|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$417.99 |
$417.99 |
$417.99 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$75.45 |
$75.45 |
$75.45 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$59.82 |
$59.82 |
$59.82 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$215.00 |
$215.00 |
$215.00 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$80.10 |
$80.10 |
$80.10 |
$80.10
|
|
Tlh uterus 250 g or less
|
$36,544.44 |
$36,544.44 |
$36,544.44 |
$12,320.22
|
|
Tlh w/t/o 250 g or less
|
$37,910.29 |
$37,910.29 |
$37,910.29 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$41,890.25 |
$41,890.25 |
$41,890.25 |
$13,212.06
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$190.95 |
$190.95 |
$190.95 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$117.00 |
$117.00 |
$117.00 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12,214.20 |
$12,214.20 |
$12,214.20 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$684.00 |
$684.00 |
$684.00 |
$258.65
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$643.90 |
$643.90 |
$643.90 |
$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
|
$43,323.04 |
$43,323.04 |
$43,323.04 |
$9,161.60
|
|
Total hysterectomy
|
$27,205.95 |
$27,205.95 |
$27,205.95 |
$3,001.70
|
|
Total Knee Replacement
|
$40,880.10 |
$40,880.10 |
$40,880.10 |
$14,241.77
|
|
Toxoplasma antibody igg
|
$111.00 |
$111.00 |
$111.00 |
$91.65
|
|
Toxoplasma antibody igm
|
$105.00 |
$105.00 |
$105.00 |
$87.75
|
|
Tprnl plmt biodegrdabl matrl
|
$19,895.50 |
$19,895.50 |
$19,895.50 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$11,842.80 |
$11,842.80 |
$11,842.80 |
$6,684.23
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$41.50 |
$41.50 |
$41.50 |
$56.38
|
|
Transcath mv repair init prosthesis
|
$13,018.00 |
$13,018.00 |
$13,018.00 |
$13,384.80
|
|
Transferrin
|
$231.00 |
$231.00 |
$231.00 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$609.00 |
$609.00 |
$609.00 |
$499.20
|
|
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
|
$4,305.00 |
$4,305.00 |
$4,305.00 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,076.23 |
$1,076.23 |
$1,076.23 |
$940.80
|
|
Tray trach basic clean/care ster
|
$0.78 |
$0.78 |
$0.78 |
$0.57
|
|
Treat ankle dislocation
|
$104,104.65 |
$104,104.65 |
$104,104.65 |
$5,886.74
|
|
Treat ectopic pregnancy
|
$27,050.36 |
$27,050.36 |
$27,050.36 |
$6,707.99
|
|
Treat lower leg joint
|
$30,903.16 |
$30,903.16 |
$30,903.16 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$33,994.07 |
$33,994.07 |
$33,994.07 |
$8,797.32
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$29,136.69 |
$29,136.69 |
$29,136.69 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$16,794.60 |
$16,794.60 |
$16,794.60 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$340.00 |
$340.00 |
$340.00 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$244.00 |
$244.00 |
$244.00 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$17,618.85 |
$17,618.85 |
$17,618.85 |
$4,106.85
|
|
Treatment of ankle fracture
|
$30,903.16 |
$30,903.16 |
$30,903.16 |
$7,906.00
|
|
Treatment radiation delivery level 2
|
$4,367.00 |
$4,367.00 |
$4,367.00 |
$830.70
|
|
Treat metatarsal fracture
|
$104,104.65 |
$104,104.65 |
$104,104.65 |
$8,241.00
|
|
Treat midfoot fracture each
|
$104,104.65 |
$104,104.65 |
$104,104.65 |
$6,653.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$127,265.40 |
$127,265.40 |
$127,265.40 |
$73,346.25
|
|
Treponema pallidum antibody
|
$114.00 |
$114.00 |
$114.00 |
$72.05
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$37.80 |
$37.80 |
$37.80 |
$43.09
|
|
Triglycerides
|
$185.00 |
$185.00 |
$185.00 |
$58.50
|
|
Trilaciclib 300 mg intravenous solution
|
$8,065.15 |
$8,065.15 |
$8,065.15 |
$4,043.12
|
|
Trnscath plc stent crv crtd without prtct
