|
Treat finger fracture each
|
$1,710.41 |
$1,710.41 |
$1,710.41 |
$1,536.00
|
|
Treat foot dislocation
|
$557.55 |
$557.55 |
$557.55 |
$527.28
|
|
Treat foot dislocation
|
$181.72 |
$181.72 |
$181.72 |
$445.80
|
|
Treat fracture of radius
|
$1,495.65 |
$1,495.65 |
$1,495.65 |
$1,790.00
|
|
Treat fracture of ulna
|
$300.90 |
$300.90 |
$300.90 |
$726.05
|
|
Treat hand dislocation
|
$259.60 |
$259.60 |
$259.60 |
$1,749.06
|
|
Treat hip dislocation
|
$557.55 |
$557.55 |
$557.55 |
$2,192.80
|
|
Treat hip dislocation
|
$557.55 |
$557.55 |
$557.55 |
$2,641.60
|
|
Treat hip socket fracture
|
$250.16 |
$250.16 |
$250.16 |
$1,392.00
|
|
Treat humerus fracture
|
$5,971.39 |
$5,971.39 |
$5,971.39 |
$12,896.80
|
|
Treat humerus fracture
|
$2,211.91 |
$2,211.91 |
$2,211.91 |
$1,771.43
|
|
Treat humerus fracture
|
$1,880.33 |
$1,880.33 |
$1,880.33 |
$1,771.43
|
|
Treat kneecap dislocation
|
$1,441.96 |
$1,441.96 |
$1,441.96 |
$1,068.90
|
|
Treat knee dislocation
|
$1,281.48 |
$1,281.48 |
$1,281.48 |
$2,220.89
|
|
Treat knee fracture 27530
|
$294.41 |
$294.41 |
$294.41 |
$550.00
|
|
Treat knuckle dislocation
|
$424.21 |
$424.21 |
$424.21 |
$1,523.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$273.76 |
$273.76 |
$273.76 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$136.29 |
$136.29 |
$136.29 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$194.11 |
$194.11 |
$194.11 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$214.76 |
$214.76 |
$214.76 |
$520.80
|
|
Treatment of heel fracture 28400
|
$290.28 |
$290.28 |
$290.28 |
$473.00
|
|
Treatment of thigh fracture
|
$192.34 |
$192.34 |
$192.34 |
$476.16
|
|
Treatment of thigh fracture
|
$192.34 |
$192.34 |
$192.34 |
$548.90
|
|
Treatment of tibia fracture
|
$5,971.39 |
$5,971.39 |
$5,971.39 |
$7,087.60
|
|
Treatment radiation delivery level 2
|
$530.41 |
$530.41 |
$530.41 |
$767.65
|
|
Treat midfoot fracture each
|
$181.72 |
$181.72 |
$181.72 |
$1,851.78
|
|
Treat spinal cord lesion
|
$1,078.52 |
$1,078.52 |
$1,078.52 |
$1,142.50
|
|
Treat thigh fracture
|
$192.34 |
$192.34 |
$192.34 |
$661.00
|
|
Treat toe dislocation
|
$1,443.14 |
$1,443.14 |
$1,443.14 |
$756.39
|
|
Treat ulnar fracture
|
$1,851.42 |
$1,851.42 |
$1,851.42 |
$1,662.00
|
|
Treat wrist dislocation
|
$194.70 |
$194.70 |
$194.70 |
$656.25
|
|
Treponema pallidum antibody
|
$51.33 |
$51.33 |
$51.33 |
$70.40
|
|
Treprostinil injection
|
$469.53 |
$469.53 |
$469.53 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$2,881.56 |
$2,881.56 |
$2,881.56 |
$3,894.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$5.13 |
$5.13 |
$5.13 |
$43.21
|
|
Triglycerides
|
$44.25 |
$44.25 |
$44.25 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$935.17 |
$935.17 |
$935.17 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$15.05 |
$15.05 |
$15.05 |
$117.49
|
|
Trim nondyst nails
|
$150.45 |
$150.45 |
$150.45 |
$113.40
|
|
Triptorelin pamoate
|
$353.14 |
$353.14 |
$353.14 |
$4,619.39
|
|
Trmt of fracture (femoral shaft) 27500
|
$192.34 |
$192.34 |
$192.34 |
$754.80
|
|
Trnscath plc stnt ante carotid art
|
$3,460.94 |
$3,460.94 |
$3,460.94 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,597.38 |
$6,597.38 |
$6,597.38 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$4,446.24 |
$4,446.24 |
$4,446.24 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$10,797.59 |
$10,797.59 |
$10,797.59 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,003.10 |
$3,003.10 |
$3,003.10 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,223.81 |
$4,223.81 |
$4,223.81 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,147.11 |
$4,147.11 |
$4,147.11 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,147.11 |
$4,147.11 |
$4,147.11 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$4,223.81 |
$4,223.81 |
$4,223.81 |
$3,866.70
|
|
Troponin quantitative
|
$162.25 |
$162.25 |
$162.25 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$1,970.01 |
