|
Tpmt gene com vrnts
|
$900.69 |
$900.69 |
$900.69 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$12,446.60 |
$12,446.60 |
$12,446.60 |
$6,105.61
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$107.80 |
$107.80 |
$107.80 |
$93.75
|
|
Transcath biopsy
|
$734.86 |
$734.86 |
$734.86 |
$4,298.05
|
|
Transcath closure of asd
|
$60,676.61 |
$60,676.61 |
$60,676.61 |
$18,772.00
|
|
Transcatheter bx s&i
|
$1,684.85 |
$1,684.85 |
$1,684.85 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$25,676.25 |
$25,676.25 |
$25,676.25 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$43,210.04 |
$43,210.04 |
$43,210.04 |
$17,106.18
|
|
Transcath occlusion cns
|
$4,919.81 |
$4,919.81 |
$4,919.81 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$38,624.41 |
$38,624.41 |
$38,624.41 |
$12,427.79
|
|
Transferrin
|
$95.49 |
$95.49 |
$95.49 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$2,115.35 |
$2,115.35 |
$2,115.35 |
$988.24
|
|
Transperi needle place pros
|
$7,867.46 |
$7,867.46 |
$7,867.46 |
$6,203.00
|
|
Treat ankle dislocation
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,207.20
|
|
Treat elbow fracture
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,125.60
|
|
Treat finger fracture each
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,815.75
|
|
Treat foot dislocation
|
$731.04 |
$731.04 |
$731.04 |
$435.60
|
|
Treat fracture of radius
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,030.33
|
|
Treat fracture of radius
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,316.75
|
|
Treat fracture of ulna
|
$731.04 |
$731.04 |
$731.04 |
$766.72
|
|
Treat hip dislocation
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,561.90
|
|
Treat humerus fracture
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,045.35
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$217.76 |
$217.76 |
$217.76 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$110.62 |
$110.62 |
$110.62 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$570.93 |
$570.93 |
$570.93 |
$210.00
|
|
Treatment of thigh fracture
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,055.00
|
|
Treatment radiation delivery level 2
|
$988.96 |
$988.96 |
$988.96 |
$735.00
|
|
Treat toe dislocation
|
$855.66 |
$855.66 |
$855.66 |
$855.66
|
|
Treat wrist bone fracture
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,907.64
|
|
Treat wrist dislocation
|
$948.17 |
$948.17 |
$948.17 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$106,079.44 |
$106,079.44 |
$106,079.44 |
$120,541.18
|
|
Treponema pallidum antibody
|
$162.32 |
$162.32 |
$162.32 |
$72.80
|
|
Trg gene rearrangement anal
|
$699.79 |
$699.79 |
$699.79 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$88.54 |
$88.54 |
$88.54 |
$48.22
|
|
Triglycerides
|
$152.74 |
$152.74 |
$152.74 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$218.54 |
$218.54 |
$218.54 |
$154.09
|
|
Trim nondyst nails
|
$197.43 |
$197.43 |
$197.43 |
$124.22
|
|
Trnscath plc stent crv crtd without prtct
|
$4,131.70 |
$4,131.70 |
$4,131.70 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$18,906.26 |
$18,906.26 |
$18,906.26 |
$11,099.98
|
|
Trnscath plc vas stent w/s&i ini vein
|
$41,057.89 |
$41,057.89 |
$41,057.89 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$7,904.10 |
$7,904.10 |
$7,904.10 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$10,418.81 |
$10,418.81 |
$10,418.81 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$8,971.34 |
$8,971.34 |
$8,971.34 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$8,971.34 |
$8,971.34 |
$8,971.34 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$3,383.92 |
$3,383.92 |
$3,383.92 |
$4,329.36
|
|
Troponin quantitative
|
$414.90 |
$414.90 |
$414.90 |
$123.75
|
|
Tx atrial fib pulm vein isol
|
$88,095.97 |
$88,095.97 |
$88,095.97 |
$32,426.20
|
|
Tx closed distal humerus fx
|
$731.04 |
$731.04 |
$731.04 |
$786.00
|
|
Tx closed hip disl traumatic without anes
|
$1,219.17 |
$1,219.17 |
$1,219.17 |
$657.28
|
|
Tx l/r atrial fib addl
|
$20,892.22 |