|
$19,063.00 |
$19,063.00 |
$19,063.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$22,167.00 |
$22,167.00 |
$22,167.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$26,400.00 |
$26,400.00 |
$26,400.00 |
$6,046.25
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$293.00 |
$293.00 |
$293.00 |
$4,341.66
|
|
Troponin quantitative
|
$13,932.70 |
$13,932.70 |
$13,932.70 |
$127.60
|
|
Tte w or without fol w/con,stres
|
$3,348.00 |
$3,348.00 |
$3,348.00 |
$1,632.80
|
|
Tte w or without fol w/cont, f/u
|
$3,219.00 |
$3,219.00 |
$3,219.00 |
$1,178.00
|
|
Tube drain vert dev st 5-40f
|
$27.20 |
$27.20 |
$27.20 |
$27.60
|
|
Tube trach disp innr can 5 xlt
|
$641.52 |
$641.52 |
$641.52 |
$445.99
|
|
Tube trach disp innr can 6 xlt
|
$4.27 |
$4.27 |
$4.27 |
$16.80
|
|
Tube trach fen sz 6 uncuffed
|
$197.11 |
$197.11 |
$197.11 |
$160.88
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$35,496.45 |
$35,496.45 |
$35,496.45 |
$21,992.26
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,219.00 |
$1,219.00 |
$1,219.00 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$617.00 |
$617.00 |
$617.00 |
$338.00
|
|
Ultrasound elastography parenchyma
|
$924.00 |
$924.00 |
$924.00 |
$313.95
|
|
Ultrasound encephalogram
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$1,492.00 |
$1,492.00 |
$1,492.00 |
$578.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$868.00 |
$868.00 |
$868.00 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$1,189.00 |
$1,189.00 |
$1,189.00 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$388.08
|
|
Ultrasound guide intraoperative
|
$1,801.00 |
$1,801.00 |
$1,801.00 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$511.00 |
$511.00 |
$511.00 |
$403.88
|
|
Ultrasound ob >=14wks ea addl gest
|
$316.00 |
$316.00 |
$316.00 |
$407.20
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,277.00 |
$1,277.00 |
$1,277.00 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$710.00 |
$710.00 |
$710.00 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$643.00 |
$643.00 |
$643.00 |
$463.00
|
|
Umbilicoplasty 15847
|
$37,242.00 |
$37,242.00 |
$37,242.00 |
$4,172.97
|
|
Unit mobile power mpu
|
$18,187.20 |
$18,187.20 |
$18,187.20 |
$14,359.52
|
|
Unlisted laparoscopic liver biopy 47379
|
$33,433.37 |
$33,433.37 |
$33,433.37 |
$6,307.38
|
|
Unlisted laps px bladder
|
$49,492.83 |
$49,492.83 |
$49,492.83 |
$5,082.74
|
|
Unlisted procedure microbiology
|
$650.00 |
$650.00 |
$650.00 |
$530.00
|
|
Unlisted px foot/toes
|
$25,903.00 |
$25,903.00 |
$25,903.00 |
$1,239.20
|
|
Unlstd laps px sprmatic cord
|
$27,705.82 |
$27,705.82 |
$27,705.82 |
$4,713.11
|
|
Unsched dialysis esrd pt hos
|
$2,673.00 |
$2,673.00 |
$2,673.00 |
$1,292.33
|
|
Upper Arm (Humerus) X-ray (left side)
|
$582.00 |
$582.00 |
$582.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$4,165.00 |
$4,165.00 |
$4,165.00 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$4,083.00 |
$4,083.00 |
$4,083.00 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$8,094.00 |
$8,094.00 |
$8,094.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$4,562.00 |
$4,562.00 |
$4,562.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$621.00 |
$621.00 |
$621.00 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$681.00 |
$681.00 |
$681.00 |
$381.60
|
|
Upper Endoscopy (EGD, diagnostic)
|
$10,416.30 |
$10,416.30 |
$10,416.30 |
$1,824.75
|
|
Upper Endoscopy (EGD, with biopsy)
|
$10,537.60 |
$10,537.60 |
$10,537.60 |
$1,768.00
|
|
Upper GI Barium X-ray (barium and gas)
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$607.20
|
|
Urea nitrogen
|
$113.00 |
$113.00 |
$113.00 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$132.00 |
$132.00 |
$132.00 |
$52.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$584.00
|