|
Transferrin
|
$98.25 |
$98.25 |
$98.25 |
$82.00
|
|
Transorl lwr esophgl myotomy
|
$5,814.75 |
$5,814.75 |
$5,814.75 |
$6,594.64
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$704.25 |
$704.25 |
$704.25 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$703.50 |
$703.50 |
$703.50 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$5,762.28 |
$5,762.28 |
$5,762.28 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$12,199.65 |
$12,199.65 |
$12,199.65 |
$7,540.20
|
|
Tray bonemarrw oncontrol 102mm
|
$1,094.25 |
$1,094.25 |
$1,094.25 |
$940.80
|
|
Treat ankle dislocation
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$2,358.40
|
|
Treat elbow dislocation
|
$1,513.50 |
$1,513.50 |
$1,513.50 |
$2,311.20
|
|
Treat elbow fracture
|
$1,513.50 |
$1,513.50 |
$1,513.50 |
$2,027.40
|
|
Treat finger fracture each
|
$1,513.50 |
$1,513.50 |
$1,513.50 |
$1,592.00
|
|
Treat foot dislocation
|
$261.75 |
$261.75 |
$261.75 |
$527.28
|
|
Treat fracture of radius
|
$1,514.25 |
$1,514.25 |
$1,514.25 |
$1,821.60
|
|
Treat fracture of radius
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$1,849.00
|
|
Treat fracture of ulna
|
$2,169.75 |
$2,169.75 |
$2,169.75 |
$726.05
|
|
Treat hip dislocation
|
$1,513.50 |
$1,513.50 |
$1,513.50 |
$2,211.05
|
|
Treat humerus fracture
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$1,790.00
|
|
Treat humerus fracture
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$1,790.00
|
|
Treat knee dislocation
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$2,220.89
|
|
Treat knee fracture 27530
|
$296.25 |
$296.25 |
$296.25 |
$550.73
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,886.25 |
$1,886.25 |
$1,886.25 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$176.25 |
$176.25 |
$176.25 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$141.00 |
$141.00 |
$141.00 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$2,551.50 |
$2,551.50 |
$2,551.50 |
$4,230.80
|
|
Treatment of ankle fracture 27786
|
$284.25 |
$284.25 |
$284.25 |
$528.00
|
|
Treatment of foot infection
|
$1,560.75 |
$1,560.75 |
$1,560.75 |
$2,928.60
|
|
Treatment of miscarriage
|
$2,778.00 |
$2,778.00 |
$2,778.00 |
$4,146.69
|
|
Treatment of thigh fracture
|
$732.75 |
$732.75 |
$732.75 |
$487.50
|
|
Treatment of thigh fracture
|
$2,093.25 |
$2,093.25 |
$2,093.25 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$249.75 |
$249.75 |
$249.75 |
$371.40
|
|
Treatment x10sv retinopathy
|
$561.75 |
$561.75 |
$561.75 |
$1,513.20
|
|
Treat thigh fracture
|
$261.75 |
$261.75 |
$261.75 |
$661.00
|
|
Treat thigh fracture
|
$1,411.50 |
$1,411.50 |
$1,411.50 |
$2,008.18
|
|
Treat thigh fx growth plate
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$1,938.38
|
|
Treat ulnar fracture
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$1,678.55
|
|
Treat vaginal bleeding
|
$195.75 |
$195.75 |
$195.75 |
$379.60
|
|
Treat wrist bone fracture
|
$1,513.50 |
$1,513.50 |
$1,513.50 |
$1,679.04
|
|
Treponema pallidum antibody
|
$122.25 |
$122.25 |
$122.25 |
$72.05
|
|
Treprostinil injection
|
$21,186.46 |
$21,186.46 |
$21,186.46 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$12,632.52 |
$12,632.52 |
$12,632.52 |
$2,970.72
|
|
Trg gene rearrangement anal
|
$732.00 |
$732.00 |
$732.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$162.88 |
$162.88 |
$162.88 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$3,235.98 |
$3,235.98 |
$3,235.98 |
$223.56
|
|
Trichinella antibody
|
$125.25 |
$125.25 |
$125.25 |
$70.65
|
|
Triglycerides
|
$59.25 |
$59.25 |
$59.25 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$191.20 |
$191.20 |
$191.20 |
$117.49
|
|
Trim nail(s)
|
$57.75 |
$57.75 |
$57.75 |
$78.40
|
|
Trim nondyst nails
|
$295.50 |
$295.50 |
$295.50 |
$114.48
|
|
Triptorelin pamoate
|
$16,454.18 |
$16,454.18 |
$16,454.18 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$12,715.50 |
$12,715.50 |
$12,715.50 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$8,477.25 |
