatment of thigh fracture
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,748.40
|
|
Treatment of thigh fracture
|
$11,033.50 |
$11,033.50 |
$11,033.50 |
$5,109.00
|
|
Treatment of tibia fracture
|
$12,399.00 |
$12,399.00 |
$12,399.00 |
$7,087.60
|
|
Treatment radiation delivery level 2
|
$754.00 |
$754.00 |
$754.00 |
$767.65
|
|
Treat metacarpal fracture
|
$4,618.50 |
$4,618.50 |
$4,618.50 |
$3,977.49
|
|
Treat metacarpal fracture
|
$11,287.50 |
$11,287.50 |
$11,287.50 |
$5,464.97
|
|
Treat metatarsal fracture
|
$6,995.00 |
$6,995.00 |
$6,995.00 |
$8,453.60
|
|
Treat midfoot fracture each
|
$2,117.00 |
$2,117.00 |
$2,117.00 |
$1,851.78
|
|
Treat midfoot fracture each
|
$9,406.50 |
$9,406.50 |
$9,406.50 |
$6,192.78
|
|
Treat radius fracture
|
$15,685.67 |
$15,685.67 |
$15,685.67 |
$14,061.89
|
|
Treat spinal cord lesion
|
$341.00 |
$341.00 |
$341.00 |
$1,337.00
|
|
Treat thigh fracture
|
$5,986.50 |
$5,986.50 |
$5,986.50 |
$4,083.00
|
|
Treat thumb fracture
|
$9,114.13 |
$9,114.13 |
$9,114.13 |
$3,786.00
|
|
Treat toe fracture
|
$3,809.67 |
$3,809.67 |
$3,809.67 |
$3,839.54
|
|
Treat ulnar fracture
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,662.00
|
|
Treat ulnar fracture
|
$7,842.83 |
$7,842.83 |
$7,842.83 |
$5,926.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$72,427.45 |
$72,427.45 |
$72,427.45 |
$73,346.25
|
|
Treponema pallidum antibody
|
$37.00 |
$37.00 |
$37.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$270.00 |
$270.00 |
$270.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$58.05 |
$58.05 |
$58.05 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$37.50 |
$37.50 |
$37.50 |
$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
|
$129.00 |
$129.00 |
$129.00 |
$113.40
|
|
Triptorelin pamoate
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$8,275.00 |
$8,275.00 |
$8,275.00 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$4,137.50 |
$4,137.50 |
$4,137.50 |
$7,354.00
|
|
Trnscath plc stent crv crtd w/prtct
|
$15,193.00 |
$15,193.00 |
$15,193.00 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$7,795.50 |
$7,795.50 |
$7,795.50 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ini vein
|
$14,015.50 |
$14,015.50 |
$14,015.50 |
$15,330.11
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,304.50 |
$6,304.50 |
$6,304.50 |
$5,069.50
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$1,971.00 |
$1,971.00 |
$1,971.00 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$2,895.67 |
$2,895.67 |
$2,895.67 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,204.50 |
$1,204.50 |
$1,204.50 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$7,300.00 |
$7,300.00 |
$7,300.00 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$3,285.00 |
$3,285.00 |
$3,285.00 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$1,557.33 |
$1,557.33 |
$1,557.33 |
$2,406.77
|
|
Troponin quantitative
|
$284.00 |
$284.00 |
$284.00 |
$127.20
|
|
Trurl dstrj prst8 tiss rf wv
|
$2,092.67 |
$2,092.67 |
$2,092.67 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$1,004.50 |
$1,004.50 |
$1,004.50 |
$2,012.40
|
|
Tubal Ligation (Laparoscopic)
|
$5,644.50 |
$5,644.50 |
$5,644.50 |
$4,323.20
|
|
Tube trach disp innr can 5 xlt
|
$116.50 |
$116.50 |
$116.50 |
$445.99
|
|
Tx closed hip disl traumatic without anes
|
$353.00 |
$353.00 |
$353.00 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$353.00 |
$353.00 |
$353.00 |
$535.60
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$10,541.00 |
$10,541.00 |
$10,541.00 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$4,595.50 |
$4,595.50 |
$4,595.50 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$9,919.50 |
$9,919.50 |
$9,919.50 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$4,332.50 |
$4,332.50 |
$4,332.50 |
$416.16
|
|
Tympanic membrane repair
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,638.87
|
|
Tympanometry & reflex thresh
|
$227.50 |
$227.50 |
$227.50 |
$170.00
|
