|
Transcrv abltj utrn fibrd rf
|
$4,255.23 |
$4,255.23 |
$4,255.23 |
$8,750.72
|
|
Transferrin
|
$71.40 |
$71.40 |
$71.40 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$256.41 |
$256.41 |
$256.41 |
$983.00
|
|
Transorl lwr esophgl myotomy
|
$2,016.42 |
$2,016.42 |
$2,016.42 |
$6,588.93
|
|
Transplt allo hct/donor
|
$13,630.47 |
$13,630.47 |
$13,630.47 |
$29,206.10
|
|
Transplt autol hct/donor
|
$1,823.85 |
$1,823.85 |
$1,823.85 |
$3,786.00
|
|
Trb@ gene rearrange dirprobe
|
$35.07 |
$35.07 |
$35.07 |
$73.46
|
|
Treat ankle dislocation
|
$914.97 |
$914.97 |
$914.97 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$163.38 |
$163.38 |
$163.38 |
$705.60
|
|
Treat elbow dislocation
|
$914.13 |
$914.13 |
$914.13 |
$2,223.20
|
|
Treat elbow fracture
|
$919.17 |
$919.17 |
$919.17 |
$1,919.13
|
|
Treat finger fracture each
|
$422.73 |
$422.73 |
$422.73 |
$1,536.00
|
|
Treat foot dislocation
|
$74.34 |
$74.34 |
$74.34 |
$396.30
|
|
Treat foot dislocation
|
$163.38 |
$163.38 |
$163.38 |
$527.28
|
|
Treat foot dislocation
|
$91.35 |
$91.35 |
$91.35 |
$445.80
|
|
Treat fracture of radius
|
$422.73 |
$422.73 |
$422.73 |
$1,790.00
|
|
Treat fracture of radius
|
$904.89 |
$904.89 |
$904.89 |
$1,849.00
|
|
Treat fracture of ulna
|
$132.72 |
$132.72 |
$132.72 |
$726.05
|
|
Treat hip dislocation
|
$977.55 |
$977.55 |
$977.55 |
$2,192.80
|
|
Treat humerus fracture
|
$422.73 |
$422.73 |
$422.73 |
$1,771.43
|
|
Treat knee dislocation
|
$483.84 |
$483.84 |
$483.84 |
$2,220.89
|
|
Treat knee fracture 27530
|
$77.28 |
$77.28 |
$77.28 |
$550.00
|
|
Treat knuckle dislocation
|
$422.73 |
$422.73 |
$422.73 |
$1,523.90
|
|
Treat lower leg dislocation
|
$74.34 |
$74.34 |
$74.34 |
$530.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$96.18 |
$96.18 |
$96.18 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$96.18 |
$96.18 |
$96.18 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$52.71 |
$52.71 |
$52.71 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$65.94 |
$65.94 |
$65.94 |
$520.80
|
|
Treatment of thigh fracture
|
$65.94 |
$65.94 |
$65.94 |
$548.90
|
|
Treatment of thigh fracture
|
$422.73 |
$422.73 |
$422.73 |
$1,772.97
|
|
Treatment radiation delivery level 2
|
$208.32 |
$208.32 |
$208.32 |
$767.65
|
|
Treat ulnar fracture
|
$422.73 |
$422.73 |
$422.73 |
$1,662.00
|
|
Treat vaginal bleeding
|
$114.66 |
$114.66 |
$114.66 |
$379.60
|
|
Treat wrist bone fracture
|
$422.73 |
$422.73 |
$422.73 |
$1,548.40
|
|
Treat wrist dislocation
|
$65.94 |
$65.94 |
$65.94 |
$656.25
|
|
Treponema pallidum antibody
|
$102.06 |
$102.06 |
$102.06 |
$70.40
|
|
Treprostinil injection
|
$6,678.97 |
$6,678.97 |
$6,678.97 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$132.93 |
$132.93 |
$132.93 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$90.34 |
$90.34 |
$90.34 |
$43.21
|
|
Trichinella antibody
|
$66.57 |
$66.57 |
$66.57 |
$70.20
|
|
Trichomonas assay w/optic
|
$9.66 |
$9.66 |
$9.66 |
$55.50
|
|
#tricyclicantidprssnt
|
$38.22 |
$38.22 |
$38.22 |
$50.86
|
|
Triglycerides
|
$92.19 |
$92.19 |
$92.19 |
$58.05
|
|
Trim nail(s)
|
$24.15 |
$24.15 |
$24.15 |
$79.00
|
|
Trim nondyst nails
|
$36.12 |
$36.12 |
$36.12 |
$113.40
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$4,171.44 |
$4,171.44 |
$4,171.44 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$606.48 |
$606.48 |
$606.48 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$5,352.27 |
$5,352.27 |
$5,352.27 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$6,468.84 |
$6,468.84 |
$6,468.84 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$5,352.27 |
$5,352.27 |
$5,352.27 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$7,598.22 |
$7,598.22 |
$7,598.22 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$7,598.22 |
$7,598.22 |
$7,598.22 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$11,133.99 |
