|
Tissue amnio epifix inj 100mg
|
$7,611.55 |
$7,611.55 |
$7,611.55 |
$4,201.20
|
|
Tissue culture placenta
|
$285.00 |
$285.00 |
$285.00 |
$462.80
|
|
Tissue culture skin/biopsy
|
$291.60 |
$291.60 |
$291.60 |
$484.00
|
|
Tissue culture tumor
|
$268.80 |
$268.80 |
$268.80 |
$493.43
|
|
Tissue exam koh skin/hair/nails
|
$27.60 |
$27.60 |
$27.60 |
$47.50
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$33,376.04 |
$33,376.04 |
$33,376.04 |
$2,516.07
|
|
Tissue transglutaminase iga
|
$20.40 |
$20.40 |
$20.40 |
$44.16
|
|
Tlh w/t/o 250 g or less
|
$39,501.43 |
$39,501.43 |
$39,501.43 |
$11,533.76
|
|
Tlso 2mod symphis-xipho pre
|
$2,110.21 |
$2,110.21 |
$2,110.21 |
$1,874.50
|
|
Tlso 2 piece rigid shell
|
$1,817.14 |
$1,817.14 |
$1,817.14 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,160.47 |
$2,160.47 |
$2,160.47 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,687.36 |
$2,687.36 |
$2,687.36 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,183.29 |
$1,183.29 |
$1,183.29 |
$1,051.18
|
|
Tlso corset front
|
$252.85 |
$252.85 |
$252.85 |
$231.06
|
|
Tlso flex trnk sj-t9 pre ots
|
$820.60 |
$820.60 |
$820.60 |
$931.57
|
|
Tlso full corset
|
$413.47 |
$413.47 |
$413.47 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$897.72 |
$897.72 |
$897.72 |
$801.11
|
|
Tlso r fram soft pre ots
|
$897.72 |
$897.72 |
$897.72 |
$1,019.13
|
|
Tlso rig fram pelvic pre cst
|
$1,125.03 |
$1,125.03 |
$1,125.03 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,125.03 |
$1,125.03 |
$1,125.03 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,556.79 |
$1,556.79 |
$1,556.79 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,410.30 |
$3,410.30 |
$3,410.30 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,375.18 |
$2,375.18 |
$2,375.18 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$3,573.87 |
$3,573.87 |
$3,573.87 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$669.31 |
$669.31 |
$669.31 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,117.92 |
$1,117.92 |
$1,117.92 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$15.30 |
$15.30 |
$15.30 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$237.00 |
$237.00 |
$237.00 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$11,473.20 |
$11,473.20 |
$11,473.20 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$43.20 |
$43.20 |
$43.20 |
$71.40
|
|
Tomosynthesis breast screen bilateral
|
$60.60 |
$60.60 |
$60.60 |
$68.43
|
|
Tonsillectomy (age 12+)
|
$11,217.30 |
$11,217.30 |
$11,217.30 |
$3,837.72
|
|
Torsion ank & half solid sti
|
$291.13 |
$291.13 |
$291.13 |
$291.13
|
|
Torsion straight knee joint
|
$253.84 |
$253.84 |
$253.84 |
$253.84
|
|
Total Hip Replacement
|
$84,558.68 |
$84,558.68 |
$84,558.68 |
$9,161.60
|
|
Total Knee Replacement
|
$53,385.61 |
$53,385.61 |
$53,385.61 |
$14,254.12
|
|
Total tau
|
$339.00 |
$339.00 |
$339.00 |
$307.50
|
|
Toxoplasma antibody igg
|
$156.00 |
$156.00 |
$156.00 |
$88.80
|
|
Toxoplasma antibody igm
|
$87.00 |
$87.00 |
$87.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,708.20 |
$1,708.20 |
$1,708.20 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$548.40 |
$548.40 |
$548.40 |
$823.00
|
|
Tpmt gene com vrnts
|
$367.20 |
$367.20 |
$367.20 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$3,825.60 |
$3,825.60 |
$3,825.60 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$1,292.40 |
$1,292.40 |
$1,292.40 |
$1,224.00
|
|
Transcath biopsy
|
$3,995.40 |
$3,995.40 |
$3,995.40 |
$4,285.93
|
|
Transcatheter bx s&i
|
$3,058.20 |
$3,058.20 |
$3,058.20 |
$1,958.00
|
|
Transcath occlusion cns
|
$11,538.00 |
$11,538.00 |
$11,538.00 |
$7,125.60
|
|
Transcath occlusion non-cns
|
$16,026