|
Telethx isodose plan cplx
|
$2,892.21 |
$2,892.21 |
$2,892.21 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,520.82 |
$1,520.82 |
$1,520.82 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$16,531.64 |
$16,531.64 |
$16,531.64 |
$16,531.64
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$3,839.54
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$84.15 |
$84.15 |
$84.15 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$52.53 |
$52.53 |
$52.53 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$732.36 |
$732.36 |
$732.36 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,440.92 |
$1,440.92 |
$1,440.92 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$231.54 |
$231.54 |
$231.54 |
$108.00
|
|
Ther/proph/diag inj ia
|
$393.72 |
$393.72 |
$393.72 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$5,978.73 |
$5,978.73 |
$5,978.73 |
$1,804.00
|
|
Thoracotomy w/expl
|
$15,604.47 |
$15,604.47 |
$15,604.47 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$25,350.06 |
$25,350.06 |
$25,350.06 |
$2,926.56
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,594.19 |
$5,594.19 |
$5,594.19 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,337.81 |
$11,337.81 |
$11,337.81 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,127.95 |
$18,127.95 |
$18,127.95 |
$24,605.30
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$13,782.75 |
$13,782.75 |
$13,782.75 |
$5,520.00
|
|
Thrombin time
|
$21.14 |
$21.14 |
$21.14 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$35.02 |
$35.02 |
$35.02 |
$56.93
|
|
Thyroglobulin antibody
|
$30.57 |
$30.57 |
$30.57 |
$84.00
|
|
Thyroid imaging
|
$1,487.16 |
$1,487.16 |
$1,487.16 |
$670.80
|
|
Thyroid met imaging
|
$646.68 |
$646.68 |
$646.68 |
$549.70
|
|
Thyroid mets imag whole body
|
$2,942.19 |
$2,942.19 |
$2,942.19 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$246.84 |
$246.84 |
$246.84 |
$120.00
|
|
Thyroid Ultrasound
|
$1,403.52 |
$1,403.52 |
$1,403.52 |
$589.96
|
|
Thyroid uptake measurement
|
$860.37 |
$860.37 |
$860.37 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$63.72 |
$63.72 |
$63.72 |
$63.60
|
|
Tib/per revasc w/ather add-on 37233
|
$10,533.03 |
$10,533.03 |
$10,533.03 |
$10,406.14
|
|
Tigecycline injection
|
$272.05 |
$272.05 |
$272.05 |
$277.31
|
|
Tilt table study
|
$2,297.55 |
$2,297.55 |
$2,297.55 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$442.17 |
$442.17 |
$442.17 |
$384.17
|
|
Tissue exam koh skin/hair/nails
|
$160.14 |
$160.14 |
$160.14 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$3,930.80 |
$3,930.80 |
$3,930.80 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$1,578.39 |
$1,578.39 |
$1,578.39 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$61.71 |
$61.71 |
$61.71 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$141.75
|
|
Tobramycin non-comp unit
|
$53.10 |
$53.10 |
$53.10 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$196.86 |
$196.86 |
$196.86 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,938.96 |
$5,938.96 |
$5,938.96 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$91.29 |
$91.29 |
$91.29 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$91.80 |
$91.80 |
$91.80 |
$73.45
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$21,821.42 |
$21,821.42 |
$21,821.42 |
$18,599.40
|
|
Toxoplasma antibody igg
|
$45.06 |
$45.06 |
$45.06 |
$84.35
|
|
Toxoplasma antibody igm
|
$36.20 |
$36.20 |
$36.20 |
$83.20
|
|
Tpmt gene com vrnts
|
$76.50 |
$76.50 |
$76.50 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$6,588.69 |
$6,588.69 |
$6,588.69 |
$6,105.61
|
|
Trabectedin 1 mg intravenous solution
|
$11,028.60 |
$11,028.60 |
$11,028.60 |
$7,403.70
|
|
Tracheobrnchsc thru est trachs incisn
|
$697.17 |
$697.17 |
$697.17 |
$1,459.48
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$145.35 |
$145.35 |
$145.35 |
$77.65
|
|
Transcath closure of asd
|
$18,127.95 |
$18,127.95 |
$18,127.95 |
