|
Trastuzumab-anns 150 mg intravenous solution
|
$18,964.74 |
$18,964.74 |
$21,706.63 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$16,887.58 |
$16,887.58 |
$19,329.16 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$21,631.50 |
$21,631.50 |
$21,631.50 |
$940.80
|
|
Trb@ gene rearrange dirprobe
|
$148.80 |
$148.80 |
$148.80 |
$73.46
|
|
Treat big toe fracture
|
$8,912.90 |
$8,912.90 |
$8,912.90 |
$4,307.52
|
|
Treat ectopic pregnancy
|
$15,989.84 |
$15,989.84 |
$15,989.84 |
$6,707.99
|
|
Treat elbow dislocation
|
$3,394.80 |
$3,394.80 |
$3,394.80 |
$2,223.20
|
|
Treat elbow fracture
|
$952.20 |
$952.20 |
$952.20 |
$1,919.13
|
|
Treat eyelid by injection
|
$18,288.41 |
$18,288.41 |
$18,288.41 |
$481.44
|
|
Treat finger fracture each
|
$9,289.57 |
$9,289.57 |
$9,289.57 |
$4,132.02
|
|
Treat finger fracture each
|
$960.60 |
$960.60 |
$960.60 |
$1,536.00
|
|
Treat foot dislocation
|
$378.60 |
$378.60 |
$378.60 |
$527.28
|
|
Treat foot dislocation
|
$378.60 |
$378.60 |
$378.60 |
$445.80
|
|
Treat fracture of radius
|
$952.20 |
$952.20 |
$952.20 |
$1,790.00
|
|
Treat fracture of ulna
|
$378.60 |
$378.60 |
$378.60 |
$726.05
|
|
Treat heel fracture
|
$26,895.92 |
$26,895.92 |
$26,895.92 |
$8,269.81
|
|
Treat hip dislocation
|
$3,585.00 |
$3,585.00 |
$3,585.00 |
$2,192.80
|
|
Treat humerus fracture
|
$96,694.92 |
$96,694.92 |
$96,694.92 |
$13,278.70
|
|
Treat humerus fracture
|
$51,536.14 |
$51,536.14 |
$51,536.14 |
$12,896.80
|
|
Treat humerus fracture
|
$952.20 |
$952.20 |
$952.20 |
$1,771.43
|
|
Treat humerus fracture
|
$54,649.28 |
$54,649.28 |
$54,649.28 |
$12,653.00
|
|
Treat humerus fracture
|
$960.60 |
$960.60 |
$960.60 |
$1,771.43
|
|
Treat kneecap dislocation
|
$378.60 |
$378.60 |
$378.60 |
$1,068.90
|
|
Treat kneecap dislocation
|
$28,776.41 |
$28,776.41 |
$28,776.41 |
$7,807.24
|
|
Treat kneecap fracture
|
$21,662.26 |
$21,662.26 |
$21,662.26 |
$6,311.00
|
|
Treat knee fracture
|
$38,717.68 |
$38,717.68 |
$38,717.68 |
$3,486.60
|
|
Treat knee fracture
|
$47,954.30 |
$47,954.30 |
$47,954.30 |
$4,521.40
|
|
Treat knee fracture(s)
|
$530.40 |
$530.40 |
$530.40 |
$642.00
|
|
Treat lower leg fracture
|
$122,449.06 |
$122,449.06 |
$122,449.06 |
$6,475.41
|
|
Treat lower leg fracture
|
$43,200.43 |
$43,200.43 |
$43,200.43 |
$14,241.77
|
|
Treat lower leg joint
|
$40,540.10 |
$40,540.10 |
$40,540.10 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$24,729.62 |
$24,729.62 |
$24,729.62 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$36,036.63 |
$36,036.63 |
$36,036.63 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$6,753.00 |
$6,753.00 |
$9,494.98 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$186.60 |
$186.60 |
$186.60 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$141.00 |
$141.00 |
$141.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$126.00 |
$126.00 |
$126.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,753.00 |
$6,753.00 |
$10,116.77 |
$3,982.44
|
|
Treatment of ankle fracture
|
$40,540.10 |
$40,540.10 |
$40,540.10 |
$8,412.89
|
|
Treatment of ankle fracture
|
$49,241.06 |
$49,241.06 |
$49,241.06 |
$8,453.60
|
|
Treatment of ankle fracture
|
$28,732.72 |
$28,732.72 |
$28,732.72 |
$7,907.11
|
|
Treatment of ankle fracture
|
$39,109.85 |
$39,109.85 |
$39,109.85 |
$7,913.97
|
|
Treatment of foot infection
|
$7,854.50 |
$7,854.50 |
$7,854.50 |
$2,614.25
|
|
Treatment of penis lesion
|
$6,108.80 |
$6,108.80 |
$6,108.80 |
$3,515.40
|
|
Treatment of retinal lesion
|
$7,672.57 |
$7,672.57 |
$7,672.57 |
$1,580.87
|
|
Treatment of thigh fracture
|
$952.20 |
$952.20 |
$952.20 |
$1,748.40
|
|
Treatment of thigh fracture
|
$952.20 |
$952.20 |
$952.20 |
$1,772.97
|
|
Treatment of tibia fracture
|
$47,040.62 |
$47,040.62 |
$47,040.62 |
$7,087.60
|
|
Treatment x10sv retinopathy
|
$27,380.48 |
$27,380.48 |
$27,380.48 |
$1,513.20
|
|
Treat metacarpal fracture
|
$22,853.54 |
$22,853.54 |
$22,853.54 |
$5,464.97
|
|
Treat metatarsal fracture
|
