|
Trastuzumab-qyyp 150 mg intravenous solution
|
$3,415.31 |
$3,415.31 |
$3,415.31 |
|
|
Trauma partial team response w/critical care services level 4
|
$1,572.80 |
$1,572.80 |
$6,764.00 |
|
|
Tray bonemarrw oncontrol 102mm
|
$1,307.13 |
$1,307.13 |
$1,307.13 |
|
|
Treat ankle dislocation
|
$2,109.60 |
$2,109.60 |
$2,358.40 |
|
|
Treat big toe fracture
|
$5,032.00 |
$5,032.00 |
$5,032.00 |
|
|
Treat clavicle dislocation 23545
|
$699.20 |
$699.20 |
$699.20 |
|
|
Treat elbow dislocation
|
$2,322.40 |
$2,322.40 |
$2,784.80 |
|
|
Treat elbow fracture
|
$2,125.60 |
$2,125.60 |
$2,168.00 |
|
|
Treat eyelid by injection
|
$640.80 |
$640.80 |
$640.80 |
|
|
Treat finger fracture each
|
$5,458.40 |
$5,458.40 |
$5,458.40 |
|
|
Treat finger fracture each
|
$1,444.80 |
$1,444.80 |
$2,040.80 |
|
|
Treat foot dislocation
|
$312.00 |
$312.00 |
$570.40 |
|
|
Treat foot dislocation
|
$3,535.20 |
$3,535.20 |
$3,535.20 |
|
|
Treat foot dislocation
|
$592.00 |
$592.00 |
$592.00 |
|
|
Treat foot dislocation
|
$381.60 |
$381.60 |
$381.60 |
|
|
Treat fracture of radius
|
$1,473.60 |
$1,473.60 |
$2,558.40 |
|
|
Treat fracture of radius
|
$2,359.20 |
$2,359.20 |
$2,359.20 |
|
|
Treat fracture of ulna
|
$526.40 |
$987.20 |
$1,108.00 |
|
|
Treat hip dislocation
|
$2,131.20 |
$2,131.20 |
$2,644.00 |
|
|
Treat hip socket fracture
|
$1,392.00 |
$1,392.00 |
$1,913.60 |
|
|
Treat humerus fracture
|
$1,705.60 |
$1,705.60 |
$2,001.60 |
|
|
Treat humerus fracture
|
$1,944.80 |
$1,944.80 |
$2,270.40 |
|
|
Treat kneecap dislocation
|
$1,302.40 |
$1,302.40 |
$1,352.00 |
|
|
Treat knee dislocation
|
$3,068.00 |
$3,068.00 |
$3,068.00 |
|
|
Treat knee fracture 27530
|
$398.40 |
$737.60 |
$767.20 |
|
|
Treat knee fracture(s)
|
$577.60 |
$577.60 |
$577.60 |
|
|
Treat knuckle dislocation
|
$2,058.40 |
$2,058.40 |
$2,058.40 |
|
|
Treat lower leg dislocation
|
$406.40 |
$406.40 |
$406.40 |
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,400.80 |
$3,400.80 |
$3,801.60 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$216.00 |
$216.00 |
$302.40 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$132.80 |
$132.80 |
$196.00 |
|
|
Treatment of ankle fracture 27786
|
$398.40 |
$503.20 |
$703.20 |
|
|
Treatment of fibula fracture 27780
|
$398.40 |
$474.40 |
$665.60 |
|
|
Treatment of foot infection
|
$3,890.40 |
$3,890.40 |
$4,069.60 |
|
|
Treatment of heel fracture 28400
|
$380.00 |
$469.60 |
$508.80 |
|
|
Treatment of thigh fracture
|
$652.80 |
$652.80 |
$652.80 |
|
|
Treatment of thigh fracture
|
$388.00 |
$591.20 |
$631.20 |
|
|
Treatment of thigh fracture
|
$1,869.60 |
$1,869.60 |
$1,869.60 |
|
|
Treatment of toe fracture 28510
|
$388.00 |
$388.00 |
$561.60 |
|
|
Treatment of urethra lesion
|
$5,097.60 |
$5,097.60 |
$5,097.60 |
|
|
Treatment radiation delivery level 2
|
$1,025.60 |
$1,025.60 |
$2,852.80 |
|
|
Treatment x10sv retinopathy
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
|
|
Treat spinal cord lesion
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
|
|
Treat spinal cord lesion
|
$2,845.60 |
$2,845.60 |
$2,845.60 |
|
|
Treat sternum fracture
|
$596.00 |
$596.00 |
$596.00 |
|
|
Treat thigh fracture
|
$612.80 |
$612.80 |
$631.20 |
|
|
Treat thigh fracture
|
$1,563.20 |
$1,563.20 |
$1,656.80 |
|
|
Treat thigh fracture
|
$876.00 |
$876.00 |
$876.00 |
|
|
Treat thigh fracture
|
$1,627.20 |
$1,627.20 |
$1,627.20 |
|
|
Treat thigh fx growth plate
|
$332.80 |
$332.80 |
$336.80 |
|
|
Treat toe dislocation
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
|
|
Treat ulnar fracture
|
$1,625.60 |
$1,625.60 |
