|
Transcath biopsy
|
$7,010.00 |
$7,010.00 |
$7,010.00 |
$4,285.93
|
|
Transcath closure of asd
|
$56,367.00 |
$56,367.00 |
$56,367.00 |
$17,352.58
|
|
Transcatheter bx s&i
|
$3,910.00 |
$3,910.00 |
$3,910.00 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$4,499.00 |
$4,499.00 |
$4,499.00 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$19,874.00 |
$19,874.00 |
$19,874.00 |
$13,384.80
|
|
Transcath occlusion cns
|
$54,101.00 |
$54,101.00 |
$54,101.00 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$10,452.00
|
|
Transcutaneous carboxyhb
|
$23.00 |
$23.00 |
$23.00 |
$31.85
|
|
Transferrin
|
$101.00 |
$101.00 |
$101.00 |
$82.00
|
|
Transperi needle place pros
|
$15,413.00 |
$15,413.00 |
$15,413.00 |
$6,203.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$558.35
|
|
Transvaginal Pregnancy Ultrasound
|
$729.00 |
$729.00 |
$729.00 |
$501.60
|
|
Trauma partial team response w/critical care services level 4
|
$22,519.00 |
$22,519.00 |
$22,519.00 |
$4,523.04
|
|
Treat elbow dislocation
|
$6,486.00 |
$6,486.00 |
$6,486.00 |
$2,322.40
|
|
Treat elbow fracture
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$2,055.00
|
|
Treat eyelid by injection
|
$387.00 |
$387.00 |
$387.00 |
$472.21
|
|
Treat finger fracture each
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,592.00
|
|
Treat foot dislocation
|
$726.00 |
$726.00 |
$726.00 |
$535.60
|
|
Treat fracture of radius
|
$2,271.00 |
$2,271.00 |
$2,271.00 |
$1,839.55
|
|
Treat fracture of ulna
|
$893.00 |
$893.00 |
$893.00 |
$731.04
|
|
Treat hip dislocation
|
$4,769.00 |
$4,769.00 |
$4,769.00 |
$2,211.05
|
|
Treat hip dislocation
|
$6,179.00 |
$6,179.00 |
$6,179.00 |
$2,643.60
|
|
Treat hip socket fracture
|
$662.00 |
$662.00 |
$662.00 |
$1,340.10
|
|
Treat humerus fracture
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,808.80
|
|
Treat humerus fracture
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,790.00
|
|
Treat kneecap dislocation
|
$748.00 |
$748.00 |
$748.00 |
$1,063.40
|
|
Treat knee dislocation
|
$5,546.00 |
$5,546.00 |
$5,546.00 |
$2,211.05
|
|
Treat knee fracture 27530
|
$599.00 |
$599.00 |
$599.00 |
$550.73
|
|
Treat knee fracture(s)
|
$893.00 |
$893.00 |
$893.00 |
$643.26
|
|
Treat knuckle dislocation
|
$5,093.00 |
$5,093.00 |
$5,093.00 |
$1,726.01
|
|
Treat lower leg dislocation
|
$902.00 |
$902.00 |
$902.00 |
$532.60
|
|
Treatment incomplete abortion completed surgically any trimester
|
$6,935.00 |
$6,935.00 |
$6,935.00 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$538.00 |
$538.00 |
$538.00 |
$226.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$177.00 |
$177.00 |
$177.00 |
$148.35
|
|
Treatment of ankle fracture 27786
|
$893.00 |
$893.00 |
$893.00 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$583.00 |
$583.00 |
$583.00 |
$528.00
|
|
Treatment of heel fracture 28400
|
$536.00 |
$536.00 |
$536.00 |
$478.40
|
|
Treatment of penis lesion
|
$1,969.00 |
$1,969.00 |
$1,969.00 |
$4,081.37
|
|
Treatment of retinal lesion
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$1,336.20
|
|
Treatment of thigh fracture
|
$644.00 |
$644.00 |
$644.00 |
$570.40
|
|
Treatment of thigh fracture
|
$4,793.00 |
$4,793.00 |
$4,793.00 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$599.00 |
$599.00 |
$599.00 |
$371.40
|
|
Treatment radiation delivery level 2
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$867.24
|
|
Treatment x10sv retinopathy
|
$1,910.00 |
$1,910.00 |
$1,910.00 |
$1,513.20
|
|
Treat midfoot fracture each
|
$4,845.00 |
$4,845.00 |
$4,845.00 |
$1,893.86
|
|
Treat ulnar fracture
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,678.55
|
|
Treat vaginal bleeding
|
$616.00 |
$616.00 |
$616.00 |
$392.00
|
|
Treat wrist dislocation
|
$893.00 |
$893.00 |
$893.00 |
$656.25
|
|
Treponema pallidum antibody
|
$107.00 |
$107.00 |
$107.00 |
$72.05
|
|
Trg gene rearrangement anal
|
$767.00 |
$767.00 |
$767.00 |
$465.30
|
|
#tricyclicantidprssnt
|
$35.00 |
$35.00 |
