|
Trim nondyst nails
|
$48.00 |
$48.00 |
$48.00 |
$113.40
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,318.30 |
$6,318.30 |
$6,318.30 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,223.10 |
$13,223.10 |
$13,223.10 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,368.40 |
$3,368.40 |
$3,368.40 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,355.00 |
$5,355.00 |
$5,355.00 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,866.50 |
$2,866.50 |
$2,866.50 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,657.40 |
$2,657.40 |
$2,657.40 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,241.70 |
$1,241.70 |
$1,241.70 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$12,299.40 |
$12,299.40 |
$12,299.40 |
$2,406.77
|
|
Troponin quantitative
|
$242.10 |
$242.10 |
$242.10 |
$127.20
|
|
Tte w or without fol w/cont, com
|
$264.90 |
$264.90 |
$264.90 |
$1,220.31
|
|
Tube trach disp innr can 5 xlt
|
$452.49 |
$452.49 |
$452.49 |
$445.99
|
|
Tx atrial fib pulm vein isol
|
$15,197.40 |
$15,197.40 |
$15,197.40 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$86.40 |
$86.40 |
$86.40 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,439.00 |
$2,439.00 |
$2,439.00 |
$3,977.49
|
|
Tx l/r atrial fib addl
|
$4,359.30 |
$4,359.30 |
$4,359.30 |
$6,769.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$30,774.45 |
$30,774.45 |
$30,774.45 |
$4,499.12
|
|
Tympanic membrane repair
|
$8,352.66 |
$8,352.66 |
$8,352.66 |
$2,638.87
|
|
Ultrasound abdomen aorta screening study aaa
|
$377.70 |
$377.70 |
$377.70 |
$394.20
|
|
Ultrasound breast complete
|
$1,089.60 |
$1,089.60 |
$1,089.60 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,089.60 |
$1,089.60 |
$1,089.60 |
$449.35
|
|
Ultrasound chest
|
$387.90 |
$387.90 |
$387.90 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$268.20 |
$268.20 |
$268.20 |
$338.00
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$275.40 |
$275.40 |
$275.40 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$1,135.80 |
$1,135.80 |
$1,135.80 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,200.30 |
$1,200.30 |
$1,200.30 |
$720.15
|
|
Ultrasound joint complete left
|
$348.60 |
$348.60 |
$348.60 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$174.30 |
$174.30 |
$174.30 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$608.70 |
$608.70 |
$608.70 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$230.70 |
$230.70 |
$230.70 |
$331.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$958.20 |
$958.20 |
$958.20 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$963.00 |
$963.00 |
$963.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$1,838.10 |
$1,838.10 |
$1,838.10 |
$497.12
|
|
Ultrasound retroperitoneal limited
|
$425.40 |
$425.40 |
$425.40 |
$486.50
|
|
Ultrasound scrotum and contents
|
$920.70 |
$920.70 |
$920.70 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$488.40 |
$488.40 |
$488.40 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$1,297.50 |
$1,297.50 |
$1,297.50 |
$558.35
|
|
Umbilical artery cath newborn 36660
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$206.64
|
|
Unlisted fluoroscopic px
|
$392.40 |
$392.40 |
$392.40 |
$305.76
|
|
Unlisted hystsc px uterus
|
$13,801.07 |
$13,801.07 |
$13,801.07 |
$2,803.60
|
|
Unlisted laps px appendix
|
$18,346.89 |
$18,346.89 |
$18,346.89 |
$3,617.40
|
|
Unlisted maaa
|
$70.80 |
$70.80 |
$70.80 |
$235.20
|
|
Unlisted mr procedure
|
$389.70 |
$389.70 |
$389.70 |
$1,163.00
|
|
Unlisted orl service/px
|
$5,250.74 |
$5,250.74 |
$5,250.74 |
$132.60
|
|
Unlisted px arthroscopy
|
$28,394.74 |
$28,394.74 |
$28,394.74 |
$2,765.60
|
|
Unlisted px hands/fingers
|
$226.80 |
$226.80 |
$226.80 |
$354.20
|
|
Unlisted px male genital sys
|
$224.10 |
$224.10 |
$224.10 |
$343.55
|
|
Unlisted px salivry glnd/dux
|
$19,943.28 |
$19,943.28 |
$19,943.28 |
$1,265.16
|
|
Unlisted px tongue flr mouth
|
$87.00 |
$87.00 |
$87.00 |
