|
Transcath biopsy
|
$1,876.15 |
$3,668.00 |
$3,668.00 |
$4,285.93
|
|
Transcath closure of asd
|
$8,009.37 |
$14,122.40 |
$14,122.40 |
$16,741.40
|
|
Transcath closure of vsd
|
$6,879.88 |
$36,396.80 |
$36,396.80 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,492.94 |
$1,822.00 |
$1,822.00 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$2,415.95 |
$3,036.80 |
$3,036.80 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$4,386.00 |
$4,386.00 |
$9,825.43 |
$12,418.00
|
|
Transcath occlusion cns
|
$2,929.91 |
$4,520.00 |
$4,520.00 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$4,541.36 |
$5,897.60 |
$5,897.60 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,456.04 |
$24,827.20 |
$24,827.20 |
$4,775.16
|
|
Transferrin
|
$32.00 |
$32.00 |
$86.46 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,063.19 |
$1,150.00 |
$1,150.00 |
$983.00
|
|
Transperi needle place pros
|
$4,165.43 |
$8,209.60 |
$8,209.60 |
$6,015.75
|
|
Transplt autol hct/donor
|
$1,973.19 |
$4,472.80 |
$4,472.80 |
$3,786.00
|
|
Trans shoe solid stirrup exi
|
$46.80 |
$46.80 |
$46.80 |
$141.41
|
|
Trastuzumab 150 mg intravenous solution
|
$387.01 |
$387.01 |
$3,294.69 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$181.70 |
$181.70 |
$181.70 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$256.30 |
$256.30 |
$6,704.77 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$5,882.07 |
$6,783.20 |
$6,783.20 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,057.96 |
$1,214.80 |
$1,214.80 |
$940.80
|
|
Treat elbow fracture
|
$733.38 |
$733.38 |
$733.38 |
$1,919.13
|
|
Treat finger fracture each
|
$841.15 |
$841.15 |
$841.15 |
$1,536.00
|
|
Treat fracture of radius
|
$701.02 |
$701.02 |
$701.02 |
$1,849.00
|
|
Treat hand dislocation
|
$756.39 |
$756.39 |
$756.39 |
$1,749.06
|
|
Treat knuckle dislocation
|
$700.96 |
$700.96 |
$700.96 |
$1,523.90
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,260.93 |
$4,176.80 |
$4,176.80 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$154.90 |
$252.40 |
$252.40 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$110.64 |
$169.60 |
$169.60 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$150.64 |
$479.20 |
$479.20 |
$203.35
|
|
Treatment of toe fracture 28510
|
$277.43 |
$277.43 |
$277.43 |
$369.70
|
|
Treatment radiation delivery level 2
|
$517.21 |
$1,404.80 |
$1,404.80 |
$767.65
|
|
Treatment x10sv retinopathy
|
$1,475.20 |
$1,475.20 |
$1,475.20 |
$1,513.20
|
|
Treat sternum fracture
|
$127.19 |
$127.19 |
$127.19 |
$423.00
|
|
Treat toe dislocation
|
$756.39 |
$756.39 |
$756.39 |
$756.39
|
|
Treat vaginal bleeding
|
$271.81 |
$271.81 |
$271.81 |
$379.60
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$257.87 |
$257.87 |
$80,568.43 |
$73,346.25
|
|
Treponema pallidum antibody
|
$32.40 |
$32.40 |
$59.33 |
$70.40
|
|
Treprostinil injection
|
$6,347.41 |
$6,347.41 |
$6,347.41 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$351.17 |
$352.00 |
$352.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$1.60 |
$32.24 |
$58.16 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$29.28 |
$29.28 |
$31.40 |
$223.56
|
|
Trichinella antibody
|
$32.00 |
$32.00 |
$32.00 |
$70.20
|
|
Trichomonas assay w/optic
|
$29.20 |
$29.20 |
$29.20 |
$55.50
|
|
#tricyclicantidprssnt
|
$122.00 |
$122.00 |
$122.00 |
$50.86
|
|
Triglycerides
|
$14.40 |
$14.40 |
$40.88 |
$58.05
|
|
Trim nondyst nails
|
$50.40 |
$50.40 |
$56.77 |
$113.40
|
|
Triptorelin pamoate
|
$2,367.11 |
$2,367.11 |
$2,367.11 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$2,805.60 |
$2,805.60 |
$2,805.60 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$6,790.00 |
$6,790.00 |
$6,790.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$4,338.44 |
$5,551.60 |
$5,551.60 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,376.80 |
$4,376.80 |
$12,191.96 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,346.00 |
$3,346.00 |
