|
Treat fracture of radius
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$1,821.60
|
|
Treat fracture of radius
|
$5,619.00 |
$5,619.00 |
$5,619.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$760.00 |
$760.00 |
$760.00 |
$726.05
|
|
Treat hip dislocation
|
$4,683.00 |
$4,683.00 |
$4,683.00 |
$2,211.05
|
|
Treat hip dislocation
|
$6,313.00 |
$6,313.00 |
$6,313.00 |
$2,612.00
|
|
Treat humerus fracture
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$1,790.00
|
|
Treat humerus fracture
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$1,790.00
|
|
Treat kneecap dislocation
|
$760.00 |
$760.00 |
$760.00 |
$1,068.06
|
|
Treat knee dislocation
|
$4,683.00 |
$4,683.00 |
$4,683.00 |
$2,220.89
|
|
Treat knuckle dislocation
|
$3,788.00 |
$3,788.00 |
$3,788.00 |
$1,693.20
|
|
Treat knuckle dislocation
|
$6,549.00 |
$6,549.00 |
$6,549.00 |
$4,332.00
|
|
Treatment incomplete abortion completed surgically any trimester
|
$7,766.50 |
$7,766.50 |
$7,766.50 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$184.00 |
$184.00 |
$184.00 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$155.00 |
$155.00 |
$155.00 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$7,780.00 |
$7,780.00 |
$7,780.00 |
$4,230.80
|
|
Treatment of foot infection
|
$2,441.00 |
$2,441.00 |
$2,441.00 |
$2,928.60
|
|
Treatment of retinal lesion
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$1,033.14
|
|
Treatment of thigh fracture
|
$4,908.00 |
$4,908.00 |
$4,908.00 |
$1,790.00
|
|
Treatment radiation delivery level 2
|
$458.00 |
$458.00 |
$458.00 |
$830.70
|
|
Treat midfoot fracture each
|
$3,156.50 |
$3,156.50 |
$3,156.50 |
$1,884.74
|
|
Treat toe dislocation
|
$440.00 |
$440.00 |
$440.00 |
$756.00
|
|
Treat ulnar fracture
|
$2,192.00 |
$2,192.00 |
$2,192.00 |
$1,678.55
|
|
Treat vaginal bleeding
|
$392.00 |
$392.00 |
$392.00 |
$379.60
|
|
Treat wrist bone fracture
|
$9,527.00 |
$9,527.00 |
$9,527.00 |
$1,679.04
|
|
Treat wrist dislocation
|
$760.00 |
$760.00 |
$760.00 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$192.55 |
$192.55 |
$192.55 |
$73,346.25
|
|
Treponema pallidum antibody
|
$75.50 |
$75.50 |
$75.50 |
$72.05
|
|
Treprostinil injection
|
$78.63 |
$78.63 |
$78.63 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$489.50 |
$489.50 |
$489.50 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$10.39 |
$10.39 |
$10.39 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$5.22 |
$5.22 |
$5.22 |
$223.56
|
|
Trichinella antibody
|
$167.50 |
$167.50 |
$167.50 |
$70.65
|
|
Trichomonas assay w/optic
|
$78.00 |
$78.00 |
$78.00 |
$57.40
|
|
Triglycerides
|
$70.00 |
$70.00 |
$70.00 |
$58.05
|
|
Trim nondyst nails
|
$177.50 |
$177.50 |
$177.50 |
$114.48
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$19,745.00 |
$19,745.00 |
$19,745.00 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$4,628.00 |
$4,628.00 |
$4,628.00 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,593.00 |
$3,593.00 |
$3,593.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$6,069.00 |
$6,069.00 |
$6,069.00 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,715.00 |
$4,715.00 |
$4,715.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$4,715.00 |
$4,715.00 |
$4,715.00 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,763.50 |
$13,763.50 |
$13,763.50 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,232.50 |
$3,232.50 |
$3,232.50 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$14,444.00 |
$14,444.00 |
$14,444.00 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,544.50 |
$2,544.50 |
$2,544.50 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,544.50 |
$2,544.50 |
$2,544.50 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$3,776.00 |
$3,776.00 |
$3,776.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$4,661.00 |
$4,661.00 |
$4,661.00 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$831.00 |
$831.00 |
$831.00 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$3,665.00 |
$3,665.00 |
