|
Trichomonas assay w/optic
|
$10.12 |
$10.12 |
$10.12 |
$57.40
|
|
Triglycerides
|
$30.42 |
$30.42 |
$30.42 |
$57.91
|
|
Trim nail(s)
|
$5.28 |
$5.28 |
$5.28 |
$78.40
|
|
Trim nondyst nails
|
$139.62 |
$139.62 |
$139.62 |
$115.70
|
|
Trluml dil aq o/f can without st
|
$430.76 |
$430.76 |
$430.76 |
$5,497.39
|
|
Trluml dil aq o/f can w/st
|
$437.14 |
$437.14 |
$437.14 |
$4,942.18
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$253.44 |
$253.44 |
$253.44 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$120.12 |
$120.12 |
$120.12 |
$7,354.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$301.84 |
$301.84 |
$301.84 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$955.24 |
$955.24 |
$955.24 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$597.08 |
$597.08 |
$597.08 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$502.48 |
$502.48 |
$502.48 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$127.60 |
$127.60 |
$127.60 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$91.30 |
$91.30 |
$91.30 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$26,537.16 |
$26,537.16 |
$26,537.16 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$7,365.54 |
$7,365.54 |
$7,365.54 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$12,649.26 |
$12,649.26 |
$12,649.26 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$7,365.54 |
$7,365.54 |
$7,365.54 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$74.36 |
$74.36 |
$74.36 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$7,365.54 |
$7,365.54 |
$7,365.54 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$535.92 |
$535.92 |
$535.92 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$132.00 |
$132.00 |
$132.00 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$410.08 |
$410.08 |
$410.08 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$504.02 |
$504.02 |
$504.02 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$437.80 |
$437.80 |
$437.80 |
$2,551.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$403.70 |
$403.70 |
$403.70 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$312.18 |
$312.18 |
$312.18 |
$2,486.75
|
|
Trnsxj/repos abrrnt rnl vsls
|
$670.34 |
$670.34 |
$670.34 |
$1,542.96
|
|
Troponin quantitative
|
$65.52 |
$65.52 |
$65.52 |
$125.00
|
|
Tr retinal les preterm inf
|
$698.50 |
$698.50 |
$698.50 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$236.50 |
$236.50 |
$236.50 |
$4,228.00
|
|
Tubal Ligation (Laparoscopic)
|
$229.68 |
$229.68 |
$229.68 |
$4,323.20
|
|
Tube trach disp innr can 5 xlt
|
$48.93 |
$48.93 |
$48.93 |
$445.99
|
|
Tumor cell deplete of harvst
|
$46.64 |
$46.64 |
$46.64 |
$1,315.60
|
|
Tvh >250 gms 58290
|
$710.60 |
$710.60 |
$710.60 |
$6,872.92
|
|
Tvh w/mmk 58267
|
$660.22 |
$660.22 |
$660.22 |
$1,747.20
|
|
Tx atrial fib pulm vein isol
|
$570.46 |
$570.46 |
$570.46 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$561.60 |
$561.60 |
$561.60 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$7,592.52 |
$7,592.52 |
$7,592.52 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$561.60 |
$561.60 |
$561.60 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$69.08 |
$69.08 |
$69.08 |
$918.06
|
|
Tx contour defects 1.1-5.0cc 11951
|
$44.66 |
$44.66 |
$44.66 |
$849.50
|
|
Tx ectopic pregnancy abdl pregnancy 59130
|
$586.30 |
$586.30 |
$586.30 |
$2,277.60
|
|
Tx ectopic pregnancy ntrstl prtl rescj uter 59136
|
$556.38 |
$556.38 |
$556.38 |
$2,159.20
|
|
Tx l/r atrial fib addl
|
$185.02 |
$185.02 |
$185.02 |
$6,986.85
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$464.42 |
$464.42 |
$464.42 |
$4,521.61
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$316.80 |
$316.80 |
$316.80 |
$4,537.59
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$345.40 |
$345.40 |
$345.40 |
$4,595.50
|
|
Tx open nsl fx uncomp
|
$271.04 |
$271.04 |
