|
Transabdom amnioinfus w/us
|
$1,972.10 |
$1,972.10 |
$1,972.10 |
$791.05
|
|
Transcath biopsy
|
$4,730.05 |
$4,730.05 |
$4,730.05 |
$4,298.05
|
|
Transcath closure of asd
|
$11,691.55 |
$11,691.55 |
$11,691.55 |
$18,772.00
|
|
Transcath closure of vsd
|
$12,614.55 |
$12,614.55 |
$12,614.55 |
$18,837.00
|
|
Transcatheter bx s&i
|
$1,845.35 |
$1,845.35 |
$1,845.35 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$924.95 |
$924.95 |
$924.95 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$30,338.10 |
$30,338.10 |
$30,338.10 |
$17,106.18
|
|
Transcath occlusion cns
|
$9,673.30 |
$9,673.30 |
$9,673.30 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$11,280.10 |
$11,280.10 |
$11,280.10 |
$12,427.79
|
|
Trans cath replace aortic valve 33366
|
$30,338.10 |
$30,338.10 |
$30,338.10 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$10,910.90 |
$10,910.90 |
$10,910.90 |
$4,627.00
|
|
Transferrin
|
$96.85 |
$96.85 |
$96.85 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$838.50 |
$838.50 |
$838.50 |
$988.24
|
|
Transperi needle place pros
|
$3,511.30 |
$3,511.30 |
$3,511.30 |
$6,203.00
|
|
Trastuzumab 150 mg intravenous solution
|
$4,256.17 |
$4,256.17 |
$4,256.17 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$3,565.48 |
$3,565.48 |
$3,565.48 |
$7,191.23
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$2,044.12 |
$2,044.12 |
$2,044.12 |
$4,500.03
|
|
Trauma partial team response w/critical care services level 4
|
$10,605.40 |
$10,605.40 |
$10,605.40 |
$5,455.00
|
|
Tray bonemarrw oncontrol 102mm
|
$339.40 |
$339.40 |
$339.40 |
$1,013.83
|
|
Treatment incomplete abortion completed surgically any trimester
|
$2,157.35 |
$2,157.35 |
$2,157.35 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$839.80 |
$839.80 |
$839.80 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$507.65 |
$507.65 |
$507.65 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$146.25 |
$146.25 |
$146.25 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$2,157.35 |
$2,157.35 |
$2,157.35 |
$3,820.53
|
|
Treatment of foot infection
|
$2,189.20 |
$2,189.20 |
$2,189.20 |
$1,893.86
|
|
Treatment of foot infection
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
$3,594.44
|
|
Treatment radiation delivery level 2
|
$1,916.20 |
$1,916.20 |
$1,916.20 |
$735.00
|
|
Treponema pallidum antibody
|
$89.05 |
$89.05 |
$89.05 |
$72.80
|
|
Trg gene rearrangement anal
|
$260.65 |
$260.65 |
$260.65 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$49.63 |
$49.63 |
$49.63 |
$55.80
|
|
Trichinella antibody
|
$163.15 |
$163.15 |
$163.15 |
$70.65
|
|
Trichomonas assay w/optic
|
$15.60 |
$15.60 |
$15.60 |
$66.00
|
|
#tricyclicantidprssnt
|
$115.70 |
$115.70 |
$115.70 |
$57.08
|
|
Triglycerides
|
$63.70 |
$63.70 |
$63.70 |
$54.60
|
|
Trim nail(s)
|
$87.75 |
$87.75 |
$87.75 |
$72.00
|
|
Trim nondyst nails
|
$46.15 |
$46.15 |
$46.15 |
$124.22
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$25,855.05 |
$25,855.05 |
$25,855.05 |
$15,111.95
|
|
Trml dstrj ios bvn ea addl
|
$10,467.60 |
$10,467.60 |
$10,467.60 |
$9,781.50
|
|
Trnscath plc stent crv crtd without prtct
|
$5,957.90 |
$5,957.90 |
$5,957.90 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$26,721.50 |
$26,721.50 |
$26,721.50 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$28,271.10 |
$28,271.10 |
$28,271.10 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,186.70 |
$6,186.70 |
$6,186.70 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,186.70 |
$6,186.70 |
$6,186.70 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$25,208.30 |
$25,208.30 |
$25,208.30 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,465.80 |
$3,465.80 |
$3,465.80 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$31,946.20 |
$31,946.20 |
$31,946.20 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$12,701.00 |
$12,701.00 |
$12,701.00 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$12,357.15 |
$12,357.15 |
$12,357.15 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$24,154.00 |
$24,154.00 |
