|
Transvaginal Pregnancy Ultrasound
|
$351.60 |
$351.60 |
$384.00 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$2,801.66 |
$2,801.66 |
$2,801.66 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$6,786.46 |
$6,786.46 |
$6,786.46 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$6,047.68 |
$6,047.68 |
$6,047.69 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$2,652.00 |
$2,652.00 |
$4,063.80 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$832.80 |
$832.80 |
$832.80 |
$940.80
|
|
Treat ankle fracture
|
$1,448.40 |
$1,448.40 |
$1,521.00 |
$5,488.00
|
|
Treat big toe fracture
|
$1,216.20 |
$1,216.20 |
$1,276.80 |
$4,454.10
|
|
Treat cheek bone fracturemalar 21360
|
$984.60 |
$984.60 |
$1,033.80 |
$6,489.73
|
|
Treat clavicle dislocation 23545
|
$506.40 |
$506.40 |
$531.60 |
$692.80
|
|
Treat ectopic pregnancy
|
$1,504.80 |
$1,504.80 |
$1,579.80 |
$3,986.00
|
|
Treat ectopic pregnancy
|
$1,465.20 |
$1,465.20 |
$1,538.40 |
$6,707.99
|
|
Treat elbow dislocation
|
$839.40 |
$839.40 |
$881.40 |
$2,322.40
|
|
Treat eyelid lesion 67850
|
$505.80 |
$505.80 |
$531.00 |
$1,146.13
|
|
Treat foot bone lesion
|
$809.40 |
$809.40 |
$809.40 |
$3,839.54
|
|
Treat heel fracture
|
$1,572.00 |
$1,572.00 |
$1,572.00 |
$7,907.11
|
|
Treat hip dislocation
|
$606.60 |
$606.60 |
$637.20 |
$2,643.60
|
|
Treat knee fracture 27530
|
$552.60 |
$552.60 |
$580.20 |
$550.73
|
|
Treat lower jaw fracture 21462
|
$3,003.00 |
$3,003.00 |
$3,153.00 |
$7,000.36
|
|
Treat lower leg fracture
|
$1,559.40 |
$1,559.40 |
$1,559.40 |
$12,905.86
|
|
Treat lower leg fracture
|
$1,843.80 |
$1,843.80 |
$1,843.80 |
$12,653.00
|
|
Treat lower leg joint
|
$989.40 |
$989.40 |
$989.40 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$1,465.20 |
$1,465.20 |
$1,465.20 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$620.40 |
$620.40 |
$651.60 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$165.60 |
$165.60 |
$184.80 |
$230.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$742.80 |
$742.80 |
$780.00 |
$4,230.80
|
|
Treatment of anal fissure w/dilat 46940
|
$416.40 |
$416.40 |
$437.40 |
$3,640.00
|
|
Treatment of ankle fracture
|
$901.80 |
$901.80 |
$901.80 |
$7,913.97
|
|
Treatment of ankle fracture
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$8,453.60
|
|
Treatment of ankle fracture
|
$1,220.40 |
$1,220.40 |
$1,220.40 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$565.80 |
$565.80 |
$594.00 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$544.80 |
$544.80 |
$571.80 |
$528.00
|
|
Treatment of foot infection
|
$535.20 |
$535.20 |
$535.20 |
$3,839.54
|
|
Treatment of head injury 62010
|
$3,151.20 |
$3,151.20 |
$3,309.00 |
$3,604.00
|
|
Treatment of heel fracture 28400
|
$446.40 |
$446.40 |
$468.60 |
$478.40
|
|
Treatment of miscarriage
|
$747.60 |
$747.60 |
$784.80 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$489.00 |
$489.00 |
$513.60 |
$3,734.50
|
|
Treatment of toe fracture 28510
|
$220.80 |
$220.80 |
$231.60 |
$371.40
|
|
Treatment radiation delivery level 2
|
$348.00 |
$348.00 |
$380.40 |
$835.20
|
|
Treat metatarsal fracture
|
$969.60 |
$969.60 |
$1,018.20 |
$8,241.00
|
|
Treat skull fracture
|
$2,222.40 |
$2,222.40 |
$2,333.40 |
$2,984.80
|
|
Treat toe fracture
|
$1,039.80 |
$1,039.80 |
$1,092.00 |
$3,839.54
|
|
Treat ulnar fracture
|
$913.80 |
$913.80 |
$913.80 |
$6,653.00
|
|
Treat vaginal bleeding
|
$260.40 |
$260.40 |
$273.60 |
$392.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$69,118.20 |
$69,118.20 |
$73,346.25 |
$73,346.25
|
|
Treponema pallidum antibody
|
$80.40 |
$80.40 |
$84.60 |
$72.05
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$96.56 |
$96.56 |
$96.56 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$297.74 |
$297.74 |
$1,684.43 |
$223.56
|
|
#tricyclicantidprssnt
|
$186.60 |
$186.60 |
$208.20 |
$48.81
|
|
Triglycerides
|
$42.60 |
$42.60 |
