|
Tp53 gene trgt sequence alys
|
$1,082.12 |
$1,082.12 |
$1,082.12 |
$919.10
|
|
Tpmt gene com vrnts
|
$464.75 |
$464.75 |
$464.75 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$104.50 |
$104.50 |
$104.50 |
$99.00
|
|
Transcath biopsy
|
$2,889.70 |
$2,889.70 |
$2,889.70 |
$4,298.05
|
|
Transcath closure of asd
|
$20,724.55 |
$20,724.55 |
$20,724.55 |
$18,772.00
|
|
Transcatheter bx s&i
|
$443.30 |
$443.30 |
$443.30 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$3,113.00 |
$3,113.00 |
$3,113.00 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$10,756.90 |
$10,756.90 |
$10,756.90 |
$17,106.18
|
|
Transcath occlusion cns
|
$968.00 |
$968.00 |
$968.00 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$4,382.40 |
$4,382.40 |
$4,382.40 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,380.40 |
$2,380.40 |
$2,380.40 |
$4,627.00
|
|
Transferrin
|
$102.30 |
$102.30 |
$102.30 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$695.75 |
$695.75 |
$695.75 |
$988.24
|
|
Trauma partial team response w/critical care services level 4
|
$5,503.85 |
$5,503.85 |
$5,503.85 |
$6,440.00
|
|
Treat clavicle dislocation 23545
|
$541.20 |
$541.20 |
$541.20 |
$734.00
|
|
Treat elbow dislocation
|
$2,987.60 |
$2,987.60 |
$2,987.60 |
$2,326.40
|
|
Treat elbow fracture
|
$3,394.60 |
$3,394.60 |
$3,394.60 |
$2,125.60
|
|
Treat finger fracture each
|
$3,092.10 |
$3,092.10 |
$3,092.10 |
$1,815.75
|
|
Treat foot dislocation
|
$708.40 |
$708.40 |
$708.40 |
$527.28
|
|
Treat fracture of radius
|
$2,987.60 |
$2,987.60 |
$2,987.60 |
$2,030.33
|
|
Treat fracture of radius
|
$2,416.70 |
$2,416.70 |
$2,416.70 |
$2,316.75
|
|
Treat hip dislocation
|
$2,561.90 |
$2,561.90 |
$2,561.90 |
$2,561.90
|
|
Treat hip dislocation
|
$3,152.05 |
$3,152.05 |
$3,152.05 |
$3,152.05
|
|
Treat hip socket fracture
|
$377.30 |
$377.30 |
$377.30 |
$1,340.10
|
|
Treat humerus fracture
|
$3,394.60 |
$3,394.60 |
$3,394.60 |
$1,950.60
|
|
Treat kneecap dislocation
|
$579.15 |
$579.15 |
$579.15 |
$1,351.35
|
|
Treat knee dislocation
|
$2,501.95 |
$2,501.95 |
$2,501.95 |
$2,592.08
|
|
Treat knuckle dislocation
|
$3,372.60 |
$3,372.60 |
$3,372.60 |
$1,893.86
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,938.35 |
$5,938.35 |
$5,938.35 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$312.40 |
$312.40 |
$312.40 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$298.10 |
$298.10 |
$298.10 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$129.80 |
$129.80 |
$129.80 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,133.60 |
$6,133.60 |
$6,133.60 |
$3,820.53
|
|
Treatment of ankle fracture 27786
|
$574.20 |
$574.20 |
$574.20 |
$580.00
|
|
Treatment of heel fracture 28400
|
$498.85 |
$498.85 |
$498.85 |
$494.00
|
|
Treat midfoot fracture each
|
$2,391.95 |
$2,391.95 |
$2,391.95 |
$1,893.86
|
|
Treat toe dislocation
|
$526.35 |
$526.35 |
$526.35 |
$855.66
|
|
Treat ulnar fracture
|
$3,109.70 |
$3,109.70 |
$3,109.70 |
$1,861.60
|
|
Treat wrist dislocation
|
$448.80 |
$448.80 |
$448.80 |
$760.00
|
|
Treponema pallidum antibody
|
$211.75 |
$211.75 |
$211.75 |
$72.80
|
|
Trg gene rearrangement anal
|
$537.35 |
$537.35 |
$537.35 |
$455.70
|
|
Triglycerides
|
$50.05 |
$50.05 |
$50.05 |
$54.60
|
|
Trim nail(s)
|
$55.55 |
$55.55 |
$55.55 |
$70.56
|
|
Trim nondyst nails
|
$62.70 |
$62.70 |
$62.70 |
$124.22
|
|
Trnscath plc stent crv crtd without prtct
|
$7,239.10 |
$7,239.10 |
$7,239.10 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$7,309.50 |
$7,309.50 |
$7,309.50 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$7,225.90 |
$7,225.90 |
$7,225.90 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$7,582.85 |
$7,582.85 |
$7,582.85 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,624.75 |
$6,624.75 |
$6,624.75 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,202.20 |
$13,202.20 |
$13,202.20 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,625.05 |
$3,625.05 |
