|
Tissue culture skin/biopsy
|
$810.55 |
$810.55 |
$810.55 |
$488.74
|
|
Tissue culture tumor
|
$221.00 |
$221.00 |
$221.00 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$26.65 |
$26.65 |
$26.65 |
$47.20
|
|
Tissue transglutaminase iga
|
$93.60 |
$93.60 |
$93.60 |
$45.60
|
|
Tlh uterus 250 g or less
|
$3,473.60 |
$3,473.60 |
$3,473.60 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$5,064.80 |
$5,064.80 |
$5,064.80 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$5,405.40 |
$5,405.40 |
$5,405.40 |
$12,320.22
|
|
Tmvr w/prosthetic ring 33426
|
$11,252.80 |
$11,252.80 |
$11,252.80 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$11,655.80 |
$11,655.80 |
$11,655.80 |
$5,969.60
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$460.69 |
$460.69 |
$460.69 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$118.30 |
$118.30 |
$118.30 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,072.67 |
$4,072.67 |
$4,072.67 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$494.00 |
$494.00 |
$494.00 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$171.60 |
$171.60 |
$171.60 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$247.00 |
$247.00 |
$247.00 |
$74.10
|
|
Tongue jaw & neck surgery
|
$11,518.00 |
$11,518.00 |
$11,518.00 |
$3,763.81
|
|
Tongue mouth jaw surgery
|
$7,763.60 |
$7,763.60 |
$7,763.60 |
$5,428.00
|
|
Tongue mouth neck surgery
|
$8,733.40 |
$8,733.40 |
$8,733.40 |
$3,012.36
|
|
Tongue removal neck surgery
|
$9,861.80 |
$9,861.80 |
$9,861.80 |
$3,456.80
|
|
Tonsillectomy (age 12+)
|
$897.00 |
$897.00 |
$897.00 |
$4,558.89
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$931.45 |
$931.45 |
$931.45 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$5,073.77 |
$5,073.77 |
$5,073.77 |
$15,383.12
|
|
Total hip arthroplasty
|
$7,347.60 |
$7,347.60 |
$7,347.60 |
$7,347.60
|
|
Total Hip Replacement
|
$5,605.60 |
$5,605.60 |
$5,605.60 |
$9,161.60
|
|
Total hysterectomy
|
$4,500.60 |
$4,500.60 |
$4,500.60 |
$3,001.70
|
|
Total Knee Replacement
|
$5,096.00 |
$5,096.00 |
$5,096.00 |
$14,061.89
|
|
Total tau
|
$72.80 |
$72.80 |
$72.80 |
$312.50
|
|
Tot disc arthrp 2ntrspc lmbr
|
$1,788.80 |
$1,788.80 |
$1,788.80 |
$470.40
|
|
Toxoplasma antibody igg
|
$91.65 |
$91.65 |
$91.65 |
$91.76
|
|
Toxoplasma antibody igm
|
$81.25 |
$81.25 |
$81.25 |
$89.05
|
|
Tp53 gene full gene sequence
|
$1,021.15 |
$1,021.15 |
$1,021.15 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$919.10 |
$919.10 |
$919.10 |
$804.00
|
|
Tpmt gene com vrnts
|
$394.55 |
$394.55 |
$394.55 |
$371.80
|
|
Tprnl balo cntnc dev uni
|
$3,924.05 |
$3,924.05 |
$3,924.05 |
$9,945.60
|
|
Tprnl plmt biodegrdabl matrl
|
$19,000.15 |
$19,000.15 |
$19,000.15 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$11,510.75 |
$11,510.75 |
$11,510.75 |
$6,684.23
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$1,437.45
|
|
Tracheostoma revision; simple, without flap rotation
|
$1,224.60 |
$1,224.60 |
$1,224.60 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$257.40 |
$257.40 |
$257.40 |
$103.40
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$1.40 |
$1.40 |
$1.40 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$988.65 |
$988.65 |
$988.65 |
$678.70
|
|
Transab esoph hiat hern repair 43332
|
$5,101.20 |
$5,101.20 |
$5,101.20 |
$2,835.20
|
|
Transcath biopsy
|
$25,255.10 |
$25,255.10 |
$25,255.10 |
$4,285.93
|
|
Transcath closure of asd
|
$27,508.00 |
$27,508.00 |
$27,508.00 |
$17,352.58
|
|
Transcath closure of vsd
|
$34,320.00 |
$34,320.00 |
$34,320.00 |
$17,458.00
|
|
Transcatheter bx s&i
|
$2,982.20 |
$2,982.20 |
$2,982.20 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$6,397.95 |
$6,397.95 |
$6,397.95 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$13,818.35 |
$13,818.35 |
$13,818.35 |
$13,384.80
|
|
Transcath occlusion cns
|
$11,134.50 |
$11,134.50 |
$11,134.50 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$42,445.00 |
