|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$96.00 |
$96.00 |
$96.00 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$284.00 |
$284.00 |
$284.00 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$906.29 |
$906.29 |
$968.80 |
$77.22
|
|
Tlh w/t/o 250 g or less
|
$40,638.00 |
$40,638.00 |
$40,638.00 |
$10,799.26
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$28.00 |
$28.00 |
$158.80 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$592.00 |
$592.00 |
$592.00 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$8,711.05 |
$8,711.05 |
$8,711.05 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$213.00 |
$213.00 |
$296.99 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$296.99 |
$296.99 |
$341.00 |
$73.45
|
|
Tongue biopsy; posterior one-third 41105
|
$7,645.00 |
$7,645.00 |
$7,645.00 |
$3,589.62
|
|
Tonsillectomy (age 12+)
|
$11,581.00 |
$11,581.00 |
$11,581.00 |
$3,837.72
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$165.75 |
$402.33 |
$4,907.00 |
$404.20
|
|
Total tau
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$108.30 |
$108.30 |
$370.00 |
$84.35
|
|
Toxoplasma antibody igm
|
$109.56 |
$109.56 |
$154.00 |
$83.20
|
|
Tpmt gene com vrnts
|
$238.35 |
$238.35 |
$382.00 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$17,510.00 |
$17,510.00 |
$17,510.00 |
$6,105.61
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$247.00 |
$247.00 |
$247.00 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$17.39 |
$17.39 |
$39.74 |
$77.65
|
|
Transabdom amnioinfus w/us
|
$2,433.00 |
$2,433.00 |
$2,433.00 |
$791.05
|
|
Transcath biopsy
|
$3,222.00 |
$3,222.00 |
$3,222.00 |
$4,298.05
|
|
Transcath closure of asd
|
$36,776.00 |
$36,776.00 |
$36,776.00 |
$18,772.00
|
|
Transcath closure of vsd
|
$36,776.00 |
$36,776.00 |
$36,776.00 |
$18,837.00
|
|
Transcatheter bx s&i
|
$5,827.70 |
$7,683.81 |
$14,801.00 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$37,340.00 |
$37,340.00 |
$37,340.00 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$60,780.00 |
$60,780.00 |
$60,780.00 |
$17,106.18
|
|
Transcath occlusion cns
|
$14,035.00 |
$14,035.00 |
$14,035.00 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$14,482.00 |
$14,482.00 |
$14,482.00 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$4,627.00
|
|
Transcutaneous hgb 88738
|
$165.00 |
$165.00 |
$165.00 |
$11.40
|
|
Transferrin
|
$96.97 |
$96.97 |
$643.00 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$2,809.00 |
$2,809.00 |
$2,809.00 |
$988.24
|
|
Transperi needle place pros
|
$13,010.00 |
$13,010.00 |
$13,010.00 |
$6,203.00
|
|
Transplant hand tendon
|
$8,796.00 |
$8,796.00 |
$8,796.00 |
$3,821.05
|
|
Transplj hematopoietic boost
|
$2,751.00 |
$2,751.00 |
$2,751.00 |
$1,952.28
|
|
Transplt allo hct/donor
|
$5,361.00 |
$5,361.00 |
$5,361.00 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$9,651.00 |
$9,651.00 |
$9,651.00 |
$1,939.86
|
|
Transplt autol hct/donor
|
$5,361.00 |
$5,361.00 |
$5,361.00 |
$3,665.25
|
|
Trastuzumab 150 mg intravenous solution
|
$183.00 |
$183.00 |
$197.25 |
$3,900.04
|
|
Treat ankle dislocation
|
$14,962.00 |
$14,962.00 |
$14,962.00 |
$2,207.20
|
|
Treat ankle fracture
|
$23,643.00 |
$23,643.00 |
$23,643.00 |
$6,004.47
|
|
Treat clavicle dislocation 23545
|
$777.00 |
$777.00 |
$777.00 |
$734.00
|
|
Treat elbow dislocation
|
$6,055.00 |
$6,055.00 |
$6,055.00 |
$2,326.40
|
|
Treat elbow fracture
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$2,125.60
|
|
Treat finger fracture each
|
$15,653.00 |
$15,653.00 |
$15,653.00 |
$4,108.00
|
|
Treat finger fracture each
|
$3,026.00 |
$3,026.00 |
$3,026.00 |
$1,815.75
|
|
Treat foot bone lesion
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,839.54
|
|
Treat foot dislocation
|
$777.00 |
$777.00 |
$777.00 |
$435.60
|
|
Treat foot dislocation
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,935.24
|
|
Treat foot dislocation
|
$777.00 |
$777.00 |
$777.00 |
$527.28
|
|
Treat foot dislocation
|
$777.00 |
$777.00 |
$777.00 |
