|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$136.80 |
$136.80 |
$136.80 |
$203.49
|
|
Treatment mouth roof lesion
|
$5,155.80 |
$5,155.80 |
$5,155.80 |
$4,256.70
|
|
Treatment of ankle fracture
|
$37,041.55 |
$37,041.55 |
$37,041.55 |
$8,412.89
|
|
Treatment of ankle fracture 27786
|
$520.80 |
$520.80 |
$520.80 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$520.80 |
$520.80 |
$520.80 |
$491.50
|
|
Treatment of heel fracture 28400
|
$856.80 |
$856.80 |
$856.80 |
$473.00
|
|
Treatment of thigh fracture
|
$433.80 |
$433.80 |
$433.80 |
$477.75
|
|
Treatment of thigh fracture
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,698.58
|
|
Treatment of thigh fracture
|
$520.80 |
$520.80 |
$520.80 |
$567.60
|
|
Treatment of thigh fracture
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$760.80 |
$760.80 |
$760.80 |
$362.60
|
|
Treat metacarpal fracture
|
$9,795.70 |
$9,795.70 |
$9,795.70 |
$3,986.00
|
|
Treat midfoot fracture each
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,848.50
|
|
Treat sternum fracture
|
$433.80 |
$433.80 |
$433.80 |
$432.64
|
|
Treat thigh fracture
|
$520.80 |
$520.80 |
$520.80 |
$661.00
|
|
Treat thigh fracture
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,893.86
|
|
Treat thigh fracture
|
$520.80 |
$520.80 |
$520.80 |
$618.80
|
|
Treat thigh fx growth plate
|
$520.80 |
$520.80 |
$520.80 |
$475.68
|
|
Treat thigh fx growth plate
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,893.86
|
|
Treat ulnar fracture
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,662.00
|
|
Treat vaginal bleeding
|
$430.80 |
$430.80 |
$430.80 |
$392.00
|
|
Treat wrist bone fracture
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,588.95
|
|
Treat wrist dislocation
|
$520.80 |
$520.80 |
$520.80 |
$656.25
|
|
Treponema pallidum antibody
|
$76.20 |
$76.20 |
$76.20 |
$70.40
|
|
Trg gene rearrangement anal
|
$522.00 |
$522.00 |
$522.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$40.74 |
$40.74 |
$40.74 |
$43.09
|
|
Trichinella antibody
|
$106.20 |
$106.20 |
$106.20 |
$70.65
|
|
Trichomonas assay w/optic
|
$63.00 |
$63.00 |
$63.00 |
$56.70
|
|
Triglycerides
|
$60.60 |
$60.60 |
$60.60 |
$57.85
|
|
Trim nondyst nails
|
$266.40 |
$266.40 |
$266.40 |
$115.70
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$19,750.80 |
$19,750.80 |
$19,750.80 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$9,875.40 |
$9,875.40 |
$9,875.40 |
$7,080.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$520.80 |
$520.80 |
$520.80 |
$754.80
|
|
Trnscath plc stent crv crtd w/prtct
|
$27,679.80 |
$27,679.80 |
$27,679.80 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$23,861.40 |
$23,861.40 |
$23,861.40 |
$6,311.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$4,766.40 |
$4,766.40 |
$4,766.40 |
$4,735.50
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$11,760.00 |
$11,760.00 |
$11,760.00 |
$5,190.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$8,968.80 |
$8,968.80 |
$8,968.80 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$8,968.80 |
$8,968.80 |
$8,968.80 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$14,568.00 |
$14,568.00 |
$14,568.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$10,608.42 |
$10,608.42 |
$10,608.42 |
$2,986.34
|
|
Troponin quantitative
|
$91.20 |
$91.20 |
$91.20 |
$127.20
|
|
Tube trach disp innr can 5 xlt
|
$445.99 |
$445.99 |
$445.99 |
$445.99
|
|
Tx closed distal humerus fx
|
$361.80 |
$361.80 |
$361.80 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$586.80 |
$586.80 |
$586.80 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$6,061.80 |
$6,061.80 |
$6,061.80 |
$3,986.00
|
|
Tx closed tib shaft fx without manip
|
$520.80 |
$520.80 |
$520.80 |
$535.60
|
|
Tx tarsal bone fx without manip 28450
|
$520.80 |
$520.80 |
$520.80 |
$419.04
|
|
Ultrasound abdomen aorta screening study aaa
|
$160.20 |
$160.20 |
$160.20 |
