|
Trh stimulation panel
|
$67.21 |
$73.93 |
$73.93 |
|
|
Triamcinolone a inj prs-free
|
$24.51 |
$24.51 |
$24.51 |
|
|
Trichinella antibody
|
$12.56 |
$13.82 |
$13.82 |
|
|
Trichomonas assay w/optic
|
$15.29 |
$16.82 |
$16.82 |
|
|
#tricyclicantidprssnt
|
$37.02 |
$59.52 |
$68.21 |
|
|
Triglycerides
|
$5.74 |
$6.31 |
$20.50 |
|
|
Trilaciclib 300 mg intravenous solution
|
$5.36 |
$5.39 |
$5.39 |
|
|
Trim nail(s)
|
$41.28 |
$64.92 |
$69.95 |
|
|
Trim nondyst nails
|
$64.92 |
$3,986.00 |
$6,839.00 |
|
|
Triptorelin pamoate
|
$466.73 |
$491.90 |
$491.90 |
|
|
Trluml dil aq o/f can without st
|
$3,786.00 |
$4,627.00 |
$6,839.00 |
|
|
Trluml dil aq o/f can w/st
|
$3,786.00 |
$5,711.08 |
$6,839.00 |
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Trmt of fracture (femoral shaft) 27500
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Trnscath plc stent crv crtd without prtct
|
$3,786.00 |
$5,419.00 |
$6,311.00 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$5,419.00 |
$5,741.00 |
$6,311.00 |
|
|
Trnscath plc stnt ante carotid art
|
$5,741.00 |
$5,741.00 |
$6,311.00 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$3,786.00 |
$5,110.00 |
$6,311.00 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,786.00 |
$5,110.00 |
$6,311.00 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$3,786.00 |
$6,311.00 |
$13,355.34 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,786.00 |
$5,907.78 |
$6,839.00 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Trnscath tx thromblytc vein ini day
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$3,786.00 |
$4,311.38 |
$6,839.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Trnsplj pd lvr&bwl cd154+cll
|
$640.73 |
$704.80 |
$704.80 |
|
|
Trnspl rej kdn mrna qpcr 139
|
$1,045.02 |
$1,772.49 |
$3,240.00 |
|
|
Troponin quantitative
|
$12.47 |
$13.72 |
$80.00 |
|
|
Tr retinal les preterm inf
|
$599.55 |
$3,986.00 |
$6,839.00 |
|
|
Trurl dstrj prst8 tiss rf wv
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Tte w or without contr, cont ecg
|
$863.44 |
$874.49 |
$930.42 |
|
|
Tte w or without fol w/con,stres
|
$863.44 |
$874.49 |
$930.42 |
|
|
Tte w or without fol w/cont, com
|
$863.44 |
$874.49 |
$930.42 |
|
|
Tte w or without fol w/cont, f/u
|
$863.44 |
$874.49 |
$930.42 |
|
|
Tubal Ligation (Laparoscopic)
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Tumor cell deplete of harvst
|
$477.79 |
$3,986.00 |
$6,839.00 |
|
|
Tvh >250 gms 58290
|
$3,786.00 |
$6,311.00 |
$8,708.57 |
|
|
Tx atrial fib pulm vein isol
|
$6,321.24 |
$26,810.86 |
$28,890.71 |
|
|
Tx closed distal humerus fx
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Tx closed hip disl traumatic without anes
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tx closed tib shaft fx without manip
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Tx contour defects >10.0 cc
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Tx contour defects 1.1-5.0cc 11951
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Tx l/r atrial fib addl
|
$1,924.22 |
$1,980.93 |
$2,028.48 |
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tx open nsl fx uncomp
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Tx open nsl sptl fx
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tx tarsal bone fx without manip 28450
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Tympanic membrane repair
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Tympanolysis transcanal 69450
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Tympanometry & reflex thresh
|
$72.28 |
$170.99 |
$184.26 |
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$556.55 |
$3,986.00 |
$6,839.00 |
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Tyms gene com variants
|
$174.81 |
$192.29 |
$192.29 |
|
|
Typhoid vaccine oral
|
$7.85 |
$8.22 |
$19.26 |
|
|
U2af1 gene common variants
|
$193.25 |
$212.58 |
$212.58 |
|
|
Ua w/micro/comp poc
|
$4.02 |
$4.42 |
$20.00 |
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$69.44 |
$71.90 |
$71.90 |
|
|
Ugt1a1 gene analy common variants
|
$234.00 |
$257.40 |
$257.40 |
|
|
Ultrasound bone density measure
|
$116.22 |
$117.70 |
$125.23 |
|
|
Ultrasound breast complete
|
$116.22 |
$117.70 |
$125.23 |
|
|
Ultrasound breast unilateral limited (both sides)
|
$96.23 |
$97.46 |
$103.69 |
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$88.89 |
$117.39 |
$125.23 |
|
|
Ultrasound dx ophth b-scan
|
$95.17 |
$117.70 |
$125.23 |
|
|
Ultrasound elastography ea l target les
|
$77.85 |
$77.85 |
$77.85 |
|
|
Ultrasound elastography parenchyma
|
$104.89 |
$117.81 |
$200.71 |
|
|
Ultrasound encephalogram
|
$80.36 |
$123.91 |
$290.50 |
|
|
Ultrasound exam k transpl w/doppler
|
$116.22 |
$117.70 |
$125.23 |
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$116.22 |
$125.23 |
$216.60 |
|
|
Ultrasound Guidance for a Needle Procedure
|
$161.89 |
$193.88 |
$331.50 |
|
|
Ultrasound guidance for vascular access
|
$81.91 |
$127.47 |
$146.42 |
|
|
Ultrasound guide intraoperative
|
$91.84 |
$206.63 |
$227.98 |
|
|
Ultrasound guide tissue ablation
|
$81.28 |
$170.80 |
$216.30 |
|
|
Ultrasound hips infant dynamic
|
$96.23 |
$103.69 |
$251.01 |
|
|
Ultrasound infant hips ltd without stress
|
$81.45 |
$97.54 |
$161.69 |
|
|
Ultrasound joint complete left
|
$116.22 |
$117.70 |
$272.00 |
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$116.22 |
$117.70 |
$125.23 |
|
|
Ultrasound ob >=14wks ea addl gest
|
$64.88 |
$104.52 |
$119.56 |
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$56.54 |
$71.69 |
$82.00 |
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$155.98 |
$219.39 |
$284.66 |
|
|
Ultrasound pregnant uterus follow up per fetus
|
$116.22 |
$125.23 |
$190.14 |
|
|
Ultrasound prostate/transrectal
|
$106.03 |
$119.56 |
$161.63 |
|
|
Ultrasound spinal canal and contents
|
$116.22 |
$125.23 |
$217.02 |
|
|
Ultrasound transabd ea addl gest
|
$80.10 |
$98.73 |
$112.66 |
|
|
Ultrasound trgt dyn mbubb 1st les
|
$109.09 |
$197.04 |
$209.65 |
|
|
Ultraviolet therapy
|
$10.45 |
$10.45 |
$10.45 |
|
|
Umbilical cord occlud w/us
|
$332.44 |
$3,986.00 |
$6,839.00 |
|
|
Unlistd noninvas vasc dx std
|
$26.76 |
$27.11 |
$28.84 |
|
|
Unlisted all/immlg svc/px
|
$26.76 |
$27.11 |
$28.84 |
|
