|
Treatment of thigh fracture
|
$20,499.50 |
$20,499.50 |
$20,499.50 |
$3,796.00
|
|
Treatment of tibia fracture
|
$3,316.67 |
$3,316.67 |
$3,316.67 |
$6,183.84
|
|
Treatment of tibia fracture
|
$17,372.50 |
$17,372.50 |
$17,372.50 |
$8,665.60
|
|
Treatment of tibia fracture
|
$14,929.00 |
$14,929.00 |
$14,929.00 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$563.50 |
$563.50 |
$563.50 |
$369.70
|
|
Treatment of urethra lesion
|
$2,384.83 |
$2,384.83 |
$2,384.83 |
$4,061.71
|
|
Treatment of urethra lesion
|
$2,102.50 |
$2,102.50 |
$2,102.50 |
$2,874.36
|
|
Treatment radiation delivery level 2
|
$2,694.00 |
$2,694.00 |
$2,694.00 |
$767.65
|
|
Treatment x10sv retinopathy
|
$8,232.00 |
$8,232.00 |
$8,232.00 |
$1,513.20
|
|
Treat metacarpal fracture
|
$12,033.00 |
$12,033.00 |
$12,033.00 |
$3,977.49
|
|
Treat metacarpal fracture
|
$16,526.00 |
$16,526.00 |
$16,526.00 |
$5,464.97
|
|
Treat metatarsal fracture
|
$15,448.00 |
$15,448.00 |
$15,448.00 |
$8,453.60
|
|
Treat midfoot fracture each
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$1,851.78
|
|
Treat midfoot fracture each
|
$6,445.00 |
$6,445.00 |
$6,445.00 |
$6,192.78
|
|
Treat pelvic ring fracture
|
$29,720.00 |
$29,720.00 |
$29,720.00 |
$2,727.20
|
|
Treat penis lesion graft
|
$15,364.50 |
$15,364.50 |
$15,364.50 |
$6,015.75
|
|
Treat penis lesion graft
|
$14,835.00 |
$14,835.00 |
$14,835.00 |
$10,235.30
|
|
Treat radius fracture
|
$24,263.76 |
$24,263.76 |
$24,263.76 |
$14,061.89
|
|
Treat slipped epiphysis
|
$9,951.50 |
$9,951.50 |
$9,951.50 |
$4,499.12
|
|
Treat thigh fracture
|
$284.00 |
$284.00 |
$284.00 |
$661.00
|
|
Treat thigh fracture
|
$13,752.50 |
$13,752.50 |
$13,752.50 |
$6,510.40
|
|
Treat thigh fracture
|
$8,413.00 |
$8,413.00 |
$8,413.00 |
$4,083.00
|
|
Treat thigh fracture
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$1,893.86
|
|
Treat thigh fracture
|
$12,153.00 |
$12,153.00 |
$12,153.00 |
$4,726.80
|
|
Treat thigh fracture
|
$315.50 |
$315.50 |
$315.50 |
$618.80
|
|
Treat thigh fracture
|
$10,744.00 |
$10,744.00 |
$10,744.00 |
$2,802.80
|
|
Treat thigh fracture
|
$4,420.00 |
$4,420.00 |
$4,420.00 |
$2,032.10
|
|
Treat thigh fracture
|
$14,024.00 |
$14,024.00 |
$14,024.00 |
$3,580.50
|
|
Treat thumb fracture
|
$11,279.00 |
$11,279.00 |
$11,279.00 |
$2,508.80
|
|
Treat thumb fracture
|
$5,426.50 |
$5,426.50 |
$5,426.50 |
$3,786.00
|
|
Treat toe dislocation
|
$357.50 |
$357.50 |
$357.50 |
$756.39
|
|
Treat toe fracture
|
$5,464.00 |
$5,464.00 |
$5,464.00 |
$3,839.54
|
|
Treat ulnar fracture
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$1,662.00
|
|
Treat ulnar fracture
|
$15,033.00 |
$15,033.00 |
$15,033.00 |
$5,926.25
|
|
Treat vaginal bleeding
|
$270.50 |
$270.50 |
$270.50 |
$379.60
|
|
Treat wrist bone fracture
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,548.40
|
|
Treat wrist dislocation
|
$345.00 |
$345.00 |
$345.00 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$72,427.46 |
$72,427.46 |
$72,427.46 |
$73,346.25
|
|
Treponema pallidum antibody
|
$98.50 |
$98.50 |
$98.50 |
$70.40
|
|
Trg gene rearrangement anal
|
$624.00 |
$624.00 |
$624.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$55.74 |
$55.74 |
$55.74 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$1,756.19 |
$1,756.19 |
$1,756.19 |
$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
|
|
Trilaciclib 300 mg intravenous solution
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$100.15 |
$100.15 |
$100.15 |
$117.49
|
|
Trim nail(s)
|
$93.50 |
$93.50 |
$93.50 |
$79.00
|
|
Trim nondyst nails
|
$139.00 |
$139.00 |
$139.00 |
$113.40
|
|
Triptorelin pamoate
|
$44,595.34 |
$44,595.34 |
$44,595.34 |
$4,619.39
|
|
Trluml dil aq o/f can without st
|
$3,843.50 |
$3,843.50 |
$3,843.50 |
$5,419.00
|
|
Trluml dil aq o/f can w/st
|
$4,522.67 |
$4,522.67 |
$4,522.67 |
$4,928.00
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$8,442.50 |
$8,442.50 |
