|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$224.55 |
$224.55 |
$224.55 |
$303.88
|
|
Total tau
|
$54.98 |
$54.98 |
$54.98 |
$293.00
|
|
Toxoplasma antibody igg
|
$48.01 |
$48.01 |
$48.01 |
$84.35
|
|
Toxoplasma antibody igm
|
$48.01 |
$48.01 |
$48.01 |
$83.20
|
|
Tpmt gene com vrnts
|
$230.52 |
$230.52 |
$230.52 |
$381.55
|
|
Trabectedin 1 mg intravenous solution
|
$7,737.64 |
$7,737.64 |
$7,737.64 |
$6,133.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$444.55 |
$444.55 |
$444.55 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$65.60 |
$65.60 |
$65.60 |
$93.75
|
|
Transabdom amnioinfus w/us
|
$230.15 |
$230.15 |
$230.15 |
$791.05
|
|
Transcath biopsy
|
$4,865.76 |
$4,865.76 |
$4,865.76 |
$4,298.05
|
|
Transcath mv repair addl prosthesis
|
$8,331.57 |
$8,331.57 |
$8,331.57 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$13,004.93 |
$13,004.93 |
$13,004.93 |
$17,106.18
|
|
Transferrin
|
$69.64 |
$69.64 |
$69.64 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$388.11 |
$388.11 |
$388.11 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$3,879.05 |
$3,879.05 |
$3,879.05 |
$3,401.26
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$7,870.14 |
$7,870.14 |
$7,870.14 |
$7,620.16
|
|
Treat ankle dislocation
|
$1,097.61 |
$1,097.61 |
$1,097.61 |
$2,207.20
|
|
Treat elbow dislocation
|
$1,097.61 |
$1,097.61 |
$1,097.61 |
$2,326.40
|
|
Treat elbow fracture
|
$2,466.05 |
$2,466.05 |
$2,466.05 |
$2,125.60
|
|
Treat finger fracture each
|
$195.34 |
$195.34 |
$195.34 |
$1,815.75
|
|
Treat foot dislocation
|
$257.27 |
$257.27 |
$257.27 |
$435.60
|
|
Treat foot dislocation
|
$288.06 |
$288.06 |
$288.06 |
$527.28
|
|
Treat foot dislocation
|
$288.06 |
$288.06 |
$288.06 |
$478.40
|
|
Treat fracture of radius
|
$288.06 |
$288.06 |
$288.06 |
$2,030.33
|
|
Treat fracture of radius
|
$288.06 |
$288.06 |
$288.06 |
$2,316.75
|
|
Treat fracture of ulna
|
$288.06 |
$288.06 |
$288.06 |
$766.72
|
|
Treat hip dislocation
|
$1,097.61 |
$1,097.61 |
$1,097.61 |
$3,152.05
|
|
Treat humerus fracture
|
$288.06 |
$288.06 |
$288.06 |
$1,950.60
|
|
Treat knee dislocation
|
$1,097.61 |
$1,097.61 |
$1,097.61 |
$2,592.08
|
|
Treat knee fracture 27530
|
$288.06 |
$288.06 |
$288.06 |
$580.20
|
|
Treat knee fracture(s)
|
$288.06 |
$288.06 |
$288.06 |
$642.00
|
|
Treat lower leg dislocation
|
$288.06 |
$288.06 |
$288.06 |
$532.60
|
|
Treat lower leg dislocation
|
$1,097.61 |
$1,097.61 |
$1,097.61 |
$4,350.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$113.98 |
$113.98 |
$113.98 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$77.70 |
$77.70 |
$77.70 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$17.60 |
$17.60 |
$17.60 |
$210.00
|
|
Treatment of ankle fracture 27786
|
$288.06 |
$288.06 |
$288.06 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$288.06 |
$288.06 |
$288.06 |
$558.75
|
|
Treatment of heel fracture 28400
|
$288.06 |
$288.06 |
$288.06 |
$494.00
|
|
Treatment of toe fracture 28510
|
$163.46 |
$163.46 |
$163.46 |
$371.40
|
|
Treat midfoot fracture each
|
$288.06 |
$288.06 |
$288.06 |
$1,893.86
|
|
Treat sternum fracture
|
$182.51 |
$182.51 |
$182.51 |
$423.00
|
|
Treat thigh fracture
|
$288.06 |
$288.06 |
$288.06 |
$661.00
|
|
Treat ulnar fracture
|
$288.06 |
$288.06 |
$288.06 |
$1,861.60
|
|
Treat wrist bone fracture
|
$288.06 |
$288.06 |
$288.06 |
$1,907.64
|
|
Treat wrist dislocation
|
$288.06 |
$288.06 |
$288.06 |
$760.00
|
|
Treponema pallidum antibody
|
$49.11 |
$49.11 |
$49.11 |
$72.80
|
|
Treprostinil injection
|
$542.88 |
$542.88 |
$542.88 |
$528.60
|
|
Trg gene rearrangement anal
|
$293.19 |
$293.19 |
$293.19 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$34.03 |
$34.03 |
$34.03 |
$48.22
|
|
Triamcinolone a inj prs-free
|
$225.43 |
$225.43 |
$225.43 |
$225.43
|
|
Trichinella antibody
|
$222.09 |