$8,477.25 |
$8,477.25 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$6,395.25 |
$6,395.25 |
$6,395.25 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$7,863.00 |
$7,863.00 |
$7,863.00 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$5,642.25 |
$5,642.25 |
$5,642.25 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$5,934.75 |
$5,934.75 |
$5,934.75 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$8,450.25 |
$8,450.25 |
$8,450.25 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,837.75 |
$3,837.75 |
$3,837.75 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,396.00 |
$6,396.00 |
$6,396.00 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,692.25 |
$3,692.25 |
$3,692.25 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,196.25 |
$4,196.25 |
$4,196.25 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$2,462.25 |
$2,462.25 |
$2,462.25 |
$3,866.70
|
|
Troponin quantitative
|
$147.00 |
$147.00 |
$147.00 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$1,369.50 |
$1,369.50 |
$1,369.50 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$1,254.50
|
|
Tte w or without fol w/cont, f/u
|
$693.75 |
$693.75 |
$693.75 |
$1,178.00
|
|
Tx closed hip disl traumatic without anes
|
$218.25 |
$218.25 |
$218.25 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,767.25 |
$3,767.25 |
$3,767.25 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$288.00 |
$288.00 |
$288.00 |
$535.60
|
|
Typhoid vaccine oral
|
$365.66 |
$365.66 |
$365.66 |
$63.28
|
|
Ugt1a1 gene analy common variants
|
$438.75 |
$438.75 |
$438.75 |
$438.75
|
|
Ultrasound breast complete
|
$439.50 |
$439.50 |
$439.50 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$216.75 |
$216.75 |
$216.75 |
$452.40
|
|
Ultrasound dx ophth b-scan
|
$336.00 |
$336.00 |
$336.00 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$177.00 |
$177.00 |
$177.00 |
$180.00
|
|
Ultrasound encephalogram
|
$397.50 |
$397.50 |
$397.50 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$885.75 |
$885.75 |
$885.75 |
$575.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$728.25 |
$728.25 |
$728.25 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$993.75 |
$993.75 |
$993.75 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$668.25 |
$668.25 |
$668.25 |
$388.08
|
|
Ultrasound guide intraoperative
|
$371.25 |
$371.25 |
$371.25 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$1,032.75 |
$1,032.75 |
$1,032.75 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$317.25 |
$317.25 |
$317.25 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$258.00 |
$258.00 |
$258.00 |
$311.25
|
|
Ultrasound joint complete left
|
$763.50 |
$763.50 |
$763.50 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$687.00 |
$687.00 |
$687.00 |
$409.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$455.25 |
$455.25 |
$455.25 |
$335.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$970.50 |
$970.50 |
$970.50 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$597.75 |
$597.75 |
$597.75 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$745.50 |
$745.50 |
$745.50 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$292.50 |
$292.50 |
$292.50 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$631.50 |
$631.50 |
$631.50 |
$421.00
|
|
Unit mobile power mpu
|
$18,857.25 |
$18,857.25 |
$18,857.25 |
$14,359.52
|
|
Unlisted chemotherapy px
|
$44.25 |
$44.25 |
$44.25 |
$143.75
|
|
Unlisted CT procedure
|
$1,578.75 |
$1,578.75 |
$1,578.75 |
$732.70
|
|
Unlisted dx gi procedure
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$649.22
|
|
Unlisted maaa
|
$1,618.50 |
$1,618.50 |
$1,618.50 |
$235.20
|
|
Unlisted misc path test
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$89.40
|
|
Unlisted mr procedure
|
$1,596.75 |
$1,596.75 |
$1,596.75 |
$1,163.00
|
|
Unlisted orl service/px
|
$121.50 |
$121.50 |
$121.50 |
$132.60
|
|
Unlisted procedure colon
|
$4,911.75 |
$4,911.75 |
$4,911.75 |
$1,839.55
|