$394.20
|
|
Ultrasound chest
|
$580.80 |
$580.80 |
$580.80 |
$460.85
|
|
Ultrasound encephalogram
|
$637.80 |
$637.80 |
$637.80 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$981.00 |
$981.00 |
$981.00 |
$585.15
|
|
Ultrasound guidance for vascular access
|
$241.80 |
$241.80 |
$241.80 |
$388.08
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,373.40 |
$1,373.40 |
$1,373.40 |
$720.15
|
|
Ultrasound guide intraoperative
|
$796.80 |
$796.80 |
$796.80 |
$625.15
|
|
Ultrasound guide tissue ablation
|
$645.60 |
$645.60 |
$645.60 |
$560.00
|
|
Ultrasound joint complete left
|
$627.60 |
$627.60 |
$627.60 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$624.00 |
$624.00 |
$624.00 |
$424.00
|
|
Ultrasound ob >=14wks ea addl gest
|
$696.00 |
$696.00 |
$696.00 |
$393.86
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$696.00 |
$696.00 |
$696.00 |
$331.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$533.40 |
$533.40 |
$533.40 |
$428.25
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$700.80 |
$700.80 |
$700.80 |
$452.10
|
|
Ultrasound pregnant uterus transvaginal
|
$696.00 |
$696.00 |
$696.00 |
$490.00
|
|
Ultrasound retroperitoneal limited
|
$745.20 |
$745.20 |
$745.20 |
$479.60
|
|
Ultrasound scrotum and contents
|
$702.00 |
$702.00 |
$702.00 |
$612.55
|
|
Ultrasound transvaginal non obstetric
|
$804.60 |
$804.60 |
$804.60 |
$558.35
|
|
Unlisted procedure colon
|
$1,702.20 |
$1,702.20 |
$1,702.20 |
$1,707.50
|
|
Unlisted procedure microbiology
|
$2,994.00 |
$2,994.00 |
$2,994.00 |
$490.70
|
|
Unlisted px arthroscopy
|
$69,587.49 |
$69,587.49 |
$69,587.49 |
$2,765.60
|
|
Unlisted px hands/fingers
|
$378.00 |
$378.00 |
$378.00 |
$378.00
|
|
Unlisted px pelvis/hip joint
|
$43,049.23 |
$43,049.23 |
$43,049.23 |
$3,118.44
|
|
Unlisted px vestibule mouth
|
$384.60 |
$384.60 |
$384.60 |
$418.20
|
|
Unlisted transfusion med px
|
$193.20 |
$193.20 |
$193.20 |
$147.50
|
|
Unlisted ultrasound procedure
|
$299.40 |
$299.40 |
$299.40 |
$326.40
|
|
Upgrade pm system
|
$10,309.20 |
$10,309.20 |
$10,309.20 |
$12,324.60
|
|
Upper Endoscopy (EGD, diagnostic)
|
$7,868.42 |
$7,868.42 |
$7,868.42 |
$1,794.22
|
|
Upper Endoscopy (EGD, with biopsy)
|
$9,622.32 |
$9,622.32 |
$9,622.32 |
$1,768.00
|
|
Uppr gi scope w/submuc inj
|
$13,192.30 |
$13,192.30 |
$13,192.30 |
$1,774.00
|
|
Urea nitrogen
|
$87.60 |
$87.60 |
$87.60 |
$40.95
|
|
Urea nitrogen 24 hour urine
|
$32.40 |
$32.40 |
$32.40 |
$52.00
|
|
Urea nitrogen clearance
|
$16.20 |
$16.20 |
$16.20 |
$45.12
|
|
Ureteral embolization/occl
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$2,546.42
|
|
Urethrcystgrphy rtrgrde s&i
|
$408.60 |
$408.60 |
$408.60 |
$584.00
|
|
Urethrocystography void s&i
|
$436.20 |
$436.20 |
$436.20 |
$648.05
|
|
Uric acid blood
|
$53.40 |
$53.40 |
$53.40 |
$49.44
|
|
Uric acid urine
|
$57.00 |
$57.00 |
$57.00 |
$44.22
|
|
Urinalysis microscopic only
|
$14.40 |
$14.40 |
$14.40 |
$26.46
|
|
Urinalysis qual/semiquant excpt ia
|
$10.20 |
$10.20 |
$10.20 |
$25.72
|
|
Urinalysis (with microscopy)
|
$27.00 |
$27.00 |
$27.00 |
$55.44
|
|
Urinalysis (without microscopy)
|
$31.80 |
$31.80 |
$31.80 |
$36.00
|
|
Urine Culture Test
|
$89.40 |
$89.40 |
$89.40 |
$81.27
|
|
Urine pregnancy test
|
$51.60 |
$51.60 |
$51.60 |
$67.80
|
|
Urography, antegrade
|
$530.40 |
$530.40 |
$530.40 |
$622.35
|
|
Vaccine dtap-ipv-hib-hepb im
|
$64.56 |
$64.56 |
$64.56 |
$174.72
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$58.80 |
$58.80 |
$58.80 |
$76.50
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$601.56 |
$601.56 |
$601.56 |
$563.36
|
|
Vaccine rabies im
|
$923.16 |
$923.16 |
$923.16 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$103.56 |
$103.56 |
$103.56 |
$132.88
|
|
Vaccine td preservative free >= 7 years im
|
$89.76 |
$89.76 |
$89.76 |
$112.10
|
|
Vad univ batt charger hm 1440
|
$16,007.74 |
$16,007.74 |
$16,007.74 |
$14,827.28
|