$10,537.34 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$10,439.20 |
$10,439.20 |
$10,752.38 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,882.19 |
$3,636.00 |
$3,636.00 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,478.35 |
$2,821.60 |
$2,821.60 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,782.40 |
$1,782.40 |
$3,097.94 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,338.31 |
$1,782.40 |
$1,782.40 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,412.66 |
$1,782.40 |
$1,782.40 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$2,152.64 |
$2,152.64 |
$2,152.64 |
$4,713.66
|
|
Troponin quantitative
|
$35.60 |
$35.60 |
$110.67 |
$127.20
|
|
Tr retinal les preterm inf
|
$766.81 |
$766.81 |
$766.81 |
$1,794.00
|
|
Tte w or without contr, cont ecg
|
$836.01 |
$836.01 |
$836.01 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$703.65 |
$703.65 |
$703.65 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$950.80 |
$950.80 |
$950.80 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$706.18 |
$706.18 |
$706.18 |
$1,077.92
|
|
Tube trach disp innr can 5 xlt
|
$400.41 |
$518.40 |
$518.40 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$93.83 |
$366.40 |
$366.40 |
$155.98
|
|
Tx atrial fib pulm vein isol
|
$19,487.14 |
$21,050.80 |
$21,050.80 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$2,378.00 |
$2,378.00 |
$5,261.53 |
$6,769.00
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$1,529.92 |
$1,529.92 |
$1,529.92 |
$4,468.55
|
|
Ua w/micro/comp poc
|
$9.20 |
$9.20 |
$17.32 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$126.41 |
$126.41 |
$64,926.31 |
$20,945.01
|
|
Ugt1a1 gene analy common variants
|
$282.00 |
$282.00 |
$282.00 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$359.20 |
$359.20 |
$361.79 |
$394.20
|
|
Ultrasound breast complete
|
$347.20 |
$347.20 |
$347.20 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$255.60 |
$255.60 |
$255.60 |
$449.35
|
|
Ultrasound chest
|
$353.60 |
$353.60 |
$406.43 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$256.29 |
$300.00 |
$300.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$421.41 |
$421.41 |
$421.41 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$178.16 |
$178.16 |
$178.16 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$178.16 |
$327.20 |
$327.20 |
$307.00
|
|
Ultrasound encephalogram
|
$346.71 |
$359.20 |
$359.20 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$464.40 |
$464.40 |
$464.40 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$359.20 |
$359.20 |
$384.82 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$84.40 |
$84.40 |
$346.71 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$579.20 |
$579.20 |
$579.42 |
$720.15
|
|
Ultrasound guide intraoperative
|
$339.60 |
$339.60 |
$450.64 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$335.60 |
$335.60 |
$340.97 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$305.60 |
$305.60 |
$339.12 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$302.38 |
$302.38 |
$302.38 |
$311.25
|
|
Ultrasound joint complete left
|
$407.20 |
$407.20 |
$407.20 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$304.40 |
$304.40 |
$304.40 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$407.20 |
$407.20 |
$467.02 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$266.00 |
$266.00 |
$296.06 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$707.20 |
$707.20 |
$713.60 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$310.67 |
$346.00 |
$346.00 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$321.26 |
$355.60 |
$355.60 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$399.20 |
$399.20 |
$423.64 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$428.46 |
$435.20 |
$435.20 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$359.20 |
$359.20 |
$398.43 |
$486.50
|
|
Ultrasound scrotum and contents
|
$426.00 |
$426.00 |
$472.45 |
$608.90
|
