|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,328.00 |
$6,308.90 |
$7,360.39 |
|
|
Toe X-ray (both feet)
|
$200.80 |
$220.00 |
$351.20 |
|
|
Tomosynthesis breast diagnostic left
|
$25.37 |
$35.71 |
$110.40 |
|
|
Tomosynthesis breast screen bilateral
|
$25.37 |
$84.00 |
$137.60 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$360.04 |
$1,854.89 |
$2,164.04 |
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$12,709.26 |
$12,709.26 |
$12,709.26 |
|
|
Torsion ank & half solid sti
|
$194.71 |
$266.06 |
$266.06 |
|
|
Torsion straight knee joint
|
$204.18 |
$278.99 |
$278.99 |
|
|
Total tau
|
$483.84 |
$592.70 |
$609.62 |
|
|
Tot contact ak/knee disart s
|
$769.55 |
$1,022.22 |
$1,022.22 |
|
|
Toxoplasma antibody igg
|
$43.20 |
$50.40 |
$180.80 |
|
|
Toxoplasma antibody igm
|
$33.70 |
$39.31 |
$184.00 |
|
|
Tp53 gene full gene sequence
|
$266.45 |
$269.38 |
$1,503.20 |
|
|
Tp53 gene trgt sequence alys
|
$550.40 |
$1,049.61 |
$1,331.18 |
|
|
Tpmt gene com vrnts
|
$216.24 |
$246.96 |
$265.66 |
|
|
Tprnl plmt biodegrdabl matrl
|
$6,167.20 |
$6,167.20 |
$6,167.20 |
|
|
Trabectedin 1 mg intravenous solution
|
$6,684.23 |
$6,684.23 |
$6,684.23 |
|
|
Trabeculoplasty laser surg
|
$1,866.31 |
$1,866.31 |
$1,866.31 |
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,850.40 |
$1,850.40 |
$1,850.40 |
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$36.96 |
$72.24 |
$128.80 |
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$25.68 |
$138.02 |
$138.02 |
|
|
Transabdom amnioinfus w/us
|
$293.44 |
$293.44 |
$349.10 |
|
|
Transcath biopsy
|
$2,037.79 |
$2,037.79 |
$4,918.40 |
|
|
Transcath closure of asd
|
$9,595.39 |
$12,502.11 |
$19,500.80 |
|
|
Transcath closure of vsd
|
$10,966.18 |
$10,966.18 |
$10,966.18 |
|
|
Transcatheter bx s&i
|
$1,276.27 |
$1,276.27 |
$2,979.20 |
|
|
Transcath mv repair addl prosthesis
|
$2,791.06 |
$2,791.06 |
$2,791.06 |
|
|
Transcath mv repair init prosthesis
|
$13,955.14 |
$13,955.14 |
$13,955.14 |
|
|
Transcath occlusion cns
|
$3,385.70 |
$3,385.70 |
$5,668.75 |
|
|
Transcath occlusion non-cns
|
$2,602.71 |
$2,602.71 |
$8,744.80 |
|
|
Trans cath replace aortic valve 33366
|
$24,576.24 |
$24,576.24 |
$24,576.24 |
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,674.00 |
$4,674.00 |
$4,674.00 |
|
|
Transcutaneous hgb 88738
|
$13.06 |
$17.53 |
$17.53 |
|
|
Transferrin
|
$37.63 |
$41.18 |
$144.80 |
|
|
Transplj hematopoietic boost
|
$2,510.50 |
$2,510.50 |
$2,510.50 |
|
|
Transplt autol hct/donor
|
$2,510.50 |
$2,510.50 |
$2,510.50 |
|
|
Trans shoe caliper plate new
|
$158.98 |
$217.22 |
$217.22 |
|
|
Trans shoe calip plate exist
|
$120.74 |
$164.98 |
$164.98 |
|
|
Trans shoe solid stirrup exi
|
$120.74 |
$164.98 |
$164.98 |
|
|
Trans shoe solid stirrup new
|
$158.98 |
$217.22 |
$217.22 |
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$379.20 |
$661.19 |
$903.20 |
|
|
Transvaginal Pregnancy Ultrasound
|
$283.53 |
$509.49 |
$896.80 |
|
|
Trapezius sling
|
$177.46 |
$242.54 |
$242.54 |
|
|
Trastuzumab 150 mg intravenous solution
|
$2,217.59 |
$2,989.07 |
$5,874.63 |
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$4,295.74 |
$5,907.62 |
$6,896.67 |
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$3,980.96 |
$4,505.69 |
$5,957.01 |
|
|
Trauma partial team response w/critical care services level 4
|
$336.73 |
$2,572.19 |
$3,883.20 |
|
|
Tray bonemarrw oncontrol 102mm
|
$277.87 |
$817.32 |
$817.32 |
|
|
Treat ankle dislocation
|
$2,006.40 |
