|
Transcath rmvl perm ldss pmkr rv
|
$3,428.00 |
$3,428.00 |
$3,428.00 |
$4,775.16
|
|
Transferrin
|
$85.00 |
$85.00 |
$85.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$728.50 |
$728.50 |
$728.50 |
$983.00
|
|
Transorl lwr esophgl myotomy
|
$7,000.50 |
$7,000.50 |
$7,000.50 |
$6,588.93
|
|
Transperi needle place pros
|
$652.88 |
$652.88 |
$652.88 |
$6,015.75
|
|
Transplant forearm tendon
|
$6,541.75 |
$6,541.75 |
$6,541.75 |
$3,591.33
|
|
Transplant/graft hand tendon
|
$12,486.67 |
$12,486.67 |
$12,486.67 |
$3,591.33
|
|
Transplant hand tendon
|
$7,539.50 |
$7,539.50 |
$7,539.50 |
$3,821.05
|
|
Transplant palm tendon
|
$4,179.00 |
$4,179.00 |
$4,179.00 |
$3,821.05
|
|
Transplt allo hct/donor
|
$79,473.00 |
$79,473.00 |
$79,473.00 |
$29,206.10
|
|
Transplt autol hct/donor
|
$2,203.00 |
$2,203.00 |
$2,203.00 |
$3,786.00
|
|
Trastuzumab 150 mg intravenous solution
|
$17,017.95 |
$17,017.95 |
$17,017.95 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$10,598.38 |
$10,598.38 |
$10,598.38 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$4,397.18 |
$4,397.18 |
$4,397.18 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$1,517.50 |
$1,517.50 |
$1,517.50 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$298.94 |
$298.94 |
$298.94 |
$940.80
|
|
Treat ankle dislocation
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$2,358.40
|
|
Treat ankle fracture
|
$12,473.00 |
$12,473.00 |
$12,473.00 |
$5,488.00
|
|
Treat big toe fracture
|
$5,862.00 |
$5,862.00 |
$5,862.00 |
$4,307.52
|
|
Treat cheek bone fracturemalar 21360
|
$18,880.00 |
$18,880.00 |
$18,880.00 |
$6,489.73
|
|
Treat ectopic pregnancy
|
$14,139.50 |
$14,139.50 |
$14,139.50 |
$4,350.00
|
|
Treat ectopic pregnancy
|
$9,318.00 |
$9,318.00 |
$9,318.00 |
$6,707.99
|
|
Treat elbow dislocation
|
$2,505.50 |
$2,505.50 |
$2,505.50 |
$2,223.20
|
|
Treat elbow dislocation
|
$11,972.00 |
$11,972.00 |
$11,972.00 |
$7,292.92
|
|
Treat elbow fracture
|
$18,096.50 |
$18,096.50 |
$18,096.50 |
$11,488.80
|
|
Treat elbow fracture
|
$2,505.50 |
$2,505.50 |
$2,505.50 |
$1,919.13
|
|
Treat elbow fracture
|
$9,833.00 |
$9,833.00 |
$9,833.00 |
$6,316.80
|
|
Treat eyelid by injection
|
$2,442.33 |
$2,442.33 |
$2,442.33 |
$481.44
|
|
Treat eyelid lesion 67850
|
$2,418.00 |
$2,418.00 |
$2,418.00 |
$1,146.13
|
|
Treat finger fracture each
|
$8,413.00 |
$8,413.00 |
$8,413.00 |
$4,132.02
|
|
Treat finger fracture each
|
$3,216.50 |
$3,216.50 |
$3,216.50 |
$1,536.00
|
|
Treat foot dislocation
|
$315.00 |
$315.00 |
$315.00 |
$527.28
|
|
Treat foot dislocation
|
$345.00 |
$345.00 |
$345.00 |
$445.80
|
|
Treat fracture of radius
|
$2,873.00 |
$2,873.00 |
$2,873.00 |
$1,790.00
|
|
Treat fracture of radius
|
$2,245.00 |
$2,245.00 |
$2,245.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$349.50 |
$349.50 |
$349.50 |
$726.05
|
|
Treat/graft heel fracture
|
$12,596.00 |
$12,596.00 |
$12,596.00 |
$10,629.07
|
|
Treat hand dislocation
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,749.06
|
|
Treat hand dislocation
|
$2,057.22 |
$2,057.22 |
$2,057.22 |
$3,821.05
|
|
Treat hand dislocation
|
$8,684.50 |
$8,684.50 |
$8,684.50 |
$3,839.54
|
|
Treat heel fracture
|
$23,798.00 |
$23,798.00 |
$23,798.00 |
$8,269.81
|
|
Treat hip dislocation
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$2,192.80
|
|
Treat hip dislocation
|
$2,993.50 |
$2,993.50 |
$2,993.50 |
$2,641.60
|
|
Treat hip socket fracture
|
$291.00 |
$291.00 |
$291.00 |
$1,392.00
|
|
Treat humerus fracture
|
$13,693.34 |
$13,693.34 |
$13,693.34 |
$13,278.70
|
|
Treat humerus fracture
|
$12,793.00 |
$12,793.00 |
$12,793.00 |
$12,896.80
|
|
Treat humerus fracture
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,771.43
|
|
Treat humerus fracture
|
$21,688.00 |
$21,688.00 |
$21,688.00 |
$12,653.00
|
|
Treat humerus fracture
|
$29,952.00 |
$29,952.00 |
$29,952.00 |
$10,742.40
|
|
Treat humerus fracture
|
$2,505.50 |
$2,505.50 |
$2,505.50 |
$1,771.43
|
|
Treat humerus fracture
|
$13,571.50 |
$13,571.50 |
