|
Treatment of foot infection
|
$154.00 |
$154.00 |
$154.00 |
$2,614.25
|
|
Treatment of heel fracture 28400
|
$491.50 |
$491.50 |
$491.50 |
$473.00
|
|
Treatment of penis lesion
|
$445.00 |
$445.00 |
$445.00 |
$3,515.40
|
|
Treatment of retinal lesion
|
$495.50 |
$495.50 |
$495.50 |
$1,033.14
|
|
Treatment of thigh fracture
|
$1,414.50 |
$1,414.50 |
$1,414.50 |
$5,109.00
|
|
Treatment of thigh fracture
|
$549.00 |
$549.00 |
$549.00 |
$548.90
|
|
Treatment of thigh fracture
|
$707.00 |
$707.00 |
$707.00 |
$6,389.60
|
|
Treatment of thigh fracture
|
$756.50 |
$756.50 |
$756.50 |
$1,772.97
|
|
Treatment of thigh fracture
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$3,409.00
|
|
Treatment of thigh fracture
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$3,764.80
|
|
Treatment of thigh fracture
|
$1,280.50 |
$1,280.50 |
$1,280.50 |
$5,505.50
|
|
Treatment of thigh fracture
|
$1,066.50 |
$1,066.50 |
$1,066.50 |
$3,796.00
|
|
Treatment of tibia fracture
|
$633.50 |
$633.50 |
$633.50 |
$6,183.84
|
|
Treatment of tibia fracture
|
$987.00 |
$987.00 |
$987.00 |
$8,665.60
|
|
Treatment of tibia fracture
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$491.50 |
$491.50 |
$491.50 |
$369.70
|
|
Treatment of urethra lesion
|
$199.50 |
$199.50 |
$199.50 |
$2,874.36
|
|
Treat metacarpal fracture
|
$527.00 |
$527.00 |
$527.00 |
$3,977.49
|
|
Treat metacarpal fracture
|
$7,613.00 |
$7,613.00 |
$7,613.00 |
$5,464.97
|
|
Treat metatarsal fracture
|
$411.00 |
$411.00 |
$411.00 |
$3,839.54
|
|
Treat metatarsal fracture
|
$6,031.50 |
$6,031.50 |
$6,031.50 |
$8,453.60
|
|
Treat midfoot fracture each
|
$671.50 |
$671.50 |
$671.50 |
$6,192.78
|
|
Treat radius fracture
|
$805.00 |
$805.00 |
$805.00 |
$14,061.89
|
|
Treat thigh fracture
|
$959.00 |
$959.00 |
$959.00 |
$6,510.40
|
|
Treat thigh fracture
|
$1,316.50 |
$1,316.50 |
$1,316.50 |
$4,083.00
|
|
Treat thigh fracture
|
$7,759.50 |
$7,759.50 |
$7,759.50 |
$4,726.80
|
|
Treat thigh fracture
|
$412.00 |
$412.00 |
$412.00 |
$618.80
|
|
Treat thigh fracture
|
$822.50 |
$822.50 |
$822.50 |
$2,802.80
|
|
Treat thigh fracture
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$2,032.10
|
|
Treat thigh fracture
|
$1,354.00 |
$1,354.00 |
$1,354.00 |
$3,580.50
|
|
Treat thumb fracture
|
$683.50 |
$683.50 |
$683.50 |
$3,786.00
|
|
Treat toe dislocation
|
$243.50 |
$243.50 |
$243.50 |
$3,839.54
|
|
Treat toe dislocation
|
$130.50 |
$130.50 |
$130.50 |
$756.39
|
|
Treat toe fracture
|
$418.00 |
$418.00 |
$418.00 |
$3,839.54
|
|
Treat ulnar fracture
|
$444.00 |
$444.00 |
$444.00 |
$1,662.00
|
|
Treat ulnar fracture
|
$10,853.00 |
$10,853.00 |
$10,853.00 |
$5,926.25
|
|
Treat wrist bone fracture
|
$466.00 |
$466.00 |
$466.00 |
$1,548.40
|
|
Treat wrist dislocation
|
$443.00 |
$443.00 |
$443.00 |
$656.25
|
|
Treponema pallidum antibody
|
$58.50 |
$58.50 |
$58.50 |
$70.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$28.00 |
$28.00 |
$28.00 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$25.00 |
$25.00 |
$25.00 |
$223.56
|
|
Trichinella antibody
|
$39.00 |
$39.00 |
$39.00 |
$70.20
|
|
Triglycerides
|
$51.00 |
$51.00 |
$51.00 |
$58.05
|
|
Trim nail(s)
|
$8.00 |
$8.00 |
$8.00 |
$79.00
|
|
Trim nondyst nails
|
$129.00 |
$129.00 |
$129.00 |
$113.40
|
|
Triptorelin pamoate
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$6,180.00 |
$6,180.00 |
$6,180.00 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$217.00 |
$217.00 |
$217.00 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$510.00 |
$510.00 |
$510.00 |
$754.80
|
|
Trnscath plc stnt ante carotid art
|
$880.00 |
$880.00 |
$880.00 |
$6,069.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$315.00 |
$315.00 |
$315.00 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$408.00 |
$408.00 |
