|
Thyroxine binding globulin (tbg)
|
$136.03 |
$136.03 |
$136.03 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$17,423.43 |
$17,423.43 |
$17,423.43 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$3,857.03 |
$3,857.03 |
$3,857.03 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$11,970.64 |
$11,970.64 |
$11,970.64 |
$9,769.65
|
|
Tigecycline injection
|
$58.59 |
$58.59 |
$58.59 |
$234.00
|
|
Tirofiban 12.5 mg/50 ml
|
$2.19 |
$2.19 |
$2.19 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$3,874.72 |
$3,874.72 |
$3,874.72 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$4,103.10 |
$4,103.10 |
$4,103.10 |
$4,834.73
|
|
Tissue culture skin/biopsy
|
$471.53 |
$471.53 |
$471.53 |
$484.00
|
|
Tissue culture tumor
|
$274.50 |
$274.50 |
$274.50 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$86.01 |
$86.01 |
$86.01 |
$47.20
|
|
Tissue transglutaminase iga
|
$59.17 |
$59.17 |
$59.17 |
$44.16
|
|
Tixagev and cilgav inj
|
$168.36 |
$168.36 |
$168.36 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$217.77 |
$217.77 |
$217.77 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$42.96 |
$42.96 |
$42.96 |
$152.36
|
|
Tobramycin non-comp unit
|
$2.07 |
$2.07 |
$2.07 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$126.88 |
$126.88 |
$126.88 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$78.17 |
$78.17 |
$78.17 |
$5,258.52
|
|
Tomosynthesis breast screen bilateral
|
$53.68 |
$53.68 |
$53.68 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$78.11 |
$78.11 |
$78.11 |
$325.00
|
|
Toxoplasma antibody igg
|
$60.39 |
$60.39 |
$60.39 |
$89.40
|
|
Toxoplasma antibody igm
|
$62.83 |
$62.83 |
$62.83 |
$87.00
|
|
Trabectedin 1 mg intravenous solution
|
$1,889.35 |
$1,889.35 |
$1,889.35 |
$6,827.00
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$109.80 |
$109.80 |
$109.80 |
$101.25
|
|
Transcatheter bx s&i
|
$1,418.25 |
$1,418.25 |
$1,418.25 |
$1,915.00
|
|
Transcath occlusion cns
|
$2,734.02 |
$2,734.02 |
$2,734.02 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$12,150.59 |
$12,150.59 |
$12,150.59 |
$10,031.28
|
|
Transcrv abltj utrn fibrd rf
|
$7,487.14 |
$7,487.14 |
$7,487.14 |
$8,750.72
|
|
Transferrin
|
$64.66 |
$64.66 |
$64.66 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,757.41 |
$1,757.41 |
$1,757.41 |
$983.00
|
|
Transparent film <= 16 sq in
|
$0.94 |
$0.94 |
$0.94 |
$4.50
|
|
Trastuzumab 150 mg intravenous solution
|
$950.64 |
$950.64 |
$950.64 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$2,128.56 |
$2,128.56 |
$2,128.56 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$1,315.58 |
$1,315.58 |
$1,315.58 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$6,083.53 |
$6,083.53 |
$6,083.53 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$732.00 |
$732.00 |
$732.00 |
$940.80
|
|
Treat ankle dislocation
|
$2,385.10 |
$2,385.10 |
$2,385.10 |
$2,358.40
|
|
Treat ankle fracture
|
$5,324.69 |
$5,324.69 |
$5,324.69 |
$5,488.00
|
|
Treat chest lining
|
$128.71 |
$128.71 |
$128.71 |
$3,888.00
|
|
Treat elbow dislocation
|
$2,570.54 |
$2,570.54 |
$2,570.54 |
$2,223.20
|
|
Treat elbow fracture
|
$1,083.97 |
$1,083.97 |
$1,083.97 |
$1,919.13
|
|
Treat finger fracture each
|
$1,768.39 |
$1,768.39 |
$1,768.39 |
$1,536.00
|
|
Treat foot dislocation
|
$187.88 |
$187.88 |
$187.88 |
$396.30
|
|
Treat fracture of radius
|
$1,546.35 |
$1,546.35 |
$1,546.35 |
$1,790.00
|
|
Treat fracture of ulna
|
$311.10 |
$311.10 |
$311.10 |
$726.05
|
|
Treat hip socket fracture
|
$258.64 |
$258.64 |
$258.64 |
$1,392.00
|
|
Treat humerus fracture
|
$2,286.89 |
$2,286.89 |
$2,286.89 |
$1,771.43
|
|
Treat kneecap dislocation
|
$1,490.84 |
$1,490.84 |
$1,490.84 |
$1,068.90
|
|
Treat knee fracture 27530
|
$304.39 |
$304.39 |
$304.39 |
$550.00
|
|
Treat knuckle dislocation
|
$438.59 |
$438.59 |
$438.59 |
$1,523.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$283.04 |
$283.04 |
