|
Trnscath plc stent crv crtd without prtct
|
$3,057.00 |
$3,057.00 |
$3,057.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$1,365.97 |
$1,365.97 |
$1,365.97 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$1,130.07 |
$1,130.07 |
$1,130.07 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$289.88 |
$289.88 |
$289.88 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$199.53 |
$199.53 |
$199.53 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$15,873.70 |
$15,873.70 |
$15,873.70 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$271.11 |
$271.11 |
$271.11 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,551.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,486.75
|
|
Trnsplj pd lvr&bwl cd154+cll
|
$884.21 |
$884.21 |
$884.21 |
$704.80
|
|
Trnspl rej kdn mrna qpcr 139
|
$4,471.20 |
$4,471.20 |
$4,471.20 |
$3,232.32
|
|
Trnsxj/repos abrrnt rnl vsls
|
$1,542.96 |
$1,542.96 |
$1,542.96 |
$1,542.96
|
|
Troponin quantitative
|
$17.21 |
$17.21 |
$17.21 |
$125.00
|
|
Tr retinal les preterm inf
|
$1,359.53 |
$1,359.53 |
$1,359.53 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,228.00
|
|
Truskin, per sq centimeter
|
$171.12 |
$171.12 |
$171.12 |
$1.00
|
|
Truss addition to std pad wa
|
$104.74 |
$104.74 |
$104.74 |
$81.20
|
|
Truss add to std pad scrotal
|
$83.41 |
$83.41 |
$83.41 |
$75.60
|
|
Truss double with standard pad
|
$252.47 |
$252.47 |
$252.47 |
$201.60
|
|
Truss single with standard pad
|
$142.53 |
$142.53 |
$142.53 |
$128.80
|
|
Tte w or without contr, cont ecg
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$2,196.00
|
|
Tte w or without fol w/con,stres
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,643.14
|
|
Tte w or without fol w/cont, com
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,266.50
|
|
Tte w or without fol w/cont, f/u
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,178.00
|
|
Tubal Ligation (Laparoscopic)
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$4,323.20
|
|
Tube drain vert dev st 5-40f
|
$22.25 |
$22.25 |
$22.25 |
$27.60
|
|
Tube trach disp innr can 5 xlt
|
$92.52 |
$92.52 |
$92.52 |
$445.99
|
|
Tube trach disp innr can 6 xlt
|
$12.89 |
$12.89 |
$12.89 |
$16.80
|
|
Tube trach fen sz 6 uncuffed
|
$93.37 |
$93.37 |
$93.37 |
$155.98
|
|
Tubing (oxygen) per foot
|
$0.11 |
$0.11 |
$0.11 |
$0.40
|
|
Tubular dressing
|
$2.24 |
$2.24 |
$2.24 |
$28.46
|
|
Tumor cell deplete of harvst
|
$606.63 |
$606.63 |
$606.63 |
$1,315.60
|
|
Tvh >250 gms 58290
|
$10,196.50 |
$10,196.50 |
$10,196.50 |
$6,872.92
|
|
Tvh w/mmk 58267
|
$1,384.57 |
$1,384.57 |
$1,384.57 |
$1,747.20
|
|
Twelve volt battery utah/equ
|
$868.97 |
$868.97 |
$868.97 |
$534.80
|
|
Tx atrial fib pulm vein isol
|
$35,940.54 |
$35,940.54 |
$35,940.54 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$339.18 |
$339.18 |
$339.18 |
$589.00
|
|
Tx closed hip disl traumatic without anes
|
$339.18 |
$339.18 |
$339.18 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$472.26 |
$472.26 |
$472.26 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$918.06
|
|
Tx contour defects 1.1-5.0cc 11951
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$849.50
|
|
Tx ectopic pregnancy abdl pregnancy 59130
|
$1,315.71 |
$1,315.71 |
$1,315.71 |
$2,277.60
|
|
Tx ectopic pregnancy ntrstl prtl rescj uter 59136
|
$1,246.60 |
$1,246.60 |
$1,246.60 |
$2,159.20
|
|
Tx l/r atrial fib addl
|
$398.24 |
$398.24 |
$398.24 |
$6,986.85
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,521.61
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,537.59
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,595.50
|
|
Tx open nsl fx uncomp
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,529.60
|
|
Tx septic abortion surgical 59830
|
$637.06 |
$637.06 |
$637.06 |
$896.40
|
|
Tx tarsal bone fx without manip 28450
|
$339.18 |
$339.18 |
$339.18 |
$423.15
|
|
Tympanic membrane repair
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$2,133.48
|
|
Tympanolysis transcanal 69450
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Tympanometry & reflex thresh
|
$296.91 |
$296.91 |
$296.91 |
$173.18
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$741.60 |
$741.60 |
$741.60 |
$911.43
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,740.80
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Tyms gene com variants
|
$241.24 |
$241.24 |
$241.24 |
$192.29
|
|
U2af1 gene common variants
|
$266.69 |
$266.69 |
$266.69 |
$243.34
|
|
Ua w/micro/comp poc
|
$5.55 |
$5.55 |
$5.55 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$96.85 |
$96.85 |
$96.85 |
$21,992.26
|
|
Ue triple control harness
|
$504.06 |
$504.06 |
$504.06 |
$327.60
|
|
Ugt1a1 gene analy common variants
|
$322.92 |
$322.92 |
$322.92 |
$438.75
|
|
Ultrasound bone density measure
|
$143.75 |
$143.75 |
$143.75 |
$143.75
|
|
Ultrasound breast complete
|
$143.75 |
$143.75 |
$143.75 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$119.66 |
$119.66 |
$119.66 |
$452.00
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$143.75 |
$143.75 |
$143.75 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$143.75 |
$143.75 |
$143.75 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$49.27 |
$49.27 |
$49.27 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$143.75 |
$143.75 |
$143.75 |
$307.00
|
|
Ultrasound encephalogram
|
$143.75 |
$143.75 |
$143.75 |
$485.48
|
|
Ultrasound exam k transpl w/doppler
|
$143.75 |
$143.75 |
$143.75 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$143.75 |
$143.75 |
$143.75 |
$477.10
|
|
Ultrasound Guidance for a Needle Procedure
|
$43.93 |
$43.93 |
$43.93 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$35.92 |
$35.92 |
$35.92 |
$388.08
|
|
Ultrasound guide intraoperative
|
$71.69 |
$71.69 |
$71.69 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$149.34 |
$149.34 |
$149.34 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$119.66 |
$119.66 |
$119.66 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$119.66 |
$119.66 |
$119.66 |
$304.00
|
|
Ultrasound joint complete left
|
$143.75 |
$143.75 |
$143.75 |
$560.92
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$143.75 |
$143.75 |
$143.75 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$65.92 |
$65.92 |
$65.92 |
$406.44
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$55.12 |
$55.12 |
$55.12 |
$333.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$328.08 |
$328.08 |
$328.08 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$143.75 |
$143.75 |
$143.75 |
$428.25
|
|
Ultrasound prostate/transrectal
|
$143.75 |
$143.75 |
$143.75 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$143.75 |
$143.75 |
$143.75 |
$459.00
|
|
Ultrasound transabd ea addl gest
|
$145.67 |
$145.67 |
$145.67 |
$417.15
|
|
Ultrasound trgt dyn mbubb 1st les
|
$479.72 |
$479.72 |
$479.72 |
$568.32
|
