|
Tpmt gene com vrnts
|
$220.32 |
$220.32 |
$220.32 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$10,980.72 |
$10,980.72 |
$10,980.72 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,786.32 |
$1,786.32 |
$1,786.32 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$0.44 |
$0.44 |
$0.44 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$1,643.04 |
$1,643.04 |
$1,643.04 |
$678.70
|
|
Transcath biopsy
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$4,285.93
|
|
Transcath closure of asd
|
$40,538.16 |
$40,538.16 |
$40,538.16 |
$16,741.40
|
|
Transcath closure of vsd
|
$38,786.40 |
$38,786.40 |
$38,786.40 |
$17,115.04
|
|
Transcatheter bx s&i
|
$3,807.36 |
$3,807.36 |
$3,807.36 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$11,974.32 |
$11,974.32 |
$11,974.32 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$23,947.20 |
$23,947.20 |
$23,947.20 |
$12,418.00
|
|
Transcath occlusion cns
|
$5,856.48 |
$5,856.48 |
$5,856.48 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$24,495.84 |
$24,495.84 |
$24,495.84 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$28,654.56 |
$28,654.56 |
$28,654.56 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$27,771.84 |
$27,771.84 |
$27,771.84 |
$4,775.16
|
|
Transferrin
|
$146.88 |
$146.88 |
$146.88 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$2,272.32 |
$2,272.32 |
$2,272.32 |
$983.00
|
|
Transparent film >16<=48 in
|
$22.32 |
$22.32 |
$22.32 |
$12.95
|
|
Transperi needle place pros
|
$10,980.72 |
$10,980.72 |
$10,980.72 |
$6,015.75
|
|
Trastuzumab 150 mg intravenous solution
|
$269.29 |
$269.29 |
$269.29 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$235.02 |
$235.02 |
$235.02 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$209.28 |
$209.28 |
$209.28 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$7,277.76 |
$7,277.76 |
$7,277.76 |
$4,523.04
|
|
Treat ankle dislocation
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,358.40
|
|
Treat ankle fracture
|
$15,430.32 |
$15,430.32 |
$15,430.32 |
$5,488.00
|
|
Treat big toe fracture
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$4,307.52
|
|
Treat clavicle dislocation 23545
|
$838.08 |
$838.08 |
$838.08 |
$705.60
|
|
Treat elbow dislocation
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$2,223.20
|
|
Treat elbow fracture
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,919.13
|
|
Treat finger fracture each
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$4,132.02
|
|
Treat finger fracture each
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,536.00
|
|
Treat foot dislocation
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$4,192.86
|
|
Treat foot dislocation
|
$716.40 |
$716.40 |
$716.40 |
$527.28
|
|
Treat foot dislocation
|
$838.08 |
$838.08 |
$838.08 |
$445.80
|
|
Treat fracture of radius
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$1,790.00
|
|
Treat fracture of radius
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,849.00
|
|
Treat fracture of ulna
|
$545.04 |
$545.04 |
$545.04 |
$726.05
|
|
Treat hip socket fracture
|
$4,916.88 |
$4,916.88 |
$4,916.88 |
$1,392.00
|
|
Treat humerus fracture
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,771.43
|
|
Treat humerus fracture
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,771.43
|
|
Treat kneecap dislocation
|
$2,089.44 |
$2,089.44 |
$2,089.44 |
$1,068.90
|
|
Treat knee fracture 27530
|
$545.04 |
$545.04 |
$545.04 |
$550.00
|
|
Treat knee fracture(s)
|
$2,569.68 |
$2,569.68 |
$2,569.68 |
$642.00
|
|
Treat knuckle dislocation
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,523.90
|
|
Treat knuckle dislocation
|
$7,431.12 |
$7,431.12 |
$7,431.12 |
$4,332.00
|
|
Treat lower leg dislocation
|
$610.56 |
$610.56 |
$610.56 |
$530.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$15,430.32 |
$15,430.32 |
$15,430.32 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$6,868.08 |