$42,445.00 |
$42,445.00 |
$10,416.60
|
|
Trans cath replace aortic valve 33366
|
$24,202.10 |
$24,202.10 |
$24,202.10 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,822.00
|
|
Transcrv abltj utrn fibrd rf
|
$27,638.00 |
$27,638.00 |
$27,638.00 |
$8,750.72
|
|
Transferrin
|
$44.20 |
$44.20 |
$44.20 |
$82.00
|
|
Transfer tendon to pelvis
|
$2,665.65 |
$2,665.65 |
$2,665.65 |
$3,839.54
|
|
Transperi needle place pros
|
$3,499.60 |
$3,499.60 |
$3,499.60 |
$6,203.00
|
|
Transplant hand tendon
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$3,839.54
|
|
Transplants of thigh tendons
|
$3,291.60 |
$3,291.60 |
$3,291.60 |
$7,913.97
|
|
Transthor diaphrag hern repair 43334
|
$5,751.20 |
$5,751.20 |
$5,751.20 |
$3,052.00
|
|
Transthor diaphrag hern rpr
|
$6,232.20 |
$6,232.20 |
$6,232.20 |
$6,837.60
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$596.70 |
$596.70 |
$596.70 |
$563.55
|
|
Transvaginal Pregnancy Ultrasound
|
$596.70 |
$596.70 |
$596.70 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$4,862.26 |
$4,862.26 |
$4,862.26 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$11,881.53 |
$11,881.53 |
$11,881.53 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$10,580.18 |
$10,580.18 |
$10,580.18 |
$5,846.40
|
|
Tray bonemarrw oncontrol 102mm
|
$462.85 |
$462.85 |
$462.85 |
$940.80
|
|
Treat ankle dislocation
|
$2,672.80 |
$2,672.80 |
$2,672.80 |
$7,913.97
|
|
Treat ankle dislocation
|
$3,036.80 |
$3,036.80 |
$3,036.80 |
$5,741.00
|
|
Treat clavicle dislocation 23545
|
$896.35 |
$896.35 |
$896.35 |
$692.80
|
|
Treat ectopic pregnancy
|
$3,195.40 |
$3,195.40 |
$3,195.40 |
$3,986.00
|
|
Treat ectopic pregnancy
|
$3,148.60 |
$3,148.60 |
$3,148.60 |
$6,707.99
|
|
Treat elbow dislocation
|
$1,466.40 |
$1,466.40 |
$1,466.40 |
$2,322.40
|
|
Treat eyelid by injection
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$472.21
|
|
Treat finger fracture each
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,592.00
|
|
Treat foot dislocation
|
$896.35 |
$896.35 |
$896.35 |
$445.80
|
|
Treat hand dislocation
|
$1,838.20 |
$1,838.20 |
$1,838.20 |
$3,839.54
|
|
Treat hip dislocation
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,211.05
|
|
Treat hip dislocation
|
$4,206.80 |
$4,206.80 |
$4,206.80 |
$4,206.80
|
|
Treat hip dislocation
|
$3,530.80 |
$3,530.80 |
$3,530.80 |
$2,349.00
|
|
Treat humerus fracture
|
$3,151.20 |
$3,151.20 |
$3,151.20 |
$9,803.49
|
|
Treat humerus fracture
|
$3,169.40 |
$3,169.40 |
$3,169.40 |
$12,299.10
|
|
Treat humerus fracture
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,808.80
|
|
Treat kneecap fracture
|
$2,696.20 |
$2,696.20 |
$2,696.20 |
$6,839.00
|
|
Treat knee dislocation
|
$2,126.80 |
$2,126.80 |
$2,126.80 |
$2,211.05
|
|
Treat knee dislocation
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$7,413.38
|
|
Treat knee fracture
|
$3,486.60 |
$3,486.60 |
$3,486.60 |
$3,486.60
|
|
Treat knee fracture
|
$4,521.40 |
$4,521.40 |
$4,521.40 |
$4,521.40
|
|
Treat knee fracture 27530
|
$896.35 |
$896.35 |
$896.35 |
$550.73
|
|
Treat knee fracture(s)
|
$896.35 |
$896.35 |
$896.35 |
$643.26
|
|
Treat knuckle dislocation
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,726.01
|
|
Treat lower jaw fracture 21462
|
$2,862.60 |
$2,862.60 |
$2,862.60 |
$7,000.36
|
|
Treat lower leg joint
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$3,166.15 |
$3,166.15 |
$3,166.15 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$4,112.55 |
$4,112.55 |
$4,112.55 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$2,733.90 |
$2,733.90 |
$2,733.90 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$10,333.70 |
$10,333.70 |
$10,333.70 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$481.65 |
$481.65 |
$481.65 |
$230.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$131.95 |
$131.95 |
$131.95 |
$148.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$10,333.70 |
$10,333.70 |
$10,333.70 |
$4,230.80
|