|
Tlso rigid plastic cust fab
|
$1,344.46 |
$1,344.46 |
$1,344.46 |
$2,347.16
|
|
Tobramycin peak therapeutic drug level
|
$111.50 |
$111.50 |
$111.50 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$23.50 |
$23.50 |
$23.50 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$18.50 |
$18.50 |
$18.50 |
$72.68
|
|
Torsion straight knee joint
|
$96.26 |
$96.26 |
$96.26 |
$253.84
|
|
Toxoplasma antibody igg
|
$66.00 |
$66.00 |
$66.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$15.50 |
$15.50 |
$15.50 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$715.50 |
$715.50 |
$715.50 |
$790.68
|
|
Tpmt gene com vrnts
|
$324.50 |
$324.50 |
$324.50 |
$371.80
|
|
Trabeculoplasty laser surg
|
$962.50 |
$962.50 |
$962.50 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$593.00 |
$593.00 |
$593.00 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$44.00 |
$44.00 |
$44.00 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$256.50 |
$256.50 |
$256.50 |
$678.70
|
|
Transcath biopsy
|
$3,002.50 |
$3,002.50 |
$3,002.50 |
$4,285.93
|
|
Transcath closure of asd
|
$14,936.00 |
$14,936.00 |
$14,936.00 |
$16,741.40
|
|
Transcath closure of vsd
|
$14,936.00 |
$14,936.00 |
$14,936.00 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,671.50 |
$1,671.50 |
$1,671.50 |
$1,915.00
|
|
Transcath occlusion cns
|
$3,131.00 |
$3,131.00 |
$3,131.00 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$7,396.00 |
$7,396.00 |
$7,396.00 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$11,548.50 |
$11,548.50 |
$11,548.50 |
$4,775.16
|
|
Transferrin
|
$103.00 |
$103.00 |
$103.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$595.50 |
$595.50 |
$595.50 |
$983.00
|
|
Transparent film >16<=48 in
|
$1.08 |
$1.08 |
$1.08 |
$12.95
|
|
Transplt autol hct/donor
|
$2,467.50 |
$2,467.50 |
$2,467.50 |
$3,786.00
|
|
Tray bonemarrw oncontrol 102mm
|
$109.71 |
$109.71 |
$109.71 |
$940.80
|
|
Treat ankle dislocation
|
$1,909.00 |
$1,909.00 |
$1,909.00 |
$2,358.40
|
|
Treat ankle dislocation
|
$3,945.00 |
$3,945.00 |
$3,945.00 |
$5,886.74
|
|
Treat clavicle dislocation 23545
|
$806.50 |
$806.50 |
$806.50 |
$705.60
|
|
Treat elbow dislocation
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$2,223.20
|
|
Treat elbow fracture
|
$1,597.50 |
$1,597.50 |
$1,597.50 |
$1,919.13
|
|
Treat finger fracture each
|
$729.00 |
$729.00 |
$729.00 |
$1,536.00
|
|
Treat foot dislocation
|
$188.50 |
$188.50 |
$188.50 |
$396.30
|
|
Treat foot dislocation
|
$3,341.50 |
$3,341.50 |
$3,341.50 |
$4,192.86
|
|
Treat foot dislocation
|
$285.00 |
$285.00 |
$285.00 |
$527.28
|
|
Treat foot dislocation
|
$336.50 |
$336.50 |
$336.50 |
$445.80
|
|
Treat fracture of radius
|
$1,348.50 |
$1,348.50 |
$1,348.50 |
$1,790.00
|
|
Treat fracture of radius
|
$729.00 |
$729.00 |
$729.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$726.05
|
|
Treat hand bone lesion
|
$3,598.00 |
$3,598.00 |
$3,598.00 |
$3,073.20
|
|
Treat hip dislocation
|
$1,667.50 |
$1,667.50 |
$1,667.50 |
$2,192.80
|
|
Treat hip dislocation
|
$1,861.50 |
$1,861.50 |
$1,861.50 |
$2,641.60
|
|
Treat hip socket fracture
|
$1,889.00 |
$1,889.00 |
$1,889.00 |
$1,392.00
|
|
Treat humerus fracture
|
$729.00 |
$729.00 |
$729.00 |
$1,771.43
|
|
Treat humerus fracture
|
$729.00 |
$729.00 |
$729.00 |
$1,771.43
|
|
Treat knee dislocation
|
$1,307.00 |
$1,307.00 |
$1,307.00 |
$2,220.89
|
|
Treat knee fracture 27530
|
$330.50 |
$330.50 |
$330.50 |
$550.00
|
|
Treat knee fracture(s)
|
$348.50 |
$348.50 |
$348.50 |
$642.00
|
|
Treat knuckle dislocation
|
$729.00 |
$729.00 |
$729.00 |
$1,523.90
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$162.00 |
$162.00 |
