|
Treat lower leg dislocation
|
$5,856.80 |
$5,856.80 |
$5,856.80 |
$6,072.59
|
|
Treat lower leg fracture
|
$7,494.40 |
$7,494.40 |
$7,494.40 |
$6,475.41
|
|
Treat lower leg fracture
|
$10,538.40 |
$10,538.40 |
$10,538.40 |
$12,905.86
|
|
Treat lower leg fracture
|
$11,127.20 |
$11,127.20 |
$11,127.20 |
$12,653.00
|
|
Treat lower leg joint
|
$5,565.60 |
$5,565.60 |
$5,565.60 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$12,918.03 |
$12,918.03 |
$12,918.03 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$7,487.20 |
$7,487.20 |
$7,487.20 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$5,096.80 |
$5,096.80 |
$5,096.80 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$8,797.97 |
$8,797.97 |
$8,797.97 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$151.25 |
$151.25 |
$309.68 |
$226.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$144.10 |
$144.10 |
$207.00 |
$148.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$8,797.97 |
$8,797.97 |
$8,797.97 |
$4,230.80
|
|
Treatment mouth roof lesion
|
$1,676.00 |
$1,676.00 |
$1,676.00 |
$4,256.70
|
|
Treatment of ankle fracture
|
$5,974.40 |
$5,974.40 |
$5,974.40 |
$7,913.97
|
|
Treatment of ankle fracture
|
$7,261.60 |
$7,261.60 |
$7,261.60 |
$8,453.60
|
|
Treatment of ankle fracture
|
$8,551.20 |
$8,551.20 |
$8,551.20 |
$7,906.00
|
|
Treatment of ankle fracture
|
$25,187.64 |
$25,187.64 |
$25,187.64 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
$528.00
|
|
Treatment of fibula fracture
|
$5,503.20 |
$5,503.20 |
$5,503.20 |
$6,307.00
|
|
Treatment of fibula fracture 27780
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
$528.00
|
|
Treatment of foot infection
|
$3,928.80 |
$3,928.80 |
$3,928.80 |
$2,928.60
|
|
Treatment of foot infection
|
$9,498.36 |
$9,498.36 |
$9,498.36 |
$3,839.54
|
|
Treatment of gum lesion
|
$608.80 |
$608.80 |
$608.80 |
$3,164.85
|
|
Treatment of heel fracture 28400
|
$1,744.00 |
$1,744.00 |
$1,744.00 |
$478.40
|
|
Treatment of miscarriage
|
$2,771.20 |
$2,771.20 |
$2,771.20 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$1,676.00 |
$1,676.00 |
$1,676.00 |
$3,734.50
|
|
Treatment of penis lesion
|
$3,028.80 |
$3,028.80 |
$3,028.80 |
$4,081.37
|
|
Treatment of penis lesion
|
$8,006.73 |
$8,006.73 |
$8,006.73 |
$3,515.40
|
|
Treatment of thigh fracture
|
$4,196.00 |
$4,196.00 |
$4,196.00 |
$487.50
|
|
Treatment of thigh fracture
|
$5,852.80 |
$5,852.80 |
$5,852.80 |
$1,749.06
|
|
Treatment of thigh fracture
|
$11,215.20 |
$11,215.20 |
$11,215.20 |
$4,785.00
|
|
Treatment of thigh fracture
|
$2,928.00 |
$2,928.00 |
