|
Toe X-ray (both feet)
|
$292.50 |
$292.50 |
$292.50 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$65.65 |
$65.65 |
$65.65 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$59.15 |
$59.15 |
$59.15 |
$74.10
|
|
Tonsillectomy (age 12+)
|
$30,215.26 |
$30,215.26 |
$30,215.26 |
$4,558.89
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$188.75 |
$188.75 |
$188.75 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$48,786.25 |
$48,786.25 |
$48,786.25 |
$15,383.12
|
|
Total Hip Replacement
|
$81,256.87 |
$81,256.87 |
$81,256.87 |
$9,161.60
|
|
Total hysterectomy
|
$3,033.00 |
$3,033.00 |
$3,033.00 |
$3,001.70
|
|
Total Knee Replacement
|
$76,625.63 |
$76,625.63 |
$76,625.63 |
$14,061.89
|
|
Total tau
|
$183.95 |
$183.95 |
$183.95 |
$312.50
|
|
Toxoplasma antibody igg
|
$68.25 |
$68.25 |
$68.25 |
$91.65
|
|
Toxoplasma antibody igm
|
$68.25 |
$68.25 |
$68.25 |
$88.00
|
|
Tp53 gene full gene sequence
|
$1,251.90 |
$1,251.90 |
$1,251.90 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$642.20 |
$642.20 |
$642.20 |
$804.00
|
|
Tprnl plmt biodegrdabl matrl
|
$25,712.03 |
$25,712.03 |
$25,712.03 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$11,842.80 |
$11,842.80 |
$11,842.80 |
$6,684.23
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$242.00 |
$242.00 |
$242.00 |
$103.20
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$162.50 |
$162.50 |
$162.50 |
$56.38
|
|
Transferrin
|
$75.40 |
$75.40 |
$75.40 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$678.60 |
$678.60 |
$678.60 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$481.65 |
$481.65 |
$481.65 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$4,708.00 |
$4,708.00 |
$4,708.00 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$10,508.35 |
$10,508.35 |
$10,508.35 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$9,357.40 |
$9,357.40 |
$9,357.40 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$2,804.75 |
$2,804.75 |
$2,804.75 |
$4,471.50
|
|
Tray bonemarrw oncontrol 102mm
|
$699.55 |
$699.55 |
$699.55 |
$940.80
|
|
Tray trach basic clean/care ster
|
$0.55 |
$0.55 |
$0.55 |
$0.57
|
|
Treat ectopic pregnancy
|
$2,511.00 |
$2,511.00 |
$2,511.00 |
$6,707.99
|
|
Treat elbow fracture
|
$59,084.62 |
$59,084.62 |
$59,084.62 |
$9,791.00
|
|
Treat eyelid lesion 67850
|
$863.85 |
$863.85 |
$863.85 |
$1,146.13
|
|
Treat finger fracture each
|
$21,329.05 |
$21,329.05 |
$21,329.05 |
$4,192.86
|
|
Treat heel fracture
|
$84,848.50 |
$84,848.50 |
$84,848.50 |
$7,907.11
|
|
Treat humerus fracture
|
$47,964.31 |
$47,964.31 |
$47,964.31 |
$10,629.07
|
|
Treat kneecap fracture
|
$74,744.74 |
$74,744.74 |
$74,744.74 |
$6,839.00
|
|
Treat knee fracture 27530
|
$278.85 |
$278.85 |
$278.85 |
$550.73
|
|
Treat lower leg joint
|
$59,736.18 |
$59,736.18 |
$59,736.18 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$65,717.59 |
$65,717.59 |
$65,717.59 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$59,053.40 |
$59,053.40 |
$59,053.40 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$61,920.12 |
$61,920.12 |
$61,920.12 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$27,074.80 |
$27,074.80 |
$27,074.80 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$111.15 |
$111.15 |
$111.15 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$101.40 |
$101.40 |
$101.40 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$29,324.65 |
$29,324.65 |
$29,324.65 |
$4,230.80
|
|
Treatment of ankle fracture
|
$64,380.10 |
$64,380.10 |
$64,380.10 |
$7,913.97
|
|
Treatment of ankle fracture
|
$68,942.32 |
$68,942.32 |
$68,942.32 |
$8,453.60
|
|
Treatment of ankle fracture 27786
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$515.45
|
|
Treatment of head injury 62010
|
$6,767.00 |
$6,767.00 |
$6,767.00 |
$3,604.00
|
|
Treatment of miscarriage
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$4,146.69
|
|
Treatment of thigh fracture
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$548.90
|
|
Treatment of tibia fracture
|
