|
Trg gene rearrangement anal
|
$299.34 |
$3,110.15 |
$3,110.15 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$65.54 |
$230.18 |
$252.29 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$1,138.16 |
$1,138.16 |
$1,138.16 |
$1,309.80
|
|
Trichinella antibody
|
$99.28 |
$193.86 |
$193.86 |
$70.65
|
|
Trichomonas assay w/optic
|
$18.50 |
$18.50 |
$18.50 |
$66.00
|
|
#tricyclicantidprssnt
|
$45.40 |
$45.40 |
$45.40 |
$57.08
|
|
Triglycerides
|
$215.88 |
$215.88 |
$215.88 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$37.82 |
$91.00 |
$672.21 |
$128.00
|
|
Trim nondyst nails
|
$670.29 |
$670.29 |
$670.29 |
$124.22
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$23,911.49 |
$23,911.49 |
$23,911.49 |
$15,111.95
|
|
Trml dstrj ios bvn ea addl
|
$11,955.74 |
$11,955.74 |
$11,955.74 |
$9,781.50
|
|
Trmt of fracture (femoral shaft) 27500
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$777.00
|
|
Trnscath plc stent crv crtd without prtct
|
$21,637.59 |
$21,637.59 |
$21,637.59 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$17,295.86 |
$17,295.86 |
$17,295.86 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$19,813.51 |
$19,813.51 |
$19,813.51 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$15,391.99 |
$15,391.99 |
$15,391.99 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$27,718.38 |
$27,718.38 |
$27,718.38 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$45,718.00 |
$45,718.00 |
$45,718.00 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$29,196.03 |
$29,196.03 |
$29,196.03 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$15,318.58 |
$15,318.58 |
$15,318.58 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$12,694.52 |
$12,694.52 |
$12,694.52 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$12,405.83 |
$12,405.83 |
$12,405.83 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$8,723.39 |
$8,723.39 |
$8,723.39 |
$4,329.36
|
|
Troponin quantitative
|
$453.25 |
$453.25 |
$2,062.79 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$7,308.76 |
$7,308.76 |
$7,308.76 |
$1,582.75
|
|
Tubal Ligation (Laparoscopic)
|
$54,981.36 |
$54,981.36 |
$54,981.36 |
$4,948.77
|
|
Tumor cell deplete of harvst
|
$3,921.67 |
$3,921.67 |
$3,921.67 |
$547.20
|
|
Tx atrial fib pulm vein isol
|
$44,054.59 |
$62,182.54 |
$62,182.54 |
$32,426.20
|
|
Tx closed distal humerus fx
|
$2,757.88 |
$2,757.88 |
$2,757.88 |
$786.00
|
|
Tx closed hip disl traumatic without anes
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$657.28
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,874.79
|
|
Tx closed tib shaft fx without manip
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$635.46
|
|
Tx contour defects >10.0 cc
|
$1,978.81 |
$1,978.81 |
$1,978.81 |
$755.08
|
|
Tx contour defects 1.1-5.0cc 11951
|
$1,978.81 |
$1,978.81 |
$1,978.81 |
$724.37
|
|
Tx l/r atrial fib addl
|
$5,186.97 |
$20,808.74 |
$20,808.74 |
$7,717.80
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$4,499.12
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$469.20
|
|
Tympanometry & reflex thresh
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$173.18
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$1,758.71 |
$1,758.71 |
$1,758.71 |
$911.43
|
|
Ua w/micro/comp poc
|
$71.35 |
$71.35 |
$932.91 |
$24.45
|
|
Ugt1a1 gene analy common variants
|
$3,611.79 |
$3,611.79 |
$3,611.79 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$1,066.77 |
$1,066.77 |
$2,376.23 |
$403.26
|
|
Ultrasound breast complete
|
$2,331.74 |
$2,331.74 |
$5,380.57 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,553.45 |
$1,553.45 |
$1,553.45 |
$449.35
|
|
Ultrasound chest
|
$1,893.70 |
$1,893.70 |
$3,772.99 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$1,785.59 |
$1,785.59 |
$1,785.59 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$330.40
|
|
Ultrasound elastography parenchyma
|
$1,344.82 |
$1,344.82 |
$4,755.40 |
$284.25
|
|
Ultrasound encephalogram
|
$1,872.60 |
$1,872.60 |
