|
Trichinella antibody
|
$41.07 |
$41.07 |
$162.50 |
|
|
Trichomonas assay w/optic
|
$23.31 |
$23.31 |
$89.05 |
|
|
#tricyclicantidprssnt
|
$122.20 |
$122.20 |
$122.20 |
|
|
Triglycerides
|
$19.80 |
$53.95 |
$252.20 |
|
|
Trimethobenzamide hcl inj
|
$77.98 |
$77.98 |
$77.98 |
|
|
Trim nail(s)
|
$132.92 |
$132.92 |
$132.92 |
|
|
Trim nondyst nails
|
$29.00 |
$120.25 |
$120.25 |
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$18,191.17 |
$18,191.17 |
$18,191.17 |
|
|
Trml dstrj ios bvn ea addl
|
$22,629.39 |
$22,629.39 |
$22,629.39 |
|
|
Trmt of fracture (femoral shaft) 27500
|
$754.80 |
$754.80 |
$1,169.35 |
|
|
Trnscath plc stent crv crtd without prtct
|
$2,405.46 |
$2,405.46 |
$14,737.45 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,122.06 |
$3,122.06 |
$6,258.85 |
|
|
Trnscath plc stnt ante carotid art
|
$1,337.64 |
$1,337.64 |
$1,337.64 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$7,804.55 |
$9,365.20 |
$12,816.80 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$8,305.70 |
$12,816.80 |
$60,282.61 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$17,467.45 |
$27,826.41 |
$60,282.61 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,456.35 |
$3,279.96 |
$4,969.90 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,601.64 |
$1,601.64 |
$8,099.75 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,242.03 |
$3,242.03 |
$3,242.03 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,242.03 |
$3,242.03 |
$3,242.03 |
|
|
Trnscath tx thromblytc vein ini day
|
$1,380.01 |
$1,380.01 |
$1,380.01 |
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,456.14 |
$1,456.14 |
$1,456.14 |
|
|
Troponin quantitative
|
$38.00 |
$119.05 |
$145.60 |
|
|
Tte w or without contr, cont ecg
|
$1,463.80 |
$1,613.95 |
$1,966.90 |
|
|
Tte w or without fol w/con,stres
|
$458.06 |
$458.06 |
$1,907.10 |
|
|
Tte w or without fol w/cont, com
|
$4,416.75 |
$4,416.75 |
$4,416.75 |
|
|
Tte w or without fol w/cont, f/u
|
$941.56 |
$941.56 |
$941.56 |
|
|
Tube trach disp innr can 5 xlt
|
$114.81 |
$114.81 |
$128.39 |
|
|
Tube trach fen sz 6 uncuffed
|
$1,120.18 |
$1,120.18 |
$1,120.18 |
|
|
Tx atrial fib pulm vein isol
|
$17,899.12 |
$17,899.12 |
$32,999.85 |
|
|
Tx closed distal humerus fx
|
$135.14 |
$135.14 |
$135.14 |
|
|
Tx closed hip disl traumatic without anes
|
$294.34 |
$294.34 |
$526.79 |
|
|
Tx closed tib shaft fx without manip
|
$256.97 |
$256.97 |
$417.27 |
|
|
Tx ectopic pregnancy ntrstl prtl rescj uter 59136
|
$14,761.25 |
$14,761.25 |
$14,761.25 |
|
|
Tx l/r atrial fib addl
|
$15,355.60 |
$16,109.25 |
$16,109.25 |
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$1,679.52 |
$1,679.52 |
$1,679.52 |
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$1,023.10 |
$2,930.49 |
$2,930.49 |
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$3,238.80 |
$3,238.80 |
$3,238.80 |
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,391.29 |
$1,391.29 |
$1,391.29 |
|
|
Tx tarsal bone fx without manip 28450
|
$376.11 |
$376.11 |
$423.15 |
|
|
Tympanic membrane repair
|
$3,990.32 |
$3,990.32 |
$3,990.32 |
|
|
Ua w/micro/comp poc
|
$16.90 |
$16.90 |
$42.00 |
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$43,258.60 |
$43,258.60 |
$43,258.60 |
|
|
Ugt1a1 gene analy common variants
|
$651.95 |
$651.95 |
$1,281.15 |
|
|
Ultrasound abdomen aorta screening study aaa
|
$317.20 |
$406.90 |
$501.80 |
|
|
Ultrasound breast complete
|
$378.95 |
$695.23 |
$910.65 |
|
|
Ultrasound breast unilateral limited (both sides)
|
$331.50 |
$596.05 |
$695.23 |
|
|
Ultrasound chest
|
$244.40 |
$263.90 |
$930.15 |
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$340.03 |
$340.03 |
$1,047.15 |
|
|
Ultrasound dx ophth b-scan
|
