|
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
|
$55.59 |
$55.59 |
$55.59 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$70.89 |
$70.89 |
$70.89 |
$73.45
|
|
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
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,059.27 |
$1,059.27 |
$1,059.27 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$233.58 |
$233.58 |
$233.58 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$145.35 |
$145.35 |
$145.35 |
$77.65
|
|
Transferrin
|
$167.79 |
$167.79 |
$167.79 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,716.15 |
$1,716.15 |
$1,716.15 |
$988.24
|
|
Tray bonemarrw oncontrol 102mm
|
$7,854.00 |
$7,854.00 |
$7,854.00 |
$1,013.83
|
|
Treat ankle dislocation
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,207.20
|
|
Treat ankle dislocation
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$7,807.24
|
|
Treat big toe fracture
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$419.73 |
$419.73 |
$419.73 |
$734.00
|
|
Treat elbow dislocation
|
$3,256.86 |
$3,256.86 |
$3,256.86 |
$2,326.40
|
|
Treat elbow fracture
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,125.60
|
|
Treat elbow fracture
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$8,453.60
|
|
Treat eyelid by injection
|
$729.81 |
$729.81 |
$729.81 |
$472.21
|
|
Treat finger fracture each
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$4,108.00
|
|
Treat finger fracture each
|
$2,006.85 |
$2,006.85 |
$2,006.85 |
$1,815.75
|
|
Treat foot dislocation
|
$419.73 |
$419.73 |
$419.73 |
$435.60
|
|
Treat foot dislocation
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,935.24
|
|
Treat foot dislocation
|
$419.73 |
$419.73 |
$419.73 |
$527.28
|
|
Treat foot dislocation
|
$419.73 |
$419.73 |
$419.73 |
$478.40
|
|
Treat foot dislocation
|
$419.73 |
$419.73 |
$419.73 |
$404.04
|
|
Treat fracture of radius
|
$2,309.28 |
$2,309.28 |
$2,309.28 |
$2,030.33
|
|
Treat fracture of radius
|
$2,920.77 |
$2,920.77 |
$2,920.77 |
$2,316.75
|
|
Treat fracture of ulna
|
$701.76 |
$701.76 |
$701.76 |
$766.72
|
|
Treat hand dislocation
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$1,893.86
|
|
Treat hip dislocation
|
$2,920.77 |
$2,920.77 |
$2,920.77 |
$2,561.90
|
|
Treat hip dislocation
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$3,152.05
|
|
Treat hip socket fracture
|
$827.73 |
$827.73 |
$827.73 |
$1,340.10
|
|
Treat humerus fracture
|
$26,561.82 |
$26,561.82 |
$26,561.82 |
$11,850.08
|
|
Treat humerus fracture
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$1,950.60
|
|
Treat humerus fracture
|
$26,561.82 |
$26,561.82 |
$26,561.82 |
$12,653.00
|
|
Treat humerus fracture
|
$2,060.91 |
$2,060.91 |
$2,060.91 |
$2,045.35
|
|
Treat kneecap dislocation
|
$3,256.86 |
$3,256.86 |
$3,256.86 |
$1,351.35
|
|
Treat knee dislocation
|
$2,857.53 |
$2,857.53 |
$2,857.53 |
$2,592.08
|
|
Treat knee fracture 27530
|
$419.73 |
$419.73 |
$419.73 |
$580.20
|
|
Treat knee fracture(s)
|
$419.73 |
$419.73 |
$419.73 |
$642.00
|
|
Treat knuckle dislocation
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$1,893.86
|
|
Treat lower leg dislocation
|
$419.73 |
$419.73 |
$419.73 |
$532.60
|
|
Treat lower leg dislocation
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$4,350.00
|
|
Treat lower leg fracture
|
$26,561.82 |
$26,561.82 |
$26,561.82 |
$12,905.86
|
|
Treat lower leg fracture
|
$26,561.82 |
$26,561.82 |
$26,561.82 |
$12,653.00
|
|
Treat lower leg joint
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,724.24 |
$5,724.24 |
$5,724.24 |
$3,806.40
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$433.50 |
$433.50 |
$433.50 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$5,724.24 |
$5,724.24 |