$8,442.50 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$10,598.00 |
$10,598.00 |
$10,598.00 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$362.50 |
$362.50 |
$362.50 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$11,958.50 |
$11,958.50 |
$11,958.50 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$15,945.00 |
$15,945.00 |
$15,945.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$15,646.00 |
$15,646.00 |
$15,646.00 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,280.00 |
$4,280.00 |
$4,280.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,220.00 |
$6,220.00 |
$6,220.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$7,254.00 |
$7,254.00 |
$7,254.00 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,261.50 |
$6,261.50 |
$6,261.50 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,622.50 |
$5,622.50 |
$5,622.50 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$7,513.50 |
$7,513.50 |
$7,513.50 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$7,654.50 |
$7,654.50 |
$7,654.50 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$5,622.50 |
$5,622.50 |
$5,622.50 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$7,908.50 |
$7,908.50 |
$7,908.50 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$3,954.25 |
$3,954.25 |
$3,954.25 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$5,950.34 |
$5,950.34 |
$5,950.34 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$7,462.50 |
$7,462.50 |
$7,462.50 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$14,325.50 |
$14,325.50 |
$14,325.50 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$4,627.50 |
$4,627.50 |
$4,627.50 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$2,406.77
|
|
Troponin quantitative
|
$217.50 |
$217.50 |
$217.50 |
$127.20
|
|
Tr retinal les preterm inf
|
$9,137.00 |
$9,137.00 |
$9,137.00 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$3,492.00 |
$3,492.00 |
$3,492.00 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$1,903.00 |
$1,903.00 |
$1,903.00 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$1,538.50 |
$1,538.50 |
$1,538.50 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$1,254.50 |
$1,254.50 |
$1,254.50 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$556.00 |
$556.00 |
$556.00 |
$1,077.92
|
|
Tube trach disp innr can 5 xlt
|
$472.00 |
$472.00 |
$472.00 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$396.91 |
$396.91 |
$396.91 |
$155.98
|
|
Tubular dressing
|
$25.50 |
$25.50 |
$25.50 |
$28.46
|
|
Tx atrial fib pulm vein isol
|
$19,113.00 |
$19,113.00 |
$19,113.00 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$7,077.50 |
$7,077.50 |
$7,077.50 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$362.50 |
$362.50 |
$362.50 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$4,725.00 |
$4,725.00 |
$4,725.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$422.00 |
$422.00 |
$422.00 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$944.00 |
$944.00 |
$944.00 |
$944.00
|
|
Tx contour defects 1.1-5.0cc 11951
|
$944.00 |
$944.00 |
$944.00 |
$804.23
|
|
Tx ectopic pregnancy abdl pregnancy 59130
|
$4,382.50 |
$4,382.50 |
$4,382.50 |
$2,277.60
|
|
Tx l/r atrial fib addl
|
$5,867.50 |
$5,867.50 |
$5,867.50 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$11,761.50 |
$11,761.50 |
$11,761.50 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$8,504.67 |
$8,504.67 |
$8,504.67 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$5,199.00 |
$5,199.00 |
$5,199.00 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$11,283.76 |
$11,283.76 |
$11,283.76 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$3,138.25 |
$3,138.25 |
$3,138.25 |
$416.16
|
|
Tympanic membrane repair
|
$4,666.50 |
$4,666.50 |
$4,666.50 |
$2,638.87
|
|
Tympanolysis transcanal 69450
|
$13,209.50 |
$13,209.50 |
$13,209.50 |
$3,837.72
|
|
Tympanometry & reflex thresh
|
$193.00 |
$193.00 |
$193.00 |
$170.00
|
