|
Tib/per revasc w/ather add-on 37233
|
$9,074.80 |
$9,074.80 |
$9,074.80 |
$9,769.65
|
|
Tigecycline injection
|
$683.55 |
$683.55 |
$683.55 |
$234.00
|
|
Tilt table study
|
$2,149.00 |
$2,149.00 |
$2,149.00 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$34,978.47 |
$34,978.47 |
$34,978.47 |
$13,339.20
|
|
Tissue culture placenta
|
$363.30 |
$363.30 |
$363.30 |
$457.00
|
|
Tissue culture skin/biopsy
|
$2,269.40 |
$2,269.40 |
$2,269.40 |
$484.00
|
|
Tissue culture tumor
|
$377.30 |
$377.30 |
$377.30 |
$483.36
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$473.90 |
$473.90 |
$473.90 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$163.10 |
$163.10 |
$163.10 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$240.10 |
$240.10 |
$240.10 |
$78.40
|
|
Tlh uterus 250 g or less
|
$42,128.02 |
$42,128.02 |
$42,128.02 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$37,361.12 |
$37,361.12 |
$37,361.12 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$42,453.61 |
$42,453.61 |
$42,453.61 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$51,261.21 |
$51,261.21 |
$51,261.21 |
$12,320.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$365.75 |
$365.75 |
$365.75 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$191.80 |
$191.80 |
$191.80 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12,247.72 |
$12,247.72 |
$12,247.72 |
$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
|
|
Tongue base vol reduction
|
$41,847.18 |
$41,847.18 |
$41,847.18 |
$3,986.00
|
|
Tonsillectomy (age 12+)
|
$34,192.09 |
$34,192.09 |
$34,192.09 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$14,260.10 |
$14,260.10 |
$14,260.10 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$601.30 |
$601.30 |
$601.30 |
$325.00
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$45,006.32 |
$45,006.32 |
$45,006.32 |
$15,383.12
|
|
Total hysterectomy
|
$40,473.23 |
$40,473.23 |
$40,473.23 |
$3,001.70
|
|
Total tau
|
$392.00 |
$392.00 |
$392.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$403.90 |
$403.90 |
$403.90 |
$89.40
|
|
Toxoplasma antibody igm
|
$403.90 |
$403.90 |
$403.90 |
$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
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$22,682.53 |
$22,682.53 |
$22,682.53 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$17,437.00 |
$17,437.00 |
$17,437.00 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$1,420.44
|
|
Tracheostoma stent/stud/bttn
|
$401.04 |
$401.04 |
$401.04 |
$333.29
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$87.67 |
$87.67 |
$87.67 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$125.30 |
$125.30 |
$125.30 |
$678.70
|
|
Transcath biopsy
|
$4,668.30 |
$4,668.30 |
$4,668.30 |
$4,285.93
|
|
Transcath closure of asd
|
$19,075.70 |
$19,075.70 |
$19,075.70 |
$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 occlusion cns
|
$37,463.30 |
$37,463.30 |
$37,463.30 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$7,733.60 |
$7,733.60 |
$7,733.60 |
$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
|
|
Transferrin
|
$179.90 |
$179.90 |
$179.90 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$5,985.00 |
$5,985.00 |
$5,985.00 |
$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
|
$7,365.57 |
$7,365.57 |
$7,365.57 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$17,035.02 |
$17,035.02 |
$17,035.02 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$10,175.90 |
$10,175.90 |
$10,175.90 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$6,223.70 |
$6,223.70 |
$6,223.70 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$493.29 |
$493.29 |
$493.29 |
$940.80
|
|
Treat ectopic pregnancy
|
$22,435.83 |
$22,435.83 |
$22,435.83 |
$6,707.99
|
|
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
|
$809.90 |
$809.90 |
$809.90 |
$1,790.00
|
|
Treat fracture of ulna
|
$2,103.50 |
$2,103.50 |
$2,103.50 |
$726.05
|
|
Treat hip dislocation
|
$2,779.70 |
$2,779.70 |
$2,779.70 |
$2,641.60
|
|
Treat humerus fracture
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$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
|
$15,184.25 |
$15,184.25 |
$15,184.25 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$301.70 |
$301.70 |
$301.70 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$191.10 |
$191.10 |
$191.10 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$385.00 |
$385.00 |
$385.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$13,883.21 |
$13,883.21 |
$13,883.21 |
$3,982.44
|
|
Treatment of anal fissure w/dilat 46940
|
$17,074.76 |
$17,074.76 |
$17,074.76 |
$3,245.23
|
|
Treatment of foot infection
|
$5,389.30 |
$5,389.30 |
$5,389.30 |
$2,614.25
|
|
Treatment of miscarriage
|
$16,911.78 |
$16,911.78 |
$16,911.78 |
$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
|
$25,434.30 |
$25,434.30 |
$25,434.30 |
$4,061.71
|
|
Treatment of urethra lesion
|
$26,559.95 |
$26,559.95 |
$26,559.95 |
$2,874.36
|
|
Treatment radiation delivery level 2
|
$1,311.10 |
$1,311.10 |
$1,311.10 |
$767.65
|
|
Treat thigh fx growth plate
|
$2,933.00 |
$2,933.00 |
$2,933.00 |
$1,938.38
|
|
Treat ulnar fracture
|
$2,085.30 |
$2,085.30 |
$2,085.30 |
$1,662.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$195,607.30 |
$195,607.30 |
$195,607.30 |
$73,346.25
|
|
Treponema pallidum antibody
|
$196.70 |
$196.70 |
$196.70 |
$70.40
|
|
Treprostinil injection
|
$7,606.37 |
$7,606.37 |
$7,606.37 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$844.90 |
$844.90 |
$844.90 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$45.67 |
$45.67 |
$45.67 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$86.62 |
$86.62 |
$86.62 |
$223.56
|
|
Trichinella antibody
|
$135.10 |
$135.10 |
$135.10 |
$70.20
|
|
Trichomonas assay w/optic
|
$57.40 |
$57.40 |
$57.40 |
$55.50
|
|
#tricyclicantidprssnt
|
$43.40 |
$43.40 |
$43.40 |
$50.86
|
|
Triglycerides
|
$92.40 |
$92.40 |
$92.40 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$7,623.70 |
$7,623.70 |
$7,623.70 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$244.30 |
$244.30 |
$244.30 |
$117.49
|
|
Trim nondyst nails
|
$113.40 |
$113.40 |
$113.40 |
$113.40
|
|
Triptorelin pamoate
|
$12,005.00 |
$12,005.00 |
$12,005.00 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$42,652.43 |
$42,652.43 |
$42,652.43 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$48,190.78 |
$48,190.78 |
$48,190.78 |
$7,354.00
|