$271.04 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$389.18 |
$389.18 |
$389.18 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$373.78 |
$373.78 |
$373.78 |
$4,529.60
|
|
Tx septic abortion surgical 59830
|
$286.22 |
$286.22 |
$286.22 |
$896.40
|
|
Tx tarsal bone fx without manip 28450
|
$561.60 |
$561.60 |
$561.60 |
$423.15
|
|
Tympanic membrane repair
|
$177.32 |
$177.32 |
$177.32 |
$2,133.48
|
|
Tympanolysis transcanal 69450
|
$331.98 |
$331.98 |
$331.98 |
$3,837.72
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$81.84 |
$81.84 |
$81.84 |
$911.43
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$853.16 |
$853.16 |
$853.16 |
$6,740.80
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$778.58 |
$778.58 |
$778.58 |
$7,000.36
|
|
Tyms gene com variants
|
$115.28 |
$115.28 |
$115.28 |
$192.29
|
|
Ua w/micro/comp poc
|
$2.64 |
$2.64 |
$2.64 |
$23.00
|
|
Ultrasound bone density measure
|
$1.76 |
$1.76 |
$1.76 |
$143.75
|
|
Ultrasound breast complete
|
$467.22 |
$467.22 |
$467.22 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$386.10 |
$386.10 |
$386.10 |
$452.00
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$14.52 |
$14.52 |
$14.52 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$467.22 |
$467.22 |
$467.22 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$14.30 |
$14.30 |
$14.30 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$17.60 |
$17.60 |
$17.60 |
$307.00
|
|
Ultrasound encephalogram
|
$467.22 |
$467.22 |
$467.22 |
$485.48
|
|
Ultrasound exam k transpl w/doppler
|
$467.22 |
$467.22 |
$467.22 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$467.22 |
$467.22 |
$467.22 |
$477.10
|
|
Ultrasound Guidance for a Needle Procedure
|
$949.26 |
$949.26 |
$949.26 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$188.76 |
$188.76 |
$188.76 |
$388.08
|
|
Ultrasound guide intraoperative
|
$434.46 |
$434.46 |
$434.46 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$62.04 |
$62.04 |
$62.04 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$386.10 |
$386.10 |
$386.10 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$18.26 |
$18.26 |
$18.26 |
$304.00
|
|
Ultrasound joint complete left
|
$467.22 |
$467.22 |
$467.22 |
$560.92
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$35.64 |
$35.64 |
$35.64 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$350.22 |
$350.22 |
$350.22 |
$406.44
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$350.22 |
$350.22 |
$350.22 |
$333.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$467.22 |
$467.22 |
$467.22 |
$428.25
|
|
Ultrasound prostate/transrectal
|
$19.80 |
$19.80 |
$19.80 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$467.22 |
$467.22 |
$467.22 |
$459.00
|
|
Ultrasound transabd ea addl gest
|
$795.60 |
$795.60 |
$795.60 |
$417.15
|
|
Ultrasound trgt dyn mbubb 1st les
|
$47.30 |
$47.30 |
$47.30 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$24.86 |
$24.86 |
$24.86 |
$348.00
|
|
Umbilical artery cath newborn 36660
|
$41.58 |
$41.58 |
$41.58 |
$223.80
|
|
Umbilical cord occlud w/us
|
$320.76 |
$320.76 |
$320.76 |
$754.00
|
|
Umbilicoplasty 15847
|
$291.72 |
$291.72 |
$291.72 |
$4,172.97
|
|
Unlistd noninvas vasc dx std
|
$22.00 |
$22.00 |
$22.00 |
$564.60
|
|
Unlisted chemotherapy px
|
$19.58 |
$19.58 |
$19.58 |
$149.15
|
|
Unlisted fluoroscopic px
|
$24.20 |
$24.20 |
$24.20 |
$305.76
|
|
Unlisted hematology&coagj px
|
$76.44 |
$76.44 |
$76.44 |
$39.52
|
|
Unlisted laparoscopic procedure 49659
|
$262.68 |
$262.68 |
$262.68 |
$6,838.32
|
|
Unlisted mr procedure
|
$34.54 |
$34.54 |
$34.54 |
$1,165.00
|
|
Unlisted procedure eyelids
|
$389.40 |
$389.40 |
$389.40 |
$2,174.90
|
|
Unlisted procedure liver
|
$1,646.58 |
$1,646.58 |
$1,646.58 |
$2,287.20
|
|
Unlisted procedure urinary 58750
|
$561.88 |
$561.88 |
$561.88 |
$926.40
|
|
Unlisted px ant segment eye
|
$311.74 |
$311.74 |
$311.74 |
$2,698.92
|
