|
Tp53 gene trgt sequence alys
|
$160.50 |
$160.50 |
$160.50 |
$790.68
|
|
Tpmt gene com vrnts
|
$54.00 |
$54.00 |
$54.00 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$190.65 |
$190.65 |
$190.65 |
$1,420.44
|
|
Transcath biopsy
|
$1,228.20 |
$1,228.20 |
$1,228.20 |
$4,285.93
|
|
Transcath closure of asd
|
$4,291.80 |
$4,291.80 |
$4,291.80 |
$16,741.40
|
|
Transcatheter bx s&i
|
$380.10 |
$380.10 |
$380.10 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$2,925.45 |
$2,925.45 |
$2,925.45 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$5,850.60 |
$5,850.60 |
$5,850.60 |
$12,418.00
|
|
Transcath occlusion cns
|
$3,724.20 |
$3,724.20 |
$3,724.20 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$3,546.30 |
$3,546.30 |
$3,546.30 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$876.30 |
$876.30 |
$876.30 |
$4,775.16
|
|
Transcrv abltj utrn fibrd rf
|
$3,039.45 |
$3,039.45 |
$3,039.45 |
$8,750.72
|
|
Transferrin
|
$51.00 |
$51.00 |
$51.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$183.15 |
$183.15 |
$183.15 |
$983.00
|
|
Transorl lwr esophgl myotomy
|
$1,440.30 |
$1,440.30 |
$1,440.30 |
$6,588.93
|
|
Transplt allo hct/donor
|
$9,736.05 |
$9,736.05 |
$9,736.05 |
$29,206.10
|
|
Transplt autol hct/donor
|
$1,302.75 |
$1,302.75 |
$1,302.75 |
$3,786.00
|
|
Trb@ gene rearrange dirprobe
|
$25.05 |
$25.05 |
$25.05 |
$73.46
|
|
Treat ankle dislocation
|
$653.55 |
$653.55 |
$653.55 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$116.70 |
$116.70 |
$116.70 |
$705.60
|
|
Treat elbow dislocation
|
$652.95 |
$652.95 |
$652.95 |
$2,223.20
|
|
Treat elbow fracture
|
$656.55 |
$656.55 |
$656.55 |
$1,919.13
|
|
Treat finger fracture each
|
$301.95 |
$301.95 |
$301.95 |
$1,536.00
|
|
Treat foot dislocation
|
$53.10 |
$53.10 |
$53.10 |
$396.30
|
|
Treat foot dislocation
|
$116.70 |
$116.70 |
$116.70 |
$527.28
|
|
Treat foot dislocation
|
$65.25 |
$65.25 |
$65.25 |
$445.80
|
|
Treat fracture of radius
|
$301.95 |
$301.95 |
$301.95 |
$1,790.00
|
|
Treat fracture of radius
|
$646.35 |
$646.35 |
$646.35 |
$1,849.00
|
|
Treat fracture of ulna
|
$94.80 |
$94.80 |
$94.80 |
$726.05
|
|
Treat hip dislocation
|
$698.25 |
$698.25 |
$698.25 |
$2,192.80
|
|
Treat humerus fracture
|
$301.95 |
$301.95 |
$301.95 |
$1,771.43
|
|
Treat knee dislocation
|
$345.60 |
$345.60 |
$345.60 |
$2,220.89
|
|
Treat knee fracture 27530
|
$55.20 |
$55.20 |
$55.20 |
$550.00
|
|
Treat knuckle dislocation
|
$301.95 |
$301.95 |
$301.95 |
$1,523.90
|
|
Treat lower leg dislocation
|
$53.10 |
$53.10 |
$53.10 |
$530.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$68.70 |
$68.70 |
$68.70 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$68.70 |
$68.70 |
$68.70 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$37.65 |
$37.65 |
$37.65 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$47.10 |
$47.10 |
$47.10 |
$520.80
|
|
Treatment of thigh fracture
|
$47.10 |
$47.10 |
$47.10 |
$548.90
|
|
Treatment of thigh fracture
|
$301.95 |
$301.95 |
$301.95 |
$1,772.97
|
|
Treatment radiation delivery level 2
|
$148.80 |
$148.80 |
$148.80 |
$767.65
|
|
Treat ulnar fracture
|
$301.95 |
$301.95 |
$301.95 |
$1,662.00
|
|
Treat vaginal bleeding
|
$81.90 |
$81.90 |
$81.90 |
$379.60
|
|
Treat wrist bone fracture
|
$301.95 |
$301.95 |
$301.95 |
$1,548.40
|
|
Treat wrist dislocation
|
$47.10 |
$47.10 |
$47.10 |
$656.25
|
|
Treponema pallidum antibody
|
$72.90 |
$72.90 |
$72.90 |
$70.40
|
|
Treprostinil injection
|
$4,770.69 |
$4,770.69 |
$4,770.69 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$94.95 |
$94.95 |
$94.95 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$64.53 |
$64.53 |
$64.53 |
$43.21
|
|
Trichinella antibody
|
$47.55 |
$47.55 |
$47.55 |
$70.20
|
|
Trichomonas assay w/optic