$1,970.01 |
$1,970.01 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$2,024.29 |
$2,024.29 |
$2,024.29 |
$1,632.80
|
|
Tube drain vert dev st 5-40f
|
$1,386.83 |
$1,386.83 |
$1,386.83 |
$29.40
|
|
Tube trach disp innr can 5 xlt
|
$371.53 |
$371.53 |
$371.53 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$150.86 |
$150.86 |
$150.86 |
$155.98
|
|
Tx closed hip disl traumatic without anes
|
$259.60 |
$259.60 |
$259.60 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,389.45 |
$1,389.45 |
$1,389.45 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$296.77 |
$296.77 |
$296.77 |
$535.60
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$2,771.23 |
$2,771.23 |
$2,771.23 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$2,363.54 |
$2,363.54 |
$2,363.54 |
$4,421.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$1,029.80 |
$1,029.80 |
$1,029.80 |
$20,945.01
|
|
Ultrasound abdomen aorta screening study aaa
|
$185.26 |
$185.26 |
$185.26 |
$394.20
|
|
Ultrasound breast complete
|
$485.57 |
$485.57 |
$485.57 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$485.57 |
$485.57 |
$485.57 |
$449.35
|
|
Ultrasound chest
|
$401.20 |
$401.20 |
$401.20 |
$460.85
|
|
Ultrasound encephalogram
|
$588.23 |
$588.23 |
$588.23 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$672.60 |
$672.60 |
$672.60 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$415.36 |
$415.36 |
$415.36 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$628.35 |
$628.35 |
$628.35 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$751.07 |
$751.07 |
$751.07 |
$720.15
|
|
Ultrasound guide intraoperative
|
$1,150.50 |
$1,150.50 |
$1,150.50 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$415.36 |
$415.36 |
$415.36 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$415.36 |
$415.36 |
$415.36 |
$311.25
|
|
Ultrasound joint complete left
|
$680.27 |
$680.27 |
$680.27 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$198.83 |
$198.83 |
$198.83 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$564.04 |
$564.04 |
$564.04 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$591.77 |
$591.77 |
$591.77 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,053.74 |
$1,053.74 |
$1,053.74 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$388.81 |
$388.81 |
$388.81 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$414.18 |
$414.18 |
$414.18 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$637.20 |
$637.20 |
$637.20 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$463.15 |
$463.15 |
$463.15 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$521.56 |
$521.56 |
$521.56 |
$486.50
|
|
Ultrasound scrotum and contents
|
$709.77 |
$709.77 |
$709.77 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$484.98 |
$484.98 |
$484.98 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$355.77 |
$355.77 |
$355.77 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$643.10 |
$643.10 |
$643.10 |
$558.35
|
|
Umbilical artery cath newborn 36660
|
$245.44 |
$245.44 |
$245.44 |
$206.64
|
|
Unlisted px casting/strpg
|
$207.68 |
$207.68 |
$207.68 |
$219.70
|
|
Unlisted px hands/fingers
|
$178.77 |
$178.77 |
$178.77 |
$354.20
|
|
Unlisted px male genital sys
|
$237.18 |
$237.18 |
$237.18 |
$343.55
|
|
Unlisted transfusion med px
|
$71.39 |
$71.39 |
$71.39 |
$147.50
|
|
Upgrade pm system
|
$6,901.23 |
$6,901.23 |
$6,901.23 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,709.28 |
$2,709.28 |
$2,709.28 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,443.19 |
$2,443.19 |
$2,443.19 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,419.00 |
$2,419.00 |
$2,419.00 |
$2,034.41
|
|
Upper Endoscopy (EGD, with biopsy)
|
$483.80 |
$483.80 |
$483.80 |
$1,768.00
|
|
Urea nitrogen
|
$33.04 |
$33.04 |
$33.04 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$47.79 |
$47.79 |
$47.79 |
$51.75
|
