|
Tissue culture tumor
|
$239.96 |
$239.96 |
$239.96 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$47.71 |
$47.71 |
$47.71 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$370.94 |
$370.94 |
$370.94 |
$537.50
|
|
Tissue transglutaminase iga
|
$91.56 |
$91.56 |
$91.56 |
$44.80
|
|
Tixagev and cilgav inj
|
$127.90 |
$127.90 |
$127.90 |
$244.50
|
|
Tl-201 thallium diag per mci
|
$44.13 |
$44.13 |
$44.13 |
$80.10
|
|
Tlso 2mod symphis-xipho pre
|
$1,874.66 |
$1,874.66 |
$1,874.66 |
$1,696.00
|
|
Tlso 2 piece rigid shell
|
$1,614.31 |
$1,614.31 |
$1,614.31 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,110.02 |
$2,110.02 |
$2,110.02 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,624.50 |
$2,624.50 |
$2,624.50 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,051.18 |
$1,051.18 |
$1,051.18 |
$1,051.18
|
|
Tlso corset front
|
$231.06 |
$231.06 |
$231.06 |
$244.50
|
|
Tlso full corset
|
$377.78 |
$377.78 |
$377.78 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$797.50 |
$797.50 |
$797.50 |
$801.11
|
|
Tlso rig fram pelvic pre cst
|
$999.43 |
$999.43 |
$999.43 |
$999.43
|
|
Tlso rigid frame pre subclav
|
$1,382.98 |
$1,382.98 |
$1,382.98 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,546.42 |
$3,546.42 |
$3,546.42 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,110.02 |
$2,110.02 |
$2,110.02 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$3,829.95 |
$3,829.95 |
$3,829.95 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$3,174.92 |
$3,174.92 |
$3,174.92 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$594.61 |
$594.61 |
$594.61 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$729.01 |
$729.01 |
$729.01 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$147.93 |
$147.93 |
$147.93 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$64.51 |
$64.51 |
$64.51 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$7,360.39 |
$7,360.39 |
$7,360.39 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$208.99 |
$208.99 |
$208.99 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$30.07 |
$30.07 |
$30.07 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$30.07 |
$30.07 |
$30.07 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$2,164.04 |
$2,164.04 |
$2,164.04 |
$316.84
|
|
Torsion ank & half solid sti
|
$266.06 |
$266.06 |
$266.06 |
$291.13
|
|
Torsion straight knee joint
|
$278.99 |
$278.99 |
$278.99 |
$247.25
|
|
Total tau
|
$592.70 |
$592.70 |
$592.70 |
$312.50
|
|
Tot contact ak/knee disart s
|
$1,022.22 |
$1,022.22 |
$1,022.22 |
$733.60
|
|
Toxoplasma antibody igg
|
$50.40 |
$50.40 |
$50.40 |
$91.65
|
|
Toxoplasma antibody igm
|
$39.31 |
$39.31 |
$39.31 |
$87.75
|
|
Tp53 gene full gene sequence
|
$266.45 |
$266.45 |
$266.45 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,049.61 |
$1,049.61 |
$1,049.61 |
$804.00
|
|
Tpmt gene com vrnts
|
$246.96 |
$246.96 |
$246.96 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$6,684.23 |
$6,684.23 |
$6,684.23 |
$6,684.23
|
|
Trabeculoplasty laser surg
|
$1,866.31 |
$1,866.31 |
$1,866.31 |
$1,180.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$72.24 |
$72.24 |
$72.24 |
$102.27
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$138.02 |
$138.02 |
$138.02 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$293.44 |
$293.44 |
$293.44 |
$678.70
|
|
Transcath closure of asd
|
$12,502.11 |
$12,502.11 |
$12,502.11 |
$17,041.80
|
|
Transcath occlusion cns
|
$3,385.70 |
$3,385.70 |
$3,385.70 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$2,602.71 |
$2,602.71 |
$2,602.71 |
$10,270.00
|
|
Transcutaneous hgb 88738
|
$17.53 |
$17.53 |
$17.53 |
$13.80
|
|
Transferrin
|
$37.63 |
$37.63 |
$37.63 |
$82.00
|
|
Trans shoe caliper plate new
|
$217.22 |
$217.22 |
$217.22 |
$217.22
|
|
Trans shoe calip plate exist
|
$164.98 |
$164.98 |
$164.98 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$164.98 |
