|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$763.46 |
$763.46 |
$763.46 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$327.20 |
$327.20 |
$327.20 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$9,530.45 |
$9,530.45 |
$9,530.45 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$330.40 |
$330.40 |
$330.40 |
$258.65
|
|
Tomosynthesis breast screen bilateral
|
$261.65 |
$261.65 |
$261.65 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,425.12 |
$1,425.12 |
$1,425.12 |
$316.84
|
|
Total tau
|
$342.95 |
$342.95 |
$342.95 |
$312.50
|
|
Toxoplasma antibody igg
|
$230.10 |
$230.10 |
$230.10 |
$91.65
|
|
Toxoplasma antibody igm
|
$300.55 |
$300.55 |
$300.55 |
$88.00
|
|
Tp53 gene full gene sequence
|
$956.35 |
$956.35 |
$956.35 |
$709.80
|
|
Trabectedin 1 mg intravenous solution
|
$7,475.30 |
$7,475.30 |
$7,475.30 |
$6,684.23
|
|
Train for caregiver add 15
|
$35.85 |
$35.85 |
$35.85 |
$47.60
|
|
Transcath biopsy
|
$8,961.30 |
$8,961.30 |
$8,961.30 |
$4,285.93
|
|
Transcath closure of asd
|
$11,513.70 |
$11,513.70 |
$11,513.70 |
$17,088.00
|
|
Transcath closure of vsd
|
$10,374.70 |
$10,374.70 |
$10,374.70 |
$17,115.04
|
|
Transcatheter bx s&i
|
$3,442.10 |
$3,442.10 |
$3,442.10 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$15,719.35 |
$15,719.35 |
$15,719.35 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$31,438.75 |
$31,438.75 |
$31,438.75 |
$13,093.20
|
|
Transcath occlusion cns
|
$9,857.15 |
$9,857.15 |
$9,857.15 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$9,857.15 |
$9,857.15 |
$9,857.15 |
$10,270.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,598.50 |
$5,598.50 |
$5,598.50 |
$4,822.00
|
|
Transferrin
|
$172.85 |
$172.85 |
$172.85 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$915.80 |
$915.80 |
$915.80 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$809.85 |
$809.85 |
$809.85 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$1,677,717.10 |
$1,677,717.10 |
$1,677,717.10 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$13,665.70 |
$13,665.70 |
$13,665.70 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$3,567.40 |
$3,567.40 |
$3,567.40 |
$4,471.50
|
|
Treat ankle dislocation
|
$652.90 |
$652.90 |
$652.90 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$1,229.20 |
$1,229.20 |
$1,229.20 |
$692.80
|
|
Treat elbow dislocation
|
$3,909.30 |
$3,909.30 |
$3,909.30 |
$2,311.20
|
|
Treat elbow fracture
|
$3,226.90 |
$3,226.90 |
$3,226.90 |
$2,027.40
|
|
Treat eyelid by injection
|
$629.85 |
$629.85 |
$629.85 |
$481.44
|
|
Treat finger fracture each
|
$1,264.05 |
$1,264.05 |
$1,264.05 |
$1,592.00
|
|
Treat foot dislocation
|
$861.30 |
$861.30 |
$861.30 |
$405.60
|
|
Treat foot dislocation
|
$5,620.35 |
$5,620.35 |
$5,620.35 |
$4,192.86
|
|
Treat fracture of radius
|
$2,844.40 |
$2,844.40 |
$2,844.40 |
$1,821.60
|
|
Treat fracture of radius
|
$2,585.90 |
$2,585.90 |
$2,585.90 |
$1,849.00
|
|
Treat fracture of ulna
|
$1,668.15 |
$1,668.15 |
$1,668.15 |
$726.05
|
|
Treat hip socket fracture
|
$2,578.60 |
$2,578.60 |
$2,578.60 |
$1,344.00
|
|
Treat humerus fracture
|
$2,663.10 |
$2,663.10 |
$2,663.10 |
$1,790.00
|
|
Treat humerus fracture
|
$2,474.95 |
$2,474.95 |
$2,474.95 |
$1,790.00
|
|
Treat kneecap dislocation
|
$725.05 |
$725.05 |
$725.05 |
$1,068.06
|
|
Treat knee fracture 27530
|
$819.00 |
$819.00 |
$819.00 |
$550.73
|
|
Treat knee fracture(s)
|
$353.80 |
$353.80 |
$353.80 |
$643.26
|
|
Treat lower leg dislocation
|
$956.20 |
$956.20 |
$956.20 |
$532.60
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,737.95 |
$4,737.95 |
$4,737.95 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$455.25 |
$455.25 |
$455.25 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$244.40 |
$244.40 |
$244.40 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$2,312.95 |
$2,312.95 |
$2,312.95 |
$4,230.80
|
|
Treatment of ankle fracture 27786
|
$778.90 |
$778.90 |
$778.90 |
$528.00
|
|
Treatment of miscarriage
