|
Trans shoe solid stirrup new
|
$186.19 |
$186.19 |
$186.19 |
$217.22
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$493.15 |
$493.15 |
$493.15 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$380.83 |
$380.83 |
$380.83 |
$501.60
|
|
Trapezius sling
|
$207.89 |
$207.89 |
$207.89 |
$265.44
|
|
Trastuzumab 150 mg intravenous solution
|
$5,874.63 |
$5,874.63 |
$5,874.63 |
$3,141.85
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$3,980.96 |
$3,980.96 |
$3,980.96 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$3,171.17 |
$3,171.17 |
$3,171.17 |
$4,471.50
|
|
Tray bonemarrw oncontrol 102mm
|
$700.56 |
$700.56 |
$700.56 |
$940.80
|
|
Treat foot bone lesion
|
$2,249.81 |
$2,249.81 |
$2,249.81 |
$3,839.54
|
|
Treat lower leg bone lesion
|
$2,313.98 |
$2,313.98 |
$2,313.98 |
$4,092.85
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,034.11 |
$1,034.11 |
$1,034.11 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$160.46 |
$160.46 |
$160.46 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$80.40 |
$80.40 |
$80.40 |
$147.48
|
|
Treatment radiation delivery level 2
|
$4,262.35 |
$4,262.35 |
$4,262.35 |
$830.70
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$13,945.68 |
$13,945.68 |
$13,945.68 |
$73,346.25
|
|
Treponema pallidum antibody
|
$42.19 |
$42.19 |
$42.19 |
$72.05
|
|
Treprostinil injection
|
$20,536.20 |
$20,536.20 |
$20,536.20 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$132.96 |
$132.96 |
$132.96 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$88.71 |
$88.71 |
$88.71 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$28.19 |
$28.19 |
$28.19 |
$223.56
|
|
Triamcinolone hexacetonl inj
|
$43.07 |
$43.07 |
$43.07 |
$21.36
|
|
Triglycerides
|
$25.73 |
$25.73 |
$25.73 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$2,545.06 |
$2,545.06 |
$2,545.06 |
$4,043.12
|
|
Trimethobenzamide hci 250mg
|
$3.58 |
$3.58 |
$3.58 |
$14.00
|
|
Trimethobenzamide hcl inj
|
$112.70 |
$112.70 |
$112.70 |
$117.49
|
|
Trim nail(s)
|
$251.76 |
$251.76 |
$251.76 |
$78.40
|
|
Trim nondyst nails
|
$251.76 |
$251.76 |
$251.76 |
$114.48
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$1,128.24 |
$1,128.24 |
$1,128.24 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$92.54 |
$92.54 |
$92.54 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$11,301.89 |
$11,301.89 |
$11,301.89 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$12,549.02 |
$12,549.02 |
$12,549.02 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$10,197.07 |
$10,197.07 |
$10,197.07 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$11,547.65 |
$11,547.65 |
$11,547.65 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$10,801.49 |
$10,801.49 |
$10,801.49 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$15,822.91 |
$15,822.91 |
$15,822.91 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,473.04 |
$6,473.04 |
$6,473.04 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$7,178.35 |
$7,178.35 |
$7,178.35 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$10,647.55 |
$10,647.55 |
$10,647.55 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$10,766.40 |
$10,766.40 |
$10,766.40 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$6,953.09 |
$6,953.09 |
$6,953.09 |
$3,866.70
|
|
Troponin quantitative
|
$69.70 |
$69.70 |
$69.70 |
$127.20
|
|
Truss double with standard pad
|
$275.86 |
$275.86 |
$275.86 |
$201.60
|
|
Tte w or without contr, cont ecg
|
$1,769.14 |
$1,769.14 |
$1,769.14 |
$2,075.90
|
|
Tte w or without fol w/con,stres
|
$1,770.67 |
$1,770.67 |
$1,770.67 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$744.91 |
$744.91 |
$744.91 |
$1,254.50
|
|
Tte w or without fol w/cont, f/u
|
$790.61 |
$790.61 |
$790.61 |
$1,178.00
|
|
Tx atrial fib pulm vein isol
|
$36,553.87 |
$36,553.87 |
$36,553.87 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$149.14 |
$149.14 |
$149.14 |
$594.88
|
|
Tx l/r atrial fib addl
|
$10,966.18 |
$10,966.18 |
$10,966.18 |
$6,986.85
