|
Tobramycin non-comp unit
|
$53.10 |
$53.10 |
$53.10 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$451.35 |
$451.35 |
$451.35 |
$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
|
$76.50 |
$76.50 |
$76.50 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$61.20 |
$61.20 |
$61.20 |
$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
|
|
Trabectedin 1 mg intravenous solution
|
$11,028.60 |
$11,028.60 |
$11,028.60 |
$7,403.70
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,330.59 |
$1,330.59 |
$1,330.59 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$121.89 |
$121.89 |
$121.89 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$145.35 |
$145.35 |
$145.35 |
$77.65
|
|
Transcath closure of asd
|
$30,199.65 |
$30,199.65 |
$30,199.65 |
$18,772.00
|
|
Transferrin
|
$203.49 |
$203.49 |
$203.49 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$2,041.02 |
$2,041.02 |
$2,041.02 |
$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
|
$40,295.10 |
$40,295.10 |
$40,295.10 |
$5,104.55
|
|
Tray bonemarrw oncontrol 102mm
|
$6,630.00 |
$6,630.00 |
$6,630.00 |
$977.62
|
|
Treat ankle dislocation
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,207.20
|
|
Treat ankle dislocation
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,807.24
|
|
Treat big toe fracture
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$466.14 |
$466.14 |
$466.14 |
$734.00
|
|
Treat elbow dislocation
|
$6,781.98 |
$6,781.98 |
$6,781.98 |
$2,326.40
|
|
Treat elbow fracture
|
$4,007.58 |
$4,007.58 |
$4,007.58 |
$2,125.60
|
|
Treat elbow fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$8,453.60
|
|
Treat eyelid by injection
|
$954.21 |
$954.21 |
$954.21 |
$472.21
|
|
Treat finger fracture each
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$4,108.00
|
|
Treat finger fracture each
|
$2,077.23 |
$2,077.23 |
$2,077.23 |
$1,815.75
|
|
Treat foot dislocation
|
$466.14 |
$466.14 |
$466.14 |
$435.60
|
|
Treat foot dislocation
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,935.24
|
|
Treat foot dislocation
|
$466.14 |
$466.14 |
$466.14 |
$527.28
|
|
Treat foot dislocation
|
$466.14 |
$466.14 |
$466.14 |
$478.40
|
|
Treat foot dislocation
|
$466.14 |
$466.14 |
$466.14 |
$404.04
|
|
Treat fracture of radius
|
$2,296.02 |
$2,296.02 |
$2,296.02 |
$2,030.33
|
|
Treat fracture of radius
|
$2,613.75 |
$2,613.75 |
$2,613.75 |
$2,316.75
|
|
Treat fracture of ulna
|
$466.14 |
$466.14 |
$466.14 |
$766.72
|
|
Treat hand dislocation
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$1,893.86
|
|
Treat hip dislocation
|
$3,161.49 |
$3,161.49 |
$3,161.49 |
$2,561.90
|
|
Treat hip dislocation
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$3,152.05
|
|
Treat hip socket fracture
|
$2,258.79 |
$2,258.79 |
$2,258.79 |
$1,340.10
|
|
Treat humerus fracture
|
$28,751.76 |
$28,751.76 |
$28,751.76 |
$11,850.08
|
|
Treat humerus fracture
|
$1,958.91 |
$1,958.91 |
$1,958.91 |
$1,950.60
|
|
Treat humerus fracture
|
$28,751.76 |
$28,751.76 |
$28,751.76 |
$12,653.00
|
|
Treat humerus fracture
|
$1,958.91 |
$1,958.91 |
$1,958.91 |
$2,045.35
|
|
Treat kneecap dislocation
|
$6,781.98 |
$6,781.98 |
$6,781.98 |
$1,351.35
|
|
Treat knee dislocation
|
$3,161.49 |
$3,161.49 |
$3,161.49 |
$2,592.08
|
|
Treat knee fracture 27530
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$580.20
|
|
Treat knee fracture(s)
|
$466.14 |
$466.14 |
$466.14 |
$642.00
|
|
Treat knuckle dislocation
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$1,893.86
|
|
Treat lower leg dislocation
|
$466.14 |
$466.14 |
$466.14 |
