|
Treat thigh fracture
|
$2,239.50 |
$2,239.50 |
$2,239.50 |
$1,893.86
|
|
Treat thigh fracture
|
$445.80 |
$445.80 |
$1,329.50 |
$618.80
|
|
Treat thigh fracture
|
$2,231.50 |
$2,231.50 |
$2,231.50 |
$2,032.10
|
|
Treat toe dislocation
|
$763.50 |
$763.50 |
$763.50 |
$756.39
|
|
Treat ulnar fracture
|
$838.50 |
$838.50 |
$1,507.80 |
$1,662.00
|
|
Treat ulnar fracture
|
$38,886.57 |
$38,886.57 |
$38,886.57 |
$5,926.25
|
|
Treat vaginal bleeding
|
$397.50 |
$397.50 |
$397.50 |
$379.60
|
|
Treat wrist bone fracture
|
$862.50 |
$862.50 |
$862.50 |
$1,548.40
|
|
Treat wrist dislocation
|
$287.50 |
$287.50 |
$445.80 |
$656.25
|
|
Treponema pallidum antibody
|
$47.00 |
$47.00 |
$84.60 |
$70.40
|
|
Trg gene rearrangement anal
|
$260.50 |
$260.50 |
$260.50 |
$455.70
|
|
Trichinella antibody
|
$83.00 |
$83.00 |
$83.00 |
$70.20
|
|
#tricyclicantidprssnt
|
$111.60 |
$111.60 |
$111.60 |
$50.86
|
|
Triglycerides
|
$55.50 |
$55.50 |
$61.20 |
$58.05
|
|
Trim nail(s)
|
$103.00 |
$103.00 |
$103.00 |
$79.00
|
|
Trim nondyst nails
|
$108.50 |
$108.50 |
$108.50 |
$113.40
|
|
Trmt of fracture (femoral shaft) 27500
|
$462.50 |
$462.50 |
$462.50 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$14,086.00 |
$14,086.00 |
$14,086.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$16,028.50 |
$16,028.50 |
$16,028.50 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$17,539.00 |
$17,539.00 |
$17,539.00 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,983.00 |
$6,983.00 |
$6,983.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,983.00 |
$6,983.00 |
$6,983.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$9,682.00 |
$9,682.00 |
$9,682.00 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,188.00 |
$3,188.00 |
$3,188.00 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,174.50 |
$6,174.50 |
$6,174.50 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,174.50 |
$6,174.50 |
$6,174.50 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$6,174.50 |
$6,174.50 |
$6,174.50 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$4,846.00 |
$4,846.00 |
$6,027.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$3,078.00 |
$3,078.00 |
$3,078.00 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$3,078.00 |
$3,078.00 |
$3,078.00 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$3,607.00 |
$3,607.00 |
$3,607.00 |
$2,406.77
|
|
Troponin quantitative
|
$54.60 |
$54.60 |
$276.00 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$1,632.80
|
|
Tube trach disp innr can 5 xlt
|
$733.67 |
$733.67 |
$733.67 |
$445.99
|
|
Tubular dressing
|
$28.46 |
$28.46 |
$28.46 |
$28.46
|
|
Tx atrial fib pulm vein isol
|
$16,895.50 |
$16,895.50 |
$16,895.50 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$377.00 |
$377.00 |
$377.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$211.00 |
$211.00 |
$445.80 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,739.00 |
$1,739.00 |
$4,135.80 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$445.50 |
$445.50 |
$445.50 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$636.50 |
$636.50 |
$636.50 |
$944.00
|
|
Tx l/r atrial fib addl
|
$6,769.00 |
$6,769.00 |
$6,769.00 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$3,801.00 |
$3,801.00 |
$3,801.00 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$3,350.00 |
$3,350.00 |
$3,350.00 |
$4,468.55
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$4,158.00 |
$4,158.00 |
$4,158.00 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$263.00 |
$263.00 |
$263.00 |
$416.16
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$818.00 |
$818.00 |
$818.00 |
$911.43
|
|
Ua w/micro/comp poc
|
$10.00 |
$10.00 |
$10.00 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$855.50 |
$855.50 |
$855.50 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$691.50 |
$691.50 |
$829.20 |
$394.20
|
|
Ultrasound breast complete
|
$561.00 |
