|
Tlso 2 shl symphys-stern cst
|
$6,762.77 |
$6,762.77 |
$6,762.77 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$33.80 |
$66.16 |
$568.61 |
|
|
Tobramycin peak therapeutic drug level
|
$126.62 |
$210.50 |
$334.80 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$41.24 |
$1,669.70 |
$12,194.52 |
|
|
Toe X-ray (both feet)
|
$152.00 |
$296.40 |
$1,859.38 |
|
|
Tomosynthesis breast diagnostic left
|
$37.50 |
$37.50 |
$37.50 |
|
|
Tomosynthesis breast screen bilateral
|
$37.50 |
$53.40 |
$57.00 |
|
|
Tone decay hearing test
|
$91.20 |
$91.20 |
$91.20 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$114.92 |
$200.93 |
$1,292.18 |
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$422.00 |
$22,700.68 |
$22,700.68 |
|
|
Total tau
|
$236.50 |
$241.00 |
$991.83 |
|
|
Toxoplasma antibody igg
|
$44.40 |
$154.20 |
$314.26 |
|
|
Toxoplasma antibody igm
|
$36.00 |
$135.50 |
$252.00 |
|
|
Tp53 gene full gene sequence
|
$899.59 |
$899.59 |
$899.59 |
|
|
Tp53 gene trgt sequence alys
|
$1,616.61 |
$1,616.61 |
$1,616.61 |
|
|
Tpmt gene com vrnts
|
$232.00 |
$405.00 |
$1,115.96 |
|
|
Trabectedin 1 mg intravenous solution
|
$3,829.54 |
$6,133.80 |
$8,645.95 |
|
|
Trabeculoplasty laser surg
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
|
|
Tracheobrnchsc thru est trachs incisn
|
$490.80 |
$490.80 |
$2,425.34 |
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$63.60 |
$74.00 |
$135.53 |
|
|
Transcath biopsy
|
$2,678.40 |
$2,869.20 |
$16,180.34 |
|
|
Transcath closure of asd
|
$19,050.00 |
$36,405.00 |
$84,664.27 |
|
|
Transcath closure of vsd
|
$30,825.00 |
$36,405.00 |
$72,986.84 |
|
|
Transcatheter bx s&i
|
$1,536.35 |
$2,151.00 |
$2,151.00 |
|
|
Transcath mv repair addl prosthesis
|
$20,032.80 |
$20,032.80 |
$54,909.71 |
|
|
Transcath mv repair init prosthesis
|
$18,819.00 |
$20,032.80 |
$54,909.71 |
|
|
Transcath occlusion cns
|
$924.00 |
$7,938.60 |
$31,300.20 |
|
|
Transcath occlusion non-cns
|
$6,071.40 |
$6,071.40 |
$46,870.01 |
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,115.00 |
$3,774.60 |
$13,904.65 |
|
|
Transcutaneous carboxyhb
|
$52.80 |
$52.80 |
$142.80 |
|
|
Transferrin
|
$65.38 |
$152.40 |
$262.20 |
|
|
Transplantation heart/lung
|
$8,701.80 |
$8,701.80 |
$8,701.80 |
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$300.00 |
$347.00 |
$861.92 |
|
|
Transvaginal Pregnancy Ultrasound
|
$234.50 |
$436.50 |
$861.92 |
|
|
Trastuzumab 150 mg intravenous solution
|
$1,054.19 |
$3,921.88 |
$3,921.88 |
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$15.70 |
$9,169.45 |
$37,384.40 |
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$14.09 |
$514.18 |
$5,316.26 |
|
|
Trauma partial team response w/critical care services level 4
|
$4,246.50 |
$4,246.50 |
$6,053.51 |
|
|
Tray bonemarrw oncontrol 102mm
|
$1,799.44 |
$1,799.44 |
$8,885.48 |
|
|
Treat fracture of radius
|
$592.50 |
$592.50 |
$592.50 |
|
|
Treat fracture of ulna
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
|
|
Treat humerus fracture
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$48.00 |
$215.40 |
$399.00 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$31.80 |
$49.00 |
$275.40 |
|
|
Treatment of foot infection
|
$2,928.60 |
$2,928.60 |
$2,928.60 |
|
|
Treatment of retinal lesion
|
$19,668.72 |
$19,668.72 |
$19,668.72 |
|
|
Treatment radiation delivery level 2
|
$373.00 |
$984.00 |
$7,593.75 |
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$198.90 |
$99,476.00 |
$99,476.00 |
|
|
Treponema pallidum antibody
|
$64.20 |
$94.00 |
$258.60 |
|
|
Treprostinil injection
|
$153.47 |
$10,371.45 |
$10,371.45 |
|
|
