|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,179.75 |
$3,179.75 |
$3,179.75 |
$1,804.00
|
|
Thoracotomy w/expl
|
$2,623.25 |
$2,623.25 |
$2,623.25 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$2,623.25 |
$2,623.25 |
$2,623.25 |
$2,926.56
|
|
Thrombectmy crnry perq mechanical
|
$752.15 |
$752.15 |
$752.15 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$2,294.25 |
$2,294.25 |
$2,294.25 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$4,588.50 |
$4,588.50 |
$4,588.50 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$7,016.80 |
$7,016.80 |
$7,016.80 |
$24,605.30
|
|
Thrombin time
|
$90.30 |
$90.30 |
$90.30 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$82.95 |
$82.95 |
$82.95 |
$56.93
|
|
Thyroid imaging
|
$543.55 |
$543.55 |
$543.55 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,737.40 |
$1,737.40 |
$1,737.40 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$155.40 |
$155.40 |
$155.40 |
$120.00
|
|
Thyroid Ultrasound
|
$396.55 |
$396.55 |
$396.55 |
$589.96
|
|
Thyroid uptake measurement
|
$430.15 |
$430.15 |
$430.15 |
$653.60
|
|
Tib/per revasc stent & ather 37231
|
$9,431.45 |
$9,431.45 |
$9,431.45 |
$21,900.00
|
|
Tib/per revasc w/ather add-on 37233
|
$1,595.30 |
$1,595.30 |
$1,595.30 |
$10,406.14
|
|
Tigecycline injection
|
$283.14 |
$283.14 |
$283.14 |
$277.31
|
|
Tilt table study
|
$2,305.45 |
$2,305.45 |
$2,305.45 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$523.74 |
$523.74 |
$523.74 |
$384.17
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$12,886.65 |
$12,886.65 |
$12,886.65 |
$14,271.00
|
|
Tissue culture tumor
|
$32.81 |
$32.81 |
$32.81 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$108.50 |
$108.50 |
$108.50 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$3,655.64 |
$3,655.64 |
$3,655.64 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$913.66 |
$913.66 |
$913.66 |
$2,085.14
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$79.14 |
$79.14 |
$79.14 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$390.60 |
$390.60 |
$390.60 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$9,542.53 |
$9,542.53 |
$9,542.53 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$17.15 |
$17.15 |
$17.15 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$78.05 |
$78.05 |
$78.05 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$493.59 |
$493.59 |
$493.59 |
$404.20
|
|
Trabectedin 1 mg intravenous solution
|
$13,269.48 |
$13,269.48 |
$13,269.48 |
$7,403.70
|
|
Tracheobrnchsc thru est trachs incisn
|
$452.20 |
$452.20 |
$452.20 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$252.00 |
$252.00 |
$252.00 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$34.09 |
$34.09 |
$34.09 |
$77.65
|
|
Transcath biopsy
|
$8,458.10 |
$8,458.10 |
$8,458.10 |
$4,298.05
|
|
Transcath closure of asd
|
$14,638.75 |
$14,638.75 |
$14,638.75 |
$18,772.00
|
|
Transcatheter bx s&i
|
$1,689.10 |
$1,689.10 |
$1,689.10 |
$1,875.96
|
|
Transcath occlusion cns
|
$11,793.25 |
$11,793.25 |
$11,793.25 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$11,793.25 |
$11,793.25 |
$11,793.25 |
$12,427.79
|
|
Trans cath replace aortic valve 33366
|
$15,949.50 |
$15,949.50 |
$15,949.50 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,130.30 |
$5,130.30 |
$5,130.30 |
$4,627.00
|
|
Transfusion blood/blood component(s)
|
$255.50 |
$255.50 |
$255.50 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$5,625.95 |
$5,625.95 |
$5,625.95 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$12,367.80 |
$12,367.80 |
$12,367.80 |
$7,191.23
|
|
Tray bonemarrw oncontrol 102mm
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$1,013.83
|
|
Treat ankle dislocation
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$2,207.20
|
|
Treat ankle dislocation
|
$3,666.25 |
$3,666.25 |
$3,666.25 |
$7,807.24
|
|
Treat big toe fracture
|
$3,608.15 |
$3,608.15 |
$3,608.15 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$602.00 |
$602.00 |
$602.00 |
$734.00
|
|
Treat elbow dislocation
