|
Tissue culture placenta
|
$1,358.33 |
$1,358.33 |
$4,406.00 |
$520.91
|
|
Tissue culture skin/biopsy
|
$865.03 |
$1,180.87 |
$2,141.00 |
$558.87
|
|
Tissue culture tumor
|
$813.49 |
$2,301.00 |
$2,318.36 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$101.43 |
$117.37 |
$432.00 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$275.55 |
$275.55 |
$275.55 |
$2,516.07
|
|
Tissue transglutaminase iga
|
$172.10 |
$172.10 |
$172.10 |
$48.57
|
|
Tixagev and cilgav inj
|
$337.85 |
$337.85 |
$337.85 |
$208.45
|
|
Tl-201 thallium diag per mci
|
$733.50 |
$733.50 |
$733.50 |
$77.22
|
|
Tlh w/t/o 250 g or less
|
$26,485.84 |
$26,485.84 |
$26,485.84 |
$10,799.26
|
|
Tlso 2mod symphis-xipho pre
|
$33,184.00 |
$33,184.00 |
$33,184.00 |
$1,512.56
|
|
Tlso 2 shl symphys-stern cst
|
$20,938.00 |
$20,938.00 |
$25,134.00 |
$1,535.15
|
|
Tlso 3mod sacro-scap pre
|
$26,043.00 |
$26,043.00 |
$26,043.00 |
$1,004.85
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$221.70 |
$524.00 |
$529.63 |
$141.75
|
|
Tobramycin non-comp unit
|
$547.77 |
$958.75 |
$1,309.00 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$331.33 |
$331.33 |
$331.33 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3,545.32 |
$3,545.32 |
$3,545.32 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$153.71 |
$153.71 |
$153.71 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$46.33 |
$46.33 |
$46.33 |
$73.45
|
|
Tone decay hearing test
|
$92.42 |
$92.42 |
$196.75 |
$64.80
|
|
Tongue biopsy; posterior one-third 41105
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,589.62
|
|
Tonsillectomy (age 12+)
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,837.72
|
|
Tonsillectomy (child under 12)
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$4,881.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$310.78 |
$2,269.47 |
$14,676.00 |
$404.20
|
|
Toxoplasma antibody igg
|
$155.00 |
$233.45 |
$363.85 |
$84.35
|
|
Toxoplasma antibody igm
|
$80.53 |
$251.69 |
$1,043.75 |
$83.20
|
|
Tp53 gene trgt sequence alys
|
$2,852.75 |
$2,852.75 |
$2,852.75 |
$919.10
|
|
Tpmt gene com vrnts
|
$278.43 |
$278.43 |
$2,023.25 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$11,682.65 |
$11,682.65 |
$11,682.65 |
$6,105.61
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$58.97 |
$377.25 |
$459.50 |
$104.50
|
|
Transabdom amnioinfus w/us
|
$1,938.27 |
$1,938.27 |
$1,938.27 |
$791.05
|
|
Transcath biopsy
|
$6,986.63 |
$6,986.63 |
$6,986.63 |
$4,298.05
|
|
Transcath closure of asd
|
$27,539.20 |
$27,539.20 |
$27,539.20 |
$18,772.00
|
|
Transcath closure of vsd
|
$27,539.20 |
$27,539.20 |
$27,539.20 |
$18,837.00
|
|
Transcatheter bx s&i
|
$7,330.09 |
$7,330.09 |
$12,698.00 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$10,746.21 |
$10,746.21 |
$10,746.21 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$46,722.62 |
$46,722.62 |
$46,722.62 |
$17,106.18
|
|
Transcath occlusion cns
|
$14,549.12 |
$14,549.12 |
$14,549.12 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$19,727.96 |
$19,727.96 |
$19,727.96 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$11,776.79 |
$11,776.79 |
$11,776.79 |
$4,627.00
|
|
Transferrin
|
$193.91 |
$204.48 |
$912.75 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,798.00 |
$3,327.71 |
$8,304.75 |
$988.24
|
|
Transperi needle place pros
|
$23,879.03 |
$23,879.03 |
$23,879.03 |
$6,203.00
|
|
Transplant hand tendon
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,821.05
|
|
Transplj hematopoietic boost
|
$8,984.00 |
$8,984.00 |
$8,984.00 |
$1,952.28
|
|
Transplt allo lymphocytes
|
$10,356.50 |
$10,356.50 |
$10,356.50 |
$1,939.86
|
|
Transplt autol hct/donor
|
$8,984.00 |
$8,984.00 |
$8,984.00 |
$3,665.25
|
|
Trastuzumab 150 mg intravenous solution
|
$877.00 |
$877.00 |
$877.00 |
$3,900.04
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$2,497.75 |
$2,497.75 |
$2,497.75 |
$4,500.03
|
|
Trauma partial team response w/critical care services level 4
|
$8,850.00 |
$9,580.00 |
$20,857.72 |
$5,104.55
|
|
Treat ankle dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,207.20
|
|
Treat ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$6,004.47
|
|
Treat clavicle dislocation 23545
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$734.00
|
|
Treat elbow dislocation
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$2,326.40
|
|
Treat elbow fracture
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$2,125.60
|
|
Treat finger fracture each
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$4,108.00
|
|
Treat finger fracture each
|
$2,287.11 |
$2,287.11 |
$2,287.11 |
$1,815.75
|
|
Treat foot bone lesion
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Treat foot dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$435.60
|
|
Treat foot dislocation
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,935.24
|
|
Treat foot dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$527.28
|
|
Treat foot dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$478.40
|
|
Treat foot dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$404.04
|
|
Treat fracture of radius
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$2,030.33
|
|
Treat fracture of radius
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$2,316.75
|
|
Treat fracture of ulna
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$766.72
|
|
Treat hand bone lesion
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
|
Treat hand dislocation
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
|
Treat heel fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,907.11
|
|
Treat hip dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,561.90
|
|
Treat hip dislocation
|
$8,552.69 |
$8,552.69 |
$8,552.69 |
$3,152.05
|
|
Treat hip socket fracture
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$1,340.10
|
|
Treat humerus fracture
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,950.60
|
|
Treat humerus fracture
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,045.35
|
|
Treat humerus fracture
|
$37,605.75 |
$37,605.75 |
$37,605.75 |
$14,061.89
|
|
Treat kneecap dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$1,351.35
|
|
Treat knee dislocation
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,592.08
|
|
Treat knee fracture 27530
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$580.20
|
|
Treat knee fracture(s)
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$642.00
|
|
Treat knuckle dislocation
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$1,893.86
|
|
Treat lower leg dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$532.60
|
|
Treat lower leg dislocation
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$4,350.00
|
|
Treat lower leg fracture
|
$38,029.94 |
$38,029.94 |
$38,029.94 |
$12,905.86
|
|
Treat lower leg joint
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$8,370.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$327.09 |
$755.41 |
$1,887.00 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$604.33 |
$604.33 |
$604.33 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$551.88 |
$551.88 |
$581.00 |
$210.00
|
|
Treatment of ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,907.11
|
|
Treatment of ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,907.11
|
|
Treatment of ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,348.32
|
|
Treatment of ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,807.24
|
|
Treatment of ankle fracture 27786
|
$550.94 |
$550.94 |
$550.94 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$558.75
|
|
Treatment of heel fracture 28400
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$494.00
|
|
Treatment of thigh fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$467.25
|
|
Treatment of thigh fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$1,893.86
|
|
Treatment of thigh fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$659.00
|
|
Treatment of thigh fracture
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,055.00
|