$408.00 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$243.50 |
$243.50 |
$243.50 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$130.00 |
$130.00 |
$130.00 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$355.00 |
$355.00 |
$355.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$8,947.50 |
$8,947.50 |
$8,947.50 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$226.50 |
$226.50 |
$226.50 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,421.50 |
$1,421.50 |
$1,421.50 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$841.00 |
$841.00 |
$841.00 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$1,137.92 |
$1,137.92 |
$1,137.92 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,137.92 |
$1,137.92 |
$1,137.92 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$1,137.92 |
$1,137.92 |
$1,137.92 |
$2,406.77
|
|
Troponin quantitative
|
$197.00 |
$197.00 |
$197.00 |
$127.20
|
|
Tubal Ligation (Laparoscopic)
|
$390.50 |
$390.50 |
$390.50 |
$4,323.20
|
|
Tvh w/mmk 58267
|
$1,127.50 |
$1,127.50 |
$1,127.50 |
$2,058.60
|
|
Tx closed distal humerus fx
|
$954.50 |
$954.50 |
$954.50 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$196.50 |
$196.50 |
$196.50 |
$581.07
|
|
Tx closed tib shaft fx without manip
|
$2,772.50 |
$2,772.50 |
$2,772.50 |
$535.60
|
|
Tx contour defects 1.1-5.0cc 11951
|
$708.00 |
$708.00 |
$708.00 |
$804.23
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$812.50 |
$812.50 |
$812.50 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$550.00 |
$550.00 |
$550.00 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$598.50 |
$598.50 |
$598.50 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$5,840.34 |
$5,840.34 |
$5,840.34 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$491.50 |
$491.50 |
$491.50 |
$416.16
|
|
Ua w/micro/comp poc
|
$4.50 |
$4.50 |
$4.50 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$270.00 |
$270.00 |
$270.00 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$309.00 |
$309.00 |
$309.00 |
$394.20
|
|
Ultrasound breast complete
|
$489.00 |
$489.00 |
$489.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$532.00 |
$532.00 |
$532.00 |
$449.35
|
|
Ultrasound chest
|
$212.00 |
$212.00 |
$212.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$24.00 |
$24.00 |
$24.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$32.00 |
$32.00 |
$32.00 |
$296.80
|
|
Ultrasound encephalogram
|
$31.00 |
$31.00 |
$31.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$437.50 |
$437.50 |
$437.50 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$37.00 |
$37.00 |
$37.00 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$264.50 |
$264.50 |
$264.50 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$528.50 |
$528.50 |
$528.50 |
$720.15
|
|
Ultrasound guide intraoperative
|
$411.50 |
$411.50 |
$411.50 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$141.50 |
$141.50 |
$141.50 |
$403.88
|
|
Ultrasound joint complete left
|
$198.00 |
$198.00 |
$198.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$635.00 |
$635.00 |
$635.00 |
$425.45
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$91.50 |
$91.50 |
$91.50 |
$707.20
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$226.00 |
$226.00 |
$226.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$289.50 |
$289.50 |
$289.50 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$189.50 |
$189.50 |
$189.50 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$267.50 |
$267.50 |
$267.50 |
$486.50
|
|
Ultrasound scrotum and contents
|
$291.50 |
$291.50 |
$291.50 |
$608.90
|
|
Ultrasound transvaginal non obstetric
|
$415.00 |
$415.00 |
$415.00 |
$558.35
|
|
Unlisted hematology&coagj px
|
$45.00 |
$45.00 |
$45.00 |
$39.52
|
|
Unlisted laparoscopic liver biopy 47379
|
$1,993.50 |
$1,993.50 |
$1,993.50 |
$5,419.00
|
