|
Tissue culture tumor
|
$197.50 |
$197.50 |
$197.50 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$64.00 |
$64.00 |
$64.00 |
$47.20
|
|
Tissue transglutaminase iga
|
$12.00 |
$12.00 |
$12.00 |
$44.16
|
|
Tobramycin peak therapeutic drug level
|
$286.00 |
$286.00 |
$286.00 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$63.50 |
$63.50 |
$63.50 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$63.00 |
$63.00 |
$63.00 |
$72.68
|
|
Toxoplasma antibody igg
|
$210.00 |
$210.00 |
$210.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$356.00 |
$356.00 |
$356.00 |
$87.00
|
|
Tpmt gene com vrnts
|
$185.00 |
$185.00 |
$185.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$14,975.50 |
$14,975.50 |
$14,975.50 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$267.50 |
$267.50 |
$267.50 |
$1,420.44
|
|
Transabdom amnioinfus w/us
|
$1,266.50 |
$1,266.50 |
$1,266.50 |
$678.70
|
|
Transcath biopsy
|
$4,159.00 |
$4,159.00 |
$4,159.00 |
$4,285.93
|
|
Transcath closure of asd
|
$9,978.00 |
$9,978.00 |
$9,978.00 |
$16,741.40
|
|
Transcatheter bx s&i
|
$2,903.00 |
$2,903.00 |
$2,903.00 |
$1,915.00
|
|
Transcath occlusion cns
|
$5,693.00 |
$5,693.00 |
$5,693.00 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$12,550.00 |
$12,550.00 |
$12,550.00 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,016.50 |
$3,016.50 |
$3,016.50 |
$4,775.16
|
|
Transferrin
|
$139.00 |
$139.00 |
$139.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$602.50 |
$602.50 |
$602.50 |
$983.00
|
|
Tray bonemarrw oncontrol 102mm
|
$1,459.00 |
$1,459.00 |
$1,459.00 |
$940.80
|
|
Treat ankle dislocation
|
$3,257.00 |
$3,257.00 |
$3,257.00 |
$2,358.40
|
|
Treat elbow dislocation
|
$3,128.00 |
$3,128.00 |
$3,128.00 |
$2,223.20
|
|
Treat elbow fracture
|
$1,847.00 |
$1,847.00 |
$1,847.00 |
$1,919.13
|
|
Treat finger fracture each
|
$581.00 |
$581.00 |
$581.00 |
$1,536.00
|
|
Treat foot dislocation
|
$735.50 |
$735.50 |
$735.50 |
$527.28
|
|
Treat foot dislocation
|
$397.50 |
$397.50 |
$397.50 |
$446.60
|
|
Treat fracture of radius
|
$766.00 |
$766.00 |
$766.00 |
$1,790.00
|
|
Treat fracture of radius
|
$3,382.50 |
$3,382.50 |
$3,382.50 |
$1,849.00
|
|
Treat fracture of ulna
|
$755.00 |
$755.00 |
$755.00 |
$726.05
|
|
Treat hip dislocation
|
$5,103.00 |
$5,103.00 |
$5,103.00 |
$2,192.80
|
|
Treat hip dislocation
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$2,641.60
|
|
Treat hip socket fracture
|
$3,694.00 |
$3,694.00 |
$3,694.00 |
$1,392.00
|
|
Treat humerus fracture
|
$867.50 |
$867.50 |
$867.50 |
$1,771.43
|
|
Treat humerus fracture
|
$783.00 |
$783.00 |
$783.00 |
$1,771.43
|
|
Treat kneecap dislocation
|
$551.00 |
$551.00 |
$551.00 |
$1,068.90
|
|
Treat knee dislocation
|
$4,381.50 |
$4,381.50 |
$4,381.50 |
$2,220.89
|
|
Treat knee fracture 27530
|
$674.00 |
$674.00 |
$674.00 |
$550.00
|
|
Treat knuckle dislocation
|
$868.00 |
$868.00 |
$868.00 |
$1,523.90
|
|
Treat lower leg dislocation
|
$708.50 |
$708.50 |
$708.50 |
$530.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,978.50 |
$4,978.50 |
$4,978.50 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$444.00 |
$444.00 |
$444.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$287.50 |
$287.50 |
$287.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$136.50 |
$136.50 |
$136.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,426.00 |
$6,426.00 |
$6,426.00 |
$3,982.44
|
|
Treatment of ankle fracture 27786
|
$654.50 |
$654.50 |
$654.50 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$676.00 |
$676.00 |
$676.00 |
$491.50
|
|
Treatment of miscarriage
|
$3,321.00 |
$3,321.00 |
$3,321.00 |
$4,146.69
|
|
Treatment of thigh fracture
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$1,748.40
|
|
Treatment of thigh fracture
|
$300.00 |
$300.00 |
$300.00 |
$548.90
|
|