$1,784.80 |
|
|
Treat vaginal bleeding
|
$329.60 |
$329.60 |
$628.00 |
|
|
Treat wrist dislocation
|
$484.00 |
$484.00 |
$620.00 |
|
|
Treponema pallidum antibody
|
$62.40 |
$62.40 |
$62.40 |
|
|
Treprostinil injection
|
$7,897.88 |
$7,897.88 |
$155,071.80 |
|
|
Treprostinil, non-comp unit
|
$2,160.47 |
$2,160.47 |
$2,160.47 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$32.27 |
$32.27 |
$38.11 |
|
|
Triamcinolone a inj prs-free
|
$480.63 |
$480.63 |
$480.63 |
|
|
Triamcinolone hexacetonl inj
|
$30.45 |
$30.45 |
$30.45 |
|
|
Triglycerides
|
$36.00 |
$36.00 |
$36.00 |
|
|
Trilaciclib 300 mg intravenous solution
|
$2,239.11 |
$2,239.11 |
$2,239.11 |
|
|
Trimethobenzamide hcl inj
|
$35.17 |
$35.17 |
$35.17 |
|
|
Trim nail(s)
|
$415.20 |
$415.20 |
$415.20 |
|
|
Trim nondyst nails
|
$109.60 |
$109.60 |
$112.80 |
|
|
Triptorelin pamoate
|
$1,788.64 |
$1,788.64 |
$5,449.60 |
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$11,744.80 |
$11,744.80 |
$11,744.80 |
|
|
Trml dstrj ios bvn ea addl
|
$4,742.40 |
$4,742.40 |
$4,742.40 |
|
|
Trmt of fracture (femoral shaft) 27500
|
$796.00 |
$796.00 |
$853.60 |
|
|
Trnscath plc stent crv crtd without prtct
|
$9,884.00 |
$9,884.00 |
$15,398.40 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$13,612.80 |
$13,612.80 |
$14,461.60 |
|
|
Trnscath plc stnt ante carotid art
|
$8,556.80 |
$8,556.80 |
$8,948.80 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$11,256.00 |
$11,256.00 |
$12,773.60 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,533.60 |
$13,533.60 |
$13,922.40 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$16,978.40 |
$16,978.40 |
$20,748.80 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,597.60 |
$6,597.60 |
$6,698.40 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,478.40 |
$6,478.40 |
$8,816.00 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,276.80 |
$6,276.80 |
$8,474.40 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$6,002.40 |
$6,002.40 |
$8,474.40 |
|
|
Trnscath tx thromblytc vein ini day
|
$4,784.00 |
$4,784.00 |
$8,124.00 |
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,701.60 |
$2,701.60 |
$2,701.60 |
|
|
Troponin quantitative
|
$80.00 |
$80.00 |
$80.00 |
|
|
Truss double with standard pad
|
$170.76 |
$170.76 |
$170.76 |
|
|
Truss single with standard pad
|
$78.34 |
$78.34 |
$112.44 |
|
|
Tte w or without contr, cont ecg
|
$1,771.20 |
$1,771.20 |
$2,543.20 |
|
|
Tte w or without fol w/con,stres
|
$2,320.00 |
$2,320.00 |
$2,520.00 |
|
|
Tte w or without fol w/cont, com
|
$1,914.40 |
$1,914.40 |
$2,068.00 |
|
|
Tte w or without fol w/cont, f/u
|
$1,444.00 |
$1,444.00 |
$1,785.60 |
|
|
Tumor cell deplete of harvst
|
$547.20 |
$547.20 |
$547.20 |
|
|
Tx atrial fib pulm vein isol
|
$30,373.60 |
$30,373.60 |
$36,755.20 |
|
|
Tx closed distal humerus fx
|
$406.40 |
$406.40 |
$2,962.40 |
|
|
Tx closed hip disl traumatic without anes
|
$394.40 |
$649.60 |
$729.60 |
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,872.00 |
$3,872.00 |
$3,872.00 |
|
|
Tx closed tib shaft fx without manip
|
$388.00 |
$556.00 |
$758.40 |
|
|
Tx l/r atrial fib addl
|
$15,746.40 |
$15,746.40 |
$16,795.20 |
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$4,110.40 |
$4,110.40 |
$4,538.40 |
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$5,129.60 |
$5,129.60 |
$5,129.60 |
|
|
Tx open nsl fx uncomp
|
$3,860.00 |
$3,860.00 |
$3,860.00 |
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$3,938.40 |
$3,938.40 |
$5,886.40 |
|
|
Tx tarsal bone fx without manip 28450
|
$439.20 |
$439.20 |
$439.20 |
|
