|
Transcath occlusion cns
|
$3,280.00 |
$3,280.00 |
$3,280.00 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$5,550.00 |
$5,550.00 |
$5,550.00 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$14,800.00 |
$14,800.00 |
$14,800.00 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,385.00 |
$4,385.00 |
$4,385.00 |
$4,822.00
|
|
Transferrin
|
$70.00 |
$70.00 |
$70.00 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$615.00 |
$615.00 |
$615.00 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$510.00 |
$510.00 |
$510.00 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$258.84 |
$258.84 |
$258.84 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$206.89 |
$206.89 |
$206.89 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$3,155.00 |
$3,155.00 |
$3,155.00 |
$4,471.50
|
|
Treat elbow fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,027.40
|
|
Treat finger fracture each
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,592.00
|
|
Treat foot dislocation
|
$270.00 |
$270.00 |
$270.00 |
$405.60
|
|
Treat foot dislocation
|
$270.00 |
$270.00 |
$270.00 |
$527.28
|
|
Treat fracture of radius
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,821.60
|
|
Treat fracture of radius
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$270.00 |
$270.00 |
$270.00 |
$726.05
|
|
Treat hip socket fracture
|
$1,535.00 |
$1,535.00 |
$1,535.00 |
$1,344.00
|
|
Treat humerus fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,790.00
|
|
Treat humerus fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,790.00
|
|
Treat knee fracture(s)
|
$270.00 |
$270.00 |
$270.00 |
$643.26
|
|
Treatment incomplete abortion completed surgically any trimester
|
$2,765.00 |
$2,765.00 |
$2,765.00 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$185.00 |
$185.00 |
$185.00 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$90.00 |
$90.00 |
$90.00 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$3,060.00 |
$3,060.00 |
$3,060.00 |
$4,230.80
|
|
Treatment of thigh fracture
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,749.06
|
|
Treatment of thigh fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$270.00 |
$270.00 |
$270.00 |
$371.40
|
|
Treatment radiation delivery level 2
|
$735.00 |
$735.00 |
$735.00 |
$830.70
|
|
Treat midfoot fracture each
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,884.74
|
|
Treat thigh fracture
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$2,008.18
|
|
Treat ulnar fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,678.55
|
|
Treat vaginal bleeding
|
$447.50 |
$447.50 |
$447.50 |
$379.60
|
|
Treat wrist dislocation
|
$270.00 |
$270.00 |
$270.00 |
$656.25
|
|
Treponema pallidum antibody
|
$80.00 |
$80.00 |
$80.00 |
$72.05
|
|
Treprostinil injection
|
$170.38 |
$170.38 |
$170.38 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$455.70
|
|
Trichomonas assay w/optic
|
$70.00 |
$70.00 |
$70.00 |
$57.40
|
|
Triglycerides
|
$45.00 |
$45.00 |
$45.00 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$198.88 |
$198.88 |
$198.88 |
$117.49
|
|
Trim nail(s)
|
$60.00 |
$60.00 |
$60.00 |
$78.40
|
|
Trim nondyst nails
|
$90.00 |
$90.00 |
$90.00 |
$114.48
|
|
Trnscath plc stent crv crtd without prtct
|
$4,855.00 |
$4,855.00 |
$4,855.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$18,730.00 |
$18,730.00 |
$18,730.00 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$3,860.00 |
$3,860.00 |
$3,860.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$14,025.00 |
$14,025.00 |
$14,025.00 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,100.00 |
$3,100.00 |
$3,100.00 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$8,400.00 |
$8,400.00 |
$8,400.00 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,855.00 |
$1,855.00 |
