|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$30.15 |
$30.15 |
$30.15 |
$50.00
|
|
Ther/proph/diag inj ia
|
$137.25 |
$137.25 |
$137.25 |
$237.75
|
|
Thiotepa injection
|
$2,934.89 |
$2,934.89 |
$2,934.89 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$1,687.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$97.20 |
$97.20 |
$97.20 |
$60.39
|
|
Thyroglobulin antibody
|
$64.80 |
$64.80 |
$64.80 |
$81.90
|
|
Thyroid imaging
|
$384.75 |
$384.75 |
$384.75 |
$673.01
|
|
Thyroid (TSH) Test
|
$165.15 |
$165.15 |
$165.15 |
$112.00
|
|
Thyroid Ultrasound
|
$278.10 |
$278.10 |
$278.10 |
$589.96
|
|
Thyroid uptake measurement
|
$296.10 |
$296.10 |
$296.10 |
$580.20
|
|
Thyroxine binding globulin (tbg)
|
$22.50 |
$22.50 |
$22.50 |
$64.92
|
|
Tirofiban 12.5 mg/50 ml
|
$283.50 |
$283.50 |
$283.50 |
$452.93
|
|
Tissue exam koh skin/hair/nails
|
$28.35 |
$28.35 |
$28.35 |
$47.40
|
|
Tissue transglutaminase iga
|
$17.10 |
$17.10 |
$17.10 |
$46.20
|
|
Tixagev and cilgav inj
|
$229.05 |
$229.05 |
$229.05 |
$216.70
|
|
Tobramycin peak therapeutic drug level
|
$76.95 |
$76.95 |
$76.95 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$45.45 |
$45.45 |
$45.45 |
$70.89
|
|
Toxoplasma antibody igg
|
$31.50 |
$31.50 |
$31.50 |
$89.57
|
|
Toxoplasma antibody igm
|
$31.50 |
$31.50 |
$31.50 |
$87.00
|
|
Tp53 gene full gene sequence
|
$974.70 |
$974.70 |
$974.70 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$481.50 |
$481.50 |
$481.50 |
$823.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$549.90 |
$549.90 |
$549.90 |
$1,371.84
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$28.80 |
$28.80 |
$28.80 |
$101.58
|
|
Transferrin
|
$45.00 |
$45.00 |
$45.00 |
$81.60
|
|
Transfusion blood/blood component(s)
|
$149.85 |
$149.85 |
$149.85 |
$937.30
|
|
Trauma partial team response w/critical care services level 4
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$4,063.80
|
|
Trb@ gene rearrange dirprobe
|
$75.15 |
$75.15 |
$75.15 |
$73.46
|
|
Treat ankle dislocation
|
$1,960.65 |
$1,960.65 |
$1,960.65 |
$2,211.05
|
|
Treat clavicle dislocation 23545
|
$336.60 |
$336.60 |
$336.60 |
$705.60
|
|
Treat elbow dislocation
|
$1,958.85 |
$1,958.85 |
$1,958.85 |
$2,200.00
|
|
Treat elbow fracture
|
$1,912.50 |
$1,912.50 |
$1,912.50 |
$1,919.00
|
|
Treat finger fracture each
|
$871.20 |
$871.20 |
$871.20 |
$1,593.00
|
|
Treat foot dislocation
|
$153.00 |
$153.00 |
$153.00 |
$419.73
|
|
Treat foot dislocation
|
$336.60 |
$336.60 |
$336.60 |
$466.14
|
|
Treat foot dislocation
|
$93.15 |
$93.15 |
$93.15 |
$445.00
|
|
Treat fracture of radius
|
$871.20 |
$871.20 |
$871.20 |
$1,790.00
|
|
Treat fracture of radius
|
$959.85 |
$959.85 |
$959.85 |
$1,849.00
|
|
Treat fracture of ulna
|
$284.40 |
$284.40 |
$284.40 |
$716.95
|
|
Treat hip dislocation
|
$2,094.75 |
$2,094.75 |
$2,094.75 |
$2,132.50
|
|
Treat humerus fracture
|
$871.20 |
$871.20 |
$871.20 |
$1,772.97
|
|
Treat knee dislocation
|
$982.35 |
$982.35 |
$982.35 |
$2,126.80
|
|
Treat knee fracture 27530
|
$473.40 |
$473.40 |
$473.40 |
$535.60
|
|
Treat knuckle dislocation
|
$871.20 |
$871.20 |
$871.20 |
$1,749.06
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$30.15 |
$30.15 |
$30.15 |
$224.90
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$41.85 |
$41.85 |
$41.85 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$124.20 |
$124.20 |
$124.20 |
$515.20
|
|
Treatment of thigh fracture
|
$240.30 |
$240.30 |
$240.30 |
$591.20
|
|
Treatment of thigh fracture
|
$1,865.25 |
$1,865.25 |
$1,865.25 |
$1,790.00
|
|
Treat ulnar fracture
|
$871.20 |
$871.20 |
$871.20 |
$1,672.00
|
|
Treat vaginal bleeding
|
$241.65 |
$241.65 |
$241.65 |
$379.60
|
|
Treat wrist bone fracture
|
$871.20 |
$871.20 |
$871.20 |
$1,703.20
|
|
Treat wrist dislocation
|
$135.90 |
$135.90 |