$20,892.22 |
$20,892.22 |
$7,717.80
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$10,044.52 |
$10,044.52 |
$10,044.52 |
$4,499.12
|
|
Ugt1a1 gene analy common variants
|
$812.66 |
$812.66 |
$812.66 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$300.55 |
$300.55 |
$300.55 |
$403.26
|
|
Ultrasound breast complete
|
$444.03 |
$444.03 |
$444.03 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$370.01 |
$370.01 |
$370.01 |
$449.35
|
|
Ultrasound chest
|
$1,145.26 |
$1,145.26 |
$1,145.26 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$1,064.69 |
$1,064.69 |
$1,064.69 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$386.15 |
$386.15 |
$386.15 |
$330.40
|
|
Ultrasound encephalogram
|
$1,487.83 |
$1,487.83 |
$1,487.83 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$1,702.61 |
$1,702.61 |
$1,702.61 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,014.90 |
$1,014.90 |
$1,014.90 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$891.66 |
$891.66 |
$891.66 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,702.61 |
$1,702.61 |
$1,702.61 |
$701.35
|
|
Ultrasound guide intraoperative
|
$1,702.61 |
$1,702.61 |
$1,702.61 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$1,319.92 |
$1,319.92 |
$1,319.92 |
$403.00
|
|
Ultrasound joint complete left
|
$949.63 |
$949.63 |
$949.63 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$758.82 |
$758.82 |
$758.82 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,605.51 |
$1,605.51 |
$1,605.51 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$1.79 |
$1.79 |
$1.79 |
$326.54
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$2,010.39 |
$2,010.39 |
$2,010.39 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$1,039.84 |
$1,039.84 |
$1,039.84 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$928.91 |
$928.91 |
$928.91 |
$498.00
|
|
Ultrasound scrotum and contents
|
$1,098.09 |
$1,098.09 |
$1,098.09 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$967.75 |
$967.75 |
$967.75 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$2,232.22 |
$2,232.22 |
$2,232.22 |
$567.44
|
|
Unlisted CT procedure
|
$6,092.04 |
$6,092.04 |
$6,092.04 |
$1,043.00
|
|
Unlisted fluoroscopic px
|
$286.89 |
$286.89 |
$286.89 |
$324.85
|
|
Unlisted transfusion med px
|
$946.32 |
$946.32 |
$946.32 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$2,301.77 |
$2,301.77 |
$2,301.77 |
$1,505.29
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$7,888.14 |
$7,888.14 |
$7,888.14 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$6,599.61 |
$6,599.61 |
$6,599.61 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$6,449.38 |
$6,449.38 |
$6,449.38 |
$2,013.08
|
|
Urea nitrogen
|
$140.51 |
$140.51 |
$140.51 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$106.07 |
$106.07 |
$106.07 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,213.50 |
$1,213.50 |
$1,213.50 |
$574.40
|
|
Urethrocystography void s&i
|
$2,575.45 |
$2,575.45 |
$2,575.45 |
$634.50
|
|
Uric acid blood
|
$60.82 |
$60.82 |
$60.82 |
$46.64
|
|
Uric acid urine
|
$99.37 |
$99.37 |
$99.37 |
$46.75
|
|
Urinalysis (with microscopy)
|
$211.31 |
$211.31 |
$211.31 |
$48.14
|
|
Urinalysis (without microscopy)
|
$190.58 |
$190.58 |
$190.58 |
$38.99
|
|
Urine Culture Test
|
$276.43 |
$276.43 |
$276.43 |
$84.81
|
|
Urine pregnancy test
|
$226.45 |
$226.45 |
$226.45 |
$66.40
|
|
Urography, antegrade
|
$1,028.35 |
$1,028.35 |
$1,028.35 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$20,923.82 |
$20,923.82 |
$20,923.82 |
$6,892.54
|
|
Vaccine hepatitis a (hepa) adult im
|
$152.97 |
$152.97 |
$152.97 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$418.58 |
$418.58 |
$418.58 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$220.10 |
$220.10 |
$220.10 |
$173.98
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$723.02 |
$723.02 |
$723.02 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$294.44 |
$294.44 |
$294.44 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$136.88 |
$136.88 |
$136.88 |
$110.25
|