$162.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$97.50 |
$97.50 |
$97.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$138.00 |
$138.00 |
$138.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$3,982.44
|
|
Treatment of ankle fracture 27786
|
$176.50 |
$176.50 |
$176.50 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$229.50 |
$229.50 |
$229.50 |
$491.50
|
|
Treatment of heel fracture 28400
|
$228.50 |
$228.50 |
$228.50 |
$473.00
|
|
Treatment of miscarriage
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$4,146.69
|
|
Treatment of thigh fracture
|
$300.00 |
$300.00 |
$300.00 |
$476.16
|
|
Treatment of thigh fracture
|
$2,184.50 |
$2,184.50 |
$2,184.50 |
$1,748.40
|
|
Treatment of thigh fracture
|
$348.50 |
$348.50 |
$348.50 |
$548.90
|
|
Treatment of thigh fracture
|
$1,066.50 |
$1,066.50 |
$1,066.50 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$279.00 |
$279.00 |
$279.00 |
$369.70
|
|
Treatment radiation delivery level 2
|
$185.50 |
$185.50 |
$185.50 |
$767.65
|
|
Treat midfoot fracture each
|
$1,379.50 |
$1,379.50 |
$1,379.50 |
$1,851.78
|
|
Treat spinal cord lesion
|
$1,083.50 |
$1,083.50 |
$1,083.50 |
$1,142.50
|
|
Treat spinal cord lesion
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
$1,337.00
|
|
Treat thigh fracture
|
$378.00 |
$378.00 |
$378.00 |
$661.00
|
|
Treat thigh fracture
|
$1,947.50 |
$1,947.50 |
$1,947.50 |
$1,893.86
|
|
Treat thigh fracture
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$618.80
|
|
Treat thigh fracture
|
$1,947.50 |
$1,947.50 |
$1,947.50 |
$2,032.10
|
|
Treat toe dislocation
|
$577.50 |
$577.50 |
$577.50 |
$756.39
|
|
Treat ulnar fracture
|
$729.00 |
$729.00 |
$729.00 |
$1,662.00
|
|
Treat vaginal bleeding
|
$1,375.50 |
$1,375.50 |
$1,375.50 |
$379.60
|
|
Treat wrist bone fracture
|
$689.50 |
$689.50 |
$689.50 |
$1,548.40
|
|
Treat wrist dislocation
|
$207.00 |
$207.00 |
$207.00 |
$656.25
|
|
Treponema pallidum antibody
|
$58.00 |
$58.00 |
$58.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$226.50 |
$226.50 |
$226.50 |
$455.70
|
|
Trichinella antibody
|
$72.00 |
$72.00 |
$72.00 |
$70.20
|
|
Triglycerides
|
$46.50 |
$46.50 |
$46.50 |
$58.05
|
|
Trim nail(s)
|
$89.50 |
$89.50 |
$89.50 |
$79.00
|
|
Trim nondyst nails
|
$94.50 |
$94.50 |
$94.50 |
$113.40
|
|
Trmt of fracture (femoral shaft) 27500
|
$402.00 |
$402.00 |
$402.00 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$13,358.50 |
$13,358.50 |
$13,358.50 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$15,201.50 |
$15,201.50 |
$15,201.50 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$18,990.00 |
$18,990.00 |
$18,990.00 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$9,190.00 |
$9,190.00 |
$9,190.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$8,753.00 |
$8,753.00 |
$8,753.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$19,002.50 |
$19,002.50 |
$19,002.50 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$4,405.50 |
$4,405.50 |
$4,405.50 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,470.00 |
$3,470.00 |
$3,470.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,642.50 |
$3,642.50 |
$3,642.50 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,919.50 |
$2,919.50 |
$2,919.50 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,919.50 |
$2,919.50 |
$2,919.50 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$3,136.50 |
$3,136.50 |
$3,136.50 |
$2,406.77
|
|
Troponin quantitative
|
$141.00 |
$141.00 |
$141.00 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$1,632.80
|
|
Tubular dressing
|
$27.50 |
$27.50 |
$27.50 |
$28.46
|
|
Tx atrial fib pulm vein isol
|
$16,649.50 |
$16,649.50 |
$16,649.50 |
$29,030.54
|