$13,571.50 |
$11,250.40
|
|
Treat humerus fracture
|
$13,843.00 |
$13,843.00 |
$13,843.00 |
$10,629.07
|
|
Treat humerus fracture
|
$6,784.00 |
$6,784.00 |
$6,784.00 |
$6,839.00
|
|
Treat kneecap dislocation
|
$345.00 |
$345.00 |
$345.00 |
$1,068.90
|
|
Treat kneecap dislocation
|
$3,160.81 |
$3,160.81 |
$3,160.81 |
$7,807.24
|
|
Treat kneecap fracture
|
$12,666.50 |
$12,666.50 |
$12,666.50 |
$6,311.00
|
|
Treat knee dislocation
|
$2,089.00 |
$2,089.00 |
$2,089.00 |
$2,220.89
|
|
Treat knee fracture
|
$21,217.50 |
$21,217.50 |
$21,217.50 |
$3,486.60
|
|
Treat knee fracture
|
$28,062.50 |
$28,062.50 |
$28,062.50 |
$4,521.40
|
|
Treat knee fracture
|
$14,838.50 |
$14,838.50 |
$14,838.50 |
$2,938.00
|
|
Treat knee fracture 27530
|
$740.00 |
$740.00 |
$740.00 |
$550.00
|
|
Treat knee fracture(s)
|
$342.00 |
$342.00 |
$342.00 |
$642.00
|
|
Treat knuckle dislocation
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,523.90
|
|
Treat knuckle dislocation
|
$19,001.50 |
$19,001.50 |
$19,001.50 |
$4,332.00
|
|
Treat lower jaw fracture 21462
|
$26,603.50 |
$26,603.50 |
$26,603.50 |
$7,000.36
|
|
Treat lower leg dislocation
|
$362.50 |
$362.50 |
$362.50 |
$530.75
|
|
Treat lower leg fracture
|
$55,286.00 |
$55,286.00 |
$55,286.00 |
$14,241.77
|
|
Treat lower leg fracture
|
$12,426.34 |
$12,426.34 |
$12,426.34 |
$12,653.00
|
|
Treat lower leg joint
|
$10,947.00 |
$10,947.00 |
$10,947.00 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$10,313.00 |
$10,313.00 |
$10,313.00 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$10,766.00 |
$10,766.00 |
$10,766.00 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$12,713.00 |
$12,713.00 |
$12,713.00 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,273.00 |
$4,273.00 |
$4,273.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$364.50 |
$364.50 |
$364.50 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$660.00 |
$660.00 |
$660.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$4,435.50 |
$4,435.50 |
$4,435.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,266.50 |
$6,266.50 |
$6,266.50 |
$3,982.44
|
|
Treatment mouth roof lesion
|
$5,383.50 |
$5,383.50 |
$5,383.50 |
$4,256.70
|
|
Treatment of ankle fracture
|
$6,900.00 |
$6,900.00 |
$6,900.00 |
$8,412.89
|
|
Treatment of ankle fracture
|
$19,273.00 |
$19,273.00 |
$19,273.00 |
$8,453.60
|
|
Treatment of ankle fracture
|
$8,340.00 |
$8,340.00 |
$8,340.00 |
$7,907.11
|
|
Treatment of ankle fracture
|
$13,273.00 |
$13,273.00 |
$13,273.00 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$10,982.00 |
$10,982.00 |
$10,982.00 |
$520.80
|
|
Treatment of choroid lesion
|
$4,793.00 |
$4,793.00 |
$4,793.00 |
$1,253.20
|
|
Treatment of corneal lesion
|
$2,500.88 |
$2,500.88 |
$2,500.88 |
$856.80
|
|
Treatment of fibula fracture
|
$5,788.50 |
$5,788.50 |
$5,788.50 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$422.00 |
$422.00 |
$422.00 |
$491.50
|
|
Treatment of foot infection
|
$3,548.34 |
$3,548.34 |
$3,548.34 |
$2,614.25
|
|
Treatment of heel fracture 28400
|
$454.00 |
$454.00 |
$454.00 |
$473.00
|
|
Treatment of miscarriage
|
$3,996.00 |
$3,996.00 |
$3,996.00 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$9,951.50 |
$9,951.50 |
$9,951.50 |
$3,589.62
|
|
Treatment of retinal lesion
|
$1,363.13 |
$1,363.13 |
$1,363.13 |
$1,580.87
|
|
Treatment of retinal lesion
|
$2,216.67 |
$2,216.67 |
$2,216.67 |
$1,033.14
|
|
Treatment of thigh fracture
|
$362.50 |
$362.50 |
$362.50 |
$476.16
|
|
Treatment of thigh fracture
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$1,748.40
|
|
Treatment of thigh fracture
|
$10,519.75 |
$10,519.75 |
$10,519.75 |
$5,109.00
|
|
Treatment of thigh fracture
|
$819.00 |
$819.00 |
$819.00 |
$548.90
|
|
Treatment of thigh fracture
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
$1,772.97
|
|
Treatment of thigh fracture
|
$15,291.00 |
$15,291.00 |
$15,291.00 |
$3,764.80
|
|
Treatment of thigh fracture
|
$12,170.50 |
$12,170.50 |
$12,170.50 |
$5,505.50
|