$135.90 |
$656.25
|
|
Treponema pallidum antibody
|
$46.80 |
$46.80 |
$46.80 |
$70.85
|
|
Treprostinil injection
|
$14,312.08 |
$14,312.08 |
$14,312.08 |
$19,071.84
|
|
Trichomonas assay w/optic
|
$20.70 |
$20.70 |
$20.70 |
$58.25
|
|
Triglycerides
|
$73.35 |
$73.35 |
$73.35 |
$57.85
|
|
Trim nail(s)
|
$43.65 |
$43.65 |
$43.65 |
$77.60
|
|
Trim nondyst nails
|
$77.40 |
$77.40 |
$77.40 |
$115.70
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$8,938.80 |
$8,938.80 |
$8,938.80 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$3,744.00 |
$3,744.00 |
$3,744.00 |
$5,072.67
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,382.30 |
$2,382.30 |
$2,382.30 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$1,425.60 |
$1,425.60 |
$1,425.60 |
$2,383.00
|
|
Trnspl rej kdn mrna qpcr 139
|
$2,551.50 |
$2,551.50 |
$2,551.50 |
$3,232.32
|
|
Troponin quantitative
|
$93.60 |
$93.60 |
$93.60 |
$128.80
|
|
Tx closed distal humerus fx
|
$153.00 |
$153.00 |
$153.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$135.90 |
$135.90 |
$135.90 |
$547.20
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,257.20 |
$2,257.20 |
$2,257.20 |
$3,872.00
|
|
Tx closed tib shaft fx without manip
|
$482.85 |
$482.85 |
$482.85 |
$535.60
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$4,346.10 |
$4,346.10 |
$4,346.10 |
$4,346.10
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$4,013.10 |
$4,013.10 |
$4,013.10 |
$4,395.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$180.00 |
$180.00 |
$180.00 |
$394.20
|
|
Ultrasound breast complete
|
$186.75 |
$186.75 |
$186.75 |
$533.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$213.30 |
$213.30 |
$213.30 |
$455.26
|
|
Ultrasound chest
|
$306.45 |
$306.45 |
$306.45 |
$451.52
|
|
Ultrasound exam k transpl w/doppler
|
$399.15 |
$399.15 |
$399.15 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$281.25 |
$281.25 |
$281.25 |
$469.50
|
|
Ultrasound joint complete left
|
$219.15 |
$219.15 |
$219.15 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$281.25 |
$281.25 |
$281.25 |
$418.80
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$292.95 |
$292.95 |
$292.95 |
$693.00
|
|
Ultrasound pregnant uterus follow up per fetus
|
$292.05 |
$292.05 |
$292.05 |
$420.80
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$297.45 |
$297.45 |
$297.45 |
$442.80
|
|
Ultrasound pregnant uterus transvaginal
|
$319.95 |
$319.95 |
$319.95 |
$484.52
|
|
Ultrasound retroperitoneal limited
|
$351.90 |
$351.90 |
$351.90 |
$477.10
|
|
Ultrasound scrotum and contents
|
$306.00 |
$306.00 |
$306.00 |
$606.60
|
|
Ultrasound transvaginal non obstetric
|
$315.00 |
$315.00 |
$315.00 |
$549.75
|
|
Unlisted procedure rectum
|
$509.85 |
$509.85 |
$509.85 |
$1,249.00
|
|
Unlisted px ant segment eye
|
$1,386.90 |
$1,386.90 |
$1,386.90 |
$2,698.92
|
|
Unlisted px casting/strpg
|
$81.00 |
$81.00 |
$81.00 |
$207.68
|
|
Unlisted px leg/ankle
|
$153.00 |
$153.00 |
$153.00 |
$811.00
|
|
Unlisted px male genital sys
|
$165.15 |
$165.15 |
$165.15 |
$374.40
|
|
Unlisted px palate uvula
|
$288.90 |
$288.90 |
$288.90 |
$274.80
|
|
Unlisted px salivry glnd/dux
|
$1,287.90 |
$1,287.90 |
$1,287.90 |
$1,607.45
|
|
Unlisted px tongue flr mouth
|
$135.00 |
$135.00 |
$135.00 |
$274.80
|
|
Unsched dialysis esrd pt hos
|
$106.20 |
$106.20 |
$106.20 |
$1,248.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,717.10 |
$2,717.10 |
$2,717.10 |
$3,039.60
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,346.85 |
$1,346.85 |
$1,346.85 |
$2,412.60
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,226.70 |
$1,226.70 |
$1,226.70 |
$2,034.41
|
|
Urea nitrogen
|
$25.65 |
$25.65 |
$25.65 |
$39.90
|
|
Urea nitrogen 24 hour urine
|
$73.35 |
$73.35 |
$73.35 |
$52.00
|
|
Uric acid blood
|
$25.65 |
$25.65 |
$25.65 |
$49.32
|