$3,625.05 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,889.15 |
$2,889.15 |
$2,889.15 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,322.00 |
$3,322.00 |
$3,322.00 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,776.95 |
$2,776.95 |
$2,776.95 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$1,725.35 |
$1,725.35 |
$1,725.35 |
$4,329.36
|
|
Troponin quantitative
|
$87.45 |
$87.45 |
$87.45 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$884.40 |
$884.40 |
$884.40 |
$1,446.48
|
|
Tte w or without fol w/cont, com
|
$1,199.00 |
$1,199.00 |
$1,199.00 |
$1,527.00
|
|
Tube trach disp innr can 6 xlt
|
$139.88 |
$139.88 |
$139.88 |
$15.93
|
|
Tube trach fen sz 6 uncuffed
|
$169.85 |
$169.85 |
$169.85 |
$132.40
|
|
Tx atrial fib pulm vein isol
|
$25,527.15 |
$25,527.15 |
$25,527.15 |
$32,426.20
|
|
Tx closed distal humerus fx
|
$398.20 |
$398.20 |
$398.20 |
$786.00
|
|
Tx closed hip disl traumatic without anes
|
$1,508.65 |
$1,508.65 |
$1,508.65 |
$657.28
|
|
Tx l/r atrial fib addl
|
$8,279.15 |
$8,279.15 |
$8,279.15 |
$7,717.80
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$2,857.25 |
$2,857.25 |
$2,857.25 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$6,797.45 |
$6,797.45 |
$6,797.45 |
$4,281.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$409.20 |
$409.20 |
$409.20 |
$403.26
|
|
Ultrasound breast complete
|
$436.70 |
$436.70 |
$436.70 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$449.35 |
$449.35 |
$449.35 |
$449.35
|
|
Ultrasound chest
|
$470.80 |
$470.80 |
$470.80 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$485.10 |
$485.10 |
$485.10 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$424.05 |
$424.05 |
$424.05 |
$330.40
|
|
Ultrasound elastography ea l target les
|
$52.25 |
$52.25 |
$52.25 |
$136.11
|
|
Ultrasound elastography parenchyma
|
$207.35 |
$207.35 |
$207.35 |
$284.25
|
|
Ultrasound encephalogram
|
$409.20 |
$409.20 |
$409.20 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$409.20 |
$409.20 |
$409.20 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$409.20 |
$409.20 |
$409.20 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$293.70 |
$293.70 |
$293.70 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$470.80 |
$470.80 |
$470.80 |
$701.35
|
|
Ultrasound guide intraoperative
|
$409.20 |
$409.20 |
$409.20 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$400.95 |
$400.95 |
$400.95 |
$403.00
|
|
Ultrasound joint complete left
|
$470.80 |
$470.80 |
$470.80 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$470.80 |
$470.80 |
$470.80 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$409.20 |
$409.20 |
$409.20 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$409.20 |
$409.20 |
$409.20 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$400.95 |
$400.95 |
$400.95 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$409.20 |
$409.20 |
$409.20 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$470.80 |
$470.80 |
$470.80 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$409.20 |
$409.20 |
$409.20 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$443.27 |
$443.27 |
$443.27 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$460.90 |
$460.90 |
$460.90 |
$498.00
|
|
Ultrasound scrotum and contents
|
$460.90 |
$460.90 |
$460.90 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$409.20 |
$409.20 |
$409.20 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$409.20 |
$409.20 |
$409.20 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$409.20 |
$409.20 |
$409.20 |
$567.44
|
|
Umbilical artery cath newborn 36660
|
$53.35 |
$53.35 |
$53.35 |
$265.85
|
|
Unlisted CT procedure
|
$136.95 |
$136.95 |
$136.95 |
$1,043.00
|
|
Unlisted fluoroscopic px
|
$502.15 |
$502.15 |
$502.15 |
$324.85
|
|
Unlisted mr procedure
|
$2,305.60 |
$2,305.60 |
$2,305.60 |
$1,032.20
|
|
Unlisted px tongue flr mouth
|
$372.35 |
$372.35 |
$372.35 |
$274.80
|
