|
Toxoplasma antibody igm
|
$136.20 |
$136.20 |
$136.20 |
$87.00
|
|
Tp53 gene full gene sequence
|
$709.80 |
$709.80 |
$709.80 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$790.68
|
|
Tpmt gene com vrnts
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$9,642.00 |
$9,642.00 |
$9,642.00 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,926.80 |
$2,926.80 |
$2,926.80 |
$1,420.44
|
|
Tracheostoma revision; simple, without flap rotation
|
$7,677.00 |
$7,677.00 |
$7,677.00 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$187.80 |
$187.80 |
$187.80 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$678.70
|
|
Transcath biopsy
|
$3,850.20 |
$3,850.20 |
$3,850.20 |
$4,285.93
|
|
Transcath closure of asd
|
$48,193.20 |
$48,193.20 |
$48,193.20 |
$16,741.40
|
|
Transcath closure of vsd
|
$33,965.40 |
$33,965.40 |
$33,965.40 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,563.60 |
$1,563.60 |
$3,862.20 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$6,284.40 |
$6,284.40 |
$6,284.40 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$7,854.00 |
$7,854.00 |
$7,854.00 |
$12,418.00
|
|
Transcath occlusion cns
|
$12,866.40 |
$12,866.40 |
$12,866.40 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$7,951.80 |
$7,951.80 |
$7,951.80 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$7,884.60 |
$7,884.60 |
$7,884.60 |
$4,775.16
|
|
Transferrin
|
$72.00 |
$72.00 |
$258.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$546.60 |
$546.60 |
$1,460.40 |
$983.00
|
|
Transperi needle place pros
|
$9,642.00 |
$9,642.00 |
$9,642.00 |
$6,015.75
|
|
Trauma partial team response w/critical care services level 4
|
$5,997.00 |
$5,997.00 |
$5,997.00 |
$4,523.04
|
|
Treat ankle dislocation
|
$2,562.60 |
$2,562.60 |
$2,562.60 |
$2,358.40
|
|
Treat elbow dislocation
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$2,223.20
|
|
Treat elbow fracture
|
$1,542.60 |
$1,542.60 |
$1,542.60 |
$1,919.13
|
|
Treat finger fracture each
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,536.00
|
|
Treat foot dislocation
|
$328.20 |
$328.20 |
$328.20 |
$396.30
|
|
Treat fracture of radius
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$1,790.00
|
|
Treat fracture of ulna
|
$1,654.80 |
$1,654.80 |
$1,654.80 |
$726.05
|
|
Treat hip dislocation
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$2,192.80
|
|
Treat humerus fracture
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$1,771.43
|
|
Treat humerus fracture
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,771.43
|
|
Treat knee dislocation
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$2,220.89
|
|
Treat knee fracture 27530
|
$750.00 |
$750.00 |
$750.00 |
$550.00
|
|
Treatment incomplete abortion completed surgically any trimester
|
$8,193.60 |
$8,193.60 |
$8,193.60 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$100.20 |
$100.20 |
$129.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$69.00 |
$69.00 |
$92.40 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$81.00 |
$81.00 |
$120.00 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$533.40 |
$533.40 |
$533.40 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$370.20 |
$370.20 |
$370.20 |
$491.50
|
|
Treatment of heel fracture 28400
|
$310.20 |
$310.20 |
$310.20 |
$473.00
|
|
Treatment of thigh fracture
|
$310.20 |
$310.20 |
$310.20 |
$548.90
|
|
Treatment of thigh fracture
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$234.60 |
$234.60 |
$234.60 |
$369.70
|
|
Treatment radiation delivery level 2
|
$4,132.20 |
$4,132.20 |
$4,132.20 |
$767.65
|
|
Treat sternum fracture
|
$151.20 |
$151.20 |
$151.20 |
$423.00
|
|
Treat thigh fracture
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,893.86
|
|
Treat thigh fx growth plate
|
$310.20 |
$310.20 |
$310.20 |
$475.68
|
|
Treat ulnar fracture
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$1,662.00
|
|
Treat vaginal bleeding
|
