|
Tissue culture skin/biopsy
|
$175.50 |
$755.25 |
$1,353.70 |
|
|
Tissue exam koh skin/hair/nails
|
$24.00 |
$27.00 |
$67.00 |
|
|
Tissue transglutaminase iga
|
$15.25 |
$34.25 |
$96.40 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$17.08 |
$405.52 |
$780.78 |
|
|
Tobramycin peak therapeutic drug level
|
$143.35 |
$176.65 |
$304.70 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$1,268.30 |
$3,256.84 |
$8,077.42 |
|
|
Toe X-ray (both feet)
|
$214.05 |
$307.70 |
$473.75 |
|
|
Tomosynthesis breast screen bilateral
|
$84.75 |
$121.45 |
$266.20 |
|
|
Tone decay hearing test
|
$99.90 |
$99.90 |
$102.60 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$630.94 |
$638.70 |
$676.16 |
|
|
Total tau
|
$120.90 |
$149.40 |
$295.40 |
|
|
Toxoplasma antibody igg
|
$21.90 |
$84.35 |
$228.55 |
|
|
Toxoplasma antibody igm
|
$21.90 |
$84.35 |
$149.70 |
|
|
Tp53 gene full gene sequence
|
$1,604.65 |
$1,604.65 |
$1,604.65 |
|
|
Tp53 gene trgt sequence alys
|
$758.70 |
$758.70 |
$758.70 |
|
|
Train for caregiver add 15
|
$41.25 |
$41.25 |
$41.25 |
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$88.95 |
$179.50 |
$226.75 |
|
|
Transabdom amnioinfus w/us
|
$824.60 |
$824.60 |
$824.60 |
|
|
Transcath occlusion cns
|
$6,256.60 |
$6,256.60 |
$6,256.60 |
|
|
Transcath occlusion non-cns
|
$5,077.35 |
$5,077.35 |
$5,077.35 |
|
|
Transferrin
|
$62.05 |
$100.45 |
$164.70 |
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$625.50 |
$736.30 |
$966.35 |
|
|
Transvaginal Pregnancy Ultrasound
|
$461.00 |
$573.50 |
$1,132.40 |
|
|
Trastuzumab 150 mg intravenous solution
|
$288,956.88 |
$615,685.74 |
$716,654.53 |
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$1,681.20 |
$10,023.90 |
$13,267.32 |
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$8,097.22 |
$8,097.22 |
$10,313.64 |
|
|
Treat ankle dislocation
|
$442.55 |
$1,105.35 |
$2,884.30 |
|
|
Treat big toe fracture
|
$887.80 |
$887.80 |
$5,652.55 |
|
|
Treat clavicle dislocation 23545
|
$732.85 |
$732.85 |
$749.00 |
|
|
Treat elbow dislocation
|
$429.20 |
$1,104.05 |
$3,038.35 |
|
|
Treat elbow fracture
|
$732.80 |
$1,091.00 |
$4,930.10 |
|
|
Treat eyelid by injection
|
$224.05 |
$224.05 |
$224.05 |
|
|
Treat finger fracture each
|
$528.55 |
$861.30 |
$1,004.15 |
|
|
Treat foot dislocation
|
$431.90 |
$431.90 |
$550.70 |
|
|
Treat foot dislocation
|
$617.15 |
$4,847.65 |
$9,573.60 |
|
|
Treat foot dislocation
|
$344.15 |
$344.15 |
$344.15 |
|
|
Treat foot dislocation
|
$422.45 |
$422.45 |
$422.45 |
|
|
Treat foot dislocation
|
$676.20 |
$676.20 |
$676.20 |
|
|
Treat fracture of radius
|
$630.70 |
$927.20 |
$4,637.30 |
|
|
Treat fracture of radius
|
$1,050.10 |
$1,050.10 |
$2,884.30 |
|
|
Treat fracture of ulna
|
$600.65 |
$905.65 |
$1,784.85 |
|
|
Treat hand dislocation
|
$855.70 |
$855.70 |
$855.70 |
|
|
Treat hip dislocation
|
$680.60 |
$1,704.65 |
$2,884.30 |
|
|
Treat hip dislocation
|
$299.50 |
$2,274.05 |
$2,884.30 |
|
|
Treat hip socket fracture
|
$1,952.95 |
$2,422.10 |
$2,474.85 |
|
|
Treat humerus fracture
|
$1,252.20 |
$1,793.40 |
$2,884.30 |
|
|
Treat humerus fracture
|
$1,659.30 |
$1,659.30 |
$21,630.20 |
|
|
Treat humerus fracture
|
$1,086.50 |
$2,218.50 |
$4,402.05 |
|
|
Treat kneecap dislocation
|
$1,064.90 |
$1,137.75 |
$2,646.75 |
|
|
Treat knee dislocation
|
$1,407.75 |
$1,438.80 |
$2,884.30 |
|
|
Treat knee fracture 27530
|
$560.15 |
$560.15 |
$1,055.45 |
|
|
Treat knee fracture(s)
|
$325.35 |
$585.45 |
$969.10 |
|
|
