|
Tissue exam koh skin/hair/nails
|
$56.00 |
$56.00 |
$65.32 |
$47.20
|
|
Tissue transglutaminase iga
|
$49.22 |
$49.22 |
$51.50 |
$44.16
|
|
Tixagev and cilgav inj
|
$125.58 |
$125.58 |
$135.50 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$48.50 |
$48.50 |
$266.34 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$32.40 |
$32.40 |
$35.22 |
$152.36
|
|
Tobramycin non-comp unit
|
$1.57 |
$1.57 |
$1.70 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$96.60 |
$96.60 |
$104.00 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$58.95 |
$58.95 |
$64.08 |
$5,258.52
|
|
Tomosynthesis breast screen bilateral
|
$60.50 |
$60.50 |
$60.50 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$58.90 |
$58.90 |
$64.02 |
$325.00
|
|
Toxoplasma antibody igg
|
$89.24 |
$89.24 |
$127.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$89.24 |
$89.24 |
$127.00 |
$87.00
|
|
Tpmt gene com vrnts
|
$573.00 |
$573.00 |
$573.00 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$1,424.75 |
$1,424.75 |
$1,548.64 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$239.66 |
$239.66 |
$260.50 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$88.00 |
$88.00 |
$88.00 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$331.00 |
$331.00 |
$331.00 |
$678.70
|
|
Transcath closure of asd
|
$6,967.50 |
$6,967.50 |
$9,387.22 |
$16,741.40
|
|
Transcath closure of vsd
|
$16,347.94 |
$16,347.94 |
$16,347.94 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,130.50 |
$1,130.50 |
$1,130.50 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$8,837.52 |
$8,837.52 |
$8,837.52 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$7,939.14 |
$7,939.14 |
$7,939.14 |
$12,418.00
|
|
Transcath occlusion cns
|
$2,200.50 |
$2,200.50 |
$2,200.50 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$9,778.00 |
$9,778.00 |
$9,778.00 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$8,494.82 |
$8,494.82 |
$8,494.82 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,340.02 |
$2,340.02 |
$2,340.02 |
$4,775.16
|
|
Transferrin
|
$45.54 |
$45.54 |
$88.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$904.82 |
$904.82 |
$1,161.50 |
$983.00
|
|
Transparent film <= 16 sq in
|
$0.71 |
$0.71 |
$0.77 |
$4.50
|
|
Transplt allo hct/donor
|
$21,913.94 |
$21,913.94 |
$25,725.00 |
$29,206.10
|
|
Transplt autol hct/donor
|
$880.44 |
$880.44 |
$1,034.00 |
$3,786.00
|
|
Trastuzumab 150 mg intravenous solution
|
$716.88 |
$716.88 |
$779.21 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$1,605.15 |
$1,605.15 |
$1,744.72 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$992.08 |
$992.08 |
$1,078.34 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$1,634.00 |
$1,634.00 |
$1,634.00 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$552.00 |
$552.00 |
$600.00 |
$940.80
|
|
Treat elbow fracture
|
$389.50 |
$389.50 |
$389.50 |
$1,919.13
|
|
Treat finger fracture each
|
$1,449.50 |
$1,449.50 |
$1,449.50 |
$1,536.00
|
|
Treat foot bone lesion
|
$2,024.00 |
$2,024.00 |
$2,024.00 |
$3,839.54
|
|
Treat foot dislocation
|
$154.00 |
$154.00 |
$154.00 |
$396.30
|
|
Treat foot dislocation
|
$176.00 |
$176.00 |
$176.00 |
$527.28
|
|
Treat foot dislocation
|
$191.00 |
$191.00 |
$191.00 |
$445.80
|
|
Treat fracture of radius
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$1,790.00
|
|
Treat fracture of ulna
|
$255.00 |
$255.00 |
$255.00 |
$726.05
|
|
Treat humerus fracture
|
$1,874.50 |
$1,874.50 |
$1,874.50 |
$1,771.43
|
|
Treat humerus fracture
|
$1,593.50 |
$1,593.50 |
$1,593.50 |
$1,771.43
|
|
Treat knee fracture(s)
|
$176.00 |
$176.00 |
$176.00 |
$642.00
|
|
Treat lower leg dislocation
|
$176.00 |
$176.00 |
$176.00 |
$530.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$123.28 |
$123.28 |
$189.50 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$123.28 |
$123.28 |