$164.98 |
$164.98 |
$141.41
|
|
Trans shoe solid stirrup new
|
$217.22 |
$217.22 |
$217.22 |
$217.22
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$661.19 |
$661.19 |
$661.19 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$509.49 |
$509.49 |
$509.49 |
$499.20
|
|
Trapezius sling
|
$242.54 |
$242.54 |
$242.54 |
$265.44
|
|
Trastuzumab 150 mg intravenous solution
|
$2,989.07 |
$2,989.07 |
$2,989.07 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$6,896.67 |
$6,896.67 |
$6,896.67 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$4,644.45 |
$4,644.45 |
$4,644.45 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$2,572.19 |
$2,572.19 |
$2,572.19 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$817.32 |
$817.32 |
$817.32 |
$940.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$116.14 |
$116.14 |
$116.14 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$57.85 |
$57.85 |
$57.85 |
$147.48
|
|
Treatment of retinal lesion
|
$1,867.21 |
$1,867.21 |
$1,867.21 |
$1,741.60
|
|
Treatment of retinal lesion
|
$1,033.14 |
$1,033.14 |
$1,033.14 |
$1,082.70
|
|
Treatment radiation delivery level 2
|
$7,476.95 |
$7,476.95 |
$7,476.95 |
$830.70
|
|
Treatment x10sv retinopathy
|
$2,027.70 |
$2,027.70 |
$2,027.70 |
$1,513.20
|
|
Treat spinal cord lesion
|
$466.70 |
$466.70 |
$466.70 |
$1,337.00
|
|
Treponema pallidum antibody
|
$38.64 |
$38.64 |
$38.64 |
$72.05
|
|
Trg gene rearrangement anal
|
$139.78 |
$139.78 |
$139.78 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$48.26 |
$48.26 |
$48.26 |
$43.09
|
|
Triamcinolone a inj prs-free
|
$32.89 |
$32.89 |
$32.89 |
$223.56
|
|
Triglycerides
|
$23.52 |
$23.52 |
$23.52 |
$58.50
|
|
Trim nail(s)
|
$82.94 |
$82.94 |
$82.94 |
$79.00
|
|
Trim nondyst nails
|
$72.91 |
$72.91 |
$72.91 |
$113.88
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$862.68 |
$862.68 |
$862.68 |
$15,258.00
|
|
Trml dstrj ios bvn ea addl
|
$70.78 |
$70.78 |
$70.78 |
$7,354.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,071.26 |
$3,071.26 |
$3,071.26 |
$4,766.40
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$11,878.83 |
$11,878.83 |
$11,878.83 |
$4,354.35
|
|
Troponin quantitative
|
$81.31 |
$81.31 |
$81.31 |
$127.60
|
|
Truss double with standard pad
|
$321.83 |
$321.83 |
$321.83 |
$201.60
|
|
Tte w or without contr, cont ecg
|
$1,833.22 |
$1,833.22 |
$1,833.22 |
$2,067.00
|
|
Tte w or without fol w/con,stres
|
$2,742.54 |
$2,742.54 |
$2,742.54 |
$1,632.80
|
|
Tx closed distal humerus fx
|
$162.79 |
$162.79 |
$162.79 |
$594.88
|
|
Ultrasound breast complete
|
$357.67 |
$357.67 |
$357.67 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$268.24 |
$268.24 |
$268.24 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$197.74 |
$197.74 |
$197.74 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$344.12 |
$344.12 |
$344.12 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$405.94 |
$405.94 |
$405.94 |
$313.95
|
|
Ultrasound encephalogram
|
$305.09 |
$305.09 |
$305.09 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$630.95 |
$630.95 |
$630.95 |
$578.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$686.67 |
$686.67 |
$686.67 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$525.50 |
$525.50 |
$525.50 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$823.37 |
$823.37 |
$823.37 |
$388.08
|
|
Ultrasound guide intraoperative
|
$915.49 |
$915.49 |
$915.49 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$457.74 |
$457.74 |
$457.74 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$456.68 |
$456.68 |
$456.68 |
$311.25
|
|
Ultrasound joint complete left
|
$457.74 |
$457.74 |
$457.74 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$305.09 |
$305.09 |
$305.09 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$457.74 |
$457.74 |
$457.74 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$456.68 |
$456.68 |
$456.68 |
$698.50
|