$222.09 |
$222.09 |
$70.65
|
|
#tricyclicantidprssnt
|
$4.04 |
$4.04 |
$4.04 |
$57.08
|
|
Triglycerides
|
$57.91 |
$57.91 |
$57.91 |
$54.60
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,248.98 |
$4,248.98 |
$4,248.98 |
$8,244.55
|
|
Troponin quantitative
|
$56.08 |
$56.08 |
$56.08 |
$123.75
|
|
Tte w or without contr, cont ecg
|
$1,878.58 |
$1,878.58 |
$1,878.58 |
$1,608.73
|
|
Tte w or without fol w/con,stres
|
$1,797.59 |
$1,797.59 |
$1,797.59 |
$1,446.48
|
|
Tx closed hip disl traumatic without anes
|
$288.06 |
$288.06 |
$288.06 |
$657.28
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$288.06 |
$288.06 |
$288.06 |
$3,874.79
|
|
Tx closed tib shaft fx without manip
|
$288.06 |
$288.06 |
$288.06 |
$635.46
|
|
Tx l/r atrial fib addl
|
$875.89 |
$875.89 |
$875.89 |
$7,717.80
|
|
Tx open nsl fx uncomp
|
$1,196.20 |
$1,196.20 |
$1,196.20 |
$4,007.22
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,787.70 |
$1,787.70 |
$1,787.70 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$288.06 |
$288.06 |
$288.06 |
$469.20
|
|
Ultrasound abdomen aorta screening study aaa
|
$130.11 |
$130.11 |
$130.11 |
$403.26
|
|
Ultrasound breast complete
|
$355.49 |
$355.49 |
$355.49 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$367.58 |
$367.58 |
$367.58 |
$449.35
|
|
Ultrasound chest
|
$346.33 |
$346.33 |
$346.33 |
$459.55
|
|
Ultrasound encephalogram
|
$245.55 |
$245.55 |
$245.55 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$107.02 |
$107.02 |
$107.02 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$163.46 |
$163.46 |
$163.46 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$236.38 |
$236.38 |
$236.38 |
$701.35
|
|
Ultrasound guide intraoperative
|
$371.62 |
$371.62 |
$371.62 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$293.92 |
$293.92 |
$293.92 |
$403.00
|
|
Ultrasound joint complete left
|
$340.10 |
$340.10 |
$340.10 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$340.10 |
$340.10 |
$340.10 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$305.28 |
$305.28 |
$305.28 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$118.38 |
$118.38 |
$118.38 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$405.33 |
$405.33 |
$405.33 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$131.57 |
$131.57 |
$131.57 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$216.59 |
$216.59 |
$216.59 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$424.76 |
$424.76 |
$424.76 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$1,553.88 |
$1,553.88 |
$1,553.88 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$345.96 |
$345.96 |
$345.96 |
$498.00
|
|
Ultrasound scrotum and contents
|
$399.47 |
$399.47 |
$399.47 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$141.83 |
$141.83 |
$141.83 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$425.86 |
$425.86 |
$425.86 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$587.11 |
$587.11 |
$587.11 |
$567.44
|
|
Umbilical artery cath newborn 36660
|
$24.56 |
$24.56 |
$24.56 |
$265.85
|
|
Unlisted dx gi procedure
|
$137.07 |
$137.07 |
$137.07 |
$482.90
|
|
Unlisted procedure esophagus
|
$794.90 |
$794.90 |
$794.90 |
$1,215.50
|
|
Unlisted procedure microbiology
|
$174.08 |
$174.08 |
$174.08 |
$487.50
|
|
Unlisted px palate uvula
|
$208.90 |
$208.90 |
$208.90 |
$257.04
|
|
Unsched dialysis esrd pt hos
|
$457.37 |
$457.37 |
$457.37 |
$1,505.29
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,554.25 |
$1,554.25 |
$1,554.25 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,100.55 |
$1,100.55 |
$1,100.55 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$839.98 |
$839.98 |
$839.98 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$916.21 |
$916.21 |
$916.21 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$904.11 |
$904.11 |
$904.11 |
$1,656.60
|