$700.20 |
$700.20 |
$700.20 |
$379.60
|
|
Treat wrist dislocation
|
$935.40 |
$935.40 |
$935.40 |
$656.25
|
|
Treponema pallidum antibody
|
$128.40 |
$128.40 |
$240.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$836.40 |
$836.40 |
$836.40 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$12.60 |
$12.60 |
$12.60 |
$43.21
|
|
Triglycerides
|
$43.20 |
$43.20 |
$93.60 |
$58.05
|
|
Trim nondyst nails
|
$138.60 |
$138.60 |
$138.60 |
$113.40
|
|
Trnscath plc stent crv crtd without prtct
|
$7,769.40 |
$7,769.40 |
$7,769.40 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$7,769.40 |
$7,769.40 |
$7,769.40 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$2,898.60 |
$2,898.60 |
$2,898.60 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$13,354.20 |
$13,354.20 |
$13,354.20 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,354.20 |
$13,354.20 |
$13,354.20 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$33,287.40 |
$33,287.40 |
$33,287.40 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$8,542.20 |
$8,542.20 |
$8,542.20 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$10,031.40 |
$10,031.40 |
$10,031.40 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$13,756.20 |
$13,756.20 |
$13,756.20 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$14,274.60 |
$14,274.60 |
$14,274.60 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$10,031.40 |
$10,031.40 |
$10,031.40 |
$3,866.70
|
|
Troponin quantitative
|
$172.20 |
$172.20 |
$229.80 |
$127.20
|
|
Tr retinal les preterm inf
|
$3,814.80 |
$3,814.80 |
$3,814.80 |
$1,794.00
|
|
Tte w or without contr, cont ecg
|
$3,311.40 |
$3,311.40 |
$3,311.40 |
$2,012.40
|
|
Tx atrial fib pulm vein isol
|
$45,015.00 |
$45,015.00 |
$45,015.00 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$407.40 |
$407.40 |
$407.40 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$4,591.20 |
$4,591.20 |
$4,591.20 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$337.20 |
$337.20 |
$337.20 |
$535.60
|
|
Tx l/r atrial fib addl
|
$18,810.60 |
$18,810.60 |
$18,810.60 |
$6,769.00
|
|
Tympanometry & reflex thresh
|
$214.20 |
$214.20 |
$214.20 |
$170.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$543.60 |
$543.60 |
$543.60 |
$394.20
|
|
Ultrasound breast complete
|
$774.00 |
$774.00 |
$774.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$557.40 |
$557.40 |
$557.40 |
$449.35
|
|
Ultrasound chest
|
$315.60 |
$315.60 |
$863.40 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$593.40 |
$593.40 |
$593.40 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$489.00 |
$489.00 |
$489.00 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$198.00 |
$198.00 |
$198.00 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$396.60 |
$396.60 |
$396.60 |
$307.00
|
|
Ultrasound encephalogram
|
$1,317.60 |
$1,317.60 |
$1,317.60 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$1,321.80 |
$1,321.80 |
$1,321.80 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$411.00 |
$411.00 |
$647.40 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$367.80 |
$367.80 |
$863.40 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$768.60 |
$768.60 |
$768.60 |
$720.15
|
|
Ultrasound guide intraoperative
|
$1,277.40 |
$1,277.40 |
$1,277.40 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$1,150.80 |
$1,150.80 |
$1,150.80 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$789.60 |
$789.60 |
$789.60 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$763.20 |
$763.20 |
$763.20 |
$311.25
|
|
Ultrasound joint complete left
|
$415.80 |
$415.80 |
$1,279.80 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$310.80 |
$310.80 |
$1,071.00 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$416.40 |
$416.40 |
$654.00 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$221.40 |
$221.40 |
$432.60 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$359.40 |
$359.40 |
$683.40 |
$459.00
|