Treat lower leg dislocation
|
$138.85 |
$700.50 |
$1,068.90 |
|
|
Treat lower leg dislocation
|
$722.10 |
$722.10 |
$722.10 |
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,046.50 |
$3,046.50 |
$4,695.55 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$68.10 |
$227.20 |
$366.70 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$54.80 |
$227.20 |
$408.40 |
|
|
Treatment missed abortion completed surgically 1st trimester
|
$8,676.45 |
$8,676.45 |
$8,676.45 |
|
|
Treatment of ankle fracture 27786
|
$215.30 |
$585.75 |
$990.80 |
|
|
Treatment of fibula fracture 27780
|
$568.20 |
$568.20 |
$755.75 |
|
|
Treatment of heel fracture 28400
|
$462.90 |
$462.90 |
$1,841.00 |
|
|
Treatment of thigh fracture
|
$1,021.70 |
$1,021.70 |
$1,021.70 |
|
|
Treatment of thigh fracture
|
$1,625.05 |
$1,625.05 |
$1,625.05 |
|
|
Treatment of thigh fracture
|
$1,073.00 |
$1,073.00 |
$1,073.00 |
|
|
Treatment of thigh fracture
|
$958.65 |
$1,276.80 |
$2,884.30 |
|
|
Treatment of toe fracture 28510
|
$133.70 |
$271.30 |
$507.45 |
|
|
Treat midfoot fracture each
|
$535.80 |
$535.80 |
$535.80 |
|
|
Treat spinal cord lesion
|
$1,613.80 |
$1,613.80 |
$1,613.80 |
|
|
Treat sternum fracture
|
$345.55 |
$345.55 |
$402.25 |
|
|
Treat thigh fracture
|
$967.75 |
$967.75 |
$967.75 |
|
|
Treat thigh fracture
|
$939.45 |
$939.45 |
$939.45 |
|
|
Treat thigh fracture
|
$781.50 |
$781.50 |
$781.50 |
|
|
Treat thigh fracture
|
$2,922.10 |
$2,922.10 |
$2,922.10 |
|
|
Treat thigh fx growth plate
|
$1,035.20 |
$1,035.20 |
$1,035.20 |
|
|
Treat thigh fx growth plate
|
$1,198.55 |
$1,198.55 |
$2,884.30 |
|
|
Treat toe dislocation
|
$413.10 |
$454.85 |
$815.80 |
|
|
Treat ulnar fracture
|
$697.60 |
$1,008.30 |
$4,709.60 |
|
|
Treat vaginal bleeding
|
$333.40 |
$458.90 |
$593.95 |
|
|
Treat wrist bone fracture
|
$730.20 |
$730.20 |
$780.10 |
|
|
Treat wrist dislocation
|
$750.85 |
$927.20 |
$1,387.05 |
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$96,886.42 |
$96,886.42 |
$106,803.10 |
|
|
Treponema pallidum antibody
|
$57.25 |
$118.75 |
$191.50 |
|
|
Trg gene rearrangement anal
|
$612.05 |
$612.05 |
$612.05 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$42.82 |
$65.89 |
$129.09 |
|
|
Triglycerides
|
$66.10 |
$107.95 |
$194.25 |
|
|
Trilaciclib 300 mg intravenous solution
|
$4,186.76 |
$4,186.76 |
$4,186.76 |
|
|
Trimethobenzamide hcl inj
|
$467.61 |
$467.61 |
$467.61 |
|
|
Trim nondyst nails
|
$62.05 |
$182.25 |
$215.30 |
|
|
Trmt of fracture (femoral shaft) 27500
|
$1,051.40 |
$1,051.40 |
$1,051.40 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$14,807.30 |
$14,807.30 |
$14,807.30 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$15,253.05 |
$15,253.05 |
$15,253.05 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$31,540.80 |
$31,540.80 |
$31,540.80 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$8,113.50 |
$8,113.50 |
$8,113.50 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,879.30 |
$5,879.30 |
$5,879.30 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,654.00 |
$6,654.00 |
$6,654.00 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$6,654.00 |
$6,654.00 |
$6,654.00 |
|
|
Trnscath tx thromblytc vein ini day
|
$2,038.95 |
$2,038.95 |
$2,038.95 |
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$2,017.30 |
$6,889.85 |
$11,913.45 |
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$398.55 |
$3,801.95 |
$3,801.95 |
|
|
Troponin quantitative
|
$109.20 |
$161.25 |
$194.40 |
|