$35.00 |
$45.40
|
|
Triglycerides
|
$26.00 |
$26.00 |
$26.00 |
$57.91
|
|
Trim nondyst nails
|
$229.00 |
$229.00 |
$229.00 |
$115.70
|
|
Trnscath plc stent crv crtd without prtct
|
$11,259.00 |
$11,259.00 |
$11,259.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$11,915.00 |
$11,915.00 |
$11,915.00 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$17,667.00 |
$17,667.00 |
$17,667.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$17,667.00 |
$17,667.00 |
$17,667.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$36,791.00 |
$36,791.00 |
$36,791.00 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$8,622.00 |
$8,622.00 |
$8,622.00 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$16,254.00 |
$16,254.00 |
$16,254.00 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,993.00 |
$6,993.00 |
$6,993.00 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$6,789.00 |
$6,789.00 |
$6,789.00 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$4,098.00 |
$4,098.00 |
$4,098.00 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$6,262.00 |
$6,262.00 |
$6,262.00 |
$2,986.34
|
|
Troponin quantitative
|
$45.00 |
$45.00 |
$45.00 |
$125.00
|
|
Tte w or without contr, cont ecg
|
$2,726.00 |
$2,726.00 |
$2,726.00 |
$2,196.00
|
|
Tte w or without fol w/con,stres
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$1,643.14
|
|
Tte w or without fol w/cont, com
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$1,266.50
|
|
Tx atrial fib pulm vein isol
|
$72,263.00 |
$72,263.00 |
$72,263.00 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$1,055.00 |
$1,055.00 |
$1,055.00 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$11,322.00 |
$11,322.00 |
$11,322.00 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$893.00 |
$893.00 |
$893.00 |
$535.60
|
|
Tx l/r atrial fib addl
|
$43,127.00 |
$43,127.00 |
$43,127.00 |
$6,986.85
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$10,842.00 |
$10,842.00 |
$10,842.00 |
$4,537.59
|
|
Tx tarsal bone fx without manip 28450
|
$599.00 |
$599.00 |
$599.00 |
$423.15
|
|
Tympanic membrane repair
|
$782.00 |
$782.00 |
$782.00 |
$2,133.48
|
|
Ua w/micro/comp poc
|
$15.00 |
$15.00 |
$15.00 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$238.32 |
$238.32 |
$238.32 |
$438.75
|
|
Ultrasound breast complete
|
$459.00 |
$459.00 |
$459.00 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$342.00 |
$342.00 |
$342.00 |
$452.00
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$782.00 |
$782.00 |
$782.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$470.00 |
$470.00 |
$470.00 |
$296.80
|
|
Ultrasound elastography parenchyma
|
$453.00 |
$453.00 |
$453.00 |
$307.00
|
|
Ultrasound encephalogram
|
$608.00 |
$608.00 |
$608.00 |
$485.48
|
|
Ultrasound exam k transpl w/doppler
|
$774.00 |
$774.00 |
$774.00 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$814.00 |
$814.00 |
$814.00 |
$477.10
|
|
Ultrasound Guidance for a Needle Procedure
|
$930.00 |
$930.00 |
$930.00 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$457.00 |
$457.00 |
$457.00 |
$388.08
|
|
Ultrasound guide intraoperative
|
$851.00 |
$851.00 |
$851.00 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$468.00 |
$468.00 |
$468.00 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$662.00 |
$662.00 |
$662.00 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$285.00 |
$285.00 |
$285.00 |
$304.00
|
|
Ultrasound joint complete left
|
$1,356.00 |
$1,356.00 |
$1,356.00 |
$560.92
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$363.00 |
$363.00 |
$363.00 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$930.00 |
$930.00 |
$930.00 |
$406.44
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$662.00 |
$662.00 |
$662.00 |
$333.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$567.00 |
$567.00 |
$567.00 |
$428.25
|
|
Ultrasound prostate/transrectal
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$852.00 |
$852.00 |
$852.00 |
$459.00
|
