|
Tl-201 thallium diag per mci
|
$45.98 |
$45.98 |
$45.98 |
$77.22
|
|
Tobramycin peak therapeutic drug level
|
$123.20 |
$123.20 |
$123.20 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$84.61 |
$84.61 |
$84.61 |
$73.45
|
|
Total tau
|
$137.50 |
$137.50 |
$137.50 |
$293.00
|
|
Toxoplasma antibody igg
|
$94.05 |
$94.05 |
$94.05 |
$84.35
|
|
Toxoplasma antibody igm
|
$99.55 |
$99.55 |
$99.55 |
$83.20
|
|
Tpmt gene com vrnts
|
$458.70 |
$458.70 |
$458.70 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$104.50 |
$104.50 |
$104.50 |
$104.50
|
|
Transcath biopsy
|
$3,162.69 |
$3,162.69 |
$3,162.69 |
$4,298.05
|
|
Transcatheter bx s&i
|
$2,826.12 |
$2,826.12 |
$2,826.12 |
$1,875.96
|
|
Transcath occlusion cns
|
$2,491.28 |
$2,491.28 |
$2,491.28 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$9,267.58 |
$9,267.58 |
$9,267.58 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,733.78 |
$3,733.78 |
$3,733.78 |
$4,627.00
|
|
Transferrin
|
$69.30 |
$69.30 |
$69.30 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$960.30 |
$960.30 |
$960.30 |
$988.24
|
|
Transplant forearm tendon
|
$820.05 |
$820.05 |
$820.05 |
$3,762.00
|
|
Tray bonemarrw oncontrol 102mm
|
$725.46 |
$725.46 |
$725.46 |
$1,013.83
|
|
Trb@ gene rearrange dirprobe
|
$485.65 |
$485.65 |
$485.65 |
$54.55
|
|
Treat big toe fracture
|
$7,200.60 |
$7,200.60 |
$7,200.60 |
$3,981.06
|
|
Treat elbow dislocation
|
$1,954.92 |
$1,954.92 |
$1,954.92 |
$2,326.40
|
|
Treat elbow fracture
|
$4,301.22 |
$4,301.22 |
$4,301.22 |
$2,125.60
|
|
Treat finger fracture each
|
$617.65 |
$617.65 |
$617.65 |
$4,108.00
|
|
Treat finger fracture each
|
$502.26 |
$502.26 |
$502.26 |
$1,815.75
|
|
Treat foot dislocation
|
$645.48 |
$645.48 |
$645.48 |
$478.40
|
|
Treat fracture of radius
|
$1,026.30 |
$1,026.30 |
$1,026.30 |
$2,030.33
|
|
Treat fracture of radius
|
$529.82 |
$529.82 |
$529.82 |
$2,316.75
|
|
Treat fracture of ulna
|
$495.00 |
$495.00 |
$495.00 |
$766.72
|
|
Treat humerus fracture
|
$674.52 |
$674.52 |
$674.52 |
$2,045.35
|
|
Treat kneecap dislocation
|
$641.30 |
$641.30 |
$641.30 |
$1,351.35
|
|
Treat knee dislocation
|
$2,405.07 |
$2,405.07 |
$2,405.07 |
$2,592.08
|
|
Treat knee fracture 27530
|
$588.06 |
$588.06 |
$588.06 |
$580.20
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,175.92 |
$3,175.92 |
$3,175.92 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$220.51 |
$220.51 |
$220.51 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$178.60 |
$178.60 |
$178.60 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$528.00 |
$528.00 |
$528.00 |
$210.00
|
|
Treatment of ankle fracture 27786
|
$354.02 |
$354.02 |
$354.02 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$279.84 |
$279.84 |
$279.84 |
$558.75
|
|
Treatment of thigh fracture
|
$2,427.54 |
$2,427.54 |
$2,427.54 |
$2,055.00
|
|
Treatment of toe fracture 28510
|
$99.79 |
$99.79 |
$99.79 |
$371.40
|
|
Treatment radiation delivery level 2
|
$193.60 |
$193.60 |
$193.60 |
$735.00
|
|
Treat metacarpal fracture
|
$629.20 |
$629.20 |
$629.20 |
$3,958.50
|
|
Treat metacarpal fracture
|
$757.35 |
$757.35 |
$757.35 |
$4,627.00
|
|
Treat toe dislocation
|
$533.94 |
$533.94 |
$533.94 |
$855.66
|
|
Treat vaginal bleeding
|
$512.16 |
$512.16 |
$512.16 |
$400.86
|
|
Treat wrist dislocation
|
$644.82 |
$644.82 |
$644.82 |
$760.00
|
|
Treponema pallidum antibody
|
$82.50 |
$82.50 |
$82.50 |
$72.80
|
|
Trg gene rearrangement anal
|
$273.35 |
$273.35 |
$273.35 |
$455.70
|
|
#tricyclicantidprssnt
|
$150.70 |
$150.70 |
$150.70 |
$57.08
|
|
Triglycerides
|
$42.35 |
$42.35 |
$42.35 |
$54.60
|
|
Trim nondyst nails
|
$244.20 |
$244.20 |
$244.20 |
$124.22
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,835.22 |
$4,835.22 |
$4,835.22 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$4,835.22 |
$4,835.22 |
$4,835.22 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$10,853.37 |
$10,853.37 |