$282.50
|
|
Unlisted px vestibule mouth
|
$230.70 |
$230.70 |
$230.70 |
$456.96
|
|
Unlisted ultrasound procedure
|
$206.10 |
$206.10 |
$206.10 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$9,357.30 |
$9,357.30 |
$9,357.30 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$880.20 |
$880.20 |
$880.20 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$926.10 |
$926.10 |
$926.10 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$4,998.00 |
$4,998.00 |
$4,998.00 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$12,776.58 |
$12,776.58 |
$12,776.58 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$16,699.27 |
$16,699.27 |
$16,699.27 |
$1,768.00
|
|
Uppr gi scope w/submuc inj
|
$18,984.56 |
$18,984.56 |
$18,984.56 |
$1,872.00
|
|
Urea nitrogen
|
$56.70 |
$56.70 |
$56.70 |
$41.46
|
|
Ureter endoscopy & treatment
|
$30,099.50 |
$30,099.50 |
$30,099.50 |
$5,631.74
|
|
Uric acid blood
|
$56.70 |
$56.70 |
$56.70 |
$48.75
|
|
Uric acid urine
|
$20.70 |
$20.70 |
$20.70 |
$44.33
|
|
Urinalysis microscopic only
|
$39.30 |
$39.30 |
$39.30 |
$26.35
|
|
Urinalysis (with microscopy)
|
$139.80 |
$139.80 |
$139.80 |
$55.00
|
|
Urinalysis (without microscopy)
|
$25.20 |
$25.20 |
$25.20 |
$35.75
|
|
Urine Culture Test
|
$261.60 |
$261.60 |
$261.60 |
$81.50
|
|
Urine pregnancy test
|
$113.70 |
$113.70 |
$113.70 |
$67.20
|
|
Vaccine dtap-ipv-hib-hepb im
|
$113.98 |
$113.98 |
$113.98 |
$174.72
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$50.27 |
$50.27 |
$50.27 |
$43.12
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$584.06 |
$584.06 |
$584.06 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$98.76 |
$98.76 |
$98.76 |
$75.39
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$30.28 |
$30.28 |
$30.28 |
$47.88
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$58.78 |
$58.78 |
$58.78 |
$76.50
|
|
Vaccine mmr live subcutaneous
|
$367.46 |
$367.46 |
$367.46 |
$211.68
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$439.05 |
$439.05 |
$439.05 |
$251.64
|
|
Vaccine rabies im
|
$1,629.79 |
$1,629.79 |
$1,629.79 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$182.80 |
$182.80 |
$182.80 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$158.42 |
$158.42 |
$158.42 |
$112.10
|
|
Vad univ batt charger hm 1440
|
$16,241.25 |
$16,241.25 |
$16,241.25 |
$14,827.28
|
|
Vaginal hysterectomy
|
$20,837.58 |
$20,837.58 |
$20,837.58 |
$5,766.00
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$65.93 |
$65.93 |
$65.93 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$266.70 |
$266.70 |
$266.70 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$2,091.00 |
$2,091.00 |
$2,091.00 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$237.34 |
$237.34 |
$237.34 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$89.40 |
$89.40 |
$89.40 |
$136.13
|
|
Varicella zoster antibody igg
|
$228.30 |
$228.30 |
$228.30 |
$86.80
|
|
Varus/valgus strap padded/li
|
$115.53 |
$115.53 |
$115.53 |
$115.53
|
|
Vasopressin 20 unit/ml intravenous solution
|
$48.00 |
$48.00 |
$48.00 |
$325.80
|
|
Vein x-ray liver without hemodyn
|
$1,288.50 |
$1,288.50 |
$1,288.50 |
$2,452.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$79.50 |
$79.50 |
$79.50 |
$202.80
|
|
Venogram ext bil s&i
|
$1,326.60 |
$1,326.60 |
$1,326.60 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,485.30 |
$1,485.30 |
$1,485.30 |
$1,366.20
|
|
Venous mech thrombectomy
|
$4,325.40 |
$4,325.40 |
$4,325.40 |
$7,965.00
|
|
Ventilator each subsequent day
|
$627.30 |
$627.30 |
$627.30 |
$1,204.00
|
|
Ventilator initial day
|
$627.30 |
$627.30 |
$627.30 |
$1,431.43
|
|
Version cephalic external
|
$2,469.30 |
$2,469.30 |
$2,469.30 |
$2,361.75
|
|
Vest large holster
|
$1,198.12 |
$1,198.12 |
$1,198.12 |
$1,078.25
|
|
Vinblastine 1 mg/ml intravenous solution
|
$296.76 |
$296.76 |
$296.76 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$496.80 |
$496.80 |
$496.80 |
$223.55
|