$31,744.75 |
$31,744.75 |
$31,744.75 |
$8,453.60
|
|
Treat midfoot fracture each
|
$84,879.00 |
$84,879.00 |
$84,879.00 |
$6,192.78
|
|
Treat radius fracture
|
$27,029.87 |
$27,029.87 |
$27,029.87 |
$7,807.24
|
|
Treat thigh fracture
|
$378.60 |
$378.60 |
$378.60 |
$618.80
|
|
Treat ulnar fracture
|
$952.20 |
$952.20 |
$952.20 |
$1,662.00
|
|
Treat ulnar fracture
|
$38,169.17 |
$38,169.17 |
$38,169.17 |
$5,926.25
|
|
Treat wrist dislocation
|
$934.80 |
$934.80 |
$934.80 |
$656.25
|
|
Treponema pallidum antibody
|
$97.20 |
$97.20 |
$97.20 |
$70.40
|
|
Trg gene rearrangement anal
|
$369.60 |
$369.60 |
$369.60 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$48.36 |
$48.36 |
$20,846.48 |
$43.21
|
|
#tricyclicantidprssnt
|
$31.80 |
$31.80 |
$31.80 |
$50.86
|
|
Triglycerides
|
$86.40 |
$86.40 |
$86.40 |
$58.05
|
|
Trim nail(s)
|
$8,089.13 |
$8,089.13 |
$8,089.13 |
$79.00
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$53,131.39 |
$53,131.39 |
$53,131.39 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$52,402.34 |
$52,402.34 |
$52,402.34 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$5,204.40 |
$5,204.40 |
$5,204.40 |
$7,795.71
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$13,596.60 |
$13,596.60 |
$13,596.60 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$14,277.00 |
$14,277.00 |
$14,277.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$16,583.40 |
$16,583.40 |
$16,583.40 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$7,493.40 |
$7,493.40 |
$7,493.40 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,316.20 |
$3,316.20 |
$3,316.20 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,419.80 |
$5,419.80 |
$5,419.80 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,646.60 |
$5,646.60 |
$5,646.60 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$3,125.40 |
$3,125.40 |
$3,282.60 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$16,676.76 |
$16,676.76 |
$18,200.73 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$9,655.27 |
$9,655.27 |
$9,655.27 |
$2,406.77
|
|
Troponin quantitative
|
$85.80 |
$85.80 |
$85.80 |
$127.20
|
|
Trurl dstrj prst8 tiss rf wv
|
$23,763.26 |
$23,763.26 |
$23,763.26 |
$4,228.00
|
|
Tte w or without fol w/con,stres
|
$1,503.00 |
$1,503.00 |
$1,503.00 |
$1,632.80
|
|
Tube trach disp innr can 5 xlt
|
$1,065.59 |
$1,065.59 |
$1,065.59 |
$445.99
|
|
Tx atrial fib pulm vein isol
|
$28,797.00 |
$28,797.00 |
$28,797.00 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$378.60 |
$378.60 |
$378.60 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$7,289.40 |
$7,289.40 |
$7,289.40 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$530.40 |
$530.40 |
$530.40 |
$535.60
|
|
Tx l/r atrial fib addl
|
$33,168.00 |
$33,168.00 |
$33,168.00 |
$6,769.00
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$12,808.68 |
$12,808.68 |
$12,808.68 |
$4,468.55
|
|
Tx open nsl sptl fx
|
$9,837.80 |
$9,837.80 |
$9,837.80 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$33,129.20 |
$33,129.20 |
$33,129.20 |
$4,499.12
|
|
Tympanic membrane repair
|
$12,175.45 |
$12,175.45 |
$13,399.31 |
$2,638.87
|
|
Ua w/micro/comp poc
|
$13.20 |
$13.20 |
$13.20 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$679.20 |
$679.20 |
$679.20 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$343.20 |
$343.20 |
$343.20 |
$394.20
|
|
Ultrasound breast complete
|
$435.60 |
$435.60 |
$435.60 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$569.40 |
$569.40 |
$569.40 |
$449.35
|
|
Ultrasound chest
|
$381.60 |
$381.60 |
$381.60 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$165.60 |
$165.60 |
$165.60 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$14,077.85 |
$14,077.85 |
$14,077.85 |
$296.80
|
|
Ultrasound encephalogram
|
$600.00 |
$600.00 |
$600.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$807.00 |
$807.00 |
$807.00 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$549.60 |
$549.60 |
$549.60 |
$469.50
|
