|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,052.16 |
$1,052.16 |
$1,052.16 |
|
|
Treatment incomplete abortion completed surgically any trimester
|
$736.00 |
$736.00 |
$1,164.00 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$27.47 |
$82.74 |
$203.52 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$34.32 |
$75.60 |
$88.08 |
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$38.13 |
$60.24 |
$225.92 |
|
|
Treatment missed abortion completed surgically 1st trimester
|
$457.60 |
$457.60 |
$457.60 |
|
|
Treatment of ankle fracture
|
$1,086.40 |
$1,086.40 |
$1,086.40 |
|
|
Treatment of ankle fracture
|
$1,331.84 |
$1,331.84 |
$1,331.84 |
|
|
Treatment of ankle fracture
|
$1,469.44 |
$1,469.44 |
$1,469.44 |
|
|
Treatment of ankle fracture 27786
|
$62.80 |
$78.50 |
$562.56 |
|
|
Treatment of fibula fracture
|
$824.96 |
$824.96 |
$824.96 |
|
|
Treatment of fibula fracture 27780
|
$544.00 |
$544.00 |
$544.00 |
|
|
Treatment of thigh fracture
|
$2,176.00 |
$2,176.00 |
$2,176.00 |
|
|
Treatment of thigh fracture
|
$62.80 |
$142.80 |
$660.00 |
|
|
Treatment of thigh fracture
|
$9,544.96 |
$9,544.96 |
$9,544.96 |
|
|
Treatment of thigh fracture
|
$402.60 |
$478.25 |
$1,865.25 |
|
|
Treatment of thigh fracture
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
|
|
Treatment of thigh fracture
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
|
|
Treatment of thigh fracture
|
$1,908.00 |
$1,908.00 |
$1,908.00 |
|
|
Treatment of thigh fracture
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
|
|
Treatment of tibia fracture
|
$1,677.60 |
$1,677.60 |
$1,677.60 |
|
|
Treatment of toe fracture 28510
|
$291.71 |
$291.71 |
$291.71 |
|
|
Treatment radiation delivery level 2
|
$238.60 |
$240.58 |
$261.50 |
|
|
Treat metacarpal fracture
|
$864.00 |
$864.00 |
$864.00 |
|
|
Treat metacarpal fracture
|
$919.20 |
$919.20 |
$919.20 |
|
|
Treat metatarsal fracture
|
$459.20 |
$459.20 |
$459.20 |
|
|
Treat metatarsal fracture
|
$930.40 |
$930.40 |
$930.40 |
|
|
Treat radius fracture
|
$1,203.20 |
$1,203.20 |
$1,203.20 |
|
|
Treat spinal cord lesion
|
$848.70 |
$848.70 |
$848.70 |
|
|
Treat thigh fracture
|
$1,597.60 |
$1,597.60 |
$1,597.60 |
|
|
Treat thigh fracture
|
$1,840.64 |
$1,840.64 |
$1,840.64 |
|
|
Treat thigh fracture
|
$629.76 |
$629.76 |
$629.76 |
|
|
Treat thigh fracture
|
$2,457.60 |
$2,457.60 |
$2,457.60 |
|
|
Treat thigh fracture
|
$873.60 |
$1,004.64 |
$1,092.00 |
|
|
Treat thigh fracture
|
$1,989.76 |
$1,989.76 |
$1,989.76 |
|
|
Treat toe fracture
|
$715.20 |
$715.20 |
$715.20 |
|
|
Treat ulnar fracture
|
$402.60 |
$478.25 |
$871.20 |
|
|
Treat ulnar fracture
|
$1,145.60 |
$1,145.60 |
$1,145.60 |
|
|
Treat vaginal bleeding
|
$107.00 |
$129.60 |
$279.24 |
|
|
Treat wrist bone fracture
|
$402.60 |
$478.25 |
$871.20 |
|
|
Treat wrist dislocation
|
$62.80 |
$78.50 |
$157.04 |
|
|
Treponema pallidum antibody
|
$21.84 |
$49.45 |
$149.20 |
|
|
Treprostinil injection
|
$6,360.92 |
$7,951.16 |
$25,443.70 |
|
|
Trg gene rearrangement anal
|
$98.70 |
$144.90 |
$158.25 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$86.04 |
$103.25 |
$344.16 |
|
|
Trichinella antibody
|
$8.16 |
$11.00 |
$63.40 |
|
|
Trichomonas assay w/optic
|
$9.20 |
$11.04 |
$23.92 |
|
|
#tricyclicantidprssnt
|
$43.68 |
$43.68 |
$56.75 |
|
|
Triglycerides
|
$16.64 |
$38.88 |
$87.80 |
|
|
Trim nail(s)
|
$19.20 |
$23.28 |
$43.65 |
|
|
Trim nondyst nails
|
$19.36 |
$41.28 |
$99.84 |
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$4,370.08 |
$7,945.60 |
$8,938.80 |
|
|
Trml dstrj ios bvn ea addl
|
$3,744.00 |
$3,744.00 |
$3,744.00 |
|
|