Treprostinil, non-comp unit
|
$4,885.37 |
$7,365.50 |
$9,000.00 |
|
|
Trg gene rearrangement anal
|
$181.20 |
$752.40 |
$3,443.54 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$25.10 |
$82.74 |
$205.13 |
|
|
Triamcinolone a inj prs-free
|
$35.02 |
$1,309.80 |
$9,392.03 |
|
|
Triamcinolone hexacetonl inj
|
$122.74 |
$122.74 |
$122.74 |
|
|
Trichinella antibody
|
$120.60 |
$165.60 |
$166.20 |
|
|
Trichomonas assay w/optic
|
$67.80 |
$97.20 |
$189.60 |
|
|
#tricyclicantidprssnt
|
$191.15 |
$191.15 |
$191.15 |
|
|
Triglycerides
|
$27.62 |
$78.60 |
$330.97 |
|
|
Trilaciclib 300 mg intravenous solution
|
$55.87 |
$3,903.74 |
$3,903.74 |
|
|
Trimethobenzamide hcl inj
|
$120.73 |
$120.73 |
$540.75 |
|
|
Trim nail(s)
|
$258.50 |
$262.50 |
$271.50 |
|
|
Trim nondyst nails
|
$90.60 |
$103.00 |
$215.40 |
|
|
Triptorelin pamoate
|
$4,619.39 |
$10,504.62 |
$18,746.07 |
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$7,850.00 |
$7,850.00 |
$24,720.00 |
|
|
Trml dstrj ios bvn ea addl
|
$3,377.00 |
$3,377.00 |
$29,955.00 |
|
|
Trnscath plc stent crv crtd without prtct
|
$12,901.50 |
$12,901.50 |
$13,628.40 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$10,242.60 |
$11,972.40 |
$12,901.50 |
|
|
Trnscath plc stnt ante carotid art
|
$3,165.00 |
$3,165.00 |
$11,623.20 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$13,998.60 |
$27,143.40 |
$27,933.60 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$9,292.80 |
$27,143.40 |
$57,241.25 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$11,164.00 |
$28,789.20 |
$72,797.16 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,043.20 |
$9,810.60 |
$11,213.40 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,006.50 |
$12,519.00 |
$23,944.80 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,006.50 |
$5,899.20 |
$12,544.83 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,006.50 |
$6,990.00 |
$7,310.40 |
|
|
Trnscath tx thromblytc vein ini day
|
$4,557.00 |
$11,972.40 |
$12,519.00 |
|
|
Troponin quantitative
|
$70.20 |
$157.00 |
$375.00 |
|
|
Tte w or without contr, cont ecg
|
$2,252.00 |
$2,287.50 |
$3,387.23 |
|
|
Tte w or without fol w/con,stres
|
$3,755.34 |
$3,755.34 |
$3,755.34 |
|
|
Tte w or without fol w/cont, com
|
$2,282.00 |
$2,282.00 |
$2,282.00 |
|
|
Tte w or without fol w/cont, f/u
|
$2,282.00 |
$2,282.00 |
$2,282.00 |
|
|
Tube trach disp innr can 5 xlt
|
$29.40 |
$45.00 |
$52.20 |
|
|
Tube trach disp innr can 6 xlt
|
$16.80 |
$16.80 |
$16.80 |
|
|
Tube trach fen sz 6 uncuffed
|
$15.00 |
$133.80 |
$133.80 |
|
|
Tx atrial fib pulm vein isol
|
$23,668.00 |
$62,587.20 |
$129,144.05 |
|
|
Tx closed hip disl traumatic without anes
|
$708.50 |
$708.50 |
$708.50 |
|
|
Tx l/r atrial fib addl
|
$7,057.50 |
$7,717.80 |
$56,780.57 |
|
|
Tympanometry & reflex thresh
|
$88.80 |
$347.50 |
$365.00 |
|
|
Typhoid vaccine oral
|
$48.88 |
$48.88 |
$48.88 |
|
|
Ua w/micro/comp poc
|
$20.96 |
$43.80 |
$82.20 |
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$716.99 |
$26,207.26 |
$26,207.26 |
|
|
Ugt1a1 gene analy common variants
|
$2,041.63 |
$2,041.63 |
$2,041.63 |
|
|
Ultrasound bone density measure
|
$111.60 |
$111.60 |
$111.60 |
|
|
Ultrasound breast complete
|
$383.12 |
$1,176.00 |
$1,885.32 |
|
|
Ultrasound breast unilateral limited (both sides)
|
$352.62 |
$592.80 |
$1,885.32 |
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$129.35 |
$372.50 |
$544.20 |
|
|
Ultrasound dx ophth b-scan
|
$298.20 |
$336.00 |
$352.50 |
|
|
Ultrasound elastography ea l target les
|
$942.66 |
$942.66 |
$942.66 |
|
|
Ultrasound elastography parenchyma
|
$204.00 |
$214.50 |
$942.66 |
|