|
$4,603.55 |
$4,603.55 |
$4,603.55 |
$4,146.69
|
|
Treatment of thigh fracture
|
$2,411.30 |
$2,411.30 |
$2,411.30 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$338.20 |
$338.20 |
$338.20 |
$371.40
|
|
Treatment radiation delivery level 2
|
$666.10 |
$666.10 |
$666.10 |
$830.70
|
|
Treat spinal cord lesion
|
$273.75 |
$273.75 |
$273.75 |
$1,142.50
|
|
Treat spinal cord lesion
|
$335.25 |
$335.25 |
$335.25 |
$1,337.00
|
|
Treat thigh fx growth plate
|
$2,932.25 |
$2,932.25 |
$2,932.25 |
$1,938.38
|
|
Treat toe dislocation
|
$478.85 |
$478.85 |
$478.85 |
$756.00
|
|
Treat trigeminal tract
|
$5,582.85 |
$5,582.85 |
$5,582.85 |
$3,786.00
|
|
Treat ulnar fracture
|
$2,672.75 |
$2,672.75 |
$2,672.75 |
$1,678.55
|
|
Treat vaginal bleeding
|
$342.25 |
$342.25 |
$342.25 |
$379.60
|
|
Treat wrist bone fracture
|
$2,360.95 |
$2,360.95 |
$2,360.95 |
$1,679.04
|
|
Treat wrist dislocation
|
$1,003.25 |
$1,003.25 |
$1,003.25 |
$656.25
|
|
Treponema pallidum antibody
|
$171.35 |
$171.35 |
$171.35 |
$72.05
|
|
Treprostinil injection
|
$16,813.99 |
$16,813.99 |
$16,813.99 |
$19,071.84
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$95.28 |
$95.28 |
$95.28 |
$43.00
|
|
Triglycerides
|
$192.85 |
$192.85 |
$192.85 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$5,707.85 |
$5,707.85 |
$5,707.85 |
$4,043.12
|
|
Trim nail(s)
|
$215.10 |
$215.10 |
$215.10 |
$78.40
|
|
Trim nondyst nails
|
$266.95 |
$266.95 |
$266.95 |
$114.48
|
|
Triptorelin pamoate
|
$9,837.05 |
$9,837.05 |
$9,837.05 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$11,001.75 |
$11,001.75 |
$11,001.75 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$11,418.60 |
$11,418.60 |
$11,418.60 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$14,056.55 |
$14,056.55 |
$14,056.55 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$23,824.55 |
$23,824.55 |
$23,824.55 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$49,264.05 |
$49,264.05 |
$49,264.05 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$5,782.35 |
$5,782.35 |
$5,782.35 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,998.35 |
$2,998.35 |
$2,998.35 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,688.10 |
$6,688.10 |
$6,688.10 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$6,688.10 |
$6,688.10 |
$6,688.10 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$2,998.35 |
$2,998.35 |
$2,998.35 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$6,994.05 |
$6,994.05 |
$6,994.05 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$3,961.10 |
$3,961.10 |
$3,961.10 |
$2,377.62
|
|
Troponin quantitative
|
$149.15 |
$149.15 |
$149.15 |
$127.20
|
|
Tr retinal les preterm inf
|
$1,048.50 |
$1,048.50 |
$1,048.50 |
$1,794.00
|
|
Tte w or without contr, cont ecg
|
$2,075.90 |
$2,075.90 |
$2,075.90 |
$2,075.90
|
|
Tte w or without fol w/con,stres
|
$3,526.65 |
$3,526.65 |
$3,526.65 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$2,028.05 |
$2,028.05 |
$2,028.05 |
$1,254.50
|
|
Tte w or without fol w/cont, f/u
|
$2,028.05 |
$2,028.05 |
$2,028.05 |
$1,178.00
|
|
Tubular dressing
|
$31.75 |
$31.75 |
$31.75 |
$28.46
|
|
Tx atrial fib pulm vein isol
|
$26,172.95 |
$26,172.95 |
$26,172.95 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$3,909.30 |
$3,909.30 |
$3,909.30 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$568.80 |
$568.80 |
$568.80 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$5,681.45 |
$5,681.45 |
$5,681.45 |
$3,977.49
|
|
Tx l/r atrial fib addl
|
$7,279.30 |
$7,279.30 |
$7,279.30 |
$6,986.85
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$5,450.80 |
$5,450.80 |
$5,450.80 |
$4,499.12
|
|
Ua w/micro/comp poc
|
$107.45 |
$107.45 |
$107.45 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$15,137.87 |
$15,137.87 |
$15,137.87 |
$21,992.26
|
|
Ultrasound breast complete
|
$606.75 |
$606.75 |
$606.75 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$606.75 |
$606.75 |
$606.75 |
$452.40
|