|
Toe X-ray (both feet)
|
$180.73 |
$180.73 |
$180.73 |
$259.50
|
|
Tomosynthesis breast screen bilateral
|
$40.18 |
$40.18 |
$40.18 |
$74.10
|
|
Tongue biopsy; posterior one-third 41105
|
$1,680.18 |
$1,680.18 |
$1,680.18 |
$3,592.74
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$2,176.33 |
$2,176.33 |
$2,176.33 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$18,599.40 |
$18,599.40 |
$18,599.40 |
$15,383.12
|
|
Total tau
|
$605.00 |
$605.00 |
$605.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$100.80 |
$100.80 |
$100.80 |
$91.76
|
|
Toxoplasma antibody igm
|
$109.73 |
$109.73 |
$109.73 |
$89.05
|
|
Tp53 gene full gene sequence
|
$1,397.08 |
$1,397.08 |
$1,397.08 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$472.98 |
$472.98 |
$472.98 |
$804.00
|
|
Tpmt gene com vrnts
|
$750.13 |
$750.13 |
$750.13 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$13,219.53 |
$13,219.53 |
$13,219.53 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$7,403.70 |
$7,403.70 |
$7,403.70 |
$6,684.23
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,459.48 |
$1,459.48 |
$1,459.48 |
$1,437.45
|
|
Train for caregiver add 15
|
$81.65 |
$81.65 |
$81.65 |
$47.60
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$120.18 |
$120.18 |
$120.18 |
$103.40
|
|
Transabdom amnioinfus w/us
|
$893.28 |
$893.28 |
$893.28 |
$678.70
|
|
Transcath biopsy
|
$1,438.18 |
$1,438.18 |
$1,438.18 |
$4,285.93
|
|
Transcath closure of asd
|
$13,576.35 |
$13,576.35 |
$13,576.35 |
$17,352.58
|
|
Transcath closure of vsd
|
$9,595.25 |
$9,595.25 |
$9,595.25 |
$17,458.00
|
|
Transcatheter bx s&i
|
$1,795.70 |
$1,795.70 |
$1,795.70 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$2,591.73 |
$2,591.73 |
$2,591.73 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$10,001.80 |
$10,001.80 |
$10,001.80 |
$13,384.80
|
|
Transcath occlusion cns
|
$3,340.78 |
$3,340.78 |
$3,340.78 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$3,060.70 |
$3,060.70 |
$3,060.70 |
$10,416.60
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,835.55 |
$5,835.55 |
$5,835.55 |
$4,822.00
|
|
Transcutaneous carboxyhb
|
$68.58 |
$68.58 |
$68.58 |
$31.85
|
|
Transferrin
|
$88.88 |
$88.88 |
$88.88 |
$82.00
|
|
Transperi needle place pros
|
$6,595.85 |
$6,595.85 |
$6,595.85 |
$6,203.00
|
|
Transplj hematopoietic boost
|
$2,667.20 |
$2,667.20 |
$2,667.20 |
$2,667.20
|
|
Transplt allo hct/donor
|
$4,477.68 |
$4,477.68 |
$4,477.68 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$1,815.90 |
$1,815.90 |
$1,815.90 |
$2,751.65
|
|
Transplt autol hct/donor
|
$3,250.73 |
$3,250.73 |
$3,250.73 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$491.58 |
$491.58 |
$491.58 |
$563.55
|
|
Transvaginal Pregnancy Ultrasound
|
$385.58 |
$385.58 |
$385.58 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$3,141.85 |
$3,141.85 |
$3,141.85 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$7,191.23 |
$7,191.23 |
$7,191.23 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$4,500.03 |
$4,500.03 |
$4,500.03 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$7,438.38 |
$7,438.38 |
$7,438.38 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$467.50 |
$467.50 |
$467.50 |
$940.80
|
|
Treat ankle dislocation
|
$1,805.10 |
$1,805.10 |
$1,805.10 |
$2,358.40
|
|
Treat ectopic pregnancy
|
$6,000.90 |
$6,000.90 |
$6,000.90 |
$6,707.99
|
|
Treat elbow dislocation
|
$1,712.90 |
$1,712.90 |
$1,712.90 |
$2,322.40
|
|
Treat elbow fracture
|
$342.65 |
$342.65 |
$342.65 |
$2,055.00
|
|
Treat finger fracture each
|
$273.58 |
$273.58 |
$273.58 |
$1,592.00
|
|
Treat foot dislocation
|
$393.63 |
$393.63 |
$393.63 |
$405.60
|
|
Treat foot dislocation
|
$206.18 |
$206.18 |
$206.18 |
$535.60
|
|
Treat foot dislocation
|
$412.15 |
$412.15 |
$412.15 |
$445.80
|
|
Treat fracture of radius
|
$313.65 |
$313.65 |
$313.65 |
$1,839.55
|
|
