|
Training self management diabetes individual outpatient department per 30 minutes
|
$107.25 |
$107.25 |
$107.25 |
$104.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,063.50 |
$3,063.50 |
$3,063.50 |
$4,627.00
|
|
Transferrin
|
$59.95 |
$59.95 |
$59.95 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$751.85 |
$751.85 |
$751.85 |
$988.24
|
|
Tray bonemarrw oncontrol 102mm
|
$220.56 |
$220.56 |
$220.56 |
$1,013.83
|
|
Trb@ gene rearrange dirprobe
|
$1,376.65 |
$1,376.65 |
$1,376.65 |
$54.55
|
|
Treat ankle dislocation
|
$1,408.55 |
$1,408.55 |
$1,408.55 |
$2,207.20
|
|
Treat elbow fracture
|
$1,394.25 |
$1,394.25 |
$1,394.25 |
$2,125.60
|
|
Treat finger fracture each
|
$1,526.25 |
$1,526.25 |
$1,526.25 |
$1,815.75
|
|
Treat fracture of ulna
|
$318.45 |
$318.45 |
$318.45 |
$766.72
|
|
Treat hip dislocation
|
$1,735.80 |
$1,735.80 |
$1,735.80 |
$2,561.90
|
|
Treat hip socket fracture
|
$1,808.95 |
$1,808.95 |
$1,808.95 |
$1,340.10
|
|
Treat humerus fracture
|
$1,588.95 |
$1,588.95 |
$1,588.95 |
$2,045.35
|
|
Treat lower leg dislocation
|
$231.00 |
$231.00 |
$231.00 |
$532.60
|
|
Treatment incomplete abortion completed surgically any trimester
|
$2,644.95 |
$2,644.95 |
$2,644.95 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$166.10 |
$166.10 |
$166.10 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$166.10 |
$166.10 |
$166.10 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$78.65 |
$78.65 |
$78.65 |
$210.00
|
|
Treatment of thigh fracture
|
$1,735.80 |
$1,735.80 |
$1,735.80 |
$2,055.00
|
|
Treatment radiation delivery level 2
|
$568.70 |
$568.70 |
$568.70 |
$735.00
|
|
Treat toe fracture
|
$5,351.50 |
$5,351.50 |
$5,351.50 |
$3,981.06
|
|
Treat ulnar fracture
|
$2,578.40 |
$2,578.40 |
$2,578.40 |
$1,861.60
|
|
Treat wrist bone fracture
|
$1,588.95 |
$1,588.95 |
$1,588.95 |
$1,907.64
|
|
Treat wrist dislocation
|
$253.55 |
$253.55 |
$253.55 |
$760.00
|
|
Treponema pallidum antibody
|
$56.65 |
$56.65 |
$56.65 |
$72.80
|
|
Trg gene rearrangement anal
|
$1,032.90 |
$1,032.90 |
$1,032.90 |
$455.70
|
|
Trichinella antibody
|
$118.25 |
$118.25 |
$118.25 |
$70.65
|
|
#tricyclicantidprssnt
|
$1,085.15 |
$1,085.15 |
$1,085.15 |
$57.08
|
|
Triglycerides
|
$108.90 |
$108.90 |
$108.90 |
$54.60
|
|
Trim nondyst nails
|
$111.65 |
$111.65 |
$111.65 |
$124.22
|
|
Trnscath plc stent crv crtd without prtct
|
$10,223.40 |
$10,223.40 |
$10,223.40 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$13,032.80 |
$13,032.80 |
$13,032.80 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$8,786.80 |
$8,786.80 |
$8,786.80 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,145.70 |
$6,145.70 |
$6,145.70 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,275.90 |
$13,275.90 |
$13,275.90 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$12,719.85 |
$12,719.85 |
$12,719.85 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,858.25 |
$3,858.25 |
$3,858.25 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,592.85 |
$6,592.85 |
$6,592.85 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,692.15 |
$3,692.15 |
$3,692.15 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,907.20 |
$3,907.20 |
$3,907.20 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$3,749.35 |
$3,749.35 |
$3,749.35 |
$4,329.36
|
|
Troponin quantitative
|
$127.60 |
$127.60 |
$127.60 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$2,322.10 |
$2,322.10 |
$2,322.10 |
$1,573.00
|
|
Tube trach disp innr can 5 xlt
|
$72.16 |
$72.16 |
$72.16 |
$460.58
|
|
Tx closed hip disl traumatic without anes
|
$381.15 |
$381.15 |
$381.15 |
$657.28
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,146.00 |
$3,146.00 |
$3,146.00 |
$3,874.79
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$751.85 |
$751.85 |
$751.85 |
$911.43
|
|
Ua w/micro/comp poc
|
$46.75 |
$46.75 |
$46.75 |
$24.45
|
|
Ugt1a1 gene analy common variants
|
$779.35 |
$779.35 |