$5,448.33 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$2,294.20 |
$2,294.20 |
$2,294.20 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,421.84 |
$1,421.84 |
$1,421.84 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$1,918.06 |
$1,918.06 |
$1,918.06 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$2,947.22 |
$2,947.22 |
$2,947.22 |
$701.35
|
|
Ultrasound guide intraoperative
|
$2,442.78 |
$2,442.78 |
$2,442.78 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$1,216.53 |
$1,216.53 |
$1,216.53 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$1,580.20 |
$1,580.20 |
$1,580.20 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$986.70 |
$986.70 |
$986.70 |
$321.35
|
|
Ultrasound joint complete left
|
$1,943.72 |
$1,943.72 |
$1,943.72 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$2,576.70 |
$2,576.70 |
$7,778.76 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$1,595.74 |
$1,595.74 |
$4,641.20 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$3,198.77 |
$3,198.77 |
$3,198.77 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,414.91 |
$1,414.91 |
$2,298.64 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$1,180.21 |
$1,180.21 |
$2,958.95 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$1,728.92 |
$1,728.92 |
$10,780.17 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$1,282.98 |
$1,282.98 |
$1,500.71 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$2,267.71 |
$2,267.71 |
$5,991.10 |
$498.00
|
|
Ultrasound scrotum and contents
|
$2,229.12 |
$2,229.12 |
$4,702.69 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$1,381.02 |
$1,381.02 |
$4,446.75 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$753.41 |
$753.41 |
$753.41 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$2,986.01 |
$2,986.01 |
$10,780.17 |
$567.44
|
|
Ultrasound trgt dyn mbubb 1st les
|
$2,640.82 |
$2,640.82 |
$2,640.82 |
$479.72
|
|
Umbilical artery cath newborn 36660
|
$1,024.29 |
$1,024.29 |
$1,024.29 |
$265.85
|
|
Unlistd noninvas vasc dx std
|
$304.65 |
$304.65 |
$304.65 |
$819.65
|
|
Unlisted chemotherapy px
|
$492.86 |
$492.86 |
$492.86 |
$153.85
|
|
Unlisted CT procedure
|
$757.18 |
$1,083.82 |
$7,786.44 |
$1,043.00
|
|
Unlisted cytogenetic study
|
$612.08 |
$612.08 |
$612.08 |
$132.48
|
|
Unlisted dx gi procedure
|
$805.26 |
$805.26 |
$906.40 |
$482.90
|
|
Unlisted fluoroscopic px
|
$986.70 |
$986.70 |
$27,573.48 |
$324.85
|
|
Unlisted mr procedure
|
$986.70 |
$986.70 |
$8,019.28 |
$1,032.20
|
|
Unlisted procedure microbiology
|
$485.63 |
$485.63 |
$485.63 |
$487.50
|
|
Unlisted px casting/strpg
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$224.93
|
|
Unlisted px foot/toes
|
$2,757.88 |
$2,757.88 |
$2,757.88 |
$3,105.70
|
|
Unlisted px pelvis/hip joint
|
$2,757.88 |
$2,757.88 |
$2,757.88 |
$2,108.82
|
|
Unlisted surgical path px
|
$313.37 |
$313.37 |
$612.08 |
$71.65
|
|
Unlisted transfusion med px
|
$304.65 |
$304.65 |
$304.65 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$2,529.12 |
$2,529.12 |
$2,529.12 |
$1,469.76
|
|
Upgrade pm system
|
$15,758.20 |
$15,758.20 |
$15,758.20 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$8,270.26 |
$8,270.26 |
$10,929.51 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$5,209.36 |
$6,507.93 |
$6,617.86 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$5,992.06 |
$5,992.06 |
$10,642.54 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$8,175.03 |
$8,175.03 |
$8,175.03 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$8,175.03 |
$8,175.03 |
$8,175.03 |
$1,656.60
|
|
Uppr gi scope w/submuc inj
|
$8,175.03 |
$8,175.03 |
$8,175.03 |
$1,773.85
|
|
Urea nitrogen
|
$91.06 |
$91.06 |
$91.99 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$4.69 |
$9.38 |
$85.82 |
$50.00
|
|
Ureteral embolization/occl
|
$8,930.27 |
$8,930.27 |
$8,930.27 |
$3,041.22
|
|
Ureteral reflux study
|
$3,951.75 |
$3,951.75 |
$3,951.75 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$2,833.35 |
$2,833.35 |
$6,869.78 |
$574.40
|