$532.60
|
|
Treat lower leg dislocation
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$4,350.00
|
|
Treat lower leg fracture
|
$28,751.76 |
$28,751.76 |
$28,751.76 |
$12,905.86
|
|
Treat lower leg fracture
|
$28,751.76 |
$28,751.76 |
$28,751.76 |
$12,653.00
|
|
Treat lower leg joint
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,687.01 |
$5,687.01 |
$5,687.01 |
$3,806.40
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$518.67 |
$518.67 |
$518.67 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,364.29 |
$6,364.29 |
$6,364.29 |
$3,820.53
|
|
Treatment mouth roof lesion
|
$6,404.07 |
$6,404.07 |
$6,404.07 |
$4,350.00
|
|
Treatment of ankle fracture
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$7,907.11
|
|
Treatment of ankle fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,907.11
|
|
Treatment of ankle fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,348.32
|
|
Treatment of ankle fracture 27786
|
$884.34 |
$884.34 |
$884.34 |
$580.00
|
|
Treatment of fibula fracture
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$7,069.90
|
|
Treatment of fibula fracture 27780
|
$466.14 |
$466.14 |
$466.14 |
$558.75
|
|
Treatment of heel fracture 28400
|
$466.14 |
$466.14 |
$466.14 |
$494.00
|
|
Treatment of miscarriage
|
$6,364.29 |
$6,364.29 |
$6,364.29 |
$4,146.69
|
|
Treatment of thigh fracture
|
$456.45 |
$456.45 |
$456.45 |
$467.25
|
|
Treatment of thigh fracture
|
$3,161.49 |
$3,161.49 |
$3,161.49 |
$1,893.86
|
|
Treatment of thigh fracture
|
$466.14 |
$466.14 |
$466.14 |
$659.00
|
|
Treatment of thigh fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$6,651.45
|
|
Treatment of thigh fracture
|
$2,947.80 |
$2,947.80 |
$2,947.80 |
$2,055.00
|
|
Treatment of tibia fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$6,183.84
|
|
Treatment of toe fracture 28510
|
$1,013.88 |
$1,013.88 |
$1,013.88 |
$371.40
|
|
Treatment radiation delivery level 2
|
$1,742.67 |
$1,742.67 |
$1,742.67 |
$735.00
|
|
Treat metacarpal fracture
|
$6,559.11 |
$6,559.11 |
$6,559.11 |
$3,958.50
|
|
Treat metacarpal fracture
|
$6,559.11 |
$6,559.11 |
$6,559.11 |
$4,627.00
|
|
Treat metatarsal fracture
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$7,913.97
|
|
Treat midfoot fracture each
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$1,893.86
|
|
Treat sternum fracture
|
$456.45 |
$456.45 |
$456.45 |
$423.00
|
|
Treat thigh fracture
|
$466.14 |
$466.14 |
$466.14 |
$661.00
|
|
Treat thigh fracture
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$7,372.60
|
|
Treat thigh fracture
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,021.04
|
|
Treat thigh fracture
|
$466.14 |
$466.14 |
$466.14 |
$716.95
|
|
Treat thigh fx growth plate
|
$466.14 |
$466.14 |
$466.14 |
$421.50
|
|
Treat toe dislocation
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$855.66
|
|
Treat toe fracture
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,981.06
|
|
Treat ulnar fracture
|
$2,077.23 |
$2,077.23 |
$2,077.23 |
$1,861.60
|
|
Treat vaginal bleeding
|
$400.86 |
$400.86 |
$400.86 |
$400.86
|
|
Treat wrist bone fracture
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$1,907.64
|
|
Treat wrist dislocation
|
$466.14 |
$466.14 |
$466.14 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$10,314.94 |
$10,314.94 |
$10,314.94 |
$101,032.80
|
|
Treponema pallidum antibody
|
$43.86 |
$43.86 |
$43.86 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$84.15 |
$84.15 |
$84.15 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$107.41 |
$107.41 |
$107.41 |
$1,309.80
|