$24,154.00 |
$4,329.36
|
|
Troponin quantitative
|
$69.55 |
$69.55 |
$69.55 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$1,529.45 |
$1,529.45 |
$1,529.45 |
$1,582.75
|
|
Tte w or without fol w/cont, com
|
$1,838.85 |
$1,838.85 |
$1,838.85 |
$1,220.31
|
|
Tx atrial fib pulm vein isol
|
$55,396.25 |
$55,396.25 |
$55,396.25 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$4,657.25 |
$4,657.25 |
$4,657.25 |
$7,717.80
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$187.23 |
$187.23 |
$187.23 |
$17,191.88
|
|
Ugt1a1 gene analy common variants
|
$456.30 |
$456.30 |
$456.30 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$481.00 |
$481.00 |
$481.00 |
$403.26
|
|
Ultrasound breast complete
|
$1,043.90 |
$1,043.90 |
$1,043.90 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$630.50 |
$630.50 |
$630.50 |
$449.35
|
|
Ultrasound chest
|
$391.30 |
$391.30 |
$391.30 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$397.15 |
$397.15 |
$397.15 |
$340.14
|
|
Ultrasound elastography parenchyma
|
$720.20 |
$720.20 |
$720.20 |
$284.25
|
|
Ultrasound encephalogram
|
$642.20 |
$642.20 |
$642.20 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$497.90 |
$497.90 |
$497.90 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$624.65 |
$624.65 |
$624.65 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$657.80 |
$657.80 |
$657.80 |
$701.35
|
|
Ultrasound guide intraoperative
|
$833.95 |
$833.95 |
$833.95 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$1,023.75 |
$1,023.75 |
$1,023.75 |
$498.40
|
|
Ultrasound joint complete left
|
$663.65 |
$663.65 |
$663.65 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$472.55 |
$472.55 |
$472.55 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$397.15 |
$397.15 |
$397.15 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$316.55 |
$316.55 |
$316.55 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$802.10 |
$802.10 |
$802.10 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$475.80 |
$475.80 |
$475.80 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$417.30 |
$417.30 |
$417.30 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$463.45 |
$463.45 |
$463.45 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$930.80 |
$930.80 |
$930.80 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$506.35 |
$506.35 |
$506.35 |
$498.00
|
|
Ultrasound scrotum and contents
|
$503.75 |
$503.75 |
$503.75 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$639.60 |
$639.60 |
$639.60 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$547.30 |
$547.30 |
$547.30 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$563.55 |
$563.55 |
$563.55 |
$567.44
|
|
Unit mobile power mpu
|
$16,460.01 |
$16,460.01 |
$16,460.01 |
$16,315.20
|
|
Unlisted chemotherapy px
|
$570.70 |
$570.70 |
$570.70 |
$153.85
|
|
Unlisted CT procedure
|
$2,150.20 |
$2,150.20 |
$2,150.20 |
$1,043.00
|
|
Unlisted fluoroscopic px
|
$2,466.10 |
$2,466.10 |
$2,466.10 |
$324.85
|
|
Unlisted mr procedure
|
$442.00 |
$442.00 |
$442.00 |
$1,032.20
|
|
Unlisted procedure colon
|
$529.75 |
$529.75 |
$529.75 |
$1,580.44
|
|
Unlisted procedure microbiology
|
$487.50 |
$487.50 |
$487.50 |
$487.50
|
|
Unlisted procedure pancreas
|
$1,836.90 |
$1,836.90 |
$1,836.90 |
$2,967.75
|
|
Unlisted procedure spine
|
$4,745.00 |
$4,745.00 |
$4,745.00 |
$4,706.35
|
|
Unlisted px biliary tract
|
$1,836.90 |
$1,836.90 |
$1,836.90 |
$2,718.10
|
|
Unlisted px male genital sys
|
$522.60 |
$522.60 |
$522.60 |
$897.95
|
|
Unlisted px pelvis/hip joint
|
$1,693.90 |
$1,693.90 |
$1,693.90 |
$2,108.82
|
|
Unlisted px small intestine
|
$613.60 |
$613.60 |
$613.60 |
$2,118.35
|
|
Unlisted reprod med lab proc
|
$152.10 |
$152.10 |
$152.10 |
$70.00
|
|
Unlisted ultrasound procedure
|
$689.00 |
$689.00 |
$689.00 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$3,498.95 |
$3,498.95 |
$3,498.95 |
$1,480.70
|
|
Upgrade pm system
|
$22,350.25 |
$22,350.25 |
$22,350.25 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,600.35 |
$3,600.35 |
$3,600.35 |
$2,916.00
|
