|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$1,287.30 |
$1,287.30 |
$1,287.30 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$319.90 |
$319.90 |
$319.90 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$9,007.25 |
$9,007.25 |
$9,007.25 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$95.90 |
$95.90 |
$95.90 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$125.30 |
$125.30 |
$125.30 |
$72.68
|
|
Tonsillectomy (age 12+)
|
$16,746.95 |
$16,746.95 |
$16,746.95 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$9,352.32 |
$9,352.32 |
$9,352.32 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,977.15 |
$1,977.15 |
$1,977.15 |
$325.00
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$33,098.62 |
$33,098.62 |
$33,098.62 |
$15,383.12
|
|
Total hysterectomy
|
$48,384.33 |
$48,384.33 |
$48,384.33 |
$3,001.70
|
|
Total tau
|
$392.00 |
$392.00 |
$392.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$271.60 |
$271.60 |
$271.60 |
$89.40
|
|
Toxoplasma antibody igm
|
$192.50 |
$192.50 |
$192.50 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,483.30 |
$1,483.30 |
$1,483.30 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$761.60 |
$761.60 |
$761.60 |
$790.68
|
|
Tpmt gene com vrnts
|
$791.70 |
$791.70 |
$791.70 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$9,430.40 |
$9,430.40 |
$9,430.40 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$12,823.47 |
$12,823.47 |
$12,823.47 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,493.10 |
$1,493.10 |
$1,493.10 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$124.77 |
$124.77 |
$124.77 |
$56.38
|
|
Transcath biopsy
|
$30,858.14 |
$30,858.14 |
$30,858.14 |
$4,285.93
|
|
Transcath closure of asd
|
$14,462.00 |
$14,462.00 |
$14,462.00 |
$16,741.40
|
|
Transcath closure of vsd
|
$39,478.60 |
$39,478.60 |
$39,478.60 |
$17,115.04
|
|
Transcatheter bx s&i
|
$3,234.00 |
$3,234.00 |
$3,234.00 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$7,586.60 |
$7,586.60 |
$7,586.60 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$19,708.50 |
$19,708.50 |
$19,708.50 |
$12,418.00
|
|
Transcath occlusion cns
|
$37,463.30 |
$37,463.30 |
$37,463.30 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$6,984.60 |
$6,984.60 |
$6,984.60 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$22,570.10 |
$22,570.10 |
$22,570.10 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$7,154.00 |
$7,154.00 |
$7,154.00 |
$4,775.16
|
|
Transcrv abltj utrn fibrd rf
|
$47,361.90 |
$47,361.90 |
$47,361.90 |
$8,750.72
|
|
Transferrin
|
$149.80 |
$149.80 |
$149.80 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$17,407.60 |
$17,407.60 |
$17,407.60 |
$983.00
|
|
Transorl lwr esophgl myotomy
|
$7,436.10 |
$7,436.10 |
$7,436.10 |
$6,588.93
|
|
Transplj hematopoietic boost
|
$2,987.60 |
$2,987.60 |
$2,987.60 |
$2,667.20
|
|
Transplt allo hct/donor
|
$4,373.60 |
$4,373.60 |
$4,373.60 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$2,433.20 |
$2,433.20 |
$2,433.20 |
$2,456.00
|
|
Transplt autol hct/donor
|
$4,373.60 |
$4,373.60 |
$4,373.60 |
$3,786.00
|
|
Trastuzumab 150 mg intravenous solution
|
$5,416.95 |
$5,416.95 |
$5,416.95 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$12,527.90 |
$12,527.90 |
$12,527.90 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$7,483.70 |
$7,483.70 |
$7,483.70 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$7,560.70 |
$7,560.70 |
$7,560.70 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,129.94 |
$1,129.94 |
$1,129.94 |
$940.80
|
|
Treat elbow dislocation
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$2,223.20
|
|
Treat elbow fracture
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$1,919.13
|
|
Treat finger fracture each
|
$886.90 |
$886.90 |
$886.90 |
$1,536.00
|
|
Treat foot dislocation
|
$741.30 |
$741.30 |
$741.30 |
$527.28
|
|
Treat foot dislocation
|
$541.80 |
$541.80 |
$541.80 |
$445.80
|
|
Treat fracture of radius
|
$1,052.10 |
$1,052.10 |
$1,052.10 |
$1,790.00
|
|
Treat fracture of ulna
|
$3,504.20 |
$3,504.20 |
$3,504.20 |
