|
Tot disc arthrp 1ntrspc crv
|
$20,462.00 |
$20,462.00 |
$20,462.00 |
$20,154.40
|
|
Toxoplasma antibody igg
|
$111.80 |
$111.80 |
$111.80 |
$89.40
|
|
Toxoplasma antibody igm
|
$111.80 |
$111.80 |
$111.80 |
$87.00
|
|
Tpmt gene com vrnts
|
$783.64 |
$783.64 |
$783.64 |
$371.80
|
|
Tprnl balo cntnc dev adjmt
|
$551.20 |
$551.20 |
$551.20 |
$551.20
|
|
Tprnl balo cntnc dev bi
|
$21,387.60 |
$21,387.60 |
$21,387.60 |
$15,403.70
|
|
Tprnl balo cntnc dev rmvl ea
|
$5,725.20 |
$5,725.20 |
$5,725.20 |
$5,725.20
|
|
Tprnl balo cntnc dev uni
|
$8,216.00 |
$8,216.00 |
$8,216.00 |
$9,945.60
|
|
Tprnl plmt biodegrdabl matrl
|
$7,144.80 |
$7,144.80 |
$7,144.80 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$6,008.98 |
$6,008.98 |
$6,008.98 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,168.40 |
$2,168.40 |
$2,168.40 |
$1,420.44
|
|
Tracheostoma revision; simple, without flap rotation
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$147.16 |
$147.16 |
$147.16 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$52.35 |
$52.35 |
$52.35 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$946.40 |
$946.40 |
$946.40 |
$678.70
|
|
Transcath biopsy
|
$5,257.20 |
$5,257.20 |
$5,257.20 |
$4,285.93
|
|
Transcath closure of asd
|
$18,408.00 |
$18,408.00 |
$18,408.00 |
$16,741.40
|
|
Transcath closure of vsd
|
$15,043.60 |
$15,043.60 |
$15,043.60 |
$17,115.04
|
|
Transcatheter bx s&i
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$1,388.40 |
$1,388.40 |
$1,388.40 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$6,042.40 |
$6,042.40 |
$6,042.40 |
$12,418.00
|
|
Transcath occlusion cns
|
$7,337.20 |
$7,337.20 |
$7,337.20 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$9,724.00 |
$9,724.00 |
$9,724.00 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$5,127.20 |
$5,127.20 |
$5,127.20 |
$14,363.70
|
|
Transcutaneous carboxyhb
|
$61.88 |
$61.88 |
$61.88 |
$33.57
|
|
Transcutaneous hgb 88738
|
$24.96 |
$24.96 |
$24.96 |
$13.80
|
|
Transcutaneous methb
|
$61.88 |
$61.88 |
$61.88 |
$19.20
|
|
Transfer of embryo
|
$587.60 |
$587.60 |
$587.60 |
$631.20
|
|
Transferrin
|
$47.84 |
$47.84 |
$47.84 |
$82.00
|
|
Transfer skin pedicle flap
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$3,209.30
|
|
Transfusion blood/blood component(s)
|
$873.60 |
$873.60 |
$873.60 |
$983.00
|
|
Transorl lwr esophgl myotomy
|
$5,720.00 |
$5,720.00 |
$5,720.00 |
$6,588.93
|
|
Transparent film <= 16 sq in
|
$1,341.33 |
$1,341.33 |
$1,341.33 |
$4.50
|
|
Transperi needle place pros
|
$5,049.20 |
$5,049.20 |
$5,049.20 |
$6,015.75
|
|
Transplant forearm tendon
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,591.33
|
|
Transplant forearm tendon
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,821.05
|
|
Transplant/graft hand tendon
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,591.33
|
|
Transplant hand tendon
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,821.05
|
|
Transplj hematopoietic boost
|
$2,834.00 |
$2,834.00 |
$2,834.00 |
$2,667.20
|
|
Transplt allo lymphocytes
|
$2,834.00 |
$2,834.00 |
$2,834.00 |
$2,456.00
|
|
Transplt autol hct/donor
|
$4,763.20 |
$4,763.20 |
$4,763.20 |
$3,786.00
|
|
Transurethral rf treatment
|
$3,281.20 |
$3,281.20 |
$3,281.20 |
$3,281.20
|
|
Trastuzumab 150 mg intravenous solution
|
$2,551.78 |
$2,551.78 |
$2,551.78 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$6,201.79 |
$6,201.79 |
$6,201.79 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$5,525.09 |
$5,525.09 |
$5,525.09 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$873.60 |
$873.60 |
$873.60 |
$940.80
|
|
Treat ankle dislocation
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$2,358.40
|
|
Treat big toe fracture
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$4,307.52
|
|
Treat clavicle dislocation 23545
|
$691.60 |
$691.60 |
$691.60 |
$705.60
|
|
Treat ectopic pregnancy
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$4,350.00
|
|
