|
Tomosynthesis breast diagnostic left
|
$24.15 |
$24.15 |
$24.15 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$24.15 |
$24.15 |
$24.15 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$297.85 |
$297.85 |
$297.85 |
$325.00
|
|
Toxoplasma antibody igg
|
$13.11 |
$13.11 |
$13.11 |
$89.40
|
|
Toxoplasma antibody igm
|
$39.56 |
$39.56 |
$39.56 |
$87.00
|
|
Tp53 gene full gene sequence
|
$498.18 |
$498.18 |
$498.18 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$246.10 |
$246.10 |
$246.10 |
$790.68
|
|
Tracheobrnchsc thru est trachs incisn
|
$292.33 |
$292.33 |
$292.33 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$46.23 |
$46.23 |
$46.23 |
$101.25
|
|
Transcath biopsy
|
$1,803.43 |
$1,803.43 |
$1,803.43 |
$4,285.93
|
|
Transcatheter bx s&i
|
$560.51 |
$560.51 |
$560.51 |
$1,915.00
|
|
Transferrin
|
$51.75 |
$51.75 |
$51.75 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$242.88 |
$242.88 |
$242.88 |
$983.00
|
|
Trb@ gene rearrange dirprobe
|
$38.41 |
$38.41 |
$38.41 |
$73.46
|
|
Treat ankle dislocation
|
$1,002.11 |
$1,002.11 |
$1,002.11 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$178.94 |
$178.94 |
$178.94 |
$705.60
|
|
Treat elbow dislocation
|
$1,001.19 |
$1,001.19 |
$1,001.19 |
$2,223.20
|
|
Treat elbow fracture
|
$964.62 |
$964.62 |
$964.62 |
$1,919.13
|
|
Treat finger fracture each
|
$422.05 |
$422.05 |
$422.05 |
$1,536.00
|
|
Treat foot dislocation
|
$57.50 |
$57.50 |
$57.50 |
$396.30
|
|
Treat foot dislocation
|
$178.94 |
$178.94 |
$178.94 |
$527.28
|
|
Treat foot dislocation
|
$91.54 |
$91.54 |
$91.54 |
$445.80
|
|
Treat fracture of radius
|
$422.05 |
$422.05 |
$422.05 |
$1,790.00
|
|
Treat fracture of radius
|
$991.07 |
$991.07 |
$991.07 |
$1,849.00
|
|
Treat fracture of ulna
|
$145.36 |
$145.36 |
$145.36 |
$726.05
|
|
Treat hip dislocation
|
$1,070.65 |
$1,070.65 |
$1,070.65 |
$2,192.80
|
|
Treat humerus fracture
|
$422.05 |
$422.05 |
$422.05 |
$1,771.43
|
|
Treat knee dislocation
|
$477.25 |
$477.25 |
$477.25 |
$2,220.89
|
|
Treat knee fracture 27530
|
$162.84 |
$162.84 |
$162.84 |
$550.00
|
|
Treat knuckle dislocation
|
$422.05 |
$422.05 |
$422.05 |
$1,523.90
|
|
Treat lower leg dislocation
|
$57.04 |
$57.04 |
$57.04 |
$530.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$84.41 |
$84.41 |
$84.41 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$84.41 |
$84.41 |
$84.41 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$57.73 |
$57.73 |
$57.73 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$72.22 |
$72.22 |
$72.22 |
$520.80
|
|
Treatment of thigh fracture
|
$72.22 |
$72.22 |
$72.22 |
$548.90
|
|
Treatment of thigh fracture
|
$422.05 |
$422.05 |
$422.05 |
$1,772.97
|
|
Treat thigh fracture
|
$1,004.64 |
$1,004.64 |
$1,004.64 |
$2,032.10
|
|
Treat ulnar fracture
|
$422.05 |
$422.05 |
$422.05 |
$1,662.00
|
|
Treat vaginal bleeding
|
$120.52 |
$120.52 |
$120.52 |
$379.60
|
|
Treat wrist bone fracture
|
$422.05 |
$422.05 |
$422.05 |
$1,548.40
|
|
Treat wrist dislocation
|
$72.22 |
$72.22 |
$72.22 |
$656.25
|
|
Treponema pallidum antibody
|
$32.43 |
$32.43 |
$32.43 |
$70.40
|
|
Treprostinil injection
|
$7,315.06 |
$7,315.06 |
$7,315.06 |
$19,071.84
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$98.95 |
$98.95 |
$98.95 |
$43.21
|
|
Trichomonas assay w/optic
|
$10.58 |
$10.58 |
$10.58 |
$55.50
|
|
Triglycerides
|
$100.97 |
$100.97 |
$100.97 |
$58.05
|
|
Trim nail(s)
|
$22.31 |
$22.31 |
$22.31 |
$79.00
|
|
Trim nondyst nails
|
$39.56 |
$39.56 |
$39.56 |
$113.40
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$3,056.93 |
$3,056.93 |
$3,056.93 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,056.93 |
$3,056.93 |
$3,056.93 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$6,114.09 |
$6,114.09 |
