|
Treat eyelid by injection
|
$26,104.55 |
$26,104.55 |
$26,104.55 |
$481.44
|
|
Treat finger fracture each
|
$886.90 |
$886.90 |
$886.90 |
$1,536.00
|
|
Treat foot dislocation
|
$741.30 |
$741.30 |
$741.30 |
$527.28
|
|
Treat foot dislocation
|
$541.80 |
$541.80 |
$541.80 |
$445.80
|
|
Treat fracture of radius
|
$1,052.10 |
$1,052.10 |
$1,052.10 |
$1,790.00
|
|
Treat fracture of ulna
|
$3,504.20 |
$3,504.20 |
$3,504.20 |
$726.05
|
|
Treat hip dislocation
|
$2,779.70 |
$2,779.70 |
$2,779.70 |
$2,641.60
|
|
Treat humerus fracture
|
$1,283.10 |
$1,283.10 |
$1,283.10 |
$1,771.43
|
|
Treat lower jaw fracture 21462
|
$17,292.10 |
$17,292.10 |
$17,292.10 |
$7,000.36
|
|
Treatment incomplete abortion completed surgically any trimester
|
$16,889.57 |
$16,889.57 |
$16,889.57 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$237.30 |
$237.30 |
$237.30 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$237.30 |
$237.30 |
$237.30 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$290.50 |
$290.50 |
$290.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$13,317.61 |
$13,317.61 |
$13,317.61 |
$3,982.44
|
|
Treatment of ankle fracture 27786
|
$802.20 |
$802.20 |
$802.20 |
$520.80
|
|
Treatment of foot infection
|
$5,389.30 |
$5,389.30 |
$5,389.30 |
$2,614.25
|
|
Treatment of miscarriage
|
$20,809.68 |
$20,809.68 |
$20,809.68 |
$4,146.69
|
|
Treatment of thigh fracture
|
$3,503.50 |
$3,503.50 |
$3,503.50 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$829.50 |
$829.50 |
$829.50 |
$369.70
|
|
Treatment of urethra lesion
|
$16,371.23 |
$16,371.23 |
$16,371.23 |
$2,874.36
|
|
Treatment radiation delivery level 2
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$767.65
|
|
Treatment x10sv retinopathy
|
$10,546.93 |
$10,546.93 |
$10,546.93 |
$1,513.20
|
|
Treat thigh fx growth plate
|
$2,933.00 |
$2,933.00 |
$2,933.00 |
$1,938.38
|
|
Treat ulnar fracture
|
$1,677.20 |
$1,677.20 |
$1,677.20 |
$1,662.00
|
|
Treat wrist dislocation
|
$1,223.60 |
$1,223.60 |
$1,223.60 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$259,143.84 |
$259,143.84 |
$259,143.84 |
$73,346.25
|
|
Treponema pallidum antibody
|
$130.20 |
$130.20 |
$130.20 |
$70.40
|
|
Treprostinil injection
|
$18,837.87 |
$18,837.87 |
$18,837.87 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$844.90 |
$844.90 |
$844.90 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$277.55 |
$277.55 |
$277.55 |
$43.21
|
|
Trichinella antibody
|
$56.00 |
$56.00 |
$56.00 |
$70.20
|
|
Trichomonas assay w/optic
|
$57.40 |
$57.40 |
$57.40 |
$55.50
|
|
#tricyclicantidprssnt
|
$43.40 |
$43.40 |
$43.40 |
$50.86
|
|
Triglycerides
|
$138.60 |
$138.60 |
$138.60 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$10,099.95 |
$10,099.95 |
$10,099.95 |
$4,043.12
|
|
Trim nondyst nails
|
$113.40 |
$113.40 |
$113.40 |
$113.40
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$59,437.18 |
$59,437.18 |
$59,437.18 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$61,725.23 |
$61,725.23 |
$61,725.23 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$9,355.50 |
$9,355.50 |
$9,355.50 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$11,010.30 |
$11,010.30 |
$11,010.30 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,876.80 |
$6,876.80 |
$6,876.80 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$83,474.71 |
$83,474.71 |
$83,474.71 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$48,088.87 |
$48,088.87 |
$48,088.87 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$46,978.60 |
$46,978.60 |
$46,978.60 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$65,404.00 |
$65,404.00 |
$65,404.00 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$8,064.00 |
$8,064.00 |
$8,064.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$9,139.20 |
$9,139.20 |
$9,139.20 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$8,064.00 |
$8,064.00 |
$8,064.00 |
$3,866.70
|
|
Troponin quantitative
|
$170.80 |
$170.80 |
$170.80 |
$127.20
|
|
