|
Transcath closure of asd
|
$29,277.00 |
$29,277.00 |
$84,664.27 |
$16,741.40
|
|
Transcath closure of vsd
|
$29,277.00 |
$29,277.00 |
$72,986.84 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,536.35 |
$1,536.35 |
$1,536.35 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$5,581.20 |
$5,581.20 |
$54,909.71 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$10,762.80 |
$10,762.80 |
$54,909.71 |
$12,418.00
|
|
Transcath occlusion cns
|
$31,300.20 |
$31,300.20 |
$31,300.20 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$46,870.01 |
$46,870.01 |
$46,870.01 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$10,762.80 |
$10,762.80 |
$10,762.80 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$13,904.65 |
$13,904.65 |
$13,904.65 |
$4,775.16
|
|
Transcrv abltj utrn fibrd rf
|
$33,324.31 |
$33,324.31 |
$33,324.31 |
$8,750.72
|
|
Transferrin
|
$100.20 |
$100.20 |
$163.16 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,458.00 |
$1,458.00 |
$3,498.82 |
$983.00
|
|
Trans shoe caliper plate new
|
$222.46 |
$222.46 |
$222.46 |
$217.22
|
|
Trans shoe calip plate exist
|
$131.28 |
$131.28 |
$131.28 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$131.28 |
$131.28 |
$131.28 |
$141.41
|
|
Trans shoe solid stirrup new
|
$222.46 |
$222.46 |
$222.46 |
$217.22
|
|
Trapezius sling
|
$165.69 |
$165.69 |
$165.69 |
$242.54
|
|
Trastuzumab 150 mg intravenous solution
|
$1,054.19 |
$1,054.19 |
$4,981.02 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$12,087.18 |
$12,087.18 |
$37,384.40 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$514.18 |
$514.18 |
$10,763.34 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$6,053.51 |
$6,053.51 |
$6,053.51 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$6,143.76 |
$6,143.76 |
$8,885.48 |
$940.80
|
|
Treat ectopic pregnancy
|
$10,210.56 |
$10,210.56 |
$10,210.56 |
$4,350.00
|
|
Treat elbow dislocation
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$2,223.20
|
|
Treat elbow fracture
|
$2,799.60 |
$2,799.60 |
$2,799.60 |
$1,919.13
|
|
Treat finger fracture each
|
$1,181.40 |
$1,181.40 |
$1,181.40 |
$1,536.00
|
|
Treat foot dislocation
|
$439.80 |
$439.80 |
$439.80 |
$527.28
|
|
Treat foot dislocation
|
$476.40 |
$476.40 |
$476.40 |
$445.80
|
|
Treat fracture of radius
|
$1,181.40 |
$1,181.40 |
$1,181.40 |
$1,790.00
|
|
Treat fracture of ulna
|
$2,859.60 |
$2,859.60 |
$2,859.60 |
$726.05
|
|
Treat hip dislocation
|
$2,593.80 |
$2,593.80 |
$2,593.80 |
$2,192.80
|
|
Treat humerus fracture
|
$2,799.60 |
$2,799.60 |
$2,799.60 |
$1,771.43
|
|
Treat humerus fracture
|
$1,181.40 |
$1,181.40 |
$1,181.40 |
$1,771.43
|
|
Treat humerus fracture
|
$29,398.34 |
$29,398.34 |
$29,398.34 |
$11,250.40
|
|
Treat kneecap dislocation
|
$559.20 |
$559.20 |
$559.20 |
$1,068.90
|
|
Treat kneecap dislocation
|
$27,740.95 |
$27,740.95 |
$27,740.95 |
$7,807.24
|
|
Treat kneecap fracture
|
$23,091.25 |
$23,091.25 |
$23,091.25 |
$6,311.00
|
|
Treat knee fracture
|
$28,527.65 |
$28,527.65 |
$28,527.65 |
$3,486.60
|
|
Treat lower leg dislocation
|
$394.20 |
$394.20 |
$394.20 |
$530.75
|
|
Treat lower leg joint
|
$28,075.55 |
$28,075.55 |
$28,075.55 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$20,872.62 |
$20,872.62 |
$20,872.62 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$20,307.64 |
$20,307.64 |
$20,307.64 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$29,229.59 |
$29,229.59 |
$29,229.59 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$9,105.90 |
$9,105.90 |
$9,105.90 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$207.95 |
$207.95 |
$211.80 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$183.60 |
$183.60 |
$210.80 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$200.40 |
$200.40 |
$348.99 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$9,332.10 |
$9,332.10 |
$9,332.10 |
$3,982.44
|
|
Treatment of ankle fracture
|
$25,879.37 |
$25,879.37 |
$25,879.37 |
$8,412.89
|
|
Treatment of ankle fracture
|
$28,075.55 |
$28,075.55 |
$28,075.55 |
$8,453.60