$47.40 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$119.80 |
$119.80 |
$119.80 |
$117.49
|
|
Trim nail(s)
|
$35.40 |
$35.40 |
$37.20 |
$78.40
|
|
Trim nondyst nails
|
$40.80 |
$40.80 |
$42.60 |
$115.20
|
|
Triptorelin pamoate
|
$8,654.89 |
$8,654.89 |
$8,654.89 |
$4,619.39
|
|
Trmt of fracture (femoral shaft) 27500
|
$928.20 |
$928.20 |
$974.40 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$6,378.60 |
$6,378.60 |
$7,099.80 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$12,157.20 |
$12,157.20 |
$13,275.60 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$1,710.00 |
$1,710.00 |
$1,795.80 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,816.00 |
$6,816.00 |
$7,587.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$7,412.40 |
$7,412.40 |
$8,250.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,900.80 |
$13,900.80 |
$15,471.60 |
$14,872.52
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,181.80 |
$3,181.80 |
$3,675.00 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,858.80 |
$1,858.80 |
$2,147.40 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,291.60 |
$3,291.60 |
$3,802.20 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,779.00 |
$4,779.00 |
$5,520.60 |
$4,444.80
|
|
Trnscath tx thromblytc vein ini day
|
$1,566.00 |
$1,566.00 |
$1,809.00 |
$3,900.60
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$1,986.00 |
$1,986.00 |
$2,085.60 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$414.00 |
$414.00 |
$435.00 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,422.00 |
$1,422.00 |
$2,620.20 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$1,855.80 |
$1,855.80 |
$1,948.80 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$1,592.40 |
$1,592.40 |
$2,620.20 |
$2,527.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,456.80 |
$1,456.80 |
$1,529.40 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$1,132.80 |
$1,132.80 |
$2,620.20 |
$2,406.77
|
|
Troponin quantitative
|
$130.80 |
$130.80 |
$145.80 |
$125.00
|
|
Tubal Ligation (Laparoscopic)
|
$677.40 |
$677.40 |
$711.00 |
$4,323.20
|
|
Tube drain vert dev st 5-40f
|
$198.00 |
$198.00 |
$198.00 |
$27.60
|
|
Tube trach disp innr can 5 xlt
|
$146.40 |
$146.40 |
$146.40 |
$445.99
|
|
Tube trach disp innr can 6 xlt
|
$9.60 |
$9.60 |
$9.60 |
$16.80
|
|
Tube trach fen sz 6 uncuffed
|
$132.00 |
$132.00 |
$132.00 |
$155.98
|
|
Tubing (oxygen) per foot
|
$19.20 |
$19.20 |
$20.40 |
$0.40
|
|
Tvh >250 gms 58290
|
$2,137.20 |
$2,137.20 |
$2,244.00 |
$6,872.92
|
|
Tvh w/mmk 58267
|
$1,960.80 |
$1,960.80 |
$2,058.60 |
$1,747.20
|
|
Tx atrial fib pulm vein isol
|
$23,534.40 |
$23,534.40 |
$26,193.60 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$691.80 |
$691.80 |
$726.60 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,177.80 |
$1,177.80 |
$1,236.60 |
$4,043.32
|
|
Tx closed tib shaft fx without manip
|
$617.40 |
$617.40 |
$648.00 |
$535.60
|
|
Tx contour defects >10.0 cc
|
$867.00 |
$867.00 |
$867.00 |
$918.06
|
|
Tx contour defects 1.1-5.0cc 11951
|
$105.00 |
$105.00 |
$110.40 |
$849.50
|
|
Tx ectopic pregnancy abdl pregnancy 59130
|
$1,692.00 |
$1,692.00 |
$1,776.60 |
$2,277.60
|
|
Tx ectopic pregnancy ntrstl prtl rescj uter 59136
|
$1,707.00 |
$1,707.00 |
$1,792.20 |
$2,159.20
|
|
Tx l/r atrial fib addl
|
$4,005.60 |
$4,005.60 |
$4,458.60 |
$6,986.85
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
$4,521.61
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$892.80 |
$892.80 |
$937.20 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$972.00 |
$972.00 |
$1,020.60 |
$4,595.50
|
|
Tx open nsl fx uncomp
|
$867.60 |
$867.60 |
$910.80 |
$3,837.72
|
|
Tx open nsl sptl fx
|
$1,201.20 |
$1,201.20 |
$1,261.20 |
$4,308.40
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,070.40 |
$1,070.40 |
$1,123.80 |
$4,529.60
|
|
Tx septic abortion surgical 59830
|
$853.80 |
$853.80 |
$896.40 |
$896.40
|
