|
Treat spinal cord lesion
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,142.50
|
|
Treat spinal cord lesion
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,337.00
|
|
Treat sternum fracture
|
$283.86 |
$283.86 |
$283.86 |
$423.00
|
|
Treat tail bone fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat thigh fracture
|
$283.86 |
$283.86 |
$283.86 |
$661.00
|
|
Treat thigh fracture
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,510.40
|
|
Treat thigh fracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,893.86
|
|
Treat thigh fracture
|
$283.86 |
$283.86 |
$283.86 |
$618.80
|
|
Treat thigh fx growth plate
|
$283.86 |
$283.86 |
$283.86 |
$475.68
|
|
Treat thigh fx growth plate
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,938.38
|
|
Treat thumb fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$2,508.80
|
|
Treat thumb fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat toe dislocation
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat toe dislocation
|
$314.28 |
$314.28 |
$314.28 |
$756.00
|
|
Treat toe dislocation
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat toe fracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Treat trigeminal nerve
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$3,754.40
|
|
Treat trigeminal tract
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$3,786.00
|
|
Treat ulnar fracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,678.55
|
|
Treat ulnar fracture
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,653.00
|
|
Treat vaginal bleeding
|
$238.06 |
$238.06 |
$238.06 |
$392.00
|
|
Treat wrist bone fracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,749.06
|
|
Treat wrist dislocation
|
$283.86 |
$283.86 |
$283.86 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$135.45 |
$135.45 |
$135.45 |
$73,346.25
|
|
Treponema pallidum ag if
|
$12.18 |
$12.18 |
$12.18 |
$33.60
|
|
Treponema pallidum antibody
|
$13.24 |
$13.24 |
$13.24 |
$72.05
|
|
Treprostinil injection
|
$55.82 |
$55.82 |
$55.82 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$201.50 |
$201.50 |
$201.50 |
$465.30
|
|
Trh stimulation panel
|
$67.21 |
$67.21 |
$67.21 |
$117.75
|
|
Trichinella antibody
|
$12.56 |
$12.56 |
$12.56 |
$70.65
|
|
Trichomonas assay w/optic
|
$15.29 |
$15.29 |
$15.29 |
$57.40
|
|
Triglycerides
|
$5.74 |
$5.74 |
$5.74 |
$57.91
|
|
Trilaciclib 300 mg intravenous solution
|
$5.36 |
$5.36 |
$5.36 |
$3,903.74
|
|
Trim nail(s)
|
$70.29 |
$70.29 |
$70.29 |
$78.40
|
|
Trim nondyst nails
|
$70.29 |
$70.29 |
$70.29 |
$115.70
|
|
Triptorelin pamoate
|
$466.73 |
$466.73 |
$466.73 |
$4,619.39
|
|
Trluml dil aq o/f can without st
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
$5,497.39
|
|
Trluml dil aq o/f can w/st
|
$6,105.79 |
$6,105.79 |
$6,105.79 |
$4,942.18
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$15,258.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$283.86 |
$283.86 |
$283.86 |
$716.95
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,419.98 |
$13,419.98 |
$13,419.98 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,396.89 |
$6,396.89 |
$6,396.89 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,551.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,486.75
|
|
Trnsplj pd lvr&bwl cd154+cll
|
$640.73 |
$640.73 |
$640.73 |
$704.80
|
|
Trnspl rej kdn mrna qpcr 139
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$3,232.32
|
|
Troponin quantitative
|
$12.47 |
$12.47 |
$12.47 |
$125.00
|
|
Tr retinal les preterm inf
|
$649.19 |
$649.19 |
$649.19 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$934.93 |
$934.93 |
$934.93 |
$2,196.00
|
|
Tte w or without fol w/con,stres
|
$934.93 |
$934.93 |
$934.93 |
$1,643.14
|
|
Tte w or without fol w/cont, com
|
$934.93 |
$934.93 |
$934.93 |
$1,266.50
|
|
Tte w or without fol w/cont, f/u
|
$934.93 |
$934.93 |
$934.93 |
$1,178.00
|
|
Tubal Ligation (Laparoscopic)
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$4,323.20
|
|
Tumor cell deplete of harvst
|
$517.34 |
$517.34 |
$517.34 |
$1,315.60
|
|
Tvh >250 gms 58290
|
$8,750.72 |
$8,750.72 |
$8,750.72 |
$6,872.92
|
|
Tx atrial fib pulm vein isol
|
$29,030.54 |
$29,030.54 |
$29,030.54 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$283.86 |
$283.86 |
$283.86 |
$589.00
|
|
Tx closed hip disl traumatic without anes
|
$283.86 |
$283.86 |
$283.86 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$283.86 |
$283.86 |
$283.86 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$724.37 |
$724.37 |
$724.37 |
$918.06
|
|
Tx contour defects 1.1-5.0cc 11951
|
$724.37 |
$724.37 |
$724.37 |
$849.50
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,521.61
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,537.59
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,595.50
|
|
Tx open nsl fx uncomp
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,529.60
|
|
Tx tarsal bone fx without manip 28450
|
$283.86 |
$283.86 |
$283.86 |
$423.15
|
|
Tympanic membrane repair
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$2,133.48
|
|
Tympanolysis transcanal 69450
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Tympanometry & reflex thresh
|
$185.15 |
$185.15 |
$185.15 |
$173.18
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$602.63 |
$602.63 |
$602.63 |
$911.43
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,740.80
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Tyms gene com variants
|
$174.81 |
$174.81 |
$174.81 |
$192.29
|
|
U2af1 gene common variants
|
$193.25 |
$193.25 |
$193.25 |
$243.34
|
|
Ua w/micro/comp poc
|
$4.02 |
$4.02 |
$4.02 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$69.44 |
$69.44 |
$69.44 |
$21,992.26
|
|
Ugt1a1 gene analy common variants
|
$234.00 |
$234.00 |
$234.00 |
$438.75
|
|
Ultrasound bone density measure
|
$125.84 |
$125.84 |
$125.84 |
$143.75
|
|
Ultrasound breast complete
|
$125.84 |
$125.84 |
$125.84 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$104.19 |
$104.19 |
$104.19 |
$452.00
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$125.84 |
$125.84 |
$125.84 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$125.84 |
$125.84 |
$125.84 |
$296.80
|
|
Ultrasound elastography parenchyma
|
$125.84 |
$125.84 |
$125.84 |
$307.00
|
|
Ultrasound encephalogram
|
$125.84 |
$125.84 |
$125.84 |
$485.48
|
|
Ultrasound exam k transpl w/doppler
|
$125.84 |
$125.84 |
$125.84 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$125.84 |
$125.84 |
$125.84 |
$477.10
|
|
Ultrasound hips infant dynamic
|
$104.19 |
$104.19 |
$104.19 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$104.19 |
$104.19 |
$104.19 |
$304.00
|
