|
Treprostinil injection
|
$17,156.47 |
$17,156.47 |
$17,156.47 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$844.90 |
$844.90 |
$844.90 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$35.87 |
$35.87 |
$35.87 |
$43.21
|
|
Triamcinolone hexacetonl inj
|
$13.82 |
$13.82 |
$13.82 |
$21.36
|
|
Trichomonas assay w/optic
|
$57.40 |
$57.40 |
$57.40 |
$55.50
|
|
#tricyclicantidprssnt
|
$43.40 |
$43.40 |
$43.40 |
$50.86
|
|
Triglycerides
|
$99.40 |
$99.40 |
$99.40 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$213.32 |
$213.32 |
$213.32 |
$117.49
|
|
Trim nondyst nails
|
$113.40 |
$113.40 |
$113.40 |
$113.40
|
|
Trluml dil aq o/f can without st
|
$14,968.67 |
$14,968.67 |
$14,968.67 |
$5,419.00
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$26,989.20 |
$26,989.20 |
$26,989.20 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$13,493.90 |
$13,493.90 |
$13,493.90 |
$7,354.00
|
|
Trnscath plc stent crv crtd w/prtct
|
$10,160.50 |
$10,160.50 |
$10,160.50 |
$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
|
$6,854.40 |
$6,854.40 |
$6,854.40 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$43,270.27 |
$43,270.27 |
$43,270.27 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$36,751.95 |
$36,751.95 |
$36,751.95 |
$15,330.11
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,489.80 |
$4,489.80 |
$4,489.80 |
$5,069.50
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,101.40 |
$2,101.40 |
$2,101.40 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$3,981.60 |
$3,981.60 |
$3,981.60 |
$3,866.70
|
|
Troponin quantitative
|
$170.80 |
$170.80 |
$170.80 |
$127.20
|
|
Trurl dstrj prst8 tiss rf wv
|
$13,470.86 |
$13,470.86 |
$13,470.86 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$4,760.00 |
$4,760.00 |
$4,760.00 |
$2,012.40
|
|
Tvh >250 gms 58290
|
$28,405.82 |
$28,405.82 |
$28,405.82 |
$6,872.92
|
|
Tx atrial fib pulm vein isol
|
$26,950.00 |
$26,950.00 |
$26,950.00 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$889.00 |
$889.00 |
$889.00 |
$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
|
$1,924.30 |
$1,924.30 |
$1,924.30 |
$6,769.00
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$8,661.80 |
$8,661.80 |
$8,661.80 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$10,535.00 |
$10,535.00 |
$10,535.00 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$8,633.80 |
$8,633.80 |
$8,633.80 |
$4,499.12
|
|
Tympanometry & reflex thresh
|
$116.90 |
$116.90 |
$116.90 |
$170.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$45,838.10 |
$45,838.10 |
$45,838.10 |
$20,945.01
|
|
Ugt1a1 gene analy common variants
|
$823.20 |
$823.20 |
$823.20 |
$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 CT procedure
|
$1,941.10 |
$1,941.10 |
$1,941.10 |
$732.70
|
|
Unlisted dx gi procedure
|
$1,908.20 |
$1,908.20 |
$1,908.20 |
$649.22
|
|
Unlisted fetal invas px w/us
|
$606.90 |
$606.90 |
$606.90 |
$498.40
|
|
Unlisted fluoroscopic px
|
$26,511.80 |
$26,511.80 |
$26,511.80 |
$305.76
|
|
Unlisted hematology&coagj px
|
$65.10 |
$65.10 |
$65.10 |
$39.52
|
|
Unlisted hystsc px uterus
|
$22,528.35 |
$22,528.35 |
$22,528.35 |
$2,803.60
|
|
Unlisted laparoscopic liver biopy 47379
|
$42,496.52 |
$42,496.52 |
$42,496.52 |
$5,419.00
|
|
Unlisted laparoscopic procedure 49659
|
$42,268.79 |
$42,268.79 |
$42,268.79 |
$6,838.32
|
|
Unlisted laparoscopic reduction intestine 44238
|
$28,363.61 |
$28,363.61 |
$28,363.61 |
$5,419.00
|
|
Unlisted laparoscopy procedure biliary tract 47579
|
$40,363.99 |
$40,363.99 |
$40,363.99 |
$6,463.42
|
|
Unlisted laps px appendix
|
$19,860.83 |
$19,860.83 |
$19,860.83 |
$3,617.40
|
|
Unlisted laps px lymphtc sys
|
$58,438.73 |
$58,438.73 |
$58,438.73 |
$6,870.89
|
|
Unlisted laps px ureter
|
$53,713.88 |
$53,713.88 |
$53,713.88 |
$6,212.70
|
|
Unlisted laps px uterus
|
$36,468.83 |
$36,468.83 |
$36,468.83 |
$4,627.00
|
|
Unlisted maaa
|
$284.90 |
$284.90 |
$284.90 |
$235.20
|
|
Unlisted mr procedure
|
$2,110.50 |
$2,110.50 |
$2,110.50 |
$1,163.00
|
|
Unlisted procedure colon
|
$10,896.20 |
$10,896.20 |
$10,896.20 |
$1,702.50
|
|
Unlisted procedure esophagus
|
$24,679.47 |
$24,679.47 |
$24,679.47 |
$1,998.88
|
|
Unlisted procedure larynx
|
$16,577.64 |
$16,577.64 |
$16,577.64 |
$924.00
|
|
Unlisted procedure liver
|
$26,043.50 |
$26,043.50 |
$26,043.50 |
$2,287.20
|
|
Unlisted procedure microbiology
|
$490.70 |
$490.70 |
$490.70 |
$523.50
|
|
Unlisted procedure pancreas
|
$20,297.40 |
$20,297.40 |
$20,297.40 |
$3,986.00
|
|
Unlisted procedure rectum
|
$39,986.51 |
$39,986.51 |
$39,986.51 |
$1,220.35
|
|
Unlisted px abdomen muscskel
|
$3,161.20 |
$3,161.20 |
$3,161.20 |
$1,848.60
|
|
Unlisted px arthroscopy
|
$34,025.41 |
$34,025.41 |
$34,025.41 |
$2,765.60
|
|
Unlisted px biliary tract
|
$41,475.59 |
$41,475.59 |
$41,475.59 |
$2,718.10
|
|
Unlisted px leg/ankle
|
$13,652.80 |
$13,652.80 |
$13,652.80 |
$811.00
|
|
Unlisted px male genital sys
|
$18,410.33 |
$18,410.33 |
$18,410.33 |
$343.55
|
|
Unlisted px med radj physics
|
$1,124.20 |
$1,124.20 |
$1,124.20 |
$462.35
|
|
Unlisted px posterior segmnt
|
$8,799.70 |
$8,799.70 |
$8,799.70 |
$3,173.34
|
|
Unlisted px small intestine
|
$12,495.70 |
$12,495.70 |
$12,495.70 |
$2,102.10
|
|
Unlisted surgical path px
|
$81.20 |
$81.20 |
$81.20 |
$217.75
|