$283.04 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$134.20 |
$134.20 |
$134.20 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$204.96 |
$204.96 |
$204.96 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$222.04 |
$222.04 |
$222.04 |
$520.80
|
|
Treatment of heel fracture 28400
|
$300.12 |
$300.12 |
$300.12 |
$473.00
|
|
Treatment of thigh fracture
|
$1,995.92 |
$1,995.92 |
$1,995.92 |
$1,772.97
|
|
Treat sternum fracture
|
$205.57 |
$205.57 |
$205.57 |
$423.00
|
|
Treat ulnar fracture
|
$1,914.18 |
$1,914.18 |
$1,914.18 |
$1,662.00
|
|
Treat wrist dislocation
|
$201.30 |
$201.30 |
$201.30 |
$656.25
|
|
Treponema pallidum antibody
|
$38.43 |
$38.43 |
$38.43 |
$70.40
|
|
Treprostinil injection
|
$485.44 |
$485.44 |
$485.44 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$2,979.24 |
$2,979.24 |
$2,979.24 |
$3,894.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$5.31 |
$5.31 |
$5.31 |
$43.21
|
|
Trichinella antibody
|
$72.59 |
$72.59 |
$72.59 |
$70.20
|
|
Triglycerides
|
$48.19 |
$48.19 |
$48.19 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$966.87 |
$966.87 |
$966.87 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$15.56 |
$15.56 |
$15.56 |
$117.49
|
|
Trim nondyst nails
|
$155.55 |
$155.55 |
$155.55 |
$113.40
|
|
Triptorelin pamoate
|
$365.11 |
$365.11 |
$365.11 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$3,672.81 |
$3,672.81 |
$3,672.81 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$3,011.57 |
$3,011.57 |
$3,011.57 |
$7,354.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,723.42 |
$6,723.42 |
$6,723.42 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$4,487.16 |
$4,487.16 |
$4,487.16 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$10,944.62 |
$10,944.62 |
$10,944.62 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,353.78 |
$3,353.78 |
$3,353.78 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,049.18 |
$4,049.18 |
$4,049.18 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,969.88 |
$3,969.88 |
$3,969.88 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,969.88 |
$3,969.88 |
$3,969.88 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$4,049.18 |
$4,049.18 |
$4,049.18 |
$3,866.70
|
|
Troponin quantitative
|
$166.53 |
$166.53 |
$166.53 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$2,214.30 |
$2,214.30 |
$2,214.30 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$2,214.30 |
$2,214.30 |
$2,214.30 |
$1,632.80
|
|
Tube drain vert dev st 5-40f
|
$1,433.84 |
$1,433.84 |
$1,433.84 |
$29.40
|
|
Tube trach disp innr can 5 xlt
|
$384.12 |
$384.12 |
$384.12 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$155.98 |
$155.98 |
$155.98 |
$155.98
|
|
Tx closed hip disl traumatic without anes
|
$268.40 |
$268.40 |
$268.40 |
$581.07
|
|
Tx closed tib shaft fx without manip
|
$306.83 |
$306.83 |
$306.83 |
$535.60
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$2,443.66 |
$2,443.66 |
$2,443.66 |
$4,421.00
|
|
Ua w/micro/comp poc
|
$39.04 |
$39.04 |
$39.04 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$1,064.71 |
$1,064.71 |
$1,064.71 |
$20,945.01
|
|
Ultrasound abdomen aorta screening study aaa
|
$187.88 |
$187.88 |
$187.88 |
$394.20
|
|
Ultrasound breast complete
|
$491.66 |
$491.66 |
$491.66 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$491.66 |
$491.66 |
$491.66 |
$449.35
|
|
Ultrasound chest
|
$406.26 |
$406.26 |
$406.26 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$265.35 |
$265.35 |
$265.35 |
$338.00
|
|
Ultrasound encephalogram
|
$596.58 |
$596.58 |
$596.58 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$709.43 |
$709.43 |
$709.43 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$529.48 |
$529.48 |
$529.48 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$603.90 |
$603.90 |
$603.90 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$761.28 |
$761.28 |
$761.28 |
$720.15
|