|
$6.90 |
$6.90 |
$6.90 |
$55.50
|
|
#tricyclicantidprssnt
|
$27.30 |
$27.30 |
$27.30 |
$50.86
|
|
Triglycerides
|
$65.85 |
$65.85 |
$65.85 |
$58.05
|
|
Trim nail(s)
|
$17.25 |
$17.25 |
$17.25 |
$79.00
|
|
Trim nondyst nails
|
$25.80 |
$25.80 |
$25.80 |
$113.40
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$2,979.60 |
$2,979.60 |
$2,979.60 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$433.20 |
$433.20 |
$433.20 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$3,823.05 |
$3,823.05 |
$3,823.05 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$4,620.60 |
$4,620.60 |
$4,620.60 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$3,823.05 |
$3,823.05 |
$3,823.05 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$5,427.30 |
$5,427.30 |
$5,427.30 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$5,427.30 |
$5,427.30 |
$5,427.30 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$7,952.85 |
$7,952.85 |
$7,952.85 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,608.45 |
$1,608.45 |
$1,608.45 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$917.85 |
$917.85 |
$917.85 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,012.70 |
$2,012.70 |
$2,012.70 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$623.10 |
$623.10 |
$623.10 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$917.85 |
$917.85 |
$917.85 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$817.50 |
$817.50 |
$817.50 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$487.65 |
$487.65 |
$487.65 |
$2,406.77
|
|
Trnspl rej kdn mrna qpcr 139
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$3,232.32
|
|
Troponin quantitative
|
$99.15 |
$99.15 |
$99.15 |
$127.20
|
|
Tr retinal les preterm inf
|
$332.25 |
$332.25 |
$332.25 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$1,302.30 |
$1,302.30 |
$1,302.30 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$565.35 |
$565.35 |
$565.35 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$565.35 |
$565.35 |
$565.35 |
$1,632.80
|
|
Tx atrial fib pulm vein isol
|
$12,428.55 |
$12,428.55 |
$12,428.55 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$53.10 |
$53.10 |
$53.10 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$47.10 |
$47.10 |
$47.10 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$47.10 |
$47.10 |
$47.10 |
$535.60
|
|
Tx l/r atrial fib addl
|
$2,223.75 |
$2,223.75 |
$2,223.75 |
$6,769.00
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$1,448.70 |
$1,448.70 |
$1,448.70 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,361.25 |
$1,361.25 |
$1,361.25 |
$4,499.12
|
|
Tympanometry & reflex thresh
|
$27.90 |
$27.90 |
$27.90 |
$170.00
|
|
Ugt1a1 gene analy common variants
|
$213.75 |
$213.75 |
$213.75 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$60.00 |
$60.00 |
$60.00 |
$394.20
|
|
Ultrasound breast complete
|
$81.00 |
$81.00 |
$81.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$72.30 |
$72.30 |
$72.30 |
$449.35
|
|
Ultrasound chest
|
$74.10 |
$74.10 |
$74.10 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$84.60 |
$84.60 |
$84.60 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$46.95 |
$46.95 |
$46.95 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$29.55 |
$29.55 |
$29.55 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$58.95 |
$58.95 |
$58.95 |
$307.00
|
|
Ultrasound encephalogram
|
$115.35 |
$115.35 |
$115.35 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$133.05 |
$133.05 |
$133.05 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$185.40 |
$185.40 |
$185.40 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$91.95 |
$91.95 |
$91.95 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$146.55 |
$146.55 |
$146.55 |
$720.15
|