$11,133.99 |
$11,133.99 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,251.83 |
$2,251.83 |
$2,251.83 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,284.99 |
$1,284.99 |
$1,284.99 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,817.78 |
$2,817.78 |
$2,817.78 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$872.34 |
$872.34 |
$872.34 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,284.99 |
$1,284.99 |
$1,284.99 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,144.50 |
$1,144.50 |
$1,144.50 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$682.71 |
$682.71 |
$682.71 |
$2,406.77
|
|
Trnspl rej kdn mrna qpcr 139
|
$2,041.20 |
$2,041.20 |
$2,041.20 |
$3,232.32
|
|
Troponin quantitative
|
$138.81 |
$138.81 |
$138.81 |
$127.20
|
|
Tr retinal les preterm inf
|
$465.15 |
$465.15 |
$465.15 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$1,823.22 |
$1,823.22 |
$1,823.22 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$791.49 |
$791.49 |
$791.49 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$791.49 |
$791.49 |
$791.49 |
$1,632.80
|
|
Tx atrial fib pulm vein isol
|
$17,399.97 |
$17,399.97 |
$17,399.97 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$74.34 |
$74.34 |
$74.34 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$65.94 |
$65.94 |
$65.94 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,822.80 |
$1,822.80 |
$1,822.80 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$65.94 |
$65.94 |
$65.94 |
$535.60
|
|
Tx l/r atrial fib addl
|
$3,113.25 |
$3,113.25 |
$3,113.25 |
$6,769.00
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$2,028.18 |
$2,028.18 |
$2,028.18 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,905.75 |
$1,905.75 |
$1,905.75 |
$4,499.12
|
|
Tympanometry & reflex thresh
|
$39.06 |
$39.06 |
$39.06 |
$170.00
|
|
Ugt1a1 gene analy common variants
|
$299.25 |
$299.25 |
$299.25 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$84.00 |
$84.00 |
$84.00 |
$394.20
|
|
Ultrasound breast complete
|
$113.40 |
$113.40 |
$113.40 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$101.22 |
$101.22 |
$101.22 |
$449.35
|
|
Ultrasound chest
|
$103.74 |
$103.74 |
$103.74 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$118.44 |
$118.44 |
$118.44 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$65.73 |
$65.73 |
$65.73 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$41.37 |
$41.37 |
$41.37 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$82.53 |
$82.53 |
$82.53 |
$307.00
|
|
Ultrasound encephalogram
|
$161.49 |
$161.49 |
$161.49 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$186.27 |
$186.27 |
$186.27 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$259.56 |
$259.56 |
$259.56 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$128.73 |
$128.73 |
$128.73 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$205.17 |
$205.17 |
$205.17 |
$720.15
|
|
Ultrasound guide intraoperative
|
$365.61 |
$365.61 |
$365.61 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$172.62 |
$172.62 |
$172.62 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$124.32 |
$124.32 |
$124.32 |
$311.25
|
|
Ultrasound joint complete left
|
$202.44 |
$202.44 |
$202.44 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$118.02 |
$118.02 |
$118.02 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$65.52 |
$65.52 |
$65.52 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$73.50 |
$73.50 |
$73.50 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$73.50 |
$73.50 |
$73.50 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$427.56 |
$427.56 |
$427.56 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$157.92 |
$157.92 |
$157.92 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$208.74 |
$208.74 |
$208.74 |
$459.00
|