$2,928.00 |
$570.40
|
|
Treatment of thigh fracture
|
$6,665.64 |
$6,665.64 |
$6,665.64 |
$6,389.60
|
|
Treatment of thigh fracture
|
$1,343.10 |
$1,343.10 |
$4,196.00 |
$1,790.00
|
|
Treatment of thigh fracture
|
$10,242.40 |
$10,242.40 |
$10,242.40 |
$2,896.50
|
|
Treatment of thigh fracture
|
$10,242.40 |
$10,242.40 |
$10,242.40 |
$2,254.50
|
|
Treatment of thigh fracture
|
$11,700.00 |
$11,700.00 |
$11,700.00 |
$4,380.00
|
|
Treatment of thigh fracture
|
$10,436.80 |
$10,436.80 |
$10,436.80 |
$3,796.00
|
|
Treatment of tibia fracture
|
$5,272.00 |
$5,272.00 |
$5,272.00 |
$6,183.84
|
|
Treatment of tibia fracture
|
$8,665.60 |
$8,665.60 |
$8,665.60 |
$6,347.40
|
|
Treatment of tibia fracture
|
$10,307.20 |
$10,307.20 |
$10,307.20 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$550.22 |
$550.22 |
$779.35 |
$371.40
|
|
Treatment of urethra lesion
|
$2,733.60 |
$2,733.60 |
$2,733.60 |
$2,874.36
|
|
Treat metacarpal fracture
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
$4,289.60
|
|
Treat metacarpal fracture
|
$4,187.20 |
$4,187.20 |
$4,187.20 |
$5,741.00
|
|
Treat metatarsal fracture
|
$1,741.60 |
$1,741.60 |
$1,741.60 |
$3,839.54
|
|
Treat metatarsal fracture
|
$2,176.00 |
$2,176.00 |
$2,176.00 |
$8,241.00
|
|
Treat midfoot fracture each
|
$2,917.20 |
$2,917.20 |
$3,498.85 |
$1,893.86
|
|
Treat midfoot fracture each
|
$2,538.40 |
$2,538.40 |
$2,538.40 |
$6,445.00
|
|
Treat pelvic fracture(s)
|
$6,532.80 |
$6,532.80 |
$6,532.80 |
$1,506.40
|
|
Treat pelvic ring fracture
|
$6,941.60 |
$6,941.60 |
$6,941.60 |
$2,223.20
|
|
Treat pelvic ring fracture
|
$6,859.20 |
$6,859.20 |
$6,859.20 |
$2,727.20
|
|
Treat pelvic ring fracture
|
$8,572.80 |
$8,572.80 |
$8,572.80 |
$3,332.00
|
|
Treat penis lesion graft
|
$3,888.80 |
$3,888.80 |
$3,888.80 |
$5,986.78
|
|
Treat penis lesion graft
|
$4,554.40 |
$4,554.40 |
$4,554.40 |
$7,976.07
|
|
Treat radius fracture
|
$7,741.60 |
$7,741.60 |
$7,741.60 |
$7,907.11
|
|
Treat radius fracture
|
$9,499.20 |
$9,499.20 |
$9,499.20 |
$9,791.00
|
|
Treat sesamoid bone fracture
|
$2,834.40 |
$2,834.40 |
$2,834.40 |
$7,907.11
|
|
Treat slipped epiphysis
|
$6,768.80 |
$6,768.80 |
$6,768.80 |
$3,359.20
|
|
Treat slipped epiphysis
|
$4,915.20 |
$4,915.20 |
$4,915.20 |
$3,342.87
|
|
Treat slipped epiphysis
|
$8,196.80 |
$8,196.80 |
$8,196.80 |
$3,342.87
|
|
Treat slipped epiphysis
|
$6,768.80 |
$6,768.80 |
$6,768.80 |
$3,342.87
|
|
Treat slipped epiphysis
|
$8,272.80 |
$8,272.80 |
$8,272.80 |
$7,413.38
|
|
Treat spinal cord lesion
|
$4,951.97 |
$4,951.97 |
$4,951.97 |
$1,337.00
|
|