Tr retinal les preterm inf
|
$28,727.17 |
$28,727.17 |
$28,727.17 |
$1,794.00
|
|
Tte w or without contr, cont ecg
|
$4,760.00 |
$4,760.00 |
$4,760.00 |
$2,012.40
|
|
Tx atrial fib pulm vein isol
|
$18,496.80 |
$18,496.80 |
$18,496.80 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$1,150.10 |
$1,150.10 |
$1,150.10 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$5,628.70 |
$5,628.70 |
$5,628.70 |
$3,977.49
|
|
Tx l/r atrial fib addl
|
$7,438.90 |
$7,438.90 |
$7,438.90 |
$6,769.00
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$6,787.20 |
$6,787.20 |
$6,787.20 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$6,966.40 |
$6,966.40 |
$6,966.40 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$8,633.80 |
$8,633.80 |
$8,633.80 |
$4,499.12
|
|
Tympanic membrane repair
|
$8,239.36 |
$8,239.36 |
$8,239.36 |
$2,638.87
|
|
Tympanometry & reflex thresh
|
$116.90 |
$116.90 |
$116.90 |
$170.00
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$57,155.08 |
$57,155.08 |
$57,155.08 |
$6,839.00
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$47,438.34 |
$47,438.34 |
$47,438.34 |
$7,000.36
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$69,564.95 |
$69,564.95 |
$69,564.95 |
$20,945.01
|
|
Ugt1a1 gene analy common variants
|
$718.90 |
$718.90 |
$718.90 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$852.60 |
$852.60 |
$852.60 |
$394.20
|
|
Ultrasound breast complete
|
$532.00 |
$532.00 |
$532.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$438.90 |
$438.90 |
$438.90 |
$449.35
|
|
Ultrasound chest
|
$1,039.50 |
$1,039.50 |
$1,039.50 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$969.50 |
$969.50 |
$969.50 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$434.00 |
$434.00 |
$434.00 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$482.30 |
$482.30 |
$482.30 |
$307.00
|
|
Ultrasound encephalogram
|
$1,406.30 |
$1,406.30 |
$1,406.30 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$1,237.60 |
$1,237.60 |
$1,237.60 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,120.70 |
$1,120.70 |
$1,120.70 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$1,292.20 |
$1,292.20 |
$1,292.20 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,705.20 |
$1,705.20 |
$1,705.20 |
$720.15
|
|
Ultrasound guide intraoperative
|
$2,104.20 |
$2,104.20 |
$2,104.20 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$2,603.30 |
$2,603.30 |
$2,603.30 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$1,275.40 |
$1,275.40 |
$1,275.40 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$311.25
|
|
Ultrasound joint complete left
|
$1,269.80 |
$1,269.80 |
$1,269.80 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$774.90 |
$774.90 |
$774.90 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$245.70 |
$245.70 |
$245.70 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,598.10 |
$1,598.10 |
$1,598.10 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$819.70 |
$819.70 |
$819.70 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$830.90 |
$830.90 |
$830.90 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$718.90 |
$718.90 |
$718.90 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$749.00 |
$749.00 |
$749.00 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$1,313.20 |
$1,313.20 |
$1,313.20 |
$486.50
|
|
Ultrasound scrotum and contents
|
$1,376.90 |
$1,376.90 |
$1,376.90 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$1,559.60 |
$1,559.60 |
$1,559.60 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$1,157.10 |
$1,157.10 |
$1,157.10 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$1,079.40 |
$1,079.40 |
$1,079.40 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$3,213.00 |
$3,213.00 |
$3,213.00 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$4,034.80 |
$4,034.80 |
$4,034.80 |
$348.00
|
|
Umbilical artery cath newborn 36660
|
$851.20 |
$851.20 |
$851.20 |
$206.64
|
|
Unlisted chemotherapy px
|
$540.40 |
$540.40 |
$540.40 |
$150.00
|