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$2,326.40
|
|
Treat elbow fracture
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$2,125.60
|
|
Treat elbow fracture
|
$3,666.25 |
$3,666.25 |
$3,666.25 |
$8,453.60
|
|
Treat eyelid by injection
|
$523.25 |
$523.25 |
$523.25 |
$472.21
|
|
Treat finger fracture each
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$4,108.00
|
|
Treat finger fracture each
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$1,815.75
|
|
Treat foot dislocation
|
$546.35 |
$546.35 |
$546.35 |
$435.60
|
|
Treat foot dislocation
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$3,935.24
|
|
Treat foot dislocation
|
$546.35 |
$546.35 |
$546.35 |
$527.28
|
|
Treat foot dislocation
|
$602.00 |
$602.00 |
$602.00 |
$478.40
|
|
Treat foot dislocation
|
$602.00 |
$602.00 |
$602.00 |
$404.04
|
|
Treat fracture of radius
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$2,030.33
|
|
Treat fracture of radius
|
$1,431.85 |
$1,431.85 |
$1,431.85 |
$2,316.75
|
|
Treat fracture of ulna
|
$602.00 |
$602.00 |
$602.00 |
$766.72
|
|
Treat hand dislocation
|
$1,543.15 |
$1,543.15 |
$1,543.15 |
$1,893.86
|
|
Treat hip dislocation
|
$1,431.85 |
$1,431.85 |
$1,431.85 |
$2,561.90
|
|
Treat hip dislocation
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$3,152.05
|
|
Treat hip socket fracture
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$1,340.10
|
|
Treat humerus fracture
|
$6,659.10 |
$6,659.10 |
$6,659.10 |
$11,850.08
|
|
Treat humerus fracture
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$1,950.60
|
|
Treat humerus fracture
|
$6,659.10 |
$6,659.10 |
$6,659.10 |
$12,653.00
|
|
Treat humerus fracture
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$2,045.35
|
|
Treat kneecap dislocation
|
$896.35 |
$896.35 |
$896.35 |
$1,351.35
|
|
Treat knee dislocation
|
$1,431.85 |
$1,431.85 |
$1,431.85 |
$2,592.08
|
|
Treat knee fracture 27530
|
$523.25 |
$523.25 |
$523.25 |
$580.20
|
|
Treat knee fracture(s)
|
$523.25 |
$523.25 |
$523.25 |
$642.00
|
|
Treat knuckle dislocation
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$1,893.86
|
|
Treat lower leg dislocation
|
$602.00 |
$602.00 |
$602.00 |
$532.60
|
|
Treat lower leg dislocation
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$4,350.00
|
|
Treat lower leg fracture
|
$6,659.10 |
$6,659.10 |
$6,659.10 |
$12,905.86
|
|
Treat lower leg fracture
|
$6,659.10 |
$6,659.10 |
$6,659.10 |
$12,653.00
|
|
Treat lower leg joint
|
$3,666.25 |
$3,666.25 |
$3,666.25 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$3,666.25 |
$3,666.25 |
$3,666.25 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$3,666.25 |
$3,666.25 |
$3,666.25 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$4,544.05 |
$4,544.05 |
$4,544.05 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,343.20 |
$3,343.20 |
$3,343.20 |
$3,806.40
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$632.45 |
$632.45 |
$632.45 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$2,907.10 |
$2,907.10 |
$2,907.10 |
$3,820.53
|
|
Treatment mouth roof lesion
|
$1,983.80 |
$1,983.80 |
$1,983.80 |
$4,350.00
|
|
Treatment of ankle fracture
|
$4,544.05 |
$4,544.05 |
$4,544.05 |
$7,907.11
|
|
Treatment of ankle fracture
|
$4,216.10 |
$4,216.10 |
$4,216.10 |
$7,907.11
|
|
Treatment of ankle fracture
|
$3,666.25 |
$3,666.25 |
$3,666.25 |
$7,348.32
|
|
Treatment of ankle fracture 27786
|
$602.00 |
$602.00 |
$602.00 |
$580.00
|
|
Treatment of fibula fracture
|
$4,544.05 |
$4,544.05 |
$4,544.05 |
$7,069.90
|
|
Treatment of fibula fracture 27780
|
$602.00 |
$602.00 |
$602.00 |
$558.75
|
|
Treatment of heel fracture 28400
|
$523.25 |
$523.25 |
$523.25 |
$494.00
|
|
Treatment of miscarriage
|
$2,907.10 |
$2,907.10 |
$2,907.10 |
$4,146.69
|
|
Treatment of thigh fracture
|
$422.10 |
$422.10 |
$422.10 |
$467.25
|
|
Treatment of thigh fracture
|
$1,245.30 |
$1,245.30 |
$1,245.30 |
$1,893.86
|
|
Treatment of thigh fracture
|
$602.00 |
$602.00 |
$602.00 |
$659.00
|
|
Treatment of thigh fracture
|
$3,666.25 |
$3,666.25 |
$3,666.25 |
$6,651.45
|