$6,114.09 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,371.53 |
$2,371.53 |
$2,371.53 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,353.32 |
$1,353.32 |
$1,353.32 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,967.46 |
$2,967.46 |
$2,967.46 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$991.07 |
$991.07 |
$991.07 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,353.32 |
$1,353.32 |
$1,353.32 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,201.52 |
$1,201.52 |
$1,201.52 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$728.64 |
$728.64 |
$728.64 |
$2,406.77
|
|
Trnspl rej kdn mrna qpcr 139
|
$2,235.60 |
$2,235.60 |
$2,235.60 |
$3,232.32
|
|
Troponin quantitative
|
$46.00 |
$46.00 |
$46.00 |
$127.20
|
|
Tx closed distal humerus fx
|
$57.04 |
$57.04 |
$57.04 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$72.22 |
$72.22 |
$72.22 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,996.40 |
$1,996.40 |
$1,996.40 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$72.22 |
$72.22 |
$72.22 |
$535.60
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$2,221.34 |
$2,221.34 |
$2,221.34 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,997.09 |
$1,997.09 |
$1,997.09 |
$4,499.12
|
|
Ultrasound abdomen aorta screening study aaa
|
$92.00 |
$92.00 |
$92.00 |
$394.20
|
|
Ultrasound breast complete
|
$189.52 |
$189.52 |
$189.52 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$112.24 |
$112.24 |
$112.24 |
$449.35
|
|
Ultrasound chest
|
$61.64 |
$61.64 |
$61.64 |
$460.85
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$284.28 |
$284.28 |
$284.28 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$107.87 |
$107.87 |
$107.87 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$165.83 |
$165.83 |
$165.83 |
$720.15
|
|
Ultrasound joint complete left
|
$176.87 |
$176.87 |
$176.87 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$112.01 |
$112.01 |
$112.01 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$77.51 |
$77.51 |
$77.51 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$80.50 |
$80.50 |
$80.50 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$468.28 |
$468.28 |
$468.28 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$172.96 |
$172.96 |
$172.96 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$228.62 |
$228.62 |
$228.62 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$180.78 |
$180.78 |
$180.78 |
$497.12
|
|
Ultrasound retroperitoneal limited
|
$232.53 |
$232.53 |
$232.53 |
$486.50
|
|
Ultrasound scrotum and contents
|
$320.62 |
$320.62 |
$320.62 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$118.91 |
$118.91 |
$118.91 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$277.84 |
$277.84 |
$277.84 |
$558.35
|
|
Umbilical artery cath newborn 36660
|
$196.65 |
$196.65 |
$196.65 |
$206.64
|
|
Unlisted mr procedure
|
$24.15 |
$24.15 |
$24.15 |
$1,163.00
|
|
Unlisted procedure rectum
|
$245.18 |
$245.18 |
$245.18 |
$1,220.35
|
|
Unlisted px ant segment eye
|
$671.37 |
$671.37 |
$671.37 |
$2,698.92
|
|
Unlisted px casting/strpg
|
$43.01 |
$43.01 |
$43.01 |
$219.70
|
|
Unlisted px leg/ankle
|
$57.04 |
$57.04 |
$57.04 |
$811.00
|
|
Unlisted px male genital sys
|
$79.58 |
$79.58 |
$79.58 |
$343.55
|
|
Unlisted px palate uvula
|
$145.59 |
$145.59 |
$145.59 |
$274.80
|
|
Unlisted px salivry glnd/dux
|
$658.26 |
$658.26 |
$658.26 |
$1,265.16
|
|
Unlisted px tongue flr mouth
|
$65.09 |
$65.09 |
$65.09 |
$282.50
|
|
Upgrade pm system
|
$11,283.80 |
$11,283.80 |
$11,283.80 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,109.52 |
$1,109.52 |
$1,109.52 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,090.20 |
$1,090.20 |
$1,090.20 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$991.07 |
$991.07 |
$991.07 |
$2,034.41
|