$2,205.60 |
$2,207.20 |
|
|
Treat big toe fracture
|
$6,136.00 |
$6,136.00 |
$6,136.00 |
|
|
Treat clavicle dislocation 23545
|
$674.40 |
$674.40 |
$692.80 |
|
|
Treat elbow dislocation
|
$1,782.40 |
$2,404.00 |
$2,699.20 |
|
|
Treat elbow fracture
|
$991.20 |
$2,395.20 |
$2,395.20 |
|
|
Treat finger fracture each
|
$5,701.60 |
$5,701.60 |
$5,701.60 |
|
|
Treat finger fracture each
|
$768.80 |
$1,012.00 |
$1,419.20 |
|
|
Treat foot bone lesion
|
$2,249.81 |
$2,249.81 |
$2,249.81 |
|
|
Treat foot dislocation
|
$348.00 |
$348.00 |
$510.40 |
|
|
Treat foot dislocation
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
|
|
Treat foot dislocation
|
$348.00 |
$348.00 |
$705.60 |
|
|
Treat foot dislocation
|
$245.60 |
$384.80 |
$384.80 |
|
|
Treat fracture of radius
|
$1,001.60 |
$1,001.60 |
$1,348.80 |
|
|
Treat fracture of radius
|
$705.60 |
$705.60 |
$1,204.80 |
|
|
Treat fracture of ulna
|
$1,016.00 |
$1,830.40 |
$1,955.20 |
|
|
Treat hand dislocation
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
|
|
Treat hip dislocation
|
$1,723.20 |
$2,192.00 |
$2,472.00 |
|
|
Treat hip socket fracture
|
$1,617.60 |
$1,617.60 |
$1,617.60 |
|
|
Treat humerus fracture
|
$1,062.40 |
$1,650.40 |
$1,874.40 |
|
|
Treat humerus fracture
|
$474.40 |
$1,733.60 |
$2,016.00 |
|
|
Treat kneecap dislocation
|
$398.40 |
$1,268.80 |
$1,572.80 |
|
|
Treat knee dislocation
|
$3,408.00 |
$3,408.00 |
$3,408.00 |
|
|
Treat knee fracture 27530
|
$460.80 |
$561.60 |
$573.60 |
|
|
Treat knee fracture(s)
|
$669.60 |
$669.60 |
$669.60 |
|
|
Treat knuckle dislocation
|
$820.80 |
$820.80 |
$1,090.40 |
|
|
Treat lower leg bone lesion
|
$2,313.98 |
$2,313.98 |
$2,313.98 |
|
|
Treat lower leg dislocation
|
$314.40 |
$1,036.00 |
$1,036.00 |
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,034.11 |
$1,034.11 |
$5,692.80 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$96.32 |
$160.46 |
$300.00 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$47.99 |
$80.40 |
$198.40 |
|
|
Treatment of ankle fracture 27786
|
$442.40 |
$556.80 |
$588.80 |
|
|
Treatment of fibula fracture 27780
|
$386.40 |
$494.40 |
$552.80 |
|
|
Treatment of foot infection
|
$4,271.20 |
$4,271.20 |
$4,271.20 |
|
|
Treatment of heel fracture 28400
|
$404.80 |
$482.40 |
$538.40 |
|
|
Treatment of retinal lesion
|
$1,867.21 |
$1,867.21 |
$1,867.21 |
|
|
Treatment of retinal lesion
|
$1,033.14 |
$1,033.14 |
$1,033.14 |
|
|
Treatment of thigh fracture
|
$739.20 |
$739.20 |
$739.20 |
|
|
Treatment of thigh fracture
|
$1,888.00 |
$1,888.00 |
$1,888.00 |
|
|
Treatment of thigh fracture
|
$570.40 |
$570.40 |
$602.40 |
|
|
Treatment of thigh fracture
|
$1,914.40 |
$1,914.40 |
$1,914.40 |
|
|
Treatment of toe fracture 28510
|
$342.40 |
$399.20 |
$416.00 |
|
|
Treatment radiation delivery level 2
|
$2,852.80 |
$4,262.35 |
$7,476.95 |
|
|
Treatment x10sv retinopathy
|
$2,027.70 |
$2,027.70 |
$2,027.70 |
|
|
Treat metatarsal fracture
|
$6,875.20 |
$6,875.20 |
$6,875.20 |
|
|
Treat metatarsal fracture
|
$8,840.80 |
$8,840.80 |
$8,840.80 |
|
|
Treat midfoot fracture each
|
$280.80 |
$2,836.80 |
$2,836.80 |
|
|
Treat spinal cord lesion
|
$466.70 |
$466.70 |
$466.70 |
|
|
Treat sternum fracture
|
$576.80 |
$576.80 |
$576.80 |
|
|
Treat thigh fracture
|
$568.80 |
$648.00 |
$648.00 |
|
|
Treat thigh fracture
|
$1,592.80 |
$1,650.40 |
$1,650.40 |
|
|
Treat thigh fracture
|
$740.80 |
$740.80 |
$740.80 |
|
|
Treat thigh fracture
|
$1,727.20 |
$1,727.20 |
$1,727.20 |
|