|
Transferrin
|
$37.76 |
$37.76 |
$37.76 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$310.40 |
$310.40 |
$310.40 |
$983.00
|
|
Transthor diaphrag hern repair 43334
|
$936.00 |
$936.00 |
$936.00 |
$3,052.00
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$1,451.00 |
$1,451.00 |
$1,451.00 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$6,412.48 |
$6,412.48 |
$6,412.48 |
$4,523.04
|
|
Treat ectopic pregnancy
|
$616.96 |
$616.96 |
$616.96 |
$4,350.00
|
|
Treat ectopic pregnancy
|
$602.88 |
$602.88 |
$602.88 |
$6,707.99
|
|
Treat foot bone lesion
|
$467.84 |
$467.84 |
$467.84 |
$3,839.54
|
|
Treat/graft heel fracture
|
$983.04 |
$983.04 |
$983.04 |
$10,629.07
|
|
Treat heel fracture
|
$909.76 |
$909.76 |
$909.76 |
$8,269.81
|
|
Treat humerus fracture
|
$608.64 |
$608.64 |
$608.64 |
$13,278.70
|
|
Treat humerus fracture
|
$644.80 |
$644.80 |
$644.80 |
$12,896.80
|
|
Treat kneecap fracture
|
$616.00 |
$616.00 |
$616.00 |
$6,311.00
|
|
Treat knee fracture
|
$652.48 |
$652.48 |
$652.48 |
$3,486.60
|
|
Treat lower leg fracture
|
$917.76 |
$917.76 |
$917.76 |
$14,241.77
|
|
Treat lower leg joint
|
$586.88 |
$586.88 |
$586.88 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$862.40 |
$862.40 |
$862.40 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$485.12 |
$485.12 |
$485.12 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$243.20 |
$243.20 |
$243.20 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$74.88 |
$74.88 |
$74.88 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$36.80 |
$36.80 |
$36.80 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$153.20 |
$153.20 |
$153.20 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$312.64 |
$312.64 |
$312.64 |
$3,982.44
|
|
Treatment of ankle fracture
|
$531.52 |
$531.52 |
$531.52 |
$8,412.89
|
|
Treatment of ankle fracture
|
$581.76 |
$581.76 |
$581.76 |
$8,453.60
|
|
Treatment of ankle fracture
|
$720.32 |
$720.32 |
$720.32 |
$7,907.11
|
|
Treatment of fibula fracture
|
$581.12 |
$581.12 |
$581.12 |
$6,311.00
|
|
Treatment of miscarriage
|
$302.40 |
$302.40 |
$302.40 |
$4,146.69
|
|
Treatment of thigh fracture
|
$1,072.64 |
$1,072.64 |
$1,072.64 |
$5,109.00
|
|
Treatment of thigh fracture
|
$656.64 |
$656.64 |
$656.64 |
$3,764.80
|
|
Treatment of thigh fracture
|
$366.08 |
$366.08 |
$366.08 |
$3,796.00
|
|
Treatment of tibia fracture
|
$727.68 |
$727.68 |
$727.68 |
$8,665.60
|
|
Treatment of tibia fracture
|
$681.28 |
$681.28 |
$681.28 |
$7,087.60
|
|
Treat thigh fracture
|
$959.04 |
$959.04 |
$959.04 |
$4,083.00
|
|
Treat thigh fracture
|
$981.76 |
$981.76 |
$981.76 |
$4,726.80
|
|
Treat ulnar fracture
|
$459.20 |
$459.20 |
$459.20 |
$5,926.25
|
|
Treponema pallidum antibody
|
$13.44 |
$13.44 |
$13.44 |
$70.40
|
|
Trg gene rearrangement anal
|
$183.04 |
$183.04 |
$183.04 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$15.68 |
$15.68 |
$15.68 |
$43.21
|
|
Trichinella antibody
|
$28.16 |
$28.16 |
$28.16 |
$70.20
|
|
#tricyclicantidprssnt
|
$23.68 |
$23.68 |
$23.68 |
$50.86
|
|
Triglycerides
|
$56.96 |
$56.96 |
$56.96 |
$58.05
|
|
Trim nail(s)
|
$77.12 |
$77.12 |
$77.12 |
$79.00
|
|
Trim nondyst nails
|
$27.20 |
$27.20 |
$27.20 |
$113.40
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,040.64 |
$4,040.64 |
$4,040.64 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,527.68 |
$3,527.68 |
$3,527.68 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$9,384.64 |
$9,384.64 |
$9,384.64 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,899.52 |
$1,899.52 |
$1,899.52 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,386.56 |
$3,386.56 |
$3,386.56 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,791.04 |
$1,791.04 |
$1,791.04 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,791.04 |
$1,791.04 |
$1,791.04 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,899.52 |