$3,665.00 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$3,714.50 |
$3,714.50 |
$3,714.50 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$9,344.50 |
$9,344.50 |
$9,344.50 |
$2,527.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$3,157.50 |
$3,157.50 |
$3,157.50 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$3,547.00 |
$3,547.00 |
$3,547.00 |
$2,406.77
|
|
Troponin quantitative
|
$133.00 |
$133.00 |
$133.00 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$3,082.00 |
$3,082.00 |
$3,082.00 |
$2,075.90
|
|
Tte w or without fol w/con,stres
|
$2,187.00 |
$2,187.00 |
$2,187.00 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$3,062.00 |
$3,062.00 |
$3,062.00 |
$1,254.50
|
|
Tte w or without fol w/cont, f/u
|
$2,180.50 |
$2,180.50 |
$2,180.50 |
$1,178.00
|
|
Tube trach fen sz 6 uncuffed
|
$132.50 |
$132.50 |
$132.50 |
$155.98
|
|
Tumor cell deplete of harvst
|
$830.50 |
$830.50 |
$830.50 |
$1,315.60
|
|
Tx atrial fib pulm vein isol
|
$24,742.00 |
$24,742.00 |
$24,742.00 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$720.00 |
$720.00 |
$720.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$760.00 |
$760.00 |
$760.00 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$10,915.00 |
$10,915.00 |
$10,915.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$760.00 |
$760.00 |
$760.00 |
$535.60
|
|
Tx l/r atrial fib addl
|
$3,078.00 |
$3,078.00 |
$3,078.00 |
$6,986.85
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$7,859.00 |
$7,859.00 |
$7,859.00 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$9,658.00 |
$9,658.00 |
$9,658.00 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$5,457.50 |
$5,457.50 |
$5,457.50 |
$4,499.12
|
|
Tx open nsl fx uncomp
|
$7,512.00 |
$7,512.00 |
$7,512.00 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$6,445.00 |
$6,445.00 |
$6,445.00 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$8,051.00 |
$8,051.00 |
$8,051.00 |
$4,529.60
|
|
Tympanometry & reflex thresh
|
$136.00 |
$136.00 |
$136.00 |
$173.18
|
|
Ugt1a1 gene analy common variants
|
$525.50 |
$525.50 |
$525.50 |
$438.75
|
|
Ultrasound breast complete
|
$1,526.00 |
$1,526.00 |
$1,526.00 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$992.00 |
$992.00 |
$992.00 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$378.00 |
$378.00 |
$378.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$418.50 |
$418.50 |
$418.50 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$231.50 |
$231.50 |
$231.50 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$450.50 |
$450.50 |
$450.50 |
$313.95
|
|
Ultrasound encephalogram
|
$276.00 |
$276.00 |
$276.00 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$556.00 |
$556.00 |
$556.00 |
$575.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$482.50 |
$482.50 |
$482.50 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$422.00 |
$422.00 |
$422.00 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$307.50 |
$307.50 |
$307.50 |
$388.08
|
|
Ultrasound guide intraoperative
|
$660.50 |
$660.50 |
$660.50 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$463.50 |
$463.50 |
$463.50 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$403.00 |
$403.00 |
$403.00 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$367.00 |
$367.00 |
$367.00 |
$311.25
|
|
Ultrasound joint complete left
|
$706.00 |
$706.00 |
$706.00 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$616.50 |
$616.50 |
$616.50 |
$409.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$391.50 |
$391.50 |
$391.50 |
$335.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$770.00 |
$770.00 |
$770.00 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$566.00 |
$566.00 |
$566.00 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$625.50 |
$625.50 |
$625.50 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$380.00 |
$380.00 |
$380.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$391.50 |
$391.50 |
$391.50 |
$421.00
|
|
Ultrasound trgt dyn mbubb 1st les
|
$525.00 |
$525.00 |
$525.00 |
$568.32
|
