|
Testosterone undecanoate 1mg
|
$5,760.38 |
$5,760.38 |
$5,760.38 |
$1.99
|
|
Test pathogen(s) for platelets reference
|
$78.40 |
$78.40 |
$78.40 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$710.85 |
$710.85 |
$710.85 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$2,048.35 |
$2,048.35 |
$2,048.35 |
$1,204.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$63.00 |
$63.00 |
$63.00 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$63.00 |
$63.00 |
$63.00 |
$50.40
|
|
Ther/proph/diag inj ia
|
$224.70 |
$224.70 |
$224.70 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$33.12 |
$33.12 |
$33.12 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,992.90 |
$1,992.90 |
$1,992.90 |
$1,804.00
|
|
Thoracotomy w/expl
|
$3,070.55 |
$3,070.55 |
$3,070.55 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$3,070.55 |
$3,070.55 |
$3,070.55 |
$2,926.56
|
|
Throat x-ray & fluoroscopy
|
$297.50 |
$297.50 |
$297.50 |
$188.00
|
|
Thrombectmy crnry perq mechanical
|
$1,711.85 |
$1,711.85 |
$1,711.85 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$2,289.35 |
$2,289.35 |
$2,289.35 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$4,578.70 |
$4,578.70 |
$4,578.70 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$7,002.45 |
$7,002.45 |
$7,002.45 |
$24,605.30
|
|
Thrombin time
|
$62.65 |
$62.65 |
$62.65 |
$48.75
|
|
Thyroid imaging
|
$400.05 |
$400.05 |
$400.05 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,346.10 |
$1,346.10 |
$1,346.10 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$207.90 |
$207.90 |
$207.90 |
$120.00
|
|
Thyroid Ultrasound
|
$381.50 |
$381.50 |
$381.50 |
$589.96
|
|
Thyroid uptake measurement
|
$321.30 |
$321.30 |
$321.30 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$7,926.73 |
$7,926.73 |
$7,926.73 |
$4,319.71
|
|
Tib/per revasc stent & ather 37231
|
$7,224.70 |
$7,224.70 |
$7,224.70 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$2,483.25 |
$2,483.25 |
$2,483.25 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$1,935.85 |
$1,935.85 |
$1,935.85 |
$10,406.14
|
|
Tigecycline injection
|
$283.14 |
$283.14 |
$283.14 |
$277.31
|
|
Tilt table study
|
$5,418.00 |
$5,418.00 |
$5,418.00 |
$1,495.00
|
|
Tissue culture tumor
|
$32.81 |
$32.81 |
$32.81 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$71.05 |
$71.05 |
$71.05 |
$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 |
$1,525.91
|
|
Tlso 3mod sacro-scap pre
|
$433.13 |
$433.13 |
$433.13 |
$975.00
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$195.08 |
$195.08 |
$195.08 |
$141.75
|
|
Tobramycin non-comp unit
|
$8.28 |
$8.28 |
$8.28 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$280.00 |
$280.00 |
$280.00 |
$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
|
$90.30 |
$90.30 |
$90.30 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$90.30 |
$90.30 |
$90.30 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$241.05 |
$241.05 |
$241.05 |
$404.20
|
|
Toxoplasma antibody igg
|
$145.25 |
$145.25 |
$145.25 |
$84.35
|
|
Tprnl plmt biodegrdabl matrl
|
$12,739.65 |
$12,739.65 |
$12,739.65 |
$6,105.61
|
|
Trabectedin 1 mg intravenous solution
|
$13,269.48 |
$13,269.48 |
$13,269.48 |
$7,403.70
|
|
Tracheobrnchsc thru est trachs incisn
|
$599.90 |
$599.90 |
$599.90 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$106.75 |
$106.75 |
$106.75 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$243.60 |
$243.60 |
$243.60 |
$77.65
|
|
Transcath biopsy
|
$5,927.95 |
$5,927.95 |
$5,927.95 |
$4,298.05
|
|
Transcath closure of asd
|
$4,414.20 |
$4,414.20 |
$4,414.20 |
$18,772.00
|
|
Transcatheter bx s&i
|
$1,961.75 |
$1,961.75 |
$1,961.75 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$2,588.25 |
$2,588.25 |
$2,588.25 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$10,352.30 |
$10,352.30 |
$10,352.30 |
$17,106.18
|
|
Transcath occlusion cns
|
$6,255.55 |
$6,255.55 |