$561.00 |
$561.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$456.60 |
$456.60 |
$548.00 |
$449.35
|
|
Ultrasound chest
|
$204.00 |
$204.00 |
$389.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$417.00 |
$417.00 |
$417.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$337.00 |
$337.00 |
$337.00 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$332.00 |
$332.00 |
$332.00 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$332.00 |
$332.00 |
$455.40 |
$307.00
|
|
Ultrasound encephalogram
|
$771.50 |
$771.50 |
$771.50 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$280.80 |
$280.80 |
$595.50 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$405.50 |
$405.50 |
$405.50 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$555.00 |
$555.00 |
$864.50 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$827.50 |
$827.50 |
$878.40 |
$720.15
|
|
Ultrasound guide intraoperative
|
$492.00 |
$492.00 |
$894.50 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$560.00 |
$560.00 |
$560.00 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$269.50 |
$269.50 |
$269.50 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$163.50 |
$163.50 |
$163.50 |
$311.25
|
|
Ultrasound joint complete left
|
$784.00 |
$784.00 |
$784.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$306.50 |
$306.50 |
$426.00 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$392.00 |
$392.00 |
$392.00 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$862.50 |
$862.50 |
$862.50 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$467.00 |
$467.00 |
$846.60 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$710.00 |
$710.00 |
$710.00 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$223.50 |
$223.50 |
$223.50 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$271.80 |
$271.80 |
$499.50 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$318.00 |
$318.00 |
$423.50 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$662.00 |
$662.00 |
$662.00 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$523.80 |
$523.80 |
$559.00 |
$486.50
|
|
Ultrasound scrotum and contents
|
$708.50 |
$708.50 |
$743.40 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$546.00 |
$546.00 |
$546.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$378.00 |
$378.00 |
$378.00 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$583.50 |
$583.50 |
$714.60 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$677.50 |
$677.50 |
$677.50 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$434.00 |
$434.00 |
$434.00 |
$348.00
|
|
Unit mobile power mpu
|
$5,151.20 |
$5,151.20 |
$5,151.20 |
$14,612.80
|
|
Unlisted chemotherapy px
|
$395.50 |
$395.50 |
$395.50 |
$150.00
|
|
Unlisted dialysis procedure
|
$443.00 |
$443.00 |
$443.00 |
$1,144.00
|
|
Unlisted dx gi procedure
|
$389.50 |
$389.50 |
$389.50 |
$649.22
|
|
Unlisted laparoscopic liver biopy 47379
|
$16,300.24 |
$16,300.24 |
$16,300.24 |
$5,419.00
|
|
Unlisted mr procedure
|
$1,163.00 |
$1,163.00 |
$1,428.00 |
$1,163.00
|
|
Unlisted muscskel px head
|
$2,676.50 |
$2,676.50 |
$2,676.50 |
$478.46
|
|
Unlisted procedure colon
|
$1,403.50 |
$1,403.50 |
$1,403.50 |
$1,702.50
|
|
Unlisted procedure microbiology
|
$3,243.50 |
$3,243.50 |
$3,243.50 |
$523.50
|
|
Unlisted procedure orbit
|
$437.00 |
$437.00 |
$437.00 |
$436.44
|
|
Unlisted procedure rectum
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$1,220.35
|
|
Unlisted procedure spine
|
$3,479.00 |
$3,479.00 |
$3,479.00 |
$4,659.85
|
|
Unlisted px abdomen muscskel
|
$396.00 |
$396.00 |
$396.00 |
$1,848.60
|
|
Unlisted px ant segment eye
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$2,698.92
|
|
Unlisted px biliary tract
|
$2,307.50 |
$2,307.50 |
$2,307.50 |
$2,718.10
|
|
Unlisted px conjunctiva
|
$1,291.50 |
$1,291.50 |
$1,291.50 |
$479.62
|
|
Unlisted px external ear
|
$282.50 |
$282.50 |
$282.50 |
$325.68
|