$1,899.52 |
$1,899.52 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$669.12 |
$669.12 |
$669.12 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$581.44 |
$581.44 |
$581.44 |
$2,371.50
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$414.72 |
$414.72 |
$414.72 |
$2,406.77
|
|
Troponin quantitative
|
$72.32 |
$72.32 |
$72.32 |
$127.20
|
|
Tubal Ligation (Laparoscopic)
|
$295.68 |
$295.68 |
$295.68 |
$4,323.20
|
|
Tx atrial fib pulm vein isol
|
$12,211.20 |
$12,211.20 |
$12,211.20 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$5,904.32 |
$5,904.32 |
$5,904.32 |
$6,769.00
|
|
Tympanic membrane repair
|
$233.28 |
$233.28 |
$233.28 |
$2,638.87
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$216.32 |
$216.32 |
$216.32 |
$911.43
|
|
Ua w/micro/comp poc
|
$5.12 |
$5.12 |
$5.12 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$156.48 |
$156.48 |
$156.48 |
$438.75
|
|
Ultrasound breast complete
|
$240.00 |
$240.00 |
$240.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$210.24 |
$210.24 |
$210.24 |
$449.35
|
|
Ultrasound chest
|
$232.00 |
$232.00 |
$232.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$55.68 |
$55.68 |
$55.68 |
$338.00
|
|
Ultrasound elastography parenchyma
|
$31.68 |
$31.68 |
$31.68 |
$307.00
|
|
Ultrasound encephalogram
|
$255.36 |
$255.36 |
$255.36 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$189.12 |
$189.12 |
$189.12 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$276.80 |
$276.80 |
$276.80 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$155.84 |
$155.84 |
$155.84 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$218.24 |
$218.24 |
$218.24 |
$720.15
|
|
Ultrasound guide intraoperative
|
$256.96 |
$256.96 |
$256.96 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$188.48 |
$188.48 |
$188.48 |
$560.00
|
|
Ultrasound joint complete left
|
$203.52 |
$203.52 |
$203.52 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$210.24 |
$210.24 |
$210.24 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$325.76 |
$325.76 |
$325.76 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$325.76 |
$325.76 |
$325.76 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$241.92 |
$241.92 |
$241.92 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$212.48 |
$212.48 |
$212.48 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$199.68 |
$199.68 |
$199.68 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$214.08 |
$214.08 |
$214.08 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$36.16 |
$36.16 |
$36.16 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$213.12 |
$213.12 |
$213.12 |
$486.50
|
|
Ultrasound scrotum and contents
|
$200.00 |
$200.00 |
$200.00 |
$608.90
|
|
Ultrasound transabd ea addl gest
|
$135.68 |
$135.68 |
$135.68 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$212.80 |
$212.80 |
$212.80 |
$558.35
|
|
Unlistd noninvas vasc dx std
|
$27.20 |
$27.20 |
$27.20 |
$528.80
|
|
Unlisted dx gi procedure
|
$166.08 |
$166.08 |
$166.08 |
$649.22
|
|
Unlisted laparoscopic liver biopy 47379
|
$453.12 |
$453.12 |
$453.12 |
$5,419.00
|
|
Unlisted laparoscopic procedure 49659
|
$401.92 |
$401.92 |
$401.92 |
$6,838.32
|
|
Unlisted laparoscopic reduction intestine 44238
|
$745.60 |
$745.60 |
$745.60 |
$5,419.00
|
|
Unlisted laps px bladder
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$5,082.74
|
|
Unlisted px abdomen muscskel
|
$289.28 |
$289.28 |
$289.28 |
$1,848.60
|
|
Unlisted px diaphragm
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$6,547.57
|
|
Unlisted px foot/toes
|
$227.52 |
$227.52 |
$227.52 |
$1,225.50
|
|
Unlisted px middle ear
|
$214.72 |
$214.72 |
$214.72 |
$343.50
|
|
Unlisted px palate uvula
|
$166.40 |
$166.40 |
$166.40 |
$274.80
|
|
Unlisted px small intestine
|
$726.72 |
$726.72 |
$726.72 |
$2,102.10
|
