|
Trans shoe solid stirrup new
|
$359.98 |
$359.98 |
$359.98 |
$217.22
|
|
Trapezius sling
|
$401.94 |
$401.94 |
$401.94 |
$242.54
|
|
Trastuzumab 150 mg intravenous solution
|
$7,344.42 |
$7,344.42 |
$8,003.58 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$17,822.34 |
$17,822.34 |
$19,421.76 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$15,870.30 |
$15,870.30 |
$17,294.52 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$9,053.56 |
$9,053.56 |
$9,053.56 |
$940.80
|
|
Treat ectopic pregnancy
|
$13,777.02 |
$13,777.02 |
$13,777.02 |
$4,350.00
|
|
Treat ectopic pregnancy
|
$16,077.40 |
$16,077.40 |
$16,077.40 |
$6,707.99
|
|
Treat finger fracture each
|
$11,092.62 |
$11,092.62 |
$18,986.70 |
$4,132.02
|
|
Treat foot dislocation
|
$21,958.84 |
$21,958.84 |
$21,958.84 |
$3,839.54
|
|
Treat hand dislocation
|
$17,688.76 |
$17,688.76 |
$17,688.76 |
$3,821.05
|
|
Treat heel fracture
|
$26,478.01 |
$26,478.01 |
$26,478.01 |
$8,269.81
|
|
Treat humerus fracture
|
$34,195.67 |
$34,195.67 |
$34,195.67 |
$13,278.70
|
|
Treat humerus fracture
|
$40,605.92 |
$40,605.92 |
$40,605.92 |
$12,896.80
|
|
Treat humerus fracture
|
$42,613.09 |
$42,613.09 |
$42,613.09 |
$12,653.00
|
|
Treat humerus fracture
|
$33,610.82 |
$33,610.82 |
$33,610.82 |
$10,742.40
|
|
Treat kneecap fracture
|
$21,958.15 |
$21,958.15 |
$33,169.79 |
$6,311.00
|
|
Treat knee fracture
|
$24,704.71 |
$24,704.71 |
$32,459.82 |
$3,486.60
|
|
Treat knee fracture
|
$31,317.17 |
$31,317.17 |
$31,317.17 |
$4,521.40
|
|
Treat lower jaw fracture 21462
|
$27,863.47 |
$27,863.47 |
$47,161.43 |
$7,000.36
|
|
Treat lower leg fracture
|
$43,628.06 |
$43,628.06 |
$71,674.67 |
$14,241.77
|
|
Treat lower leg fracture
|
$49,639.88 |
$49,639.88 |
$49,639.88 |
$12,653.00
|
|
Treat lower leg joint
|
$34,924.28 |
$34,924.28 |
$56,073.04 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$17,188.53 |
$17,188.53 |
$28,459.99 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$27,585.04 |
$27,585.04 |
$32,066.99 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$22,119.31 |
$22,119.31 |
$25,806.30 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$7,886.40 |
$7,886.40 |
$7,886.40 |
$3,916.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$39,647.66 |
$39,647.66 |
$39,647.66 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$8,246.52 |
$8,246.52 |
$8,246.52 |
$3,982.44
|
|
Treatment of ankle fracture
|
$31,174.44 |
$31,174.44 |
$57,467.16 |
$8,412.89
|
|
Treatment of ankle fracture
|
$25,433.87 |
$25,433.87 |
$32,364.48 |
$8,453.60
|
|
Treatment of ankle fracture
|
$34,924.28 |
$34,924.28 |
$42,073.44 |
$7,907.11
|
|
Treatment of ankle fracture
|
$30,772.12 |
$30,772.12 |
$30,772.12 |
$7,913.97
|
|
Treatment of thigh fracture
|
$21,326.38 |
$21,326.38 |
$21,326.38 |
$3,764.80
|
|
Treatment of thigh fracture
|
$119,692.96 |
$119,692.96 |
$119,692.96 |
$3,796.00
|
|
Treatment of tibia fracture
|
$49,639.88 |
$49,639.88 |
$49,639.88 |
$7,087.60
|
|
Treatment radiation delivery level 2
|
$2,968.80 |
$2,968.80 |
$2,968.80 |
$767.65
|
|
Treat metacarpal fracture
|
$16,402.45 |
$16,402.45 |
$27,358.70 |
$5,464.97
|
|
Treat metatarsal fracture
|
$21,958.84 |
$21,958.84 |
$21,958.84 |
$3,839.54
|
|
Treat metatarsal fracture
|
$25,154.92 |
$25,154.92 |
$25,154.92 |
$8,453.60
|
|
Treat radius fracture
|
$59,411.89 |
$59,411.89 |
$59,411.89 |
$7,807.24
|
|
Treat thigh fracture
|
$118,060.13 |
$118,060.13 |
$118,060.13 |
$4,083.00
|
|
Treat toe dislocation
|
$5,152.26 |
$5,152.26 |
$5,152.26 |
$756.39
|
|
Treat toe dislocation
|
$11,062.08 |
$11,062.08 |
$11,062.08 |
$3,821.05
|
|
Treat ulnar fracture
|
$31,942.10 |
$31,942.10 |
$36,735.96 |
$5,926.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$31,454.22 |
$31,454.22 |
$31,454.22 |
$73,346.25
|
|
Treponema pallidum antibody
|
$67.80 |
$67.80 |
$67.80 |
$70.40
|
|
Treprostinil injection
|
$64,633.74 |
$64,633.74 |
$64,633.74 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$347.40 |
$347.40 |