Treat sternum fracture
|
$793.60 |
$793.60 |
$842.60 |
$423.00
|
|
Treat tail bone fracture
|
$4,330.40 |
$4,330.40 |
$4,330.40 |
$3,839.54
|
|
Treat thigh fracture
|
$3,281.60 |
$3,281.60 |
$3,281.60 |
$661.00
|
|
Treat thigh fracture
|
$11,020.80 |
$11,020.80 |
$11,020.80 |
$6,510.40
|
|
Treat thigh fracture
|
$12,247.20 |
$12,247.20 |
$12,247.20 |
$3,933.60
|
|
Treat thigh fracture
|
$3,720.40 |
$3,720.40 |
$3,720.40 |
$1,893.86
|
|
Treat thigh fracture
|
$13,470.40 |
$13,470.40 |
$13,470.40 |
$4,726.80
|
|
Treat thigh fracture
|
$2,942.40 |
$2,942.40 |
$2,942.40 |
$618.80
|
|
Treat thigh fracture
|
$6,616.00 |
$6,616.00 |
$6,616.00 |
$2,802.80
|
|
Treat thigh fracture
|
$6,739.20 |
$6,739.20 |
$6,739.20 |
$2,008.18
|
|
Treat thigh fracture
|
$11,389.60 |
$11,389.60 |
$11,389.60 |
$3,580.50
|
|
Treat thigh fx growth plate
|
$3,224.00 |
$3,224.00 |
$3,224.00 |
$475.68
|
|
Treat thigh fx growth plate
|
$4,100.80 |
$4,100.80 |
$4,100.80 |
$1,938.38
|
|
Treat thigh fx growth plate
|
$8,778.40 |
$8,778.40 |
$8,778.40 |
$7,413.38
|
|
Treat thumb fracture
|
$5,018.40 |
$5,018.40 |
$5,018.40 |
$2,508.80
|
|
Treat thumb fracture
|
$9,410.40 |
$9,410.40 |
$9,410.40 |
$3,839.54
|
|
Treat toe dislocation
|
$1,163.20 |
$1,163.20 |
$1,163.20 |
$3,839.54
|
|
Treat toe dislocation
|
$953.70 |
$953.70 |
$1,162.36 |
$756.00
|
|
Treat toe dislocation
|
$1,090.40 |
$1,090.40 |
$1,090.40 |
$3,839.54
|
|
Treat toe fracture
|
$1,957.60 |
$1,957.60 |
$1,957.60 |
$3,839.54
|
|
Treat ulnar fracture
|
$1,884.85 |
$1,884.85 |
$4,295.20 |
$1,678.55
|
|
Treat ulnar fracture
|
$7,660.80 |
$7,660.80 |
$7,660.80 |
$6,653.00
|
|
Treat vaginal bleeding
|
$658.15 |
$658.15 |
$658.15 |
$392.00
|
|
Treat wrist bone fracture
|
$2,860.80 |
$2,860.80 |
$2,860.80 |
$1,749.06
|
|
Treat wrist dislocation
|
$2,706.40 |
$2,706.40 |
$2,706.40 |
$656.25
|
|
Treponema pallidum antibody
|
$102.30 |
$102.30 |
$116.80 |
$72.05
|
|
Trg gene rearrangement anal
|
$451.00 |
$451.00 |
$598.56 |
$465.30
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$73.88 |
$73.88 |
$73.88 |
$43.00
|
|
Triamcinolone hexacetonl inj
|
$57.60 |
$57.60 |
$57.60 |
$21.36
|
|
Trichinella antibody
|
$39.20 |
$39.20 |
$82.50 |
$70.65
|
|
Trichomonas assay w/optic
|
$54.45 |
$54.45 |
$54.45 |
$57.40
|
|
#tricyclicantidprssnt
|
$55.55 |
$55.55 |
$156.00 |
$45.40
|
|
Triglycerides
|
$75.62 |
$75.62 |
$81.40 |
$57.91
|
|
Trimethobenzamide hcl inj
|
$156.04 |
$156.04 |
$156.04 |
$117.49
|
|
Trim nail(s)
|
$61.60 |
$61.60 |
$61.60 |
$78.40
|
|
Trim nondyst nails
|
$254.99 |
$254.99 |
$254.99 |
$115.70
|