|
|
Treatment of ankle fracture
|
$32,697.19 |
$32,697.19 |
$32,697.19 |
$7,907.11
|
|
Treatment of ankle fracture 27786
|
$519.60 |
$519.60 |
$519.60 |
$520.80
|
|
Treatment of retinal lesion
|
$19,668.72 |
$19,668.72 |
$19,668.72 |
$5,405.82
|
|
Treatment of thigh fracture
|
$2,392.20 |
$2,392.20 |
$2,392.20 |
$1,748.40
|
|
Treatment of thigh fracture
|
$2,847.60 |
$2,847.60 |
$2,847.60 |
$1,772.97
|
|
Treatment radiation delivery level 2
|
$7,593.75 |
$7,593.75 |
$7,593.75 |
$767.65
|
|
Treat thigh fracture
|
$394.20 |
$394.20 |
$394.20 |
$618.80
|
|
Treat ulnar fracture
|
$1,181.40 |
$1,181.40 |
$1,181.40 |
$1,662.00
|
|
Treat ulnar fracture
|
$25,876.02 |
$25,876.02 |
$25,876.02 |
$5,926.25
|
|
Treat wrist bone fracture
|
$2,532.00 |
$2,532.00 |
$2,532.00 |
$1,548.40
|
|
Treat wrist dislocation
|
$606.60 |
$606.60 |
$606.60 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$33,278.64 |
$33,278.64 |
$36,694.86 |
$73,346.25
|
|
Treponema pallidum antibody
|
$74.60 |
$74.60 |
$83.40 |
$70.40
|
|
Trg gene rearrangement anal
|
$578.40 |
$578.40 |
$3,443.54 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$25.10 |
$25.10 |
$41.82 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$9,392.03 |
$9,392.03 |
$9,392.03 |
$223.56
|
|
Trichinella antibody
|
$155.40 |
$155.40 |
$156.12 |
$70.20
|
|
Trichomonas assay w/optic
|
$66.60 |
$66.60 |
$66.60 |
$55.50
|
|
#tricyclicantidprssnt
|
$191.15 |
$191.15 |
$191.15 |
$50.86
|
|
Triglycerides
|
$84.00 |
$84.00 |
$330.97 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$55.87 |
$55.87 |
$4,742.34 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$540.75 |
$540.75 |
$540.75 |
$117.49
|
|
Triptorelin pamoate
|
$17,401.62 |
$17,401.62 |
$18,746.07 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$13,628.40 |
$13,628.40 |
$23,687.40 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$22,491.60 |
$22,491.60 |
$22,491.60 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$19,470.60 |
$19,470.60 |
$19,470.60 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$9,964.20 |
$9,964.20 |
$9,964.20 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$11,359.20 |
$11,359.20 |
$57,241.25 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$18,908.89 |
$18,908.89 |
$72,797.16 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,855.60 |
$3,855.60 |
$3,855.60 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$8,924.40 |
$8,924.40 |
$8,924.40 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,310.80 |
$3,310.80 |
$12,544.83 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,310.80 |
$3,310.80 |
$3,310.80 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$3,900.60 |
$3,900.60 |
$3,900.60 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$12,967.44 |
$12,967.44 |
$12,967.44 |
$2,406.77
|
|
Troponin quantitative
|
$93.60 |
$93.60 |
$123.56 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$3,387.23 |
$3,387.23 |
$3,387.23 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$1,983.60 |
$1,983.60 |
$3,755.34 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$2,282.00 |
$2,282.00 |
$2,282.00 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$2,282.00 |
$2,282.00 |
$2,282.00 |
$1,077.92
|
|
Tube trach disp innr can 5 xlt
|
$206.97 |
$206.97 |
$206.97 |
$445.99
|
|
Tx atrial fib pulm vein isol
|
$28,323.00 |
$28,323.00 |
$129,144.05 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$360.00 |
$360.00 |
$360.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$458.40 |
$458.40 |
$458.40 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,350.80 |
$2,350.80 |
$2,350.80 |
$3,977.49
|
|
Tx l/r atrial fib addl
|
$10,218.60 |
$10,218.60 |
$56,780.57 |
$6,769.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$12,784.56 |
$12,784.56 |
$12,784.56 |
$4,499.12
|
|
Tyms gene com variants
|
$463.20 |
$463.20 |
$463.20 |
$192.29
|
|
Ua w/micro/comp poc
|
$8.40 |
$8.40 |
$20.96 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$716.99 |
$716.99 |
$716.99 |
$20,945.01
|
