|
Transcatheter bx s&i
|
$710.22 |
$710.22 |
$710.22 |
$1,795.70
|
|
Transcath mv repair addl prosthesis
|
$649.63 |
$649.63 |
$649.63 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$2,750.03 |
$2,750.03 |
$2,750.03 |
$13,818.35
|
|
Transcath occlusion cns
|
$582.75 |
$582.75 |
$582.75 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$5,137.08 |
$5,137.08 |
$5,137.08 |
$12,427.79
|
|
Transferrin
|
$53.47 |
$53.47 |
$53.47 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$393.40 |
$393.40 |
$393.40 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$194.29 |
$194.29 |
$194.29 |
$934.80
|
|
Treat ankle dislocation
|
$2,132.50 |
$2,132.50 |
$2,132.50 |
$2,132.50
|
|
Treat clavicle dislocation 23545
|
$759.61 |
$759.61 |
$759.61 |
$759.61
|
|
Treat elbow dislocation
|
$2,132.50 |
$2,132.50 |
$2,132.50 |
$2,326.40
|
|
Treat elbow fracture
|
$2,856.96 |
$2,856.96 |
$2,856.96 |
$2,055.00
|
|
Treat eyelid by injection
|
$147.08 |
$147.08 |
$147.08 |
$387.00
|
|
Treat finger fracture each
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$1,808.00
|
|
Treat foot dislocation
|
$198.60 |
$198.60 |
$198.60 |
$435.60
|
|
Treat foot dislocation
|
$260.85 |
$260.85 |
$260.85 |
$455.22
|
|
Treat foot dislocation
|
$235.69 |
$235.69 |
$235.69 |
$422.45
|
|
Treat fracture of radius
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$1,884.74
|
|
Treat fracture of radius
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$2,628.48
|
|
Treat fracture of ulna
|
$637.33 |
$637.33 |
$637.33 |
$806.13
|
|
Treat hand dislocation
|
$697.17 |
$697.17 |
$697.17 |
$1,591.20
|
|
Treat hip dislocation
|
$2,132.50 |
$2,132.50 |
$2,132.50 |
$2,644.00
|
|
Treat hip dislocation
|
$2,452.36 |
$2,452.36 |
$2,452.36 |
$3,493.90
|
|
Treat humerus fracture
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$2,055.00
|
|
Treat humerus fracture
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$2,045.35
|
|
Treat kneecap dislocation
|
$2,285.86 |
$2,285.86 |
$2,285.86 |
$1,931.40
|
|
Treat knee fracture 27530
|
$425.96 |
$425.96 |
$425.96 |
$576.13
|
|
Treat knee fracture(s)
|
$724.46 |
$724.46 |
$724.46 |
$669.60
|
|
Treat knuckle dislocation
|
$1,437.27 |
$1,437.27 |
$1,437.27 |
$3,705.22
|
|
Treat lower leg dislocation
|
$394.79 |
$394.79 |
$394.79 |
$571.27
|
|
Treatment incomplete abortion completed surgically any trimester
|
$2,974.25 |
$2,974.25 |
$2,974.25 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$103.79 |
$103.79 |
$103.79 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$87.97 |
$87.97 |
$87.97 |
$140.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$29.88 |
$29.88 |
$29.88 |
$197.60
|
|
Treatment missed abortion completed surgically 1st trimester
|
$2,005.86 |
$2,005.86 |
$2,005.86 |
$3,820.53
|
|
Treatment of ankle fracture
|
$624.28 |
$624.28 |
$624.28 |
$3,779.20
|
|
Treatment of ankle fracture 27786
|
$382.86 |
$382.86 |
$382.86 |
$575.25
|
|
Treatment of fibula fracture
|
$577.66 |
$577.66 |
$577.66 |
$6,373.79
|
|
Treatment of fibula fracture 27780
|
$470.64 |
$470.64 |
$470.64 |
$558.75
|
|
Treatment of heel fracture 28400
|
$304.23 |
$304.23 |
$304.23 |
$469.60
|
|
Treatment of miscarriage
|
$2,388.81 |
$2,388.81 |
$2,388.81 |
$3,744.41
|
|
Treatment of thigh fracture
|
$771.82 |
$771.82 |
$771.82 |
$633.60
|
|
Treatment of thigh fracture
|
$635.20 |
$635.20 |
$635.20 |
$659.00
|
|
Treatment of thigh fracture
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$2,093.25
|
|
Treatment of toe fracture 28510
|
$376.11 |
$376.11 |
$376.11 |
$362.00
|
|
Treatment radiation delivery level 2
|
$150.96 |
$150.96 |
$150.96 |
$737.25
|
|
Treat thigh fracture
|
$728.90 |
$728.90 |
$728.90 |
$661.00
|
|
Treat thigh fracture
|
$2,289.56 |
$2,289.56 |
$2,289.56 |
$1,858.61
|
|
Treat thigh fracture
|
$720.76 |
$720.76 |
$720.76 |
$716.95
|
|
Treat thigh fx growth plate
|
$1,114.44 |
$1,114.44 |
$1,114.44 |
$421.50
|
|
Treat ulnar fracture
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$1,771.43