$726.05
|
|
Treat hip dislocation
|
$2,779.70 |
$2,779.70 |
$2,779.70 |
$2,641.60
|
|
Treat humerus fracture
|
$1,283.10 |
$1,283.10 |
$1,283.10 |
$1,771.43
|
|
Treat lower jaw fracture 21462
|
$17,292.10 |
$17,292.10 |
$17,292.10 |
$7,000.36
|
|
Treatment incomplete abortion completed surgically any trimester
|
$14,327.07 |
$14,327.07 |
$14,327.07 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$237.30 |
$237.30 |
$237.30 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$237.30 |
$237.30 |
$237.30 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$290.50 |
$290.50 |
$290.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$12,429.16 |
$12,429.16 |
$12,429.16 |
$3,982.44
|
|
Treatment of ankle fracture 27786
|
$802.20 |
$802.20 |
$802.20 |
$520.80
|
|
Treatment of foot infection
|
$5,389.30 |
$5,389.30 |
$5,389.30 |
$2,614.25
|
|
Treatment of miscarriage
|
$15,732.76 |
$15,732.76 |
$15,732.76 |
$4,146.69
|
|
Treatment of thigh fracture
|
$3,503.50 |
$3,503.50 |
$3,503.50 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$829.50 |
$829.50 |
$829.50 |
$369.70
|
|
Treatment of urethra lesion
|
$13,499.92 |
$13,499.92 |
$13,499.92 |
$3,817.53
|
|
Treatment radiation delivery level 2
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$767.65
|
|
Treat thigh fx growth plate
|
$2,933.00 |
$2,933.00 |
$2,933.00 |
$1,938.38
|
|
Treat ulnar fracture
|
$1,677.20 |
$1,677.20 |
$1,677.20 |
$1,662.00
|
|
Treat wrist dislocation
|
$1,223.60 |
$1,223.60 |
$1,223.60 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$114,038.05 |
$114,038.05 |
$114,038.05 |
$73,346.25
|
|
Treponema pallidum antibody
|
$93.10 |
$93.10 |
$93.10 |
$70.40
|
|
Trg gene rearrangement anal
|
$844.90 |
$844.90 |
$844.90 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$149.10 |
$149.10 |
$149.10 |
$43.21
|
|
Trichinella antibody
|
$56.00 |
$56.00 |
$56.00 |
$70.20
|
|
Trichomonas assay w/optic
|
$57.40 |
$57.40 |
$57.40 |
$55.50
|
|
#tricyclicantidprssnt
|
$43.40 |
$43.40 |
$43.40 |
$50.86
|
|
Triglycerides
|
$138.60 |
$138.60 |
$138.60 |
$58.05
|
|
Trim nondyst nails
|
$113.40 |
$113.40 |
$113.40 |
$113.40
|
|
Triptorelin pamoate
|
$6,998.95 |
$6,998.95 |
$6,998.95 |
$4,619.39
|
|
Trluml dil aq o/f can without st
|
$22,995.53 |
$22,995.53 |
$22,995.53 |
$5,419.00
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$26,989.20 |
$26,989.20 |
$26,989.20 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$13,493.90 |
$13,493.90 |
$13,493.90 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$9,355.50 |
$9,355.50 |
$9,355.50 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$11,010.30 |
$11,010.30 |
$11,010.30 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$139,550.48 |
$139,550.48 |
$139,550.48 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$110,247.93 |
$110,247.93 |
$110,247.93 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$31,258.23 |
$31,258.23 |
$31,258.23 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$8,064.00 |
$8,064.00 |
$8,064.00 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$8,064.00 |
$8,064.00 |
$8,064.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$9,139.20 |
$9,139.20 |
$9,139.20 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$8,064.00 |
$8,064.00 |
$8,064.00 |
$3,866.70
|
|
Troponin quantitative
|
$170.80 |
$170.80 |
$170.80 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$4,760.00 |
$4,760.00 |
$4,760.00 |
$2,012.40
|
|
Tx atrial fib pulm vein isol
|
$18,496.80 |
$18,496.80 |
$18,496.80 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$1,150.10 |
$1,150.10 |
$1,150.10 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$5,628.70 |
$5,628.70 |
$5,628.70 |
$3,977.49
|
|
Tx l/r atrial fib addl
|
$7,438.90 |
$7,438.90 |
$7,438.90 |
$6,769.00
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$6,787.20 |
$6,787.20 |
$6,787.20 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$6,966.40 |
$6,966.40 |
$6,966.40 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$8,633.80 |
$8,633.80 |
$8,633.80 |
$4,499.12
|