$1,855.00 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,150.00 |
$2,150.00 |
$2,150.00 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$5,690.00 |
$5,690.00 |
$5,690.00 |
$3,866.70
|
|
Troponin quantitative
|
$80.00 |
$80.00 |
$80.00 |
$127.20
|
|
Tx atrial fib pulm vein isol
|
$20,110.00 |
$20,110.00 |
$20,110.00 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$270.00 |
$270.00 |
$270.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$810.00 |
$810.00 |
$810.00 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$3,977.49
|
|
Tx l/r atrial fib addl
|
$4,065.00 |
$4,065.00 |
$4,065.00 |
$6,986.85
|
|
Tympanic membrane repair
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$2,638.87
|
|
Tympanometry & reflex thresh
|
$180.00 |
$180.00 |
$180.00 |
$173.18
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$530.00 |
$530.00 |
$530.00 |
$911.43
|
|
Tyms gene com variants
|
$175.00 |
$175.00 |
$175.00 |
$192.29
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$120.51 |
$120.51 |
$120.51 |
$21,992.26
|
|
Ugt1a1 gene analy common variants
|
$235.00 |
$235.00 |
$235.00 |
$438.75
|
|
Ultrasound breast complete
|
$635.00 |
$635.00 |
$635.00 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$505.00 |
$505.00 |
$505.00 |
$452.40
|
|
Ultrasound dx ophth b-scan
|
$300.00 |
$300.00 |
$300.00 |
$296.80
|
|
Ultrasound elastography parenchyma
|
$207.50 |
$207.50 |
$207.50 |
$313.95
|
|
Ultrasound encephalogram
|
$520.00 |
$520.00 |
$520.00 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$515.00 |
$515.00 |
$515.00 |
$575.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$382.50 |
$382.50 |
$382.50 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$615.00 |
$615.00 |
$615.00 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$240.00 |
$240.00 |
$240.00 |
$388.08
|
|
Ultrasound guide intraoperative
|
$467.50 |
$467.50 |
$467.50 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$590.00 |
$590.00 |
$590.00 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$440.00 |
$440.00 |
$440.00 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$327.50 |
$327.50 |
$327.50 |
$311.25
|
|
Ultrasound joint complete left
|
$675.00 |
$675.00 |
$675.00 |
$557.99
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$402.50 |
$402.50 |
$402.50 |
$277.80
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$385.00 |
$385.00 |
$385.00 |
$335.00
|
|
Ultrasound pregnant uterus follow up per fetus
|
$465.00 |
$465.00 |
$465.00 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$530.00 |
$530.00 |
$530.00 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$415.00 |
$415.00 |
$415.00 |
$463.00
|
|
Ultraviolet therapy
|
$22.50 |
$22.50 |
$22.50 |
$39.76
|
|
Umbilical artery cath newborn 36660
|
$342.50 |
$342.50 |
$342.50 |
$223.80
|
|
Unit mobile power mpu
|
$12,250.42 |
$12,250.42 |
$12,250.42 |
$14,359.52
|
|
Unlisted chemotherapy px
|
$150.00 |
$150.00 |
$150.00 |
$143.75
|
|
Unlisted CT procedure
|
$390.00 |
$390.00 |
$390.00 |
$732.70
|
|
Unlisted fetal invas px w/us
|
$297.50 |
$297.50 |
$297.50 |
$498.40
|
|
Unlisted fluoroscopic px
|
$457.50 |
$457.50 |
$457.50 |
$305.76
|
|
Unlisted mr procedure
|
$67.50 |
$67.50 |
$67.50 |
$1,163.00
|
|
Unlisted procedure larynx
|
$685.00 |
$685.00 |
$685.00 |
$924.00
|
|
Unlisted procedure liver
|
$700.00 |
$700.00 |
$700.00 |
$2,287.20
|
|
Unlisted procedure microbiology
|
$555.00 |
$555.00 |
$555.00 |
$530.00
|
|
Unlisted px biliary tract
|
$940.00 |
$940.00 |
$940.00 |
$3,055.00
|
|
Unlisted px small intestine
|
$895.00 |
$895.00 |
$895.00 |
$2,118.35
|
|
Unlisted reprod med lab proc
|
$65.00 |
$65.00 |
$65.00 |
$70.00
|
|
Unlisted transfusion med px
|
$147.50 |
$147.50 |
$147.50 |
$147.50
|
|
Unlisted ultrasound procedure
|
$285.00 |
$285.00 |
$285.00 |
$335.00
|