|
|
Treat vaginal bleeding
|
$142.27 |
$142.27 |
$142.27 |
$342.25
|
|
Treat wrist dislocation
|
$534.93 |
$534.93 |
$534.93 |
$760.00
|
|
Treponema pallidum antibody
|
$59.02 |
$59.02 |
$59.02 |
$74.40
|
|
Treprostinil injection
|
$4,774.98 |
$4,774.98 |
$4,774.98 |
$4,774.98
|
|
Trg gene rearrangement anal
|
$214.32 |
$214.32 |
$214.32 |
$474.50
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$27.12 |
$27.12 |
$27.12 |
$28.90
|
|
Triamcinolone a inj prs-free
|
$10.38 |
$10.38 |
$10.38 |
$696.00
|
|
Trichinella antibody
|
$41.07 |
$41.07 |
$41.07 |
$56.55
|
|
Trichomonas assay w/optic
|
$23.31 |
$23.31 |
$23.31 |
$68.90
|
|
Triglycerides
|
$19.80 |
$19.80 |
$19.80 |
$48.75
|
|
Trimethobenzamide hcl inj
|
$77.98 |
$77.98 |
$77.98 |
$105.89
|
|
Trim nail(s)
|
$132.92 |
$132.92 |
$132.92 |
$91.77
|
|
Trim nondyst nails
|
$120.25 |
$120.25 |
$120.25 |
$124.22
|
|
Trmt of fracture (femoral shaft) 27500
|
$754.80 |
$754.80 |
$754.80 |
$857.58
|
|
Trnscath plc stent crv crtd without prtct
|
$2,405.46 |
$2,405.46 |
$2,405.46 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,122.06 |
$3,122.06 |
$3,122.06 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$1,337.64 |
$1,337.64 |
$1,337.64 |
$6,279.90
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$12,816.80 |
$12,816.80 |
$12,816.80 |
$9,418.42
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$12,816.80 |
$12,816.80 |
$12,816.80 |
$9,565.92
|
|
Trnscath plc vas stent w/s&i ini vein
|
$27,826.41 |
$27,826.41 |
$27,826.41 |
$15,873.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,279.96 |
$3,279.96 |
$3,279.96 |
$5,555.55
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,601.64 |
$1,601.64 |
$1,601.64 |
$6,354.94
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,242.03 |
$3,242.03 |
$3,242.03 |
$4,770.98
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,242.03 |
$3,242.03 |
$3,242.03 |
$5,324.40
|
|
Trnscath tx thromblytc vein ini day
|
$1,380.01 |
$1,380.01 |
$1,380.01 |
$4,201.80
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,456.14 |
$1,456.14 |
$1,456.14 |
$2,986.34
|
|
Troponin quantitative
|
$119.05 |
$119.05 |
$119.05 |
$112.80
|
|
Tte w or without fol w/con,stres
|
$458.06 |
$458.06 |
$458.06 |
$1,108.76
|
|
Tte w or without fol w/cont, f/u
|
$941.56 |
$941.56 |
$941.56 |
$875.24
|
|
Tube trach disp innr can 5 xlt
|
$128.39 |
$128.39 |
$128.39 |
$416.99
|
|
Tube trach fen sz 6 uncuffed
|
$1,120.18 |
$1,120.18 |
$1,120.18 |
$132.40
|
|
Tx atrial fib pulm vein isol
|
$17,899.12 |
$17,899.12 |
$17,899.12 |
$32,426.20
|
|
Tx closed distal humerus fx
|
$135.14 |
$135.14 |
$135.14 |
$786.00
|
|
Tx closed hip disl traumatic without anes
|
$526.79 |
$526.79 |
$526.79 |
$650.45
|
|
Tx closed tib shaft fx without manip
|
$417.27 |
$417.27 |
$417.27 |
$643.75
|
|
Tx l/r atrial fib addl
|
$16,109.25 |
$16,109.25 |
$16,109.25 |
$6,986.85
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$1,679.52 |
$1,679.52 |
$1,679.52 |
$4,239.75
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$2,930.49 |
$2,930.49 |
$2,930.49 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$3,238.80 |
$3,238.80 |
$3,238.80 |
$3,591.33
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,391.29 |
$1,391.29 |
$1,391.29 |
$3,743.15
|
|
Tx tarsal bone fx without manip 28450
|
$376.11 |
$376.11 |
$376.11 |
$414.00
|
|
Ultrasound breast complete
|
$695.23 |
$695.23 |
$695.23 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$695.23 |
$695.23 |
$695.23 |
$427.00
|
|
Ultrasound chest
|
$263.90 |
$263.90 |
$263.90 |
$430.10
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$340.03 |
$340.03 |
$340.03 |
$340.03
|
|
Ultrasound dx ophth b-scan
|
$256.50 |
$256.50 |
$256.50 |
$335.68
|
|
Ultrasound elastography ea l target les
|
$114.33 |
$114.33 |
$114.33 |
$136.11
|
|
Ultrasound elastography parenchyma
|
$114.33 |
$114.33 |
$114.33 |
$275.98
|
|
Ultrasound encephalogram
|
$226.26 |
$226.26 |
$226.26 |
$463.50
|