$347.40 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$45.90 |
$45.90 |
$47.94 |
$43.21
|
|
Trichinella antibody
|
$169.20 |
$169.20 |
$169.20 |
$70.20
|
|
Triglycerides
|
$60.00 |
$60.00 |
$60.00 |
$58.05
|
|
Trim nondyst nails
|
$96.60 |
$96.60 |
$96.60 |
$113.40
|
|
Trnscath plc stent crv crtd without prtct
|
$26,708.40 |
$26,708.40 |
$26,708.40 |
$7,795.71
|
|
Trnscath plc stnt ante carotid art
|
$21,294.00 |
$21,294.00 |
$21,294.00 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$23,121.00 |
$23,121.00 |
$23,121.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$23,121.00 |
$23,121.00 |
$23,121.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$23,121.00 |
$23,121.00 |
$23,121.00 |
$15,330.11
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$34,238.47 |
$34,238.47 |
$34,238.47 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$11,650.50 |
$11,650.50 |
$11,650.50 |
$2,986.34
|
|
Troponin quantitative
|
$70.20 |
$70.20 |
$70.20 |
$127.20
|
|
Tube trach disp innr can 5 xlt
|
$675.32 |
$675.32 |
$675.32 |
$445.99
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$24,591.64 |
$24,591.64 |
$30,722.94 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$49,639.88 |
$49,639.88 |
$49,639.88 |
$416.16
|
|
Tympanic membrane repair
|
$9,464.13 |
$9,464.13 |
$9,464.13 |
$2,638.87
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$4,772.71 |
$4,772.71 |
$4,772.71 |
$911.43
|
|
Ua w/micro/comp poc
|
$16.20 |
$16.20 |
$16.20 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$298.20 |
$298.20 |
$298.20 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$442.20 |
$442.20 |
$442.20 |
$394.20
|
|
Ultrasound breast complete
|
$69.00 |
$69.00 |
$69.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$418.20 |
$418.20 |
$418.20 |
$449.35
|
|
Ultrasound chest
|
$327.00 |
$327.00 |
$327.00 |
$460.85
|
|
Ultrasound encephalogram
|
$783.00 |
$783.00 |
$783.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$510.60 |
$510.60 |
$510.60 |
$573.54
|
|
Ultrasound infant hips ltd without stress
|
$554.40 |
$554.40 |
$554.40 |
$311.25
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$744.00 |
$744.00 |
$744.00 |
$331.50
|
|
Ultrasound retroperitoneal limited
|
$510.60 |
$510.60 |
$510.60 |
$486.50
|
|
Ultrasound spinal canal and contents
|
$510.60 |
$510.60 |
$510.60 |
$463.00
|
|
Umbilicoplasty 15847
|
$26,299.52 |
$26,299.52 |
$61,508.00 |
$4,172.97
|
|
Unlisted chemotherapy px
|
$57.60 |
$57.60 |
$57.60 |
$150.00
|
|
Unlisted hematology&coagj px
|
$162.60 |
$162.60 |
$162.60 |
$39.52
|
|
Unlisted laparoscopic liver biopy 47379
|
$19,110.07 |
$19,110.07 |
$24,652.21 |
$5,419.00
|
|
Unlisted laparoscopic procedure 49659
|
$18,475.22 |
$18,475.22 |
$18,475.22 |
$6,838.32
|
|
Unlisted misc path test
|
$38.40 |
$38.40 |
$38.40 |
$89.40
|
|
Unlisted procedure esophagus
|
$2,680.80 |
$2,680.80 |
$2,680.80 |
$1,998.88
|
|
Unlisted procedure microbiology
|
$1,984.80 |
$1,984.80 |
$1,984.80 |
$523.50
|
|
Unlisted px arthroscopy
|
$42,808.09 |
$42,808.09 |
$42,808.09 |
$2,765.60
|
|
Unlisted px foot/toes
|
$30,218.14 |
$30,218.14 |
$30,218.14 |
$1,225.50
|
|
Unlisted px forearm/wrist
|
$39,688.94 |
$39,688.94 |
$39,688.94 |
$593.60
|
|
Unlisted px med radj physics
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$462.35
|
|
Unlisted transfusion med px
|
$192.00 |
$192.00 |
$192.00 |
$147.50
|
|
Upper Endoscopy (EGD, diagnostic)
|
$4,339.44 |
$4,339.44 |
$5,067.79 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$5,881.80 |
$5,881.80 |
$9,408.26 |
$1,768.00
|
|
Uppr gi scope w/submuc inj
|
$9,771.84 |
$9,771.84 |
$12,353.88 |
$1,872.00
|
|
Urea nitrogen
|
$54.00 |
$54.00 |
$54.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$36.60 |
$36.60 |
$36.60 |
$51.75
|
|
Urea nitrogen clearance
|
$16.20 |
$16.20 |
$16.20 |
$42.25
|
|
Ureteral embolization/occl
|
$2,274.60 |
$2,274.60 |
$2,274.60 |
$2,181.40
|
|
Ureteral reflux study
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$952.50
|