$6,868.08 |
$6,868.08 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$315.36 |
$315.36 |
$315.36 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$167.76 |
$167.76 |
$167.76 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$775.44 |
$775.44 |
$775.44 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,868.08 |
$6,868.08 |
$6,868.08 |
$3,982.44
|
|
Treatment of ankle fracture 27786
|
$653.04 |
$653.04 |
$653.04 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$518.40 |
$518.40 |
$518.40 |
$491.50
|
|
Treatment of heel fracture 28400
|
$653.04 |
$653.04 |
$653.04 |
$473.00
|
|
Treatment of miscarriage
|
$8,197.20 |
$8,197.20 |
$8,197.20 |
$4,146.69
|
|
Treatment of thigh fracture
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$587.52 |
$587.52 |
$587.52 |
$369.70
|
|
Treatment radiation delivery level 2
|
$835.20 |
$835.20 |
$835.20 |
$767.65
|
|
Treat metacarpal fracture
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,977.49
|
|
Treat thigh fracture
|
$3,948.48 |
$3,948.48 |
$3,948.48 |
$2,032.10
|
|
Treat thigh fx growth plate
|
$1,414.80 |
$1,414.80 |
$1,414.80 |
$475.68
|
|
Treat toe dislocation
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$756.39
|
|
Treat ulnar fracture
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,662.00
|
|
Treat vaginal bleeding
|
$651.60 |
$651.60 |
$651.60 |
$379.60
|
|
Treat wrist bone fracture
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,548.40
|
|
Treat wrist dislocation
|
$518.40 |
$518.40 |
$518.40 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$357.59 |
$357.59 |
$357.59 |
$73,346.25
|
|
Treponema pallidum antibody
|
$114.48 |
$114.48 |
$114.48 |
$70.40
|
|
Trg gene rearrangement anal
|
$1,031.76 |
$1,031.76 |
$1,031.76 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$10.80 |
$10.80 |
$10.80 |
$43.21
|
|
Trichinella antibody
|
$92.88 |
$92.88 |
$92.88 |
$70.20
|
|
Triglycerides
|
$80.64 |
$80.64 |
$80.64 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$261.90 |
$261.90 |
$261.90 |
$117.49
|
|
Trim nondyst nails
|
$291.60 |
$291.60 |
$291.60 |
$113.40
|
|
Trmt of fracture (femoral shaft) 27500
|
$838.08 |
$838.08 |
$838.08 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$16,656.48 |
$16,656.48 |
$16,656.48 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$17,423.28 |
$17,423.28 |
$17,423.28 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$10,442.16 |
$10,442.16 |
$10,442.16 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$10,442.16 |
$10,442.16 |
$10,442.16 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$24,495.84 |
$24,495.84 |
$24,495.84 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$7,393.68 |
$7,393.68 |
$7,393.68 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,860.88 |
$6,860.88 |
$6,860.88 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$7,176.24 |
$7,176.24 |
$7,176.24 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$11,666.16 |
$11,666.16 |
$11,666.16 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$4,375.44 |
$4,375.44 |
$4,375.44 |
$2,371.50
|
|
Troponin quantitative
|
$193.68 |
$193.68 |
$193.68 |
$127.20
|
|
Tr retinal les preterm inf
|
$1,308.96 |
$1,308.96 |
$1,308.96 |
$1,794.00
|
|
Tte w or without fol w/con,stres
|
$2,036.16 |
$2,036.16 |
$2,036.16 |
$1,632.80
|
|
Tube trach disp innr can 5 xlt
|
$534.96 |
$534.96 |
$534.96 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$758.88 |
$758.88 |
$758.88 |
$155.98
|
|
Tubular dressing
|
$55.44 |
$55.44 |
$55.44 |
$28.46
|
|
Tx atrial fib pulm vein isol
|
$59,086.08 |
$59,086.08 |
$59,086.08 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$750.96 |
$750.96 |
$750.96 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$812.16 |
$812.16 |
$812.16 |
$535.60
|
|
Tx l/r atrial fib addl
|
$15,108.48 |
$15,108.48 |
$15,108.48 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$4,468.55
|
