|
Trnscath plc vas stent w/s&i ea addl vein
|
$10,600.50 |
$10,600.50 |
$10,600.50 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$14,461.50 |
$14,461.50 |
$14,461.50 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,869.25 |
$3,869.25 |
$3,869.25 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$9,270.75 |
$9,270.75 |
$9,270.75 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,724.50 |
$3,724.50 |
$3,724.50 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,232.25 |
$4,232.25 |
$4,232.25 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$2,489.25 |
$2,489.25 |
$2,489.25 |
$3,900.60
|
|
Troponin quantitative
|
$298.50 |
$298.50 |
$298.50 |
$125.00
|
|
Tte w or without fol w/con,stres
|
$1,949.25 |
$1,949.25 |
$1,949.25 |
$1,643.14
|
|
Tte w or without fol w/cont, com
|
$1,475.25 |
$1,475.25 |
$1,475.25 |
$1,266.50
|
|
Tte w or without fol w/cont, f/u
|
$1,250.25 |
$1,250.25 |
$1,250.25 |
$1,178.00
|
|
Tx atrial fib pulm vein isol
|
$29,199.75 |
$29,199.75 |
$29,199.75 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$3,079.50 |
$3,079.50 |
$3,079.50 |
$589.00
|
|
Tx closed hip disl traumatic without anes
|
$1,518.75 |
$1,518.75 |
$1,518.75 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$5,023.50 |
$5,023.50 |
$5,023.50 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$288.00 |
$288.00 |
$288.00 |
$535.60
|
|
Tx contour defects 1.1-5.0cc 11951
|
$2,245.50 |
$2,245.50 |
$2,245.50 |
$849.50
|
|
Tx l/r atrial fib addl
|
$10,523.25 |
$10,523.25 |
$10,523.25 |
$6,986.85
|
|
Tx tarsal bone fx without manip 28450
|
$268.50 |
$268.50 |
$268.50 |
$423.15
|
|
Tympanometry & reflex thresh
|
$150.75 |
$150.75 |
$150.75 |
$173.18
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$2,048.25 |
$2,048.25 |
$2,048.25 |
$911.43
|
|
Typhoid vaccine oral
|
$365.66 |
$365.66 |
$365.66 |
$63.28
|
|
Ua w/micro/comp poc
|
$69.75 |
$69.75 |
$69.75 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$438.75 |
$438.75 |
$438.75 |
$438.75
|
|
Ultrasound breast complete
|
$734.25 |
$734.25 |
$734.25 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$540.00 |
$540.00 |
$540.00 |
$452.00
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$561.00 |
$561.00 |
$561.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$404.25 |
$404.25 |
$404.25 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$177.00 |
$177.00 |
$177.00 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$262.50 |
$262.50 |
$262.50 |
$307.00
|
|
Ultrasound encephalogram
|
$584.25 |
$584.25 |
$584.25 |
$485.48
|
|
Ultrasound exam k transpl w/doppler
|
$804.00 |
$804.00 |
$804.00 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$771.75 |
$771.75 |
$771.75 |
$477.10
|
|
Ultrasound Guidance for a Needle Procedure
|
$773.25 |
$773.25 |
$773.25 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$522.75 |
$522.75 |
$522.75 |
$388.08
|
|
Ultrasound guide intraoperative
|
$1,354.50 |
$1,354.50 |
$1,354.50 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$1,032.75 |
$1,032.75 |
$1,032.75 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$440.25 |
$440.25 |
$440.25 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$360.00 |
$360.00 |
$360.00 |
$304.00
|
|
Ultrasound joint complete left
|
$881.25 |
$881.25 |
$881.25 |
$560.92
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$132.75 |
$132.75 |
$132.75 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$843.00 |
$843.00 |
$843.00 |
$406.44
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$766.50 |
$766.50 |
$766.50 |
$333.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,159.50 |
$1,159.50 |
$1,159.50 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$513.75 |
$513.75 |
$513.75 |
$428.25
|
|
Ultrasound prostate/transrectal
|
$954.75 |
$954.75 |
$954.75 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$1,079.25 |
$1,079.25 |
$1,079.25 |
$459.00
|
|
Ultrasound transabd ea addl gest
|
$762.75 |
$762.75 |
$762.75 |
