|
Treat finger fracture each
|
$7,417.00 |
$7,417.00 |
$7,417.00 |
$1,536.00
|
|
Treat foot dislocation
|
$283.50 |
$283.50 |
$283.50 |
$527.28
|
|
Treat fracture of radius
|
$2,978.50 |
$2,978.50 |
$2,978.50 |
$1,790.00
|
|
Treat fracture of ulna
|
$1,016.50 |
$1,016.50 |
$1,016.50 |
$726.05
|
|
Treat hand dislocation
|
$1,954.00 |
$1,954.00 |
$1,954.00 |
$1,749.06
|
|
Treat heel fracture
|
$16,284.25 |
$16,284.25 |
$16,284.25 |
$8,269.81
|
|
Treat humerus fracture
|
$20,329.00 |
$20,329.00 |
$20,329.00 |
$12,896.80
|
|
Treat humerus fracture
|
$11,317.50 |
$11,317.50 |
$11,317.50 |
$11,250.40
|
|
Treat kneecap fracture
|
$13,839.00 |
$13,839.00 |
$13,839.00 |
$6,311.00
|
|
Treat knee dislocation
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$2,220.89
|
|
Treat knee fracture 27530
|
$610.50 |
$610.50 |
$610.50 |
$550.00
|
|
Treat lower leg fracture
|
$14,949.00 |
$14,949.00 |
$14,949.00 |
$14,241.77
|
|
Treat lower leg fracture
|
$4,407.88 |
$4,407.88 |
$4,407.88 |
$12,653.00
|
|
Treat lower leg joint
|
$6,622.00 |
$6,622.00 |
$6,622.00 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$7,551.50 |
$7,551.50 |
$7,551.50 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$15,083.50 |
$15,083.50 |
$15,083.50 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$27,457.50 |
$27,457.50 |
$27,457.50 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,881.50 |
$3,881.50 |
$3,881.50 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$187.00 |
$187.00 |
$187.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$170.50 |
$170.50 |
$170.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$1,195.50 |
$1,195.50 |
$1,195.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$5,676.00 |
$5,676.00 |
$5,676.00 |
$3,982.44
|
|
Treatment of ankle fracture
|
$8,896.50 |
$8,896.50 |
$8,896.50 |
$8,412.89
|
|
Treatment of ankle fracture
|
$19,522.00 |
$19,522.00 |
$19,522.00 |
$8,453.60
|
|
Treatment of ankle fracture
|
$19,118.50 |
$19,118.50 |
$19,118.50 |
$7,907.11
|
|
Treatment of ankle fracture 27786
|
$642.00 |
$642.00 |
$642.00 |
$520.80
|
|
Treatment of fibula fracture
|
$3,682.83 |
$3,682.83 |
$3,682.83 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$619.00 |
$619.00 |
$619.00 |
$491.50
|
|
Treatment of foot infection
|
$6,570.50 |
$6,570.50 |
$6,570.50 |
$2,614.25
|
|
Treatment of heel fracture 28400
|
$513.00 |
$513.00 |
$513.00 |
$473.00
|
|
Treatment of penis lesion
|
$7,855.50 |
$7,855.50 |
$7,855.50 |
$3,515.40
|
|
Treatment of retinal lesion
|
$2,068.83 |
$2,068.83 |
$2,068.83 |
$1,033.14
|
|
Treatment of thigh fracture
|
$1,061.50 |
$1,061.50 |
$1,061.50 |
$476.16
|
|
Treatment of thigh fracture
|
$1,963.50 |
$1,963.50 |
$1,963.50 |
$1,748.40
|
|
Treatment of thigh fracture
|
$1,095.50 |
$1,095.50 |
$1,095.50 |
$548.90
|
|
Treatment of thigh fracture
|
$2,130.50 |
$2,130.50 |
$2,130.50 |
$1,772.97
|
|
Treatment of tibia fracture
|
$15,897.00 |
$15,897.00 |
$15,897.00 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$286.50 |
$286.50 |
$286.50 |
$369.70
|
|
Treatment radiation delivery level 2
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$767.65
|
|
Treatment x10sv retinopathy
|
$6,341.00 |
$6,341.00 |
$6,341.00 |
$1,513.20
|
|
Treat metacarpal fracture
|
$12,528.00 |
$12,528.00 |
$12,528.00 |
$3,977.49
|
|
Treat metacarpal fracture
|
$3,799.50 |
$3,799.50 |
$3,799.50 |
$5,464.97
|
|
Treat metatarsal fracture
|
$10,645.00 |
$10,645.00 |
$10,645.00 |
$3,839.54
|
|
Treat metatarsal fracture
|
$17,908.00 |
$17,908.00 |
$17,908.00 |
$8,453.60
|
|
Treat midfoot fracture each
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$1,851.78
|
|
Treat radius fracture
|
$8,627.50 |
$8,627.50 |
$8,627.50 |
$7,807.24
|
|
Treat radius fracture
|
$15,545.67 |
$15,545.67 |
$15,545.67 |
$14,061.89
|
|
Treat thigh fracture
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$1,893.86