Treat fracture of radius
|
$3,276.43 |
$3,276.43 |
$3,276.43 |
$1,849.00
|
|
Treat fracture of ulna
|
$398.53 |
$398.53 |
$398.53 |
$731.04
|
|
Treat hip dislocation
|
$1,723.03 |
$1,723.03 |
$1,723.03 |
$2,211.05
|
|
Treat hip socket fracture
|
$756.53 |
$756.53 |
$756.53 |
$1,340.10
|
|
Treat humerus fracture
|
$283.90 |
$283.90 |
$283.90 |
$1,808.80
|
|
Treat humerus fracture
|
$180.65 |
$180.65 |
$180.65 |
$1,790.00
|
|
Treat kneecap dislocation
|
$1,963.03 |
$1,963.03 |
$1,963.03 |
$1,063.40
|
|
Treat knee dislocation
|
$1,165.05 |
$1,165.05 |
$1,165.05 |
$2,211.05
|
|
Treat knee fracture 27530
|
$550.73 |
$550.73 |
$550.73 |
$550.73
|
|
Treat lower leg dislocation
|
$532.60 |
$532.60 |
$532.60 |
$532.60
|
|
Treatment incomplete abortion completed surgically any trimester
|
$627.85 |
$627.85 |
$627.85 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$143.60 |
$143.60 |
$143.60 |
$230.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$116.63 |
$116.63 |
$116.63 |
$148.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$755.15 |
$755.15 |
$755.15 |
$4,230.80
|
|
Treatment of ankle fracture 27786
|
$377.18 |
$377.18 |
$377.18 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$263.50 |
$263.50 |
$263.50 |
$528.00
|
|
Treatment of heel fracture 28400
|
$337.78 |
$337.78 |
$337.78 |
$478.40
|
|
Treatment of thigh fracture
|
$167.05 |
$167.05 |
$167.05 |
$487.50
|
|
Treatment of thigh fracture
|
$119.75 |
$119.75 |
$119.75 |
$1,749.06
|
|
Treatment of thigh fracture
|
$659.00 |
$659.00 |
$659.00 |
$570.40
|
|
Treatment of thigh fracture
|
$541.75 |
$541.75 |
$541.75 |
$1,790.00
|
|
Treatment of tibia fracture
|
$4,005.90 |
$4,005.90 |
$4,005.90 |
$6,347.40
|
|
Treatment of toe fracture 28510
|
$306.03 |
$306.03 |
$306.03 |
$371.40
|
|
Treatment radiation delivery level 2
|
$737.25 |
$737.25 |
$737.25 |
$835.20
|
|
Treat metacarpal fracture
|
$4,693.85 |
$4,693.85 |
$4,693.85 |
$4,289.60
|
|
Treat midfoot fracture each
|
$1,257.55 |
$1,257.55 |
$1,257.55 |
$1,893.86
|
|
Treat spinal cord lesion
|
$2,626.53 |
$2,626.53 |
$2,626.53 |
$1,337.00
|
|
Treat sternum fracture
|
$570.68 |
$570.68 |
$570.68 |
$423.00
|
|
Treat thigh fracture
|
$661.00 |
$661.00 |
$661.00 |
$661.00
|
|
Treat thigh fracture
|
$1,793.10 |
$1,793.10 |
$1,793.10 |
$1,893.86
|
|
Treat thigh fracture
|
$720.03 |
$720.03 |
$720.03 |
$618.80
|
|
Treat ulnar fracture
|
$296.43 |
$296.43 |
$296.43 |
$1,678.55
|
|
Treat wrist bone fracture
|
$800.33 |
$800.33 |
$800.33 |
$1,749.06
|
|
Treat wrist dislocation
|
$430.25 |
$430.25 |
$430.25 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$81,176.20 |
$81,176.20 |
$81,176.20 |
$73,346.25
|
|
Treponema pallidum antibody
|
$89.43 |
$89.43 |
$89.43 |
$72.05
|
|
Treprostinil injection
|
$30,826.88 |
$30,826.88 |
$30,826.88 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$1,475.15 |
$1,475.15 |
$1,475.15 |
$2,970.72
|
|
Trg gene rearrangement anal
|
$455.70 |
$455.70 |
$455.70 |
$465.30
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$164.00 |
$164.00 |
$164.00 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$1,745.48 |
$1,745.48 |
$1,745.48 |
$223.56
|
|
Trichomonas assay w/optic
|
$90.83 |
$90.83 |
$90.83 |
$57.40
|
|
#tricyclicantidprssnt
|
$38.73 |
$38.73 |
$38.73 |
$48.81
|
|
Triglycerides
|
$75.48 |
$75.48 |
$75.48 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$134.53 |
$134.53 |
$134.53 |
$117.49
|
|
Trim nail(s)
|
$44.13 |
$44.13 |
$44.13 |
$78.40
|
|
Trim nondyst nails
|
$97.93 |
$97.93 |
$97.93 |
$115.20
|
|
Triptorelin pamoate
|
$8,875.20 |
$8,875.20 |
$8,875.20 |
$4,619.39
|
|
Trmt of fracture (femoral shaft) 27500
|
$167.05 |
$167.05 |
$167.05 |
$716.95
|
|
Trnscath plc stent crv crtd without prtct
|
$11,099.98 |
$11,099.98 |
$11,099.98 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$11,099.98 |
$11,099.98 |
$11,099.98 |
$9,767.25
|
