|
Thigh/wght bear lacer molded
|
$1,073.75 |
$1,073.75 |
$1,073.75 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$567.44 |
$567.44 |
$567.44 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$740.42 |
$740.42 |
$740.42 |
$657.72
|
|
Thorac cont lat support upri
|
$346.21 |
$346.21 |
$346.21 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$377.39 |
$377.39 |
$377.39 |
$344.85
|
|
Thoracic control thoracic ba
|
$423.94 |
$423.94 |
$423.94 |
$387.41
|
|
Thoracic pad
|
$256.25 |
$256.25 |
$256.25 |
$234.19
|
|
Thor rib belt custom fabrica
|
$2,720.16 |
$2,720.16 |
$2,720.16 |
$225.50
|
|
Thrombin time
|
$70.20 |
$70.20 |
$70.20 |
$53.76
|
|
Thromboplastin inhibition
|
$146.40 |
$146.40 |
$146.40 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$129.00 |
$129.00 |
$129.00 |
$61.52
|
|
Th/wght bear nar m-l brim cu
|
$1,515.38 |
$1,515.38 |
$1,515.38 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,696.86 |
$2,696.86 |
$2,696.86 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,271.78 |
$1,271.78 |
$1,271.78 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,908.28 |
$1,908.28 |
$1,908.28 |
$1,695.23
|
|
Thyroglobulin antibody
|
$200.40 |
$200.40 |
$200.40 |
$82.00
|
|
Thyroid imaging
|
$842.40 |
$842.40 |
$842.40 |
$695.02
|
|
Thyroid met imaging
|
$1,121.40 |
$1,121.40 |
$1,121.40 |
$838.25
|
|
Thyroid mets imag whole body
|
$2,317.80 |
$2,317.80 |
$2,317.80 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$108.00 |
$108.00 |
$108.00 |
$111.00
|
|
Thyroid Ultrasound
|
$776.40 |
$776.40 |
$776.40 |
$588.50
|
|
Thyroid uptake measurement
|
$820.80 |
$820.80 |
$820.80 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$27.00 |
$27.00 |
$27.00 |
$64.35
|
|
Tissue amnio epifix inj 100mg
|
$7,611.55 |
$7,611.55 |
$7,611.55 |
$4,834.73
|
|
Tissue culture placenta
|
$229.20 |
$229.20 |
$229.20 |
$457.00
|
|
Tissue culture skin/biopsy
|
$274.80 |
$274.80 |
$274.80 |
$484.00
|
|
Tissue culture tumor
|
$252.60 |
$252.60 |
$252.60 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$27.60 |
$27.60 |
$27.60 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$33,376.04 |
$33,376.04 |
$33,376.04 |
$1,134.00
|
|
Tlso 2mod symphis-xipho pre
|
$2,110.21 |
$2,110.21 |
$2,110.21 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,817.14 |
$1,817.14 |
$1,817.14 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,160.47 |
$2,160.47 |
$2,160.47 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,687.36 |
$2,687.36 |
$2,687.36 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,183.29 |
$1,183.29 |
$1,183.29 |
$1,051.18
|
|
Tlso corset front
|
$252.85 |
$252.85 |
$252.85 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$820.60 |
$820.60 |
$820.60 |
$931.57
|
|
Tlso full corset
|
$413.47 |
$413.47 |
$413.47 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$897.72 |
$897.72 |
$897.72 |
$801.11
|
|
Tlso r fram soft pre ots
|
$897.72 |
$897.72 |
$897.72 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,125.03 |
$1,125.03 |
$1,125.03 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,125.03 |
$1,125.03 |
$1,125.03 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,556.79 |
$1,556.79 |
$1,556.79 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,410.30 |
$3,410.30 |
$3,410.30 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,375.18 |
$2,375.18 |
$2,375.18 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$3,573.87 |
$3,573.87 |
$3,573.87 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$669.31 |
$669.31 |
$669.31 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,117.92 |
$1,117.92 |
$1,117.92 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$13.50 |
$13.50 |
$13.50 |
$152.36
|
|
Tobramycin non-comp unit
|
$35.28 |
$35.28 |
$35.28 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$174.60 |