Trmt of fracture (femoral shaft) 27500
|
$713.60 |
$713.60 |
$713.60 |
|
|
Trnscath plc stent crv crtd without prtct
|
$4,005.54 |
$5,097.40 |
$6,371.75 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$4,393.20 |
$5,646.50 |
$5,867.00 |
|
|
Trnscath plc stnt ante carotid art
|
$4,870.60 |
$6,088.25 |
$10,285.17 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$7,236.40 |
$8,276.10 |
$9,045.50 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$1,728.54 |
$7,236.40 |
$9,045.50 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$5,034.48 |
$9,153.60 |
$13,254.75 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,841.62 |
$2,174.55 |
$3,348.40 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$698.88 |
$1,407.37 |
$4,092.80 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,852.83 |
$2,683.60 |
$3,195.75 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$830.80 |
$989.00 |
$5,243.60 |
|
|
Trnscath tx thromblytc vein ini day
|
$698.88 |
$1,407.37 |
$5,243.60 |
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$475.23 |
$475.23 |
$475.23 |
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,090.00 |
$1,244.64 |
$2,696.72 |
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$1,095.15 |
$1,095.15 |
$1,095.15 |
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$760.41 |
$760.41 |
$760.41 |
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,095.15 |
$1,095.15 |
$1,095.15 |
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$389.13 |
$463.25 |
$1,425.60 |
|
|
Trnspl rej kdn mrna qpcr 139
|
$1,944.00 |
$2,332.80 |
$3,888.00 |
|
|
Troponin quantitative
|
$43.68 |
$82.50 |
$128.80 |
|
|
Trurl dstrj prst8 tiss rf wv
|
$1,823.22 |
$1,996.86 |
$2,170.50 |
|
|
Tte w or without contr, cont ecg
|
$753.80 |
$753.80 |
$753.80 |
|
|
Tte w or without fol w/con,stres
|
$387.03 |
$753.80 |
$942.25 |
|
|
Tx atrial fib pulm vein isol
|
$12,258.75 |
$12,897.75 |
$14,528.80 |
|
|
Tx closed distal humerus fx
|
$59.52 |
$101.25 |
$153.00 |
|
|
Tx closed hip disl traumatic without anes
|
$62.80 |
$78.76 |
$803.20 |
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,736.00 |
$2,083.20 |
$4,392.96 |
|
|
Tx closed tib shaft fx without manip
|
$62.80 |
$142.80 |
$910.40 |
|
|
Tx l/r atrial fib addl
|
$2,965.00 |
$3,409.75 |
$11,639.88 |
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$800.80 |
$800.80 |
$800.80 |
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$1,931.60 |
$2,317.92 |
$5,022.16 |
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$992.00 |
$2,083.92 |
$4,637.36 |
|
|
Ua w/micro/comp poc
|
$2.10 |
$2.10 |
$8.32 |
|
|
Ugt1a1 gene analy common variants
|
$285.00 |
$327.75 |
$342.00 |
|
|
Ultrasound abdomen aorta screening study aaa
|
$58.56 |
$100.00 |
$211.84 |
|
|
Ultrasound breast complete
|
$79.20 |
$148.48 |
$204.54 |
|
|
Ultrasound breast unilateral limited (both sides)
|
$59.18 |
$148.48 |
$213.30 |
|
|
Ultrasound chest
|
$70.18 |
$127.60 |
$306.45 |
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$62.64 |
$118.44 |
$141.00 |
|
|
Ultrasound dx ophth b-scan
|
$36.74 |
$62.60 |
$71.99 |
|
|
Ultrasound elastography parenchyma
|
$69.52 |
$94.32 |
$126.40 |
|
|
Ultrasound encephalogram
|
$69.52 |
$146.60 |
$273.00 |
|
|
Ultrasound exam k transpl w/doppler
|
$177.28 |
$212.88 |
$399.15 |
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$131.25 |
$256.25 |
$309.00 |
|
|
Ultrasound guidance for vascular access
|
$42.40 |
$111.60 |
$443.60 |
|
|
Ultrasound guided needle placement supervision & interpretation
|
$145.92 |
$214.80 |
$573.60 |
|
|
Ultrasound guide intraoperative
|
$148.80 |
$315.48 |
$573.60 |
|