$779.35 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$432.85 |
$432.85 |
$432.85 |
$403.26
|
|
Ultrasound breast complete
|
$505.45 |
$505.45 |
$505.45 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$358.60 |
$358.60 |
$358.60 |
$449.35
|
|
Ultrasound chest
|
$517.55 |
$517.55 |
$517.55 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$333.30 |
$333.30 |
$333.30 |
$340.14
|
|
Ultrasound encephalogram
|
$698.50 |
$698.50 |
$698.50 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$904.20 |
$904.20 |
$904.20 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$848.10 |
$848.10 |
$848.10 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$239.80 |
$239.80 |
$239.80 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,093.40 |
$1,093.40 |
$1,093.40 |
$701.35
|
|
Ultrasound hips infant dynamic
|
$711.15 |
$711.15 |
$711.15 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$677.05 |
$677.05 |
$677.05 |
$321.35
|
|
Ultrasound joint complete left
|
$849.20 |
$849.20 |
$849.20 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$405.90 |
$405.90 |
$405.90 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$617.65 |
$617.65 |
$617.65 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$278.30 |
$278.30 |
$278.30 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$799.70 |
$799.70 |
$799.70 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$633.60 |
$633.60 |
$633.60 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$662.75 |
$662.75 |
$662.75 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$488.95 |
$488.95 |
$488.95 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$722.70 |
$722.70 |
$722.70 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$628.10 |
$628.10 |
$628.10 |
$498.00
|
|
Ultrasound scrotum and contents
|
$996.05 |
$996.05 |
$996.05 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$440.00 |
$440.00 |
$440.00 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$534.05 |
$534.05 |
$534.05 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$856.90 |
$856.90 |
$856.90 |
$567.44
|
|
Unlisted chemotherapy px
|
$75.90 |
$75.90 |
$75.90 |
$153.85
|
|
Unlisted procedure microbiology
|
$2,079.55 |
$2,079.55 |
$2,079.55 |
$487.50
|
|
Unlisted px casting/strpg
|
$239.80 |
$239.80 |
$239.80 |
$224.93
|
|
Unlisted px pelvis/hip joint
|
$5,963.65 |
$5,963.65 |
$5,963.65 |
$2,108.82
|
|
Unlisted px small intestine
|
$4,777.30 |
$4,777.30 |
$4,777.30 |
$2,118.35
|
|
Unlisted surgical path px
|
$66.55 |
$66.55 |
$66.55 |
$71.65
|
|
Unlisted transfusion med px
|
$36.85 |
$36.85 |
$36.85 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$733.15 |
$733.15 |
$733.15 |
$1,480.70
|
|
Upgrade pm system
|
$13,920.50 |
$13,920.50 |
$13,920.50 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$4,352.15 |
$4,352.15 |
$4,352.15 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,239.50 |
$3,239.50 |
$3,239.50 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,092.65 |
$3,092.65 |
$3,092.65 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,151.70 |
$1,151.70 |
$1,151.70 |
$1,588.59
|
|
Urea nitrogen
|
$82.50 |
$82.50 |
$82.50 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$113.30 |
$113.30 |
$113.30 |
$50.00
|
|
Urea nitrogen clearance
|
$104.50 |
$104.50 |
$104.50 |
$33.57
|
|
Ureteral reflux study
|
$694.10 |
$694.10 |
$694.10 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,093.95 |
$1,093.95 |
$1,093.95 |
$574.40
|
|
Urethrocystography void s&i
|
$1,093.95 |
$1,093.95 |
$1,093.95 |
$634.50
|
|
Uric acid blood
|
$97.90 |
$97.90 |
$97.90 |
$46.64
|
|
Uric acid urine
|
$99.55 |
$99.55 |
$99.55 |
$46.75
|
|
Urinalysis microscopic only
|
$42.90 |
$42.90 |
$42.90 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$25.85 |
$25.85 |
$25.85 |
$25.72
|
|
Urinalysis (with microscopy)
|
$106.15 |
$106.15 |
$106.15 |
$48.14
|
|
Urinalysis (without microscopy)
|
$67.65 |
$67.65 |
$67.65 |
$38.99
|