Treat ectopic pregnancy
|
$8,346.00 |
$8,346.00 |
$8,346.00 |
$6,707.99
|
|
Treat elbow dislocation
|
$2,880.80 |
$2,880.80 |
$2,880.80 |
$2,223.20
|
|
Treat elbow fracture
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$1,919.13
|
|
Treat eyelid by injection
|
$561.60 |
$561.60 |
$561.60 |
$481.44
|
|
Treat eyelid lesion 67850
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$1,146.13
|
|
Treat finger fracture each
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$4,132.02
|
|
Treat finger fracture each
|
$946.40 |
$946.40 |
$946.40 |
$1,536.00
|
|
Treat foot bone lesion
|
$4,362.80 |
$4,362.80 |
$4,362.80 |
$3,839.54
|
|
Treat foot dislocation
|
$452.40 |
$452.40 |
$452.40 |
$396.30
|
|
Treat foot dislocation
|
$535.60 |
$535.60 |
$535.60 |
$527.28
|
|
Treat foot dislocation
|
$452.40 |
$452.40 |
$452.40 |
$445.80
|
|
Treat foot dislocation
|
$504.40 |
$504.40 |
$504.40 |
$446.60
|
|
Treat fracture of radius
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$1,790.00
|
|
Treat fracture of radius
|
$946.40 |
$946.40 |
$946.40 |
$1,849.00
|
|
Treat fracture of ulna
|
$780.00 |
$780.00 |
$780.00 |
$726.05
|
|
Treat hand bone lesion
|
$3,073.20 |
$3,073.20 |
$3,073.20 |
$3,073.20
|
|
Treat hand dislocation
|
$946.40 |
$946.40 |
$946.40 |
$1,749.06
|
|
Treat hip dislocation
|
$1,783.60 |
$1,783.60 |
$1,783.60 |
$2,192.80
|
|
Treat hip dislocation
|
$1,783.60 |
$1,783.60 |
$1,783.60 |
$2,641.60
|
|
Treat humerus fracture
|
$14,331.20 |
$14,331.20 |
$14,331.20 |
$13,278.70
|
|
Treat humerus fracture
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
$1,771.43
|
|
Treat humerus fracture
|
$6,411.60 |
$6,411.60 |
$6,411.60 |
$12,653.00
|
|
Treat humerus fracture
|
$946.40 |
$946.40 |
$946.40 |
$1,771.43
|
|
Treat kneecap dislocation
|
$946.40 |
$946.40 |
$946.40 |
$1,068.90
|
|
Treat kneecap fracture
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$6,311.00
|
|
Treat knee dislocation
|
$2,880.80 |
$2,880.80 |
$2,880.80 |
$2,220.89
|
|
Treat knee fracture 27530
|
$535.60 |
$535.60 |
$535.60 |
$550.00
|
|
Treat knee fracture(s)
|
$754.00 |
$754.00 |
$754.00 |
$642.00
|
|
Treat knuckle dislocation
|
$946.40 |
$946.40 |
$946.40 |
$1,523.90
|
|
Treat lower leg bone lesion
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$3,977.49
|
|
Treat lower leg dislocation
|
$608.40 |
$608.40 |
$608.40 |
$530.75
|
|
Treat lower leg dislocation
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$3,908.80
|
|
Treat lower leg fracture
|
$14,331.20 |
$14,331.20 |
$14,331.20 |
$14,241.77
|
|
Treat lower leg fracture
|
$14,331.20 |
$14,331.20 |
$14,331.20 |
$12,653.00
|
|
Treat lower leg joint
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$8,590.40 |
$8,590.40 |
$8,590.40 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$8,590.40 |
$8,590.40 |
$8,590.40 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$8,590.40 |
$8,590.40 |
$8,590.40 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,038.80 |
$5,038.80 |
$5,038.80 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$231.92 |
$231.92 |
$231.92 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$192.92 |
$192.92 |
$192.92 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$308.88 |
$308.88 |
$308.88 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$4,498.00 |
$4,498.00 |
$4,498.00 |
$3,982.44
|
|
Treatment mouth roof lesion
|
$4,014.40 |
$4,014.40 |
$4,014.40 |
$4,256.70
|
|
Treatment of anal fissure
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$1,375.98
|
|
Treatment of anal fissure w/dilat 46940
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$3,245.23
|
|
Treatment of ankle fracture
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$8,412.89
|
|
Treatment of ankle fracture
|
$8,590.40 |
$8,590.40 |
$8,590.40 |
$8,453.60
|
|
Treatment of ankle fracture
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$7,907.11
|
|
Treatment of ankle fracture 27786
|
$535.60 |
$535.60 |
$535.60 |
$520.80
|
