|
Treat knuckle dislocation
|
$729.00 |
$729.00 |
$729.00 |
|
|
Treat lower leg dislocation
|
$532.60 |
$532.60 |
$532.60 |
|
|
Treatment incomplete abortion completed surgically any trimester
|
$627.85 |
$627.85 |
$1,708.00 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$143.60 |
$143.60 |
$261.35 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$97.50 |
$116.63 |
$261.35 |
|
|
Treatment missed abortion completed surgically 1st trimester
|
$755.15 |
$755.15 |
$1,708.00 |
|
|
Treatment of ankle fracture 27786
|
$176.50 |
$377.18 |
$801.89 |
|
|
Treatment of fibula fracture 27780
|
$229.50 |
$263.50 |
$1,603.00 |
|
|
Treatment of heel fracture 28400
|
$228.50 |
$337.78 |
$337.78 |
|
|
Treatment of miscarriage
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
|
|
Treatment of thigh fracture
|
$167.05 |
$167.05 |
$300.00 |
|
|
Treatment of thigh fracture
|
$119.75 |
$119.75 |
$2,184.50 |
|
|
Treatment of thigh fracture
|
$348.50 |
$659.00 |
$659.00 |
|
|
Treatment of thigh fracture
|
$478.70 |
$541.75 |
$1,066.50 |
|
|
Treatment of tibia fracture
|
$4,005.90 |
$4,005.90 |
$4,005.90 |
|
|
Treatment of toe fracture 28510
|
$279.00 |
$306.03 |
$607.74 |
|
|
Treatment radiation delivery level 2
|
$185.50 |
$737.25 |
$1,823.00 |
|
|
Treat metacarpal fracture
|
$4,693.85 |
$4,693.85 |
$4,693.85 |
|
|
Treat midfoot fracture each
|
$1,257.55 |
$1,257.55 |
$1,379.50 |
|
|
Treat spinal cord lesion
|
$1,083.50 |
$1,083.50 |
$1,083.50 |
|
|
Treat spinal cord lesion
|
$1,162.50 |
$2,626.53 |
$2,626.53 |
|
|
Treat sternum fracture
|
$570.68 |
$570.68 |
$570.68 |
|
|
Treat thigh fracture
|
$378.00 |
$661.00 |
$661.00 |
|
|
Treat thigh fracture
|
$1,793.10 |
$1,793.10 |
$1,947.50 |
|
|
Treat thigh fracture
|
$720.03 |
$720.03 |
$1,156.00 |
|
|
Treat thigh fracture
|
$1,947.50 |
$1,947.50 |
$1,947.50 |
|
|
Treat toe dislocation
|
$577.50 |
$577.50 |
$577.50 |
|
|
Treat ulnar fracture
|
$296.43 |
$296.43 |
$729.00 |
|
|
Treat vaginal bleeding
|
$1,375.50 |
$1,375.50 |
$1,375.50 |
|
|
Treat wrist bone fracture
|
$689.50 |
$800.33 |
$800.33 |
|
|
Treat wrist dislocation
|
$207.00 |
$430.25 |
$2,202.00 |
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$81,176.20 |
$81,176.20 |
$202,888.76 |
|
|
Treponema pallidum antibody
|
$58.00 |
$89.43 |
$241.19 |
|
|
Treprostinil injection
|
$30,826.88 |
$30,826.88 |
$30,826.88 |
|
|
Treprostinil, non-comp unit
|
$1,475.15 |
$1,475.15 |
$1,475.15 |
|
|
Trg gene rearrangement anal
|
$226.50 |
$455.70 |
$2,354.00 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$79.10 |
$164.00 |
$164.00 |
|
|
Triamcinolone a inj prs-free
|
$1,745.48 |
$1,745.48 |
$1,745.48 |
|
|
Trichinella antibody
|
$72.00 |
$72.00 |
$168.00 |
|
|
Trichomonas assay w/optic
|
$90.83 |
$90.83 |
$90.83 |
|
|
#tricyclicantidprssnt
|
$38.73 |
$38.73 |
$38.73 |
|
|
Triglycerides
|
$46.50 |
$75.48 |
$111.72 |
|
|
Trimethobenzamide hcl inj
|
$134.53 |
$134.53 |
$384.35 |
|
|
Trim nail(s)
|
$44.13 |
$44.13 |
$89.50 |
|
|
Trim nondyst nails
|
$94.50 |
$97.93 |
$223.02 |
|
|
Triptorelin pamoate
|
$8,875.20 |
$8,875.20 |
$8,875.20 |
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$18,646.00 |
$18,646.00 |
$18,646.00 |
|
|
Trml dstrj ios bvn ea addl
|
$6,688.00 |
$6,688.00 |
$6,688.00 |
|
|
Trmt of fracture (femoral shaft) 27500
|
$167.05 |
$167.05 |
$402.00 |
|
|
Trnscath plc stent crv crtd without prtct
|
$11,099.98 |
$11,099.98 |
$13,358.50 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$11,099.98 |
$11,099.98 |
$15,201.50 |
|
|
Trnscath plc stnt ante carotid art
|
$11,305.55 |
$11,305.55 |
$18,990.00 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$9,190.00 |