$174.60 |
$174.60 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$11,473.20 |
$11,473.20 |
$11,473.20 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$24.00 |
$24.00 |
$24.00 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$24.00 |
$24.00 |
$24.00 |
$72.68
|
|
Torsion ank & half solid sti
|
$291.13 |
$291.13 |
$291.13 |
$291.13
|
|
Torsion straight knee joint
|
$253.84 |
$253.84 |
$253.84 |
$253.84
|
|
Toxoplasma antibody igg
|
$162.00 |
$162.00 |
$162.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$90.60 |
$90.60 |
$90.60 |
$87.00
|
|
Tpmt gene com vrnts
|
$260.40 |
$260.40 |
$260.40 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$18.54 |
$18.54 |
$18.54 |
$56.38
|
|
Transferrin
|
$89.40 |
$89.40 |
$89.40 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$565.20 |
$565.20 |
$565.20 |
$983.00
|
|
Trans shoe caliper plate new
|
$237.73 |
$237.73 |
$237.73 |
$217.22
|
|
Trans shoe calip plate exist
|
$180.55 |
$180.55 |
$180.55 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$180.55 |
$180.55 |
$180.55 |
$141.41
|
|
Trans shoe solid stirrup new
|
$237.73 |
$237.73 |
$237.73 |
$217.22
|
|
Trapezius sling
|
$265.44 |
$265.44 |
$265.44 |
$242.54
|
|
Tray bonemarrw oncontrol 102mm
|
$9,053.56 |
$9,053.56 |
$9,053.56 |
$940.80
|
|
Treat elbow fracture
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,919.13
|
|
Treat finger fracture each
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,536.00
|
|
Treat foot dislocation
|
$519.60 |
$519.60 |
$519.60 |
$527.28
|
|
Treat foot dislocation
|
$476.40 |
$476.40 |
$476.40 |
$445.80
|
|
Treat fracture of radius
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,790.00
|
|
Treat fracture of ulna
|
$519.60 |
$519.60 |
$519.60 |
$726.05
|
|
Treat humerus fracture
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,771.43
|
|
Treat humerus fracture
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,771.43
|
|
Treat lower leg dislocation
|
$394.20 |
$394.20 |
$394.20 |
$530.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,425.80 |
$5,425.80 |
$5,425.80 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$361.20 |
$361.20 |
$361.20 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$373.80 |
$373.80 |
$373.80 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$299.40 |
$299.40 |
$299.40 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$519.60 |
$519.60 |
$519.60 |
$520.80
|
|
Treatment of thigh fracture
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,748.40
|
|
Treatment of thigh fracture
|
$519.60 |
$519.60 |
$519.60 |
$548.90
|
|
Treatment of thigh fracture
|
$3,136.20 |
$3,136.20 |
$3,136.20 |
$1,772.97
|
|
Treat thigh fracture
|
$394.20 |
$394.20 |
$394.20 |
$618.80
|
|
Treat ulnar fracture
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,662.00
|
|
Treat wrist dislocation
|
$1,515.60 |
$1,515.60 |
$1,515.60 |
$656.25
|
|
Treponema pallidum antibody
|
$97.80 |
$97.80 |
$97.80 |
$70.40
|
|
Trg gene rearrangement anal
|
$370.20 |
$370.20 |
$370.20 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$44.94 |
$44.94 |
$44.94 |
$43.21
|
|
Trichinella antibody
|
$105.60 |
$105.60 |
$105.60 |
$70.20
|
|
Trichomonas assay w/optic
|
$66.60 |
$66.60 |
$66.60 |
$55.50
|
|
Triglycerides
|
$60.00 |
$60.00 |
$60.00 |
$58.05
|
|
Trnscath tx thromblytc vein ini day
|
$3,900.60 |
$3,900.60 |
$3,900.60 |
$3,866.70
|
|
Troponin quantitative
|
$106.20 |
$106.20 |
$106.20 |
$127.20
|
|
Tube trach disp innr can 5 xlt
|
$445.99 |
$445.99 |
$445.99 |
$445.99
|
|
Tx closed distal humerus fx
|
$360.00 |
$360.00 |
$360.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$519.60 |
$519.60 |
$519.60 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$6,344.40 |
$6,344.40 |
$6,344.40 |
$3,977.49
|