$5,724.24 |
$3,820.53
|
|
Treatment mouth roof lesion
|
$5,759.94 |
$5,759.94 |
$5,759.94 |
$4,350.00
|
|
Treatment of ankle fracture
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$7,907.11
|
|
Treatment of ankle fracture
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$7,907.11
|
|
Treatment of ankle fracture
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$7,348.32
|
|
Treatment of ankle fracture 27786
|
$419.73 |
$419.73 |
$419.73 |
$580.00
|
|
Treatment of fibula fracture
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$7,069.90
|
|
Treatment of fibula fracture 27780
|
$419.73 |
$419.73 |
$419.73 |
$558.75
|
|
Treatment of heel fracture 28400
|
$419.73 |
$419.73 |
$419.73 |
$494.00
|
|
Treatment of miscarriage
|
$5,724.24 |
$5,724.24 |
$5,724.24 |
$4,146.69
|
|
Treatment of thigh fracture
|
$422.28 |
$422.28 |
$422.28 |
$467.25
|
|
Treatment of thigh fracture
|
$2,858.04 |
$2,858.04 |
$2,858.04 |
$1,893.86
|
|
Treatment of thigh fracture
|
$419.73 |
$419.73 |
$419.73 |
$659.00
|
|
Treatment of thigh fracture
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$6,651.45
|
|
Treatment of thigh fracture
|
$2,857.53 |
$2,857.53 |
$2,857.53 |
$2,055.00
|
|
Treatment of tibia fracture
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$6,183.84
|
|
Treatment of toe fracture 28510
|
$419.73 |
$419.73 |
$419.73 |
$371.40
|
|
Treat metacarpal fracture
|
$6,059.82 |
$6,059.82 |
$6,059.82 |
$3,958.50
|
|
Treat metacarpal fracture
|
$6,059.82 |
$6,059.82 |
$6,059.82 |
$4,627.00
|
|
Treat metatarsal fracture
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$7,913.97
|
|
Treat midfoot fracture each
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$1,893.86
|
|
Treat sternum fracture
|
$422.28 |
$422.28 |
$422.28 |
$423.00
|
|
Treat thigh fracture
|
$427.38 |
$427.38 |
$427.38 |
$661.00
|
|
Treat thigh fracture
|
$13,465.53 |
$13,465.53 |
$13,465.53 |
$7,372.60
|
|
Treat thigh fracture
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,021.04
|
|
Treat thigh fracture
|
$419.73 |
$419.73 |
$419.73 |
$716.95
|
|
Treat thigh fx growth plate
|
$419.73 |
$419.73 |
$419.73 |
$421.50
|
|
Treat toe dislocation
|
$486.03 |
$486.03 |
$486.03 |
$855.66
|
|
Treat toe fracture
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,981.06
|
|
Treat ulnar fracture
|
$2,267.46 |
$2,267.46 |
$2,267.46 |
$1,861.60
|
|
Treat vaginal bleeding
|
$359.04 |
$359.04 |
$359.04 |
$400.86
|
|
Treat wrist bone fracture
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$1,907.64
|
|
Treat wrist dislocation
|
$419.73 |
$419.73 |
$419.73 |
$760.00
|
|
Treponema pallidum antibody
|
$159.12 |
$159.12 |
$159.12 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$84.15 |
$84.15 |
$84.15 |
$55.80
|
|
#tricyclicantidprssnt
|
$5.56 |
$5.56 |
$5.56 |
$57.08
|
|
Triglycerides
|
$171.36 |
$171.36 |
$171.36 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$191.10 |
$191.10 |
$191.10 |
$128.00
|
|
Trim nondyst nails
|
$137.70 |
$137.70 |
$137.70 |
$124.22
|
|
Trmt of fracture (femoral shaft) 27500
|
$419.73 |
$419.73 |
$419.73 |
$777.00
|
|
Trnscath plc stent crv crtd w/prtct
|
$15,700.35 |
$15,700.35 |
$15,700.35 |
$11,099.98
|
|
Trnscath tx thromblytc vein ini day
|
$6,064.92 |
$6,064.92 |
$6,064.92 |
$4,329.36
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$6,622.86 |
$6,622.86 |
$6,622.86 |
$4,805.85
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$2,377.62 |
$2,377.62 |
$2,377.62 |
$2,343.60
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$3,513.90 |
$3,513.90 |
$3,513.90 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$3,513.90 |
$3,513.90 |
$3,513.90 |
$3,322.20
|
|
Troponin quantitative
|
$489.60 |
$489.60 |
$489.60 |
$123.75
|