|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$1.52 |
$1.52 |
$1.52 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$10.56 |
$10.56 |
$10.56 |
$120.60
|
|
Toe joint transfer
|
$2,092.20 |
$2,092.20 |
$2,092.20 |
$7,413.38
|
|
Toe X-ray (both feet)
|
$283.14 |
$283.14 |
$283.14 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$17.60 |
$17.60 |
$17.60 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$119.34 |
$119.34 |
$119.34 |
$74.10
|
|
Tongue and neck surgery
|
$1,317.14 |
$1,317.14 |
$1,317.14 |
$2,745.01
|
|
Tongue base vol reduction
|
$229.46 |
$229.46 |
$229.46 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$68.20 |
$68.20 |
$68.20 |
$3,592.74
|
|
Tongue jaw & neck surgery
|
$1,814.56 |
$1,814.56 |
$1,814.56 |
$3,763.81
|
|
Tongue mouth jaw surgery
|
$1,334.96 |
$1,334.96 |
$1,334.96 |
$5,428.00
|
|
Tongue mouth neck surgery
|
$1,455.52 |
$1,455.52 |
$1,455.52 |
$3,012.36
|
|
Tongue removal neck surgery
|
$1,668.04 |
$1,668.04 |
$1,668.04 |
$3,456.80
|
|
Tongue suspension
|
$405.02 |
$405.02 |
$405.02 |
$4,082.40
|
|
Tongue to lip surgery
|
$275.22 |
$275.22 |
$275.22 |
$3,837.72
|
|
Tonsillectomy (age 12+)
|
$159.28 |
$159.28 |
$159.28 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$167.42 |
$167.42 |
$167.42 |
$6,056.50
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$836.00 |
$836.00 |
$836.00 |
$3,364.80
|
|
Total hip arthroplasty
|
$1,033.56 |
$1,033.56 |
$1,033.56 |
$7,347.60
|
|
Total Hip Replacement
|
$795.74 |
$795.74 |
$795.74 |
$9,161.60
|
|
Total hysterectomy
|
$630.08 |
$630.08 |
$630.08 |
$3,001.70
|
|
Total Knee Replacement
|
$794.86 |
$794.86 |
$794.86 |
$14,061.89
|
|
Total lung lavage
|
$205.26 |
$205.26 |
$205.26 |
$1,758.40
|
|
Total ob care failed vbac 59618
|
$1,671.56 |
$1,671.56 |
$1,671.56 |
$4,792.80
|
|
Tot disc arthrp 1ntrspc crv
|
$1,008.04 |
$1,008.04 |
$1,008.04 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$1,080.86 |
$1,080.86 |
$1,080.86 |
$4,365.60
|
|
Tot disc arthrp 2ntrspc lmbr
|
$253.88 |
$253.88 |
$253.88 |
$470.40
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$312.18 |
$312.18 |
$312.18 |
$1,230.40
|
|
Tot esophagectomy without thoracotomy 43107
|
$1,815.22 |
$1,815.22 |
$1,815.22 |
$7,284.80
|
|
Tot estradiol response panel
|
$36.96 |
$36.96 |
$36.96 |
$140.80
|
|
Toxoplasma antibody igg
|
$9.68 |
$9.68 |
$9.68 |
$90.00
|
|
Toxoplasma antibody igm
|
$9.68 |
$9.68 |
$9.68 |
$89.05
|
|
Tp53 gene full gene sequence
|
$423.72 |
$423.72 |
$423.72 |
$706.04
|
|
Tp53 gene known famil vrnt
|
$203.28 |
$203.28 |
$203.28 |
$395.40
|
|
Tp53 gene trgt sequence alys
|
$771.42 |
$771.42 |
$771.42 |
$790.68
|
|
Tpmt gene com vrnts
|
$115.28 |
$115.28 |
$115.28 |
$371.80
|
|
Tprnl balo cntnc dev adjmt
|
$22.44 |
$22.44 |
$22.44 |
$551.20
|
|
Tprnl balo cntnc dev bi
|
$482.24 |
$482.24 |
$482.24 |
$15,403.70
|
|
Tprnl balo cntnc dev rmvl ea
|
$409.86 |
$409.86 |
$409.86 |
$5,419.00
|
|
Tprnl balo cntnc dev uni
|
$241.12 |
$241.12 |
$241.12 |
$9,945.60
|
|
Tprnl plmt biodegrdabl matrl
|
$101.20 |
$101.20 |
$101.20 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$124.52 |
$124.52 |
$124.52 |
$1,180.80
|
|
Trachelectomy (cervicectomy) 57530
|
$231.00 |
$231.00 |
$231.00 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$71.28 |
$71.28 |
$71.28 |
$1,437.45
|
|
Tracheo-esophagoplasty cong
|
$1,918.18 |
$1,918.18 |
$1,918.18 |
$7,181.60
|
|
Tracheoplasty intrathoracic
|
$840.18 |
$840.18 |
$840.18 |
$1,977.86
|
|
Tracheostoma revision; simple, without flap rotation
|
$257.40 |
$257.40 |
$257.40 |
$3,837.72
|
|
Train for caregiver add 15
|
$15.40 |
$15.40 |
$15.40 |
$47.60
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$117.00 |
$117.00 |
$117.00 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$190.30 |