$478.40
|
|
Treat foot dislocation
|
$777.00 |
$777.00 |
$777.00 |
$404.04
|
|
Treat fracture of radius
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$2,030.33
|
|
Treat fracture of radius
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$2,316.75
|
|
Treat fracture of ulna
|
$777.00 |
$777.00 |
$777.00 |
$766.72
|
|
Treat hand bone lesion
|
$4,322.00 |
$4,322.00 |
$4,322.00 |
$1,893.86
|
|
Treat hand dislocation
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,893.86
|
|
Treat heel fracture
|
$43,436.00 |
$43,436.00 |
$43,436.00 |
$7,907.11
|
|
Treat hip dislocation
|
$4,727.00 |
$4,727.00 |
$4,727.00 |
$2,561.90
|
|
Treat hip dislocation
|
$2,026.00 |
$2,026.00 |
$2,026.00 |
$3,152.05
|
|
Treat hip socket fracture
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$1,340.10
|
|
Treat humerus fracture
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,950.60
|
|
Treat humerus fracture
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$2,045.35
|
|
Treat humerus fracture
|
$27,431.00 |
$27,431.00 |
$27,431.00 |
$14,061.89
|
|
Treat kneecap dislocation
|
$777.00 |
$777.00 |
$777.00 |
$1,351.35
|
|
Treat knee dislocation
|
$7,006.00 |
$7,006.00 |
$7,006.00 |
$2,592.08
|
|
Treat knee fracture 27530
|
$777.00 |
$777.00 |
$777.00 |
$580.20
|
|
Treat knee fracture(s)
|
$777.00 |
$777.00 |
$777.00 |
$642.00
|
|
Treat knuckle dislocation
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,893.86
|
|
Treat lower leg dislocation
|
$777.00 |
$777.00 |
$777.00 |
$532.60
|
|
Treat lower leg dislocation
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$4,350.00
|
|
Treat lower leg fracture
|
$23,135.00 |
$23,135.00 |
$23,135.00 |
$12,905.86
|
|
Treat lower leg joint
|
$12,596.00 |
$12,596.00 |
$12,596.00 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$26,158.00 |
$26,158.00 |
$26,158.00 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$27,924.00 |
$27,924.00 |
$27,924.00 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$29,092.00 |
$29,092.00 |
$29,092.00 |
$8,370.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$699.00 |
$1,376.15 |
$1,502.70 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$699.00 |
$1,163.07 |
$1,271.80 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$368.00 |
$406.13 |
$443.70 |
$210.00
|
|
Treatment of ankle fracture
|
$26,180.00 |
$26,180.00 |
$26,180.00 |
$7,907.11
|
|
Treatment of ankle fracture
|
$23,808.00 |
$23,808.00 |
$23,808.00 |
$7,907.11
|
|
Treatment of ankle fracture
|
$26,224.00 |
$26,224.00 |
$26,224.00 |
$7,348.32
|
|
Treatment of ankle fracture 27786
|
$777.00 |
$777.00 |
$777.00 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$777.00 |
$777.00 |
$777.00 |
$558.75
|
|
Treatment of heel fracture 28400
|
$777.00 |
$777.00 |
$777.00 |
$494.00
|
|
Treatment of thigh fracture
|
$777.00 |
$777.00 |
$777.00 |
$467.25
|
|
Treatment of thigh fracture
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,893.86
|
|
Treatment of thigh fracture
|
$777.00 |
$777.00 |
$777.00 |
$659.00
|
|
Treatment of thigh fracture
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$2,055.00
|
|
Treatment of toe fracture 28510
|
$698.00 |
$698.00 |
$698.00 |
$371.40
|
|
Treatment radiation delivery level 2
|
$1,601.00 |
$1,601.00 |
$3,764.63 |
$735.00
|
|
Treat metacarpal fracture
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,958.50
|
|
Treat metacarpal fracture
|
$20,073.00 |
$20,073.00 |
$20,073.00 |
$4,627.00
|
|
Treat metatarsal fracture
|
$20,421.00 |
$20,421.00 |
$20,421.00 |
$7,913.97
|
|
Treat midfoot fracture each
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,893.86
|
|
Treat midfoot fracture each
|
$23,643.00 |
$23,643.00 |
$23,643.00 |
$6,192.78
|
|
Treat radius fracture
|
$27,431.00 |
$27,431.00 |
$27,431.00 |
$9,499.20
|
|
Treat sternum fracture
|
$777.00 |
$777.00 |
$777.00 |
$423.00
|
|
Treat thigh fracture
|
$777.00 |
$777.00 |
$777.00 |
$661.00
|
|
Treat thigh fracture
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$2,021.04
|
