|
Tilt table study
|
$3,780.15 |
$3,780.15 |
$3,780.15 |
$1,495.00
|
|
Tissue culture skin/biopsy
|
$2,172.17 |
$2,172.17 |
$2,172.17 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$65.91 |
$65.91 |
$65.91 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$290.70 |
$290.70 |
$290.70 |
$4,293.26
|
|
Tissue transglutaminase iga
|
$64.76 |
$64.76 |
$64.76 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$223.55 |
$223.55 |
$223.55 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$636.54 |
$636.54 |
$636.54 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$15,352.07 |
$15,352.07 |
$15,352.07 |
$5,790.85
|
|
Tomosynthesis breast screen bilateral
|
$218.99 |
$218.99 |
$218.99 |
$73.45
|
|
Tonsillectomy (age 12+)
|
$33,427.05 |
$33,427.05 |
$33,427.05 |
$3,837.72
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$178.65 |
$178.65 |
$178.65 |
$303.88
|
|
Total tau
|
$500.00 |
$500.00 |
$500.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$95.79 |
$95.79 |
$95.79 |
$84.35
|
|
Toxoplasma antibody igm
|
$222.42 |
$222.42 |
$222.42 |
$83.20
|
|
Tpmt gene com vrnts
|
$2,698.20 |
$2,698.20 |
$2,698.20 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$213.75 |
$213.75 |
$213.75 |
$93.75
|
|
Transcath biopsy
|
$15,318.58 |
$15,318.58 |
$15,318.58 |
$4,298.05
|
|
Transcath closure of asd
|
$44,909.10 |
$44,909.10 |
$44,909.10 |
$18,772.00
|
|
Transcath closure of vsd
|
$59,231.40 |
$59,231.40 |
$59,231.40 |
$18,837.00
|
|
Transcatheter bx s&i
|
$3,687.89 |
$3,687.89 |
$3,687.89 |
$1,875.96
|
|
Transcath occlusion cns
|
$16,713.25 |
$16,713.25 |
$16,713.25 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$23,236.73 |
$23,236.73 |
$23,236.73 |
$12,427.79
|
|
Transferrin
|
$230.90 |
$230.90 |
$230.90 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$2,082.72 |
$2,082.72 |
$2,082.72 |
$988.24
|
|
Treat ankle dislocation
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,207.20
|
|
Treat clavicle dislocation 23545
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$734.00
|
|
Treat finger fracture each
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,815.75
|
|
Treat foot dislocation
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$435.60
|
|
Treat foot dislocation
|
$7,470.09 |
$7,470.09 |
$7,470.09 |
$478.40
|
|
Treat fracture of radius
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,030.33
|
|
Treat fracture of radius
|
$17,772.67 |
$17,772.67 |
$17,772.67 |
$2,316.75
|
|
Treat fracture of ulna
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$766.72
|
|
Treat hip dislocation
|
$17,772.67 |
$17,772.67 |
$17,772.67 |
$2,561.90
|
|
Treat humerus fracture
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,950.60
|
|
Treat knee fracture 27530
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$580.20
|
|
Treat knee fracture(s)
|
$2,822.35 |
$2,822.35 |
$2,822.35 |
$642.00
|
|
Treat knuckle dislocation
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,893.86
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$452.03 |
$452.03 |
$452.03 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$87.72 |
$87.72 |
$87.72 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$556.14 |
$556.14 |
$556.14 |
$210.00
|
|
Treatment of ankle fracture 27786
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$558.75
|
|
Treatment of heel fracture 28400
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$494.00
|
|
Treatment of toe fracture 28510
|
$1,907.68 |
$1,907.68 |
$1,907.68 |
$371.40
|
|
Treatment radiation delivery level 2
|
$938.60 |
$938.60 |
$938.60 |
$735.00
|
|
Treat sternum fracture
|
$2,757.88 |
$2,757.88 |
$2,757.88 |
$423.00
|
|
Treat toe dislocation
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$855.66
|
|
Treat ulnar fracture
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,861.60
|
|
Treat vaginal bleeding
|
$675.17 |
$675.17 |
$675.17 |
$400.86
|
|
Treat wrist bone fracture
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,907.64