|
|
Treat thigh fracture
|
$11,183.00 |
$11,183.00 |
$11,183.00 |
$4,726.80
|
|
Treat thigh fracture
|
$788.50 |
$788.50 |
$788.50 |
$618.80
|
|
Treat thigh fracture
|
$6,304.83 |
$6,304.83 |
$6,304.83 |
$2,802.80
|
|
Treat thumb fracture
|
$7,148.00 |
$7,148.00 |
$7,148.00 |
$2,508.80
|
|
Treat ulnar fracture
|
$17,066.00 |
$17,066.00 |
$17,066.00 |
$5,926.25
|
|
Treat wrist bone fracture
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$1,548.40
|
|
Treponema pallidum antibody
|
$89.00 |
$89.00 |
$89.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$1,332.50 |
$1,332.50 |
$1,332.50 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$100.00 |
$100.00 |
$100.00 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$51.50 |
$51.50 |
$51.50 |
$223.56
|
|
Trichinella antibody
|
$39.00 |
$39.00 |
$39.00 |
$70.20
|
|
#tricyclicantidprssnt
|
$18.50 |
$18.50 |
$18.50 |
$50.86
|
|
Triglycerides
|
$51.00 |
$51.00 |
$51.00 |
$58.05
|
|
Trim nail(s)
|
$133.50 |
$133.50 |
$133.50 |
$79.00
|
|
Trim nondyst nails
|
$133.50 |
$133.50 |
$133.50 |
$113.40
|
|
Triptorelin pamoate
|
$9,771.00 |
$9,771.00 |
$9,771.00 |
$4,619.39
|
|
Trluml dil aq o/f can without st
|
$1,799.83 |
$1,799.83 |
$1,799.83 |
$5,419.00
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$10,145.34 |
$10,145.34 |
$10,145.34 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$5,072.67 |
$5,072.67 |
$5,072.67 |
$7,354.00
|
|
Trnscath plc stent crv crtd w/prtct
|
$4,564.50 |
$4,564.50 |
$4,564.50 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$3,550.50 |
$3,550.50 |
$3,550.50 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$915.00 |
$915.00 |
$915.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$652.00 |
$652.00 |
$652.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$39,818.00 |
$39,818.00 |
$39,818.00 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,994.00 |
$5,994.00 |
$5,994.00 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$9,691.67 |
$9,691.67 |
$9,691.67 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$4,845.83 |
$4,845.83 |
$4,845.83 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$15,895.00 |
$15,895.00 |
$15,895.00 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$9,422.76 |
$9,422.76 |
$9,422.76 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$10,682.50 |
$10,682.50 |
$10,682.50 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$2,101.67 |
$2,101.67 |
$2,101.67 |
$2,406.77
|
|
Troponin quantitative
|
$65.00 |
$65.00 |
$65.00 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$1,596.00 |
$1,596.00 |
$1,596.00 |
$2,012.40
|
|
Tte w or without fol w/cont, com
|
$956.00 |
$956.00 |
$956.00 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$956.00 |
$956.00 |
$956.00 |
$1,077.92
|
|
Tube trach disp innr can 5 xlt
|
$92.01 |
$92.01 |
$92.01 |
$445.99
|
|
Tx atrial fib pulm vein isol
|
$18,906.50 |
$18,906.50 |
$18,906.50 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$10,752.00 |
$10,752.00 |
$10,752.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$293.00 |
$293.00 |
$293.00 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,955.50 |
$3,955.50 |
$3,955.50 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$719.50 |
$719.50 |
$719.50 |
$535.60
|
|
Tx contour defects 1.1-5.0cc 11951
|
$840.00 |
$840.00 |
$840.00 |
$804.23
|
|
Tx l/r atrial fib addl
|
$6,510.00 |
$6,510.00 |
$6,510.00 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$7,955.00 |
$7,955.00 |
$7,955.00 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$7,417.00 |
$7,417.00 |
$7,417.00 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$14,007.50 |
$14,007.50 |
$14,007.50 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$19,426.50 |
$19,426.50 |
$19,426.50 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$438.00 |
$438.00 |
$438.00 |
$416.16
|