$256.50 |
$256.50 |
$256.50 |
|
|
Ultrasound elastography ea l target les
|
$114.33 |
$114.33 |
$114.33 |
|
|
Ultrasound elastography parenchyma
|
$114.33 |
$114.33 |
$302.25 |
|
|
Ultrasound encephalogram
|
$226.26 |
$226.26 |
$715.65 |
|
|
Ultrasound exam k transpl w/doppler
|
$398.49 |
$398.49 |
$584.35 |
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$219.05 |
$294.06 |
$572.00 |
|
|
Ultrasound guidance for vascular access
|
$155.49 |
$155.49 |
$464.10 |
|
|
Ultrasound guided needle placement supervision & interpretation
|
$289.99 |
$289.99 |
$1,246.70 |
|
|
Ultrasound guide intraoperative
|
$193.42 |
$193.42 |
$602.55 |
|
|
Ultrasound guide tissue ablation
|
$546.00 |
$840.00 |
$1,005.55 |
|
|
Ultrasound hips infant dynamic
|
$175.75 |
$175.75 |
$175.75 |
|
|
Ultrasound infant hips ltd without stress
|
$93.80 |
$93.80 |
$404.95 |
|
|
Ultrasound joint complete left
|
$205.63 |
$397.15 |
$931.00 |
|
|
Ultrasound joint/nonvascular extremity limited left
|
$154.75 |
$350.35 |
$1,116.70 |
|
|
Ultrasound ob >=14wks ea addl gest
|
$192.22 |
$192.22 |
$674.70 |
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$125.34 |
$283.40 |
$436.00 |
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$479.89 |
$479.89 |
$1,049.00 |
|
|
Ultrasound pregnant uterus follow up per fetus
|
$278.85 |
$446.22 |
$587.60 |
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$318.50 |
$350.02 |
$668.20 |
|
|
Ultrasound pregnant uterus transvaginal
|
$272.04 |
$419.90 |
$697.45 |
|
|
Ultrasound prostate/transrectal
|
$295.45 |
$295.45 |
$527.15 |
|
|
Ultrasound retroperitoneal limited
|
$241.80 |
$277.13 |
$711.75 |
|
|
Ultrasound scrotum and contents
|
$299.15 |
$331.50 |
$964.60 |
|
|
Ultrasound spinal canal and contents
|
$175.01 |
$175.01 |
$861.90 |
|
|
Ultrasound transabd ea addl gest
|
$137.55 |
$137.55 |
$812.50 |
|
|
Ultrasound transvaginal non obstetric
|
$341.90 |
$378.88 |
$898.95 |
|
|
Umbilical artery cath newborn 36660
|
$293.78 |
$293.78 |
$293.78 |
|
|
Unlisted CT procedure
|
$584.35 |
$584.35 |
$584.35 |
|
|
Unlisted fluoroscopic px
|
$646.75 |
$646.75 |
$646.75 |
|
|
Unlisted laparoscopic liver biopy 47379
|
$9,730.74 |
$9,730.74 |
$12,696.07 |
|
|
Unlisted laparoscopic procedure 49659
|
$9,127.89 |
$9,127.89 |
$14,986.80 |
|
|
Unlisted laparoscopic reduction intestine 44238
|
$12,312.88 |
$12,312.88 |
$18,011.75 |
|
|
Unlisted laps px appendix
|
$12,312.88 |
$12,312.88 |
$19,765.43 |
|
|
Unlisted laps px bladder
|
$18,322.82 |
$18,322.82 |
$18,322.82 |
|
|
Unlisted laps px esoph
|
$13,649.50 |
$13,649.50 |
$13,649.50 |
|
|
Unlisted laps px lymphtc sys
|
$14,970.51 |
$14,970.51 |
$14,970.51 |
|
|
Unlisted laps px ovidct ovry
|
$8,238.28 |
$8,238.28 |
$16,649.41 |
|
|
Unlisted laps px testis
|
$13,219.57 |
$13,219.57 |
$13,219.57 |
|
|
Unlisted laps px ureter
|
$22,421.15 |
$22,421.15 |
$22,458.34 |
|
|
Unlisted laps px uterus
|
$18,428.66 |
$18,428.66 |
$18,428.66 |
|
|
Unlisted neurological dx px
|
$152.10 |
$152.10 |
$174.85 |
|
|
Unlisted procedure liver
|
$4,293.90 |
$4,293.90 |
$4,293.90 |
|
|
Unlisted procedure microbiology
|
$72.80 |
$234.58 |
$1,210.95 |
|
|
Unlisted procedure pancreas
|
$4,932.47 |
$4,932.47 |
$4,932.47 |
|
|
Unlisted procedure rectum
|
$13,066.03 |
$13,066.03 |
$13,066.03 |
|
|
Unlisted px accessory sinus
|
$17,937.38 |
$17,937.38 |
$17,937.38 |
|
|
Unlisted px arthroscopy
|
$17,922.90 |
$17,922.90 |
$31,179.63 |
|
|
Unlisted px biliary tract
|
$9,105.15 |
$9,105.15 |
$9,105.15 |
|
|
Unlisted px male genital sys
|
$5,358.53 |
$5,358.53 |
$11,957.11 |
|
|
Unlisted px palate uvula
|
$12,031.97 |
$12,031.97 |
$12,031.97 |
|
|
Unlisted px pelvis/hip joint
|
$2,108.82 |
$2,108.82 |
$2,108.82 |
|