Treatment of thigh fracture
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$569.00 |
$569.00 |
$569.00 |
$369.70
|
|
Treatment radiation delivery level 2
|
$1,182.00 |
$1,182.00 |
$1,182.00 |
$767.65
|
|
Treat midfoot fracture each
|
$1,984.50 |
$1,984.50 |
$1,984.50 |
$1,851.78
|
|
Treat thigh fx growth plate
|
$3,382.50 |
$3,382.50 |
$3,382.50 |
$1,938.38
|
|
Treat toe dislocation
|
$756.00 |
$756.00 |
$756.00 |
$756.39
|
|
Treat ulnar fracture
|
$599.00 |
$599.00 |
$599.00 |
$1,662.00
|
|
Treat vaginal bleeding
|
$657.00 |
$657.00 |
$657.00 |
$379.60
|
|
Treat wrist bone fracture
|
$901.50 |
$901.50 |
$901.50 |
$1,548.40
|
|
Treat wrist dislocation
|
$2,167.00 |
$2,167.00 |
$2,167.00 |
$656.25
|
|
Treponema pallidum antibody
|
$157.00 |
$157.00 |
$157.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$3,085.50 |
$3,085.50 |
$3,085.50 |
$455.70
|
|
Trichinella antibody
|
$75.00 |
$75.00 |
$75.00 |
$70.20
|
|
Triglycerides
|
$188.50 |
$188.50 |
$188.50 |
$58.05
|
|
Trim nondyst nails
|
$290.50 |
$290.50 |
$290.50 |
$113.40
|
|
Trml dstrj ios bvn ea addl
|
$7,354.00 |
$7,354.00 |
$7,354.00 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$7,872.50 |
$7,872.50 |
$7,872.50 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$51,102.00 |
$51,102.00 |
$51,102.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$7,058.50 |
$7,058.50 |
$7,058.50 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$12,451.00 |
$12,451.00 |
$12,451.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$9,500.50 |
$9,500.50 |
$9,500.50 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$11,223.50 |
$11,223.50 |
$11,223.50 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,869.50 |
$6,869.50 |
$6,869.50 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$7,159.50 |
$7,159.50 |
$7,159.50 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,712.50 |
$6,712.50 |
$6,712.50 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,969.00 |
$5,969.00 |
$5,969.00 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$6,566.00 |
$6,566.00 |
$6,566.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$12,294.50 |
$12,294.50 |
$12,294.50 |
$2,986.34
|
|
Troponin quantitative
|
$337.00 |
$337.00 |
$337.00 |
$127.20
|
|
Tr retinal les preterm inf
|
$1,890.50 |
$1,890.50 |
$1,890.50 |
$1,794.00
|
|
Tte w or without contr, cont ecg
|
$4,293.00 |
$4,293.00 |
$4,293.00 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$718.50 |
$718.50 |
$718.50 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$1,218.50 |
$1,218.50 |
$1,218.50 |
$1,077.92
|
|
Tx atrial fib pulm vein isol
|
$29,642.50 |
$29,642.50 |
$29,642.50 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$649.00 |
$649.00 |
$649.00 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$5,288.50 |
$5,288.50 |
$5,288.50 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$597.00 |
$597.00 |
$597.00 |
$535.60
|
|
Tx l/r atrial fib addl
|
$5,450.00 |
$5,450.00 |
$5,450.00 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$4,990.00 |
$4,990.00 |
$4,990.00 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$5,296.00 |
$5,296.00 |
$5,296.00 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$6,991.00 |
$6,991.00 |
$6,991.00 |
$4,421.00
|
|
Ua w/micro/comp poc
|
$139.00 |
$139.00 |
$139.00 |
$23.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$1,579.50 |
$1,579.50 |
$1,579.50 |
$394.20
|
|
Ultrasound breast complete
|
$1,499.50 |
$1,499.50 |
$1,499.50 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$449.35
|
|
Ultrasound chest
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$493.00 |
$493.00 |
$493.00 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$575.50 |
$575.50 |
$575.50 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$2,147.50 |
$2,147.50 |
$2,147.50 |
$307.00
|