$9,834.60 |
$9,834.60 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$8,753.00 |
$9,834.60 |
$9,834.60 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$19,002.50 |
$19,822.53 |
$19,822.53 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,985.25 |
$1,985.25 |
$4,405.50 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,470.00 |
$5,246.80 |
$5,246.80 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,409.80 |
$3,409.80 |
$3,470.00 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,409.80 |
$3,409.80 |
$3,642.50 |
|
|
Trnscath tx thromblytc vein ini day
|
$4,596.00 |
$5,246.80 |
$5,246.80 |
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$6,288.35 |
$6,288.35 |
$6,288.35 |
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,919.50 |
$4,054.15 |
$4,054.15 |
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,919.50 |
$4,195.18 |
$4,195.18 |
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,355.65 |
$2,355.65 |
$2,355.65 |
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$3,136.50 |
$3,136.50 |
$3,136.50 |
|
|
Troponin quantitative
|
$140.00 |
$204.18 |
$267.86 |
|
|
Tte w or without fol w/con,stres
|
$1,031.28 |
$1,031.28 |
$1,705.00 |
|
|
Tte w or without fol w/cont, com
|
$881.70 |
$881.70 |
$881.70 |
|
|
Tte w or without fol w/cont, f/u
|
$418.90 |
$418.90 |
$418.90 |
|
|
Tube trach disp innr can 5 xlt
|
$711.20 |
$711.20 |
$711.20 |
|
|
Tube trach fen sz 6 uncuffed
|
$108.50 |
$108.50 |
$108.50 |
|
|
Tubular dressing
|
$27.50 |
$27.50 |
$27.50 |
|
|
Tumor cell deplete of harvst
|
$17,064.23 |
$17,064.23 |
$17,064.23 |
|
|
Tx atrial fib pulm vein isol
|
$16,649.50 |
$60,522.10 |
$60,522.10 |
|
|
Tx closed distal humerus fx
|
$357.50 |
$357.50 |
$357.50 |
|
|
Tx closed hip disl traumatic without anes
|
$151.00 |
$650.45 |
$1,249.82 |
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,512.00 |
$6,617.23 |
$6,617.23 |
|
|
Tx closed tib shaft fx without manip
|
$387.50 |
$885.15 |
$1,658.00 |
|
|
Tx contour defects >10.0 cc
|
$553.50 |
$553.50 |
$553.50 |
|
|
Tx l/r atrial fib addl
|
$7,328.50 |
$19,184.90 |
$19,184.90 |
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$2,874.00 |
$4,239.75 |
$4,239.75 |
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$2,533.00 |
$4,468.55 |
$24,461.00 |
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$2,994.00 |
$3,604.65 |
$3,604.65 |
|
|
Tx tarsal bone fx without manip 28450
|
$228.50 |
$394.45 |
$394.45 |
|
|
Tympanometry & reflex thresh
|
$112.63 |
$112.63 |
$1,066.00 |
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$618.50 |
$618.50 |
$1,506.00 |
|
|
Typhoid vaccine oral
|
$215.25 |
$215.25 |
$215.25 |
|
|
Ua w/micro/comp poc
|
$11.00 |
$40.35 |
$40.35 |
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$22,232.53 |
$22,232.53 |
$22,232.53 |
|
|
Ugt1a1 gene analy common variants
|
$254.35 |
$254.35 |
$744.00 |
|
|
Ultrasound breast complete
|
$519.75 |
$519.75 |
$767.03 |
|
|
Ultrasound breast unilateral limited (both sides)
|
$346.53 |
$346.53 |
$686.50 |
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$262.80 |
$262.80 |
$1,461.00 |
|
|
Ultrasound dx ophth b-scan
|
$322.00 |
$335.68 |
$335.68 |
|
|
Ultrasound elastography ea l target les
|
$336.50 |
$336.50 |
$336.50 |
|
|
Ultrasound elastography parenchyma
|
$275.98 |
$275.98 |
$336.50 |
|
|
Ultrasound encephalogram
|
$388.98 |
$388.98 |
$1,051.00 |
|
|
Ultrasound exam k transpl w/doppler
|
$487.73 |
$487.73 |
$1,821.00 |
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$335.50 |
$335.50 |
$1,051.00 |
|
|
Ultrasound Guidance for a Needle Procedure
|
$519.53 |
$519.53 |
$1,162.98 |
|