$6,255.55 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$13,248.20 |
$13,248.20 |
$13,248.20 |
$12,427.79
|
|
Trans cath replace aortic valve 33366
|
$9,131.85 |
$9,131.85 |
$9,131.85 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,702.00 |
$2,702.00 |
$2,702.00 |
$4,627.00
|
|
Transfusion blood/blood component(s)
|
$793.45 |
$793.45 |
$793.45 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$5,625.95 |
$5,625.95 |
$5,625.95 |
$3,900.04
|
|
Tray bonemarrw oncontrol 102mm
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$977.62
|
|
Treat ankle dislocation
|
$2,026.50 |
$2,026.50 |
$2,026.50 |
$2,207.20
|
|
Treat ankle dislocation
|
$4,291.70 |
$4,291.70 |
$4,291.70 |
$7,807.24
|
|
Treat big toe fracture
|
$2,835.70 |
$2,835.70 |
$2,835.70 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$675.85 |
$675.85 |
$675.85 |
$734.00
|
|
Treat elbow dislocation
|
$2,026.50 |
$2,026.50 |
$2,026.50 |
$2,326.40
|
|
Treat elbow fracture
|
$2,026.50 |
$2,026.50 |
$2,026.50 |
$2,125.60
|
|
Treat elbow fracture
|
$4,291.70 |
$4,291.70 |
$4,291.70 |
$8,453.60
|
|
Treat eyelid by injection
|
$375.90 |
$375.90 |
$375.90 |
$472.21
|
|
Treat finger fracture each
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$4,108.00
|
|
Treat finger fracture each
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$1,815.75
|
|
Treat foot dislocation
|
$497.00 |
$497.00 |
$497.00 |
$435.60
|
|
Treat foot dislocation
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$3,935.24
|
|
Treat foot dislocation
|
$497.00 |
$497.00 |
$497.00 |
$527.28
|
|
Treat foot dislocation
|
$675.85 |
$675.85 |
$675.85 |
$478.40
|
|
Treat foot dislocation
|
$365.40 |
$365.40 |
$365.40 |
$404.04
|
|
Treat fracture of radius
|
$1,351.35 |
$1,351.35 |
$1,351.35 |
$2,030.33
|
|
Treat fracture of radius
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$2,316.75
|
|
Treat fracture of ulna
|
$675.85 |
$675.85 |
$675.85 |
$766.72
|
|
Treat hand dislocation
|
$1,706.60 |
$1,706.60 |
$1,706.60 |
$1,893.86
|
|
Treat hip dislocation
|
$1,159.55 |
$1,159.55 |
$1,159.55 |
$2,561.90
|
|
Treat hip dislocation
|
$1,351.35 |
$1,351.35 |
$1,351.35 |
$3,152.05
|
|
Treat hip socket fracture
|
$1,848.35 |
$1,848.35 |
$1,848.35 |
$1,340.10
|
|
Treat humerus fracture
|
$7,794.85 |
$7,794.85 |
$7,794.85 |
$11,850.08
|
|
Treat humerus fracture
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$1,950.60
|
|
Treat humerus fracture
|
$7,794.85 |
$7,794.85 |
$7,794.85 |
$12,653.00
|
|
Treat humerus fracture
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$2,045.35
|
|
Treat kneecap dislocation
|
$1,351.35 |
$1,351.35 |
$1,351.35 |
$1,351.35
|
|
Treat knee dislocation
|
$1,159.55 |
$1,159.55 |
$1,159.55 |
$2,592.08
|
|
Treat knee fracture 27530
|
$497.00 |
$497.00 |
$497.00 |
$580.20
|
|
Treat knee fracture(s)
|
$497.00 |
$497.00 |
$497.00 |
$642.00
|
|
Treat knuckle dislocation
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$1,893.86
|
|
Treat lower leg dislocation
|
$497.00 |
$497.00 |
$497.00 |
$532.60
|
|
Treat lower leg dislocation
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$4,350.00
|
|
Treat lower leg fracture
|
$7,794.85 |
$7,794.85 |
$7,794.85 |
$12,905.86
|
|
Treat lower leg fracture
|
$7,794.85 |
$7,794.85 |
$7,794.85 |
$12,653.00
|
|
Treat lower leg joint
|
$4,291.70 |
$4,291.70 |
$4,291.70 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$4,291.70 |
$4,291.70 |
$4,291.70 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$4,291.70 |
$4,291.70 |
$4,291.70 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$5,779.90 |
$5,779.90 |
$5,779.90 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,679.90 |
$3,679.90 |
$3,679.90 |
$3,806.40
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$448.35 |
$448.35 |
$448.35 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$3,679.90 |
$3,679.90 |
$3,679.90 |
$3,820.53
|