$134.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$73.60 |
$73.60 |
$114.50 |
$203.35
|
|
Treatment of mouth lesion physical 40820
|
$92.00 |
$92.00 |
$92.00 |
$3,589.62
|
|
Treatment of thigh fracture
|
$176.00 |
$176.00 |
$176.00 |
$1,748.40
|
|
Treatment of thigh fracture
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
$1,772.97
|
|
Treatment radiation delivery level 2
|
$449.50 |
$449.50 |
$449.50 |
$767.65
|
|
Treat spinal cord lesion
|
$487.14 |
$487.14 |
$572.50 |
$1,337.00
|
|
Treat sternum fracture
|
$119.50 |
$119.50 |
$119.50 |
$423.00
|
|
Treat ulnar fracture
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$1,662.00
|
|
Treat vaginal bleeding
|
$249.00 |
$249.00 |
$249.00 |
$379.60
|
|
Treat wrist dislocation
|
$165.00 |
$165.00 |
$165.00 |
$656.25
|
|
Treponema pallidum antibody
|
$47.50 |
$47.50 |
$58.88 |
$70.40
|
|
Treprostinil injection
|
$366.07 |
$366.07 |
$397.90 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$2,246.64 |
$2,246.64 |
$2,442.00 |
$3,894.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$4.00 |
$4.00 |
$4.35 |
$43.21
|
|
Triglycerides
|
$29.90 |
$29.90 |
$69.50 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$729.11 |
$729.11 |
$792.51 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$11.74 |
$11.74 |
$12.76 |
$117.49
|
|
Trim nondyst nails
|
$106.00 |
$106.00 |
$106.00 |
$113.40
|
|
Triptorelin pamoate
|
$275.33 |
$275.33 |
$299.27 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$2,062.18 |
$2,062.18 |
$6,233.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,325.80 |
$3,325.80 |
$3,684.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$2,698.36 |
$2,698.36 |
$3,079.50 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,022.70 |
$4,022.70 |
$4,372.50 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,010.50 |
$3,010.50 |
$3,864.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$7,359.00 |
$7,359.00 |
$15,331.80 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,279.30 |
$2,279.30 |
$2,545.00 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,162.00 |
$3,162.00 |
$3,389.28 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,427.84 |
$1,427.84 |
$3,099.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,427.84 |
$1,427.84 |
$3,099.00 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$933.34 |
$933.34 |
$3,162.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,226.50 |
$2,226.50 |
$2,226.50 |
$3,078.00
|
|
Troponin quantitative
|
$72.22 |
$72.22 |
$178.50 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$1,630.50 |
$1,630.50 |
$2,024.92 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$1,344.00 |
$1,344.00 |
$3,483.12 |
$1,632.80
|
|
Tube drain vert dev st 5-40f
|
$1,070.88 |
$1,070.88 |
$1,070.88 |
$29.40
|
|
Tube trach disp innr can 5 xlt
|
$289.67 |
$289.67 |
$314.85 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$117.62 |
$117.62 |
$127.85 |
$155.98
|
|
Tx atrial fib pulm vein isol
|
$25,696.52 |
$25,696.52 |
$25,696.52 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$242.00 |
$242.00 |
$242.00 |
$581.07
|
|
Tx l/r atrial fib addl
|
$8,993.92 |
$8,993.92 |
$8,993.92 |
$6,769.00
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$348.00 |
$348.00 |
$348.00 |
$4,499.12
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$2,348.50 |
$2,348.50 |
$2,348.50 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$2,003.00 |
$2,003.00 |
$2,003.00 |
$4,421.00
|
|
Ua w/micro/comp poc
|
$27.14 |
$27.14 |
$27.14 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$802.90 |
$802.90 |
$872.71 |
$20,945.01
|
|
Ultrasound abdomen aorta screening study aaa
|
$250.70 |
$250.70 |
$328.00 |
$394.20
|
|
Ultrasound breast complete
|
$743.50 |
$743.50 |
$743.50 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$743.50 |
$743.50 |
$743.50 |
$449.35
|
