|
Trimethobenzamide hcl inj
|
$14.49 |
$14.49 |
$14.49 |
$117.49
|
|
Trim nail(s)
|
$88.22 |
$88.22 |
$88.22 |
$78.40
|
|
Trim nondyst nails
|
$125.32 |
$125.32 |
$125.32 |
$115.70
|
|
Trluml dil aq o/f can without st
|
$5,497.39 |
$5,497.39 |
$5,497.39 |
$5,497.39
|
|
Trluml dil aq o/f can w/st
|
$5,954.46 |
$5,954.46 |
$5,954.46 |
$4,942.18
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$15,111.95 |
$15,111.95 |
$15,111.95 |
$15,258.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$857.58 |
$857.58 |
$857.58 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$4,186.46 |
$4,186.46 |
$4,186.46 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$6,237.34 |
$6,237.34 |
$6,237.34 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$2,537.24 |
$2,537.24 |
$2,537.24 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$9,053.72 |
$9,053.72 |
$9,053.72 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,281.86 |
$13,281.86 |
$13,281.86 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$12,223.60 |
$12,223.60 |
$12,223.60 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$4,274.73 |
$4,274.73 |
$6,804.00 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,202.93 |
$4,202.93 |
$4,202.93 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,409.40 |
$4,409.40 |
$4,409.40 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,225.80 |
$5,225.80 |
$5,225.80 |
$4,418.00
|
|
Trnscath tx thromblytc vein ini day
|
$3,979.80 |
$3,979.80 |
$3,979.80 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$5,452.47 |
$5,452.47 |
$5,452.47 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$1,804.91 |
$1,804.91 |
$1,804.91 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$4,549.10 |
$4,549.10 |
$4,549.10 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$4,167.42 |
$4,167.42 |
$4,167.42 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,886.74 |
$2,886.74 |
$2,886.74 |
$2,551.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$3,601.86 |
$3,601.86 |
$3,601.86 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$2,406.77 |
$2,406.77 |
$2,406.77 |
$2,486.75
|
|
Troponin quantitative
|
$187.42 |
$187.42 |
$241.65 |
$125.00
|
|
Tr retinal les preterm inf
|
$884.17 |
$884.17 |
$884.17 |
$1,794.00
|
|
Trurl dstrj prst8 tiss rf wv
|
$2,812.54 |
$2,812.54 |
$2,812.54 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$543.05 |
$543.05 |
$1,266.62 |
$2,196.00
|
|
Tte w or without fol w/con,stres
|
$1,013.25 |
$1,013.25 |
$1,013.25 |
$1,643.14
|
|
Tte w or without fol w/cont, com
|
$636.61 |
$636.61 |
$636.61 |
$1,266.50
|
|
Tte w or without fol w/cont, f/u
|
$725.94 |
$725.94 |
$725.94 |
$1,178.00
|
|
Tubal Ligation (Laparoscopic)
|
$4,713.11 |
$4,713.11 |
$4,713.11 |
$4,323.20
|
|
Tube drain vert dev st 5-40f
|
$72.21 |
$72.21 |
$72.21 |
$27.60
|
|
Tube trach disp innr can 5 xlt
|
$667.76 |
$667.76 |
$667.76 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$464.89 |
$464.89 |
$464.89 |
$155.98
|
|
Tubular dressing
|
$20.93 |
$20.93 |
$20.93 |
$28.46
|
|
Tvh >250 gms 58290
|
$6,872.92 |
$6,872.92 |
$6,872.92 |
$6,872.92
|
|
Tx atrial fib pulm vein isol
|
$36,478.99 |
$36,478.99 |
$36,478.99 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$5,450.31 |
$5,450.31 |
$5,450.31 |
$589.00
|
|
Tx closed hip disl traumatic without anes
|
$885.31 |
$885.31 |
$885.31 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$411.07 |
$411.07 |
$411.07 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$1,827.21 |
$1,827.21 |
$1,827.21 |
$918.06
|
|
Tx contour defects 1.1-5.0cc 11951
|
$804.23 |
$804.23 |
$804.23 |
$849.50
|
|
Tx l/r atrial fib addl
|
$10,871.82 |
$10,871.82 |
$10,871.82 |
$6,986.85
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$4,521.61 |
$4,521.61 |
$4,521.61 |
$4,521.61
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$4,301.50 |
$4,301.50 |
$4,301.50 |
$4,537.59
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$4,416.30 |
$4,416.30 |
$4,416.30 |
$4,595.50
|
|
Tx open nsl fx uncomp
|
$4,173.52 |
$4,173.52 |