$417.15
|
|
Ultrasound trgt dyn mbubb 1st les
|
$303.00 |
$303.00 |
$303.00 |
$568.32
|
|
Umbilical artery cath newborn 36660
|
$648.00 |
$648.00 |
$648.00 |
$223.80
|
|
Unit mobile power mpu
|
$19,611.75 |
$19,611.75 |
$19,611.75 |
$14,359.52
|
|
Unlisted chemotherapy px
|
$72.00 |
$72.00 |
$72.00 |
$149.15
|
|
Unlisted CT procedure
|
$1,578.75 |
$1,578.75 |
$1,578.75 |
$740.43
|
|
Unlisted dialysis procedure
|
$3,624.00 |
$3,624.00 |
$3,624.00 |
$1,144.00
|
|
Unlisted dx gi procedure
|
$2,470.50 |
$2,470.50 |
$2,470.50 |
$649.22
|
|
Unlisted fetal invas px w/us
|
$455.25 |
$455.25 |
$455.25 |
$498.40
|
|
Unlisted hematology&coagj px
|
$3,657.00 |
$3,657.00 |
$3,657.00 |
$39.52
|
|
Unlisted maaa
|
$1,618.50 |
$1,618.50 |
$1,618.50 |
$235.20
|
|
Unlisted misc path test
|
$9,375.00 |
$9,375.00 |
$9,375.00 |
$89.40
|
|
Unlisted mr procedure
|
$1,616.25 |
$1,616.25 |
$1,616.25 |
$1,165.00
|
|
Unlisted orl service/px
|
$582.00 |
$582.00 |
$582.00 |
$132.60
|
|
Unlisted procedure colon
|
$6,297.75 |
$6,297.75 |
$6,297.75 |
$1,839.55
|
|
Unlisted procedure esophagus
|
$6,231.75 |
$6,231.75 |
$6,231.75 |
$1,998.88
|
|
Unlisted procedure larynx
|
$4,960.50 |
$4,960.50 |
$4,960.50 |
$924.00
|
|
Unlisted procedure liver
|
$2,802.00 |
$2,802.00 |
$2,802.00 |
$2,287.20
|
|
Unlisted procedure microbiology
|
$277.50 |
$277.50 |
$277.50 |
$530.00
|
|
Unlisted procedure pancreas
|
$2,967.75 |
$2,967.75 |
$2,967.75 |
$4,810.00
|
|
Unlisted procedure rectum
|
$1,058.25 |
$1,058.25 |
$1,058.25 |
$1,278.72
|
|
Unlisted px abdomen muscskel
|
$1,824.75 |
$1,824.75 |
$1,824.75 |
$2,053.50
|
|
Unlisted px conjunctiva
|
$2,676.75 |
$2,676.75 |
$2,676.75 |
$479.62
|
|
Unlisted px external ear
|
$3,810.75 |
$3,810.75 |
$3,810.75 |
$325.68
|
|
Unlisted px foot/toes
|
$3,846.75 |
$3,846.75 |
$3,846.75 |
$1,225.50
|
|
Unlisted px hands/fingers
|
$331.50 |
$331.50 |
$331.50 |
$349.70
|
|
Unlisted px neck/thorax
|
$2,880.75 |
$2,880.75 |
$2,880.75 |
$571.20
|
|
Unlisted px palate uvula
|
$271.50 |
$271.50 |
$271.50 |
$274.80
|
|
Unlisted px small intestine
|
$2,490.00 |
$2,490.00 |
$2,490.00 |
$2,118.35
|
|
Unlisted px tongue flr mouth
|
$1,627.50 |
$1,627.50 |
$1,627.50 |
$282.50
|
|
Unlisted special svc px/rprt
|
$354.00 |
$354.00 |
$354.00 |
$90.00
|
|
Unlisted ultrasound procedure
|
$612.75 |
$612.75 |
$612.75 |
$335.00
|
|
Upgrade pm system
|
$18,889.50 |
$18,889.50 |
$18,889.50 |
$12,087.24
|
|
Upper Arm (Humerus) X-ray (left side)
|
$399.00 |
$399.00 |
$399.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$1,701.00 |
$1,701.00 |
$1,701.00 |
$1,652.95
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,437.75 |
$1,437.75 |
$1,437.75 |
$1,422.05
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,886.75 |
$2,886.75 |
$2,886.75 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,721.75 |
$2,721.75 |
$2,721.75 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$342.75 |
$342.75 |
$342.75 |
$320.45
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$468.00 |
$468.00 |
$468.00 |
$380.82
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,624.25 |
$2,624.25 |
$2,624.25 |
$1,824.75
|
|
Upper Endoscopy (EGD, with biopsy)
|
$2,846.25 |
$2,846.25 |
$2,846.25 |
$1,768.00
|
|
Upper GI Barium X-ray (barium and gas)
|
$675.75 |
$675.75 |
$675.75 |
$657.77
|
|
Upper GI Barium X-ray (barium only)
|
$561.75 |
$561.75 |
$561.75 |
$603.20
|
|
Uppr gi scope w/submuc inj
|
$2,238.00 |
$2,238.00 |
$2,238.00 |
$1,872.00
|
|
Urea nitrogen
|
$46.50 |
$46.50 |
$46.50 |
$42.00
|
|
Urea nitrogen 24 hour urine
|
$47.25 |
$47.25 |
$47.25 |
$51.77
|
|
Urea nitrogen clearance
|
$57.00 |
$57.00 |
$57.00 |
$34.02
|
|
Ureteral embolization/occl
|
$3,263.25 |
$3,263.25 |
$3,263.25 |
$2,079.31
|
|
Ureteral reflux study
|
$1,253.25 |
$1,253.25 |
$1,253.25 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$816.00 |
$816.00 |
$816.00 |
$592.80
|
|
Urethrocystography void s&i
|
$835.50 |
$835.50 |
$835.50 |
$631.75
|