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$14,596.44 |
$14,596.44 |
$14,596.44 |
$21,992.26
|
|
Ultrasound breast complete
|
$229.44 |
$229.44 |
$229.44 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$172.08 |
$172.08 |
$172.08 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$126.82 |
$126.82 |
$126.82 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$192.86 |
$192.86 |
$192.86 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$238.70 |
$238.70 |
$238.70 |
$313.95
|
|
Ultrasound encephalogram
|
$379.44 |
$379.44 |
$379.44 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$755.86 |
$755.86 |
$755.86 |
$575.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$380.83 |
$380.83 |
$380.83 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$382.61 |
$382.61 |
$382.61 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$633.12 |
$633.12 |
$633.12 |
$388.08
|
|
Ultrasound guide intraoperative
|
$682.80 |
$682.80 |
$682.80 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$1,821.02 |
$1,821.02 |
$1,821.02 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$341.47 |
$341.47 |
$341.47 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$455.57 |
$455.57 |
$455.57 |
$311.25
|
|
Ultrasound joint complete left
|
$341.47 |
$341.47 |
$341.47 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$285.46 |
$285.46 |
$285.46 |
$409.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$338.83 |
$338.83 |
$338.83 |
$335.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$761.66 |
$761.66 |
$761.66 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$380.83 |
$380.83 |
$380.83 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$455.28 |
$455.28 |
$455.28 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$349.44 |
$349.44 |
$349.44 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$380.83 |
$380.83 |
$380.83 |
$421.00
|
|
Ultrasound trgt dyn mbubb 1st les
|
$249.22 |
$249.22 |
$249.22 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$137.14 |
$137.14 |
$137.14 |
$348.00
|
|
Ultraviolet therapy
|
$77.47 |
$77.47 |
$77.47 |
$39.76
|
|
Umbilical cord occlud w/us
|
$400.42 |
$400.42 |
$400.42 |
$754.00
|
|
Unit mobile power mpu
|
$12,228.48 |
$12,228.48 |
$12,228.48 |
$14,359.52
|
|
Unlisted chemotherapy px
|
$296.88 |
$296.88 |
$296.88 |
$143.75
|
|
Unlisted cytogenetic study
|
$172.42 |
$172.42 |
$172.42 |
$160.00
|
|
Unlisted gi px dx nuc med
|
$412.18 |
$412.18 |
$412.18 |
$995.00
|
|
Unlisted mr procedure
|
$1,094.50 |
$1,094.50 |
$1,094.50 |
$1,163.00
|
|
Unlisted muscskel px head
|
$478.46 |
$478.46 |
$478.46 |
$1,224.08
|
|
Unlisted orl service/px
|
$307.87 |
$307.87 |
$307.87 |
$132.60
|
|
Unlisted procedure liver
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
$2,287.20
|
|
Unlisted procedure microbiology
|
$3,208.56 |
$3,208.56 |
$3,208.56 |
$530.00
|
|
Unlisted procedure pancreas
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
$4,810.00
|
|
Unlisted procedure rectum
|
$1,845.70 |
$1,845.70 |
$1,845.70 |
$1,223.20
|
|
Unlisted procedure spine
|
$1,889.14 |
$1,889.14 |
$1,889.14 |
$4,659.85
|
|
Unlisted px abdomen muscskel
|
$671.33 |
$671.33 |
$671.33 |
$1,956.50
|
|
Unlisted px biliary tract
|
$1,504.99 |
$1,504.99 |
$1,504.99 |
$3,055.00
|
|
Unlisted px foot/toes
|
$788.45 |
$788.45 |
$788.45 |
$1,239.20
|
|
Unlisted px med radj physics
|
$5,039.52 |
$5,039.52 |
$5,039.52 |
$462.35
|
|
Unlisted px neck/thorax
|
$380.69 |
$380.69 |
$380.69 |
$571.20
|
|
Unlisted px salivry glnd/dux
|
$535.82 |
$535.82 |
$535.82 |
$1,265.16
|
|
Unlisted px small intestine
|
$1,896.77 |
$1,896.77 |
$1,896.77 |
$2,118.35
|
|
Unlisted px tongue flr mouth
|
$692.83 |
$692.83 |
$692.83 |
$282.50
|
|
Unlisted transfusion med px
|
$338.69 |
$338.69 |
$338.69 |
$147.50
|
|
Unlisted ultrasound procedure
|
$730.51 |
$730.51 |
$730.51 |
$335.00
|
|
Unlisted urinalysis px
|
$51.65 |
$51.65 |
$51.65 |
$25.72
|
|
Unsched dialysis esrd pt hos
|
$778.27 |
$778.27 |
$778.27 |
$1,296.00
|