$4,173.52 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$4,308.40 |
$4,308.40 |
$4,308.40 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$5,317.77 |
$5,317.77 |
$5,317.77 |
$4,529.60
|
|
Tx tarsal bone fx without manip 28450
|
$380.44 |
$380.44 |
$380.44 |
$423.15
|
|
Tympanic membrane repair
|
$2,638.87 |
$2,638.87 |
$2,638.87 |
$2,133.48
|
|
Tympanolysis transcanal 69450
|
$5,550.20 |
$5,550.20 |
$5,550.20 |
$3,837.72
|
|
Tympanometry & reflex thresh
|
$168.62 |
$168.62 |
$168.62 |
$173.18
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$1,047.93 |
$1,047.93 |
$1,047.93 |
$911.43
|
|
Tympp antrt/mastoidotomy prosthesis torp 69637
|
$11,063.54 |
$11,063.54 |
$11,063.54 |
$6,740.80
|
|
Tympp antrt/mastoid without ossic chain recnst 69635
|
$9,481.40 |
$9,481.40 |
$9,481.40 |
$7,000.36
|
|
Tyms gene com variants
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$192.29
|
|
Ua w/micro/comp poc
|
$33.17 |
$33.17 |
$33.17 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$1,476.60 |
$1,476.60 |
$1,476.60 |
$438.75
|
|
Ultrasound breast complete
|
$302.59 |
$302.59 |
$386.64 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$302.59 |
$302.59 |
$346.09 |
$452.00
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$303.43 |
$303.43 |
$303.43 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$380.47 |
$380.47 |
$380.47 |
$296.80
|
|
Ultrasound elastography parenchyma
|
$353.09 |
$353.09 |
$353.09 |
$307.00
|
|
Ultrasound encephalogram
|
$340.64 |
$340.64 |
$444.58 |
$485.48
|
|
Ultrasound exam follow-up
|
$248.40 |
$248.40 |
$267.44 |
$226.38
|
|
Ultrasound exam k transpl w/doppler
|
$388.76 |
$388.76 |
$601.20 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$421.33 |
$421.33 |
$533.13 |
$477.10
|
|
Ultrasound Guidance for a Needle Procedure
|
$743.75 |
$743.75 |
$906.04 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$121.77 |
$121.77 |
$605.63 |
$388.08
|
|
Ultrasound guide intraoperative
|
$341.04 |
$341.04 |
$488.56 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$400.79 |
$400.79 |
$400.79 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$248.40 |
$248.40 |
$462.36 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$321.35 |
$321.35 |
$340.64 |
$304.00
|
|
Ultrasound joint complete left
|
$499.95 |
$499.95 |
$564.79 |
$560.92
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$388.47 |
$388.47 |
$388.47 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$459.43 |
$459.43 |
$507.74 |
$406.44
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$326.54 |
$326.54 |
$417.67 |
$333.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$631.20 |
$631.20 |
$835.06 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$248.40 |
$248.40 |
$352.11 |
$428.25
|
|
Ultrasound prostate/transrectal
|
$515.63 |
$515.63 |
$515.63 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$491.43 |
$491.43 |
$533.13 |
$459.00
|
|
Ultrasound transabd ea addl gest
|
$248.40 |
$248.40 |
$375.38 |
$417.15
|
|
Ultrasound trgt dyn mbubb 1st les
|
$237.74 |
$237.74 |
$237.74 |
$568.32
|
|
Ultraviolet therapy
|
$18.94 |
$18.94 |
$45.05 |
$39.76
|
|
Umbilical artery cath newborn 36660
|
$534.45 |
$534.45 |
$534.45 |
$223.80
|
|
Umbilical cord occlud w/us
|
$374.48 |
$374.48 |
$374.48 |
$754.00
|
|
Umbilicoplasty 15847
|
$4,172.97 |
$4,172.97 |
$4,172.97 |
$4,172.97
|
|
Unit mobile power mpu
|
$18,528.00 |
$18,528.00 |
$18,528.00 |
$14,359.52
|
|
Unlistd noninvas vasc dx std
|
$844.07 |
$844.07 |
$844.07 |
$564.60
|
|
Unlisted chemotherapy px
|
$34.83 |
$34.83 |
$475.70 |
$149.15
|
|
Unlisted cranfcl&maxlfcl px
|
$6,289.53 |
$6,289.53 |
$6,289.53 |
$571.20
|
|
Unlisted CT procedure
|
$4,603.28 |
$4,603.28 |
$4,603.28 |
$740.43
|
|
Unlisted cytogenetic study
|
$210.58 |
$210.58 |
$210.58 |
$160.00
|
|
Unlisted dialysis procedure
|
$3,467.73 |
$3,467.73 |
$3,467.73 |
$1,144.00
|
|
Unlisted dx gi procedure
|
$1,256.74 |
$1,256.74 |
$1,256.74 |
$649.22
|
|
Unlisted fetal invas px w/us
|
$694.58 |
$694.58 |
$694.58 |
$498.40
|