$83,162.46 |
$83,162.46 |
$83,162.46 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$767.00 |
$767.00 |
$767.00 |
$371.40
|
|
Treatment radiation delivery level 2
|
$2,128.10 |
$2,128.10 |
$2,128.10 |
$830.70
|
|
Treat metacarpal fracture
|
$69,413.75 |
$69,413.75 |
$69,413.75 |
$5,741.00
|
|
Treat metatarsal fracture
|
$47,472.13 |
$47,472.13 |
$47,472.13 |
$8,241.00
|
|
Treat odontoid fx without graft
|
$5,448.00 |
$5,448.00 |
$5,448.00 |
$5,448.00
|
|
Treat sternum fracture
|
$518.00 |
$518.00 |
$518.00 |
$423.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$127,265.40 |
$127,265.40 |
$127,265.40 |
$73,346.25
|
|
Treponema pallidum antibody
|
$43.55 |
$43.55 |
$43.55 |
$72.05
|
|
Trg gene rearrangement anal
|
$856.70 |
$856.70 |
$856.70 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$1,081.00 |
$1,081.00 |
$1,081.00 |
$43.00
|
|
Triglycerides
|
$39.00 |
$39.00 |
$39.00 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$8,065.15 |
$8,065.15 |
$8,065.15 |
$4,043.12
|
|
Trim nondyst nails
|
$46.15 |
$46.15 |
$46.15 |
$114.48
|
|
Trnscath plc vas stent w/s&i ini vein
|
$28,694.25 |
$28,694.25 |
$28,694.25 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,546.15 |
$6,546.15 |
$6,546.15 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$8,633.62 |
$8,633.62 |
$8,633.62 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$7,330.70 |
$7,330.70 |
$7,330.70 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$7,330.70 |
$7,330.70 |
$7,330.70 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$386.75 |
$386.75 |
$386.75 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$56,473.81 |
$56,473.81 |
$56,473.81 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$56,473.81 |
$56,473.81 |
$56,473.81 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,563.00 |
$2,563.00 |
$2,563.00 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$3,779.00 |
$3,779.00 |
$3,779.00 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,331.00 |
$2,331.00 |
$2,331.00 |
$2,527.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,727.05 |
$1,727.05 |
$1,727.05 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$45,116.15 |
$45,116.15 |
$45,116.15 |
$2,406.77
|
|
Troponin quantitative
|
$1,279.00 |
$1,279.00 |
$1,279.00 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$1,431.95 |
$1,431.95 |
$1,431.95 |
$2,075.90
|
|
Tte w or without fol w/con,stres
|
$1,745.25 |
$1,745.25 |
$1,745.25 |
$1,632.80
|
|
Tube drain vert dev st 5-40f
|
$17.68 |
$17.68 |
$17.68 |
$27.60
|
|
Tube trach disp innr can 5 xlt
|
$425.24 |
$425.24 |
$425.24 |
$445.99
|
|
Tube trach disp innr can 6 xlt
|
$2.78 |
$2.78 |
$2.78 |
$16.80
|
|
Tube trach fen sz 6 uncuffed
|
$128.25 |
$128.25 |
$128.25 |
$155.98
|
|
Tx atrial fib pulm vein isol
|
$24,610.95 |
$24,610.95 |
$24,610.95 |
$29,030.54
|
|
Tx closed tib shaft fx without manip
|
$321.75 |
$321.75 |
$321.75 |
$535.60
|
|
Tx l/r atrial fib addl
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$6,986.85
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$51,856.87 |
$51,856.87 |
$51,856.87 |
$4,499.12
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$508.95 |
$508.95 |
$508.95 |
$911.43
|
|
Ua w/micro/comp poc
|
$7.80 |
$7.80 |
$7.80 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$35,496.45 |
$35,496.45 |
$35,496.45 |
$21,992.26
|
|
Ultrasound breast complete
|
$760.50 |
$760.50 |
$760.50 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$691.60 |
$691.60 |
$691.60 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$260.65 |
$260.65 |
$260.65 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$111.00 |
$111.00 |
$111.00 |
$296.80
|
|
Ultrasound elastography parenchyma
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$313.95
|
|
Ultrasound encephalogram
|
$451.10 |
$451.10 |
$451.10 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$936.00 |
$936.00 |
$936.00 |
$575.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$8,546.52 |
$8,546.52 |
$8,546.52 |
$720.15
|