$18,772.00
|
|
Transferrin
|
$192.78 |
$192.78 |
$192.78 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$2,133.33 |
$2,133.33 |
$2,133.33 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$4,702.80 |
$4,702.80 |
$4,702.80 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$3,721.47 |
$3,721.47 |
$3,721.47 |
$7,191.23
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$6,144.82 |
$6,144.82 |
$6,144.82 |
$4,500.03
|
|
Trauma partial team response w/critical care services level 4
|
$39,478.08 |
$39,478.08 |
$39,478.08 |
$5,455.00
|
|
Tray bonemarrw oncontrol 102mm
|
$3,888.75 |
$3,888.75 |
$3,888.75 |
$1,013.83
|
|
Treat ankle dislocation
|
$3,170.67 |
$3,170.67 |
$3,170.67 |
$2,207.20
|
|
Treat ankle dislocation
|
$13,017.24 |
$13,017.24 |
$13,017.24 |
$7,807.24
|
|
Treat big toe fracture
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$469.20 |
$469.20 |
$469.20 |
$734.00
|
|
Treat elbow dislocation
|
$3,356.82 |
$3,356.82 |
$3,356.82 |
$2,326.40
|
|
Treat elbow fracture
|
$4,098.36 |
$4,098.36 |
$4,098.36 |
$2,125.60
|
|
Treat elbow fracture
|
$13,017.24 |
$13,017.24 |
$13,017.24 |
$8,453.60
|
|
Treat eyelid by injection
|
$576.30 |
$576.30 |
$576.30 |
$472.21
|
|
Treat finger fracture each
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$4,108.00
|
|
Treat finger fracture each
|
$2,334.27 |
$2,334.27 |
$2,334.27 |
$1,815.75
|
|
Treat foot dislocation
|
$469.20 |
$469.20 |
$469.20 |
$435.60
|
|
Treat foot dislocation
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$3,935.24
|
|
Treat foot dislocation
|
$469.20 |
$469.20 |
$469.20 |
$527.28
|
|
Treat foot dislocation
|
$469.20 |
$469.20 |
$469.20 |
$478.40
|
|
Treat foot dislocation
|
$469.20 |
$469.20 |
$469.20 |
$404.04
|
|
Treat fracture of radius
|
$2,334.27 |
$2,334.27 |
$2,334.27 |
$2,030.33
|
|
Treat fracture of radius
|
$2,822.85 |
$2,822.85 |
$2,822.85 |
$2,316.75
|
|
Treat fracture of ulna
|
$1,339.26 |
$1,339.26 |
$1,339.26 |
$766.72
|
|
Treat hand dislocation
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$1,893.86
|
|
Treat hip dislocation
|
$1,690.14 |
$1,690.14 |
$1,690.14 |
$2,561.90
|
|
Treat hip dislocation
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$3,152.05
|
|
Treat hip socket fracture
|
$1,075.59 |
$1,075.59 |
$1,075.59 |
$1,340.10
|
|
Treat humerus fracture
|
$25,677.48 |
$25,677.48 |
$25,677.48 |
$11,850.08
|
|
Treat humerus fracture
|
$2,334.27 |
$2,334.27 |
$2,334.27 |
$1,950.60
|
|
Treat humerus fracture
|
$25,677.48 |
$25,677.48 |
$25,677.48 |
$12,653.00
|
|
Treat humerus fracture
|
$4,425.27 |
$4,425.27 |
$4,425.27 |
$2,045.35
|
|
Treat kneecap dislocation
|
$1,422.90 |
$1,422.90 |
$1,422.90 |
$1,351.35
|
|
Treat knee dislocation
|
$1,690.14 |
$1,690.14 |
$1,690.14 |
$2,592.08
|
|
Treat knee fracture 27530
|
$654.33 |
$654.33 |
$654.33 |
$580.20
|
|
Treat knee fracture(s)
|
$469.20 |
$469.20 |
$469.20 |
$642.00
|
|
Treat knuckle dislocation
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$1,893.86
|
|
Treat lower leg dislocation
|
$469.20 |
$469.20 |
$469.20 |
$532.60
|
|
Treat lower leg dislocation
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$4,350.00
|
|
Treat lower leg fracture
|
$25,677.48 |
$25,677.48 |
$25,677.48 |
$12,905.86
|
|
Treat lower leg fracture
|
$25,677.48 |
$25,677.48 |
$25,677.48 |
$12,653.00
|
|
Treat lower leg joint
|
$13,017.24 |
$13,017.24 |
$13,017.24 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$13,017.24 |
$13,017.24 |
$13,017.24 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$13,017.24 |
$13,017.24 |
$13,017.24 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$14,977.68 |
$14,977.68 |
$14,977.68 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,395.69 |
$4,395.69 |
$4,395.69 |
$3,806.40
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$317.22 |
$317.22 |
$317.22 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,403.05 |
$6,403.05 |
$6,403.05 |
$3,820.53
|