$190.30 |
$190.30 |
$678.70
|
|
Transab esoph hiat hern repair 43332
|
$707.30 |
$707.30 |
$707.30 |
$2,835.20
|
|
Transab esoph hiat hern rpr
|
$777.48 |
$777.48 |
$777.48 |
$3,096.80
|
|
Transcath biopsy
|
$12,649.26 |
$12,649.26 |
$12,649.26 |
$4,285.93
|
|
Transcath closure of asd
|
$588.28 |
$588.28 |
$588.28 |
$17,352.58
|
|
Transcath closure of vsd
|
$799.26 |
$799.26 |
$799.26 |
$17,458.00
|
|
Transcatheter bx s&i
|
$1,586.52 |
$1,586.52 |
$1,586.52 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$255.86 |
$255.86 |
$255.86 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$1,089.22 |
$1,089.22 |
$1,089.22 |
$13,384.80
|
|
Transcath occlusion cns
|
$37,589.76 |
$37,589.76 |
$37,589.76 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$558.58 |
$558.58 |
$558.58 |
$10,452.00
|
|
Trans cath replace aortic valve 33366
|
$950.40 |
$950.40 |
$950.40 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$306.46 |
$306.46 |
$306.46 |
$4,822.00
|
|
Transcochlear approach/skull
|
$1,494.90 |
$1,494.90 |
$1,494.90 |
$3,030.78
|
|
Transcondylar approach/skull
|
$1,806.42 |
$1,806.42 |
$1,806.42 |
$4,572.23
|
|
Transcutaneous carboxyhb
|
$6.16 |
$6.16 |
$6.16 |
$31.85
|
|
Transcutaneous hgb 88738
|
$3.52 |
$3.52 |
$3.52 |
$13.20
|
|
Transcutaneous methb
|
$6.16 |
$6.16 |
$6.16 |
$19.20
|
|
Transect artery sinus
|
$288.42 |
$288.42 |
$288.42 |
$681.58
|
|
Transect pulmonary artery
|
$848.32 |
$848.32 |
$848.32 |
$1,996.23
|
|
Transfer of abdominal muscle
|
$518.10 |
$518.10 |
$518.10 |
$5,886.74
|
|
Transfer of embryo
|
$130.46 |
$130.46 |
$130.46 |
$587.60
|
|
Transfer of iliopsoas muscle
|
$603.90 |
$603.90 |
$603.90 |
$6,311.00
|
|
Transfer of iliopsoas muscle
|
$562.76 |
$562.76 |
$562.76 |
$4,432.00
|
|
Transfer of spinal muscle
|
$542.52 |
$542.52 |
$542.52 |
$4,268.80
|
|
Transferrin
|
$67.08 |
$67.08 |
$67.08 |
$82.00
|
|
Transfer skin pedicle flap
|
$249.92 |
$249.92 |
$249.92 |
$3,189.12
|
|
Transfer tendon to pelvis
|
$435.38 |
$435.38 |
$435.38 |
$3,839.54
|
|
Transorl lwr esophgl myotomy
|
$483.78 |
$483.78 |
$483.78 |
$6,594.64
|
|
Transperi needle place pros
|
$484.22 |
$484.22 |
$484.22 |
$6,203.00
|
|
Transpetrosal approach/skull
|
$1,758.02 |
$1,758.02 |
$1,758.02 |
$4,349.65
|
|
Transpl allograft pancreas
|
$1,629.76 |
$1,629.76 |
$1,629.76 |
$3,793.11
|
|
Transplantation heart/lung
|
$2,982.10 |
$2,982.10 |
$2,982.10 |
$6,991.34
|
|
Transplantation of heart
|
$2,949.76 |
$2,949.76 |
$2,949.76 |
$6,872.98
|
|
Transplantation of liver
|
$3,334.32 |
$3,334.32 |
$3,334.32 |
$7,622.83
|
|
Transplant femur ridge
|
$558.80 |
$558.80 |
$558.80 |
$1,938.60
|
|
Transplant forearm tendon
|
$445.94 |
$445.94 |
$445.94 |
$3,624.06
|
|
Transplant forearm tendon
|
$449.68 |
$449.68 |
$449.68 |
$3,839.54
|
|
Transplant/graft hand tendon
|
$531.96 |
$531.96 |
$531.96 |
$3,594.44
|
|
Transplant/graft palm tendon
|
$588.94 |
$588.94 |
$588.94 |
$3,839.54
|
|
Transplant hand tendon
|
$446.38 |
$446.38 |
$446.38 |
$3,839.54
|
|
Transplant of thigh tendon
|
$387.64 |
$387.64 |
$387.64 |
$7,507.19
|
|
Transplant palm tendon
|
$510.84 |
$510.84 |
$510.84 |
$3,839.54
|
|
Transplants of thigh tendons
|
$571.12 |
$571.12 |
$571.12 |
$7,913.97
|
|
Transplant ureter to skin
|
$583.66 |
$583.66 |
$583.66 |
$4,776.00
|
|
Transplj hematopoietic boost
|
$75.90 |
$75.90 |
$75.90 |
$2,667.20
|
|
Transplt allo hct/donor
|
$147.84 |
$147.84 |
$147.84 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$77.22 |
$77.22 |
$77.22 |
$2,751.65
|
|
Transplt autol hct/donor
|
$109.12 |
$109.12 |
$109.12 |
$3,986.00
|
|
Transposition of vein valve
|
$620.84 |
$620.84 |
$620.84 |
$6,366.08
|
|
Transposition ovary(s)
|
$438.02 |
$438.02 |
$438.02 |
$921.11
|