$10,853.37 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,778.20 |
$3,778.20 |
$3,778.20 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,219.52 |
$1,219.52 |
$1,219.52 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,714.91 |
$2,714.91 |
$2,714.91 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,823.59 |
$2,823.59 |
$2,823.59 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$1,265.50 |
$1,265.50 |
$1,265.50 |
$4,329.36
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$1,158.30 |
$1,158.30 |
$1,158.30 |
$4,805.85
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$296.45 |
$296.45 |
$296.45 |
$2,343.60
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$876.15 |
$876.15 |
$876.15 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$1,080.20 |
$1,080.20 |
$1,080.20 |
$3,322.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$856.90 |
$856.90 |
$856.90 |
$2,328.30
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$656.15 |
$656.15 |
$656.15 |
$2,190.24
|
|
Troponin quantitative
|
$103.40 |
$103.40 |
$103.40 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$1,869.47 |
$1,869.47 |
$1,869.47 |
$1,582.75
|
|
Tx closed hip disl traumatic without anes
|
$341.88 |
$341.88 |
$341.88 |
$657.28
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$9,694.08 |
$9,694.08 |
$9,694.08 |
$3,874.79
|
|
Tx closed tib shaft fx without manip
|
$143.88 |
$143.88 |
$143.88 |
$635.46
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$7,773.48 |
$7,773.48 |
$7,773.48 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$718.30 |
$718.30 |
$718.30 |
$4,281.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$6,177.60 |
$6,177.60 |
$6,177.60 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$184.80 |
$184.80 |
$184.80 |
$469.20
|
|
Tympanometry & reflex thresh
|
$414.59 |
$414.59 |
$414.59 |
$173.18
|
|
Ugt1a1 gene analy common variants
|
$276.65 |
$276.65 |
$276.65 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$313.65 |
$313.65 |
$313.65 |
$403.26
|
|
Ultrasound breast complete
|
$302.50 |
$302.50 |
$302.50 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$258.50 |
$258.50 |
$258.50 |
$449.35
|
|
Ultrasound chest
|
$444.15 |
$444.15 |
$444.15 |
$459.55
|
|
Ultrasound elastography parenchyma
|
$574.04 |
$574.04 |
$574.04 |
$284.25
|
|
Ultrasound encephalogram
|
$711.71 |
$711.71 |
$711.71 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$423.80 |
$423.80 |
$423.80 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$509.99 |
$509.99 |
$509.99 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$566.26 |
$566.26 |
$566.26 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$520.77 |
$520.77 |
$520.77 |
$701.35
|
|
Ultrasound guide intraoperative
|
$620.13 |
$620.13 |
$620.13 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$337.00 |
$337.00 |
$337.00 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$304.68 |
$304.68 |
$304.68 |
$321.35
|
|
Ultrasound joint complete left
|
$514.80 |
$514.80 |
$514.80 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$468.60 |
$468.60 |
$468.60 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$294.50 |
$294.50 |
$294.50 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$294.50 |
$294.50 |
$294.50 |
$326.54
|
|
Ultrasound pregnant uterus follow up per fetus
|
$484.00 |
$484.00 |
$484.00 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$357.50 |
$357.50 |
$357.50 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$416.61 |
$416.61 |
$416.61 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$541.12 |
$541.12 |
$541.12 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$492.25 |
$492.25 |
$492.25 |
$498.00
|
|
Ultrasound scrotum and contents
|
$603.37 |
$603.37 |
$603.37 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$398.06 |
$398.06 |
$398.06 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$541.20 |
$541.20 |
$541.20 |
$567.44
|