|
|
Treat wrist dislocation
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$167,139.17 |
$167,139.17 |
$167,139.17 |
$120,541.18
|
|
Treponema pallidum antibody
|
$204.36 |
$204.36 |
$204.36 |
$72.80
|
|
Trg gene rearrangement anal
|
$3,110.15 |
$3,110.15 |
$3,110.15 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$485.08 |
$485.08 |
$485.08 |
$48.22
|
|
Trichinella antibody
|
$193.86 |
$193.86 |
$193.86 |
$70.65
|
|
#tricyclicantidprssnt
|
$45.40 |
$45.40 |
$45.40 |
$57.08
|
|
Triglycerides
|
$215.88 |
$215.88 |
$215.88 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$1,319.75 |
$1,319.75 |
$1,319.75 |
$154.09
|
|
Trim nondyst nails
|
$670.29 |
$670.29 |
$670.29 |
$124.22
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$23,911.49 |
$23,911.49 |
$23,911.49 |
$15,111.95
|
|
Trml dstrj ios bvn ea addl
|
$11,955.74 |
$11,955.74 |
$11,955.74 |
$9,781.50
|
|
Trmt of fracture (femoral shaft) 27500
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$777.00
|
|
Trnscath plc stent crv crtd without prtct
|
$21,637.59 |
$21,637.59 |
$21,637.59 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$17,295.86 |
$17,295.86 |
$17,295.86 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$19,813.51 |
$19,813.51 |
$19,813.51 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$15,391.99 |
$15,391.99 |
$15,391.99 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$27,718.38 |
$27,718.38 |
$27,718.38 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$45,718.00 |
$45,718.00 |
$45,718.00 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$29,196.03 |
$29,196.03 |
$29,196.03 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$15,318.58 |
$15,318.58 |
$15,318.58 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$12,694.52 |
$12,694.52 |
$12,694.52 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$12,405.83 |
$12,405.83 |
$12,405.83 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$8,723.39 |
$8,723.39 |
$8,723.39 |
$4,329.36
|
|
Troponin quantitative
|
$453.25 |
$453.25 |
$453.25 |
$123.75
|
|
Tx atrial fib pulm vein isol
|
$62,182.54 |
$62,182.54 |
$62,182.54 |
$32,426.20
|
|
Tx closed hip disl traumatic without anes
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$657.28
|
|
Tx closed tib shaft fx without manip
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$635.46
|
|
Tx l/r atrial fib addl
|
$20,808.74 |
$20,808.74 |
$20,808.74 |
$7,717.80
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$469.20
|
|
Ua w/micro/comp poc
|
$71.35 |
$71.35 |
$71.35 |
$24.45
|
|
Ugt1a1 gene analy common variants
|
$3,611.79 |
$3,611.79 |
$3,611.79 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$1,066.77 |
$1,066.77 |
$1,066.77 |
$403.26
|
|
Ultrasound breast complete
|
$2,331.74 |
$2,331.74 |
$2,331.74 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,553.45 |
$1,553.45 |
$1,553.45 |
$449.35
|
|
Ultrasound chest
|
$1,893.70 |
$1,893.70 |
$1,893.70 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$1,785.59 |
$1,785.59 |
$1,785.59 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$330.40
|
|
Ultrasound elastography parenchyma
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$284.25
|
|
Ultrasound encephalogram
|
$1,872.60 |
$1,872.60 |
$1,872.60 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$2,294.20 |
$2,294.20 |
$2,294.20 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,421.84 |
$1,421.84 |
$1,421.84 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$1,918.06 |
$1,918.06 |
$1,918.06 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$2,947.22 |
$2,947.22 |
$2,947.22 |
$701.35
|
|
Ultrasound guide intraoperative
|
$2,442.78 |
$2,442.78 |
$2,442.78 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$1,580.20 |
$1,580.20 |
$1,580.20 |
$403.00
|
|
Ultrasound joint complete left
|
$1,943.72 |
$1,943.72 |
$1,943.72 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$2,576.70 |
$2,576.70 |
$2,576.70 |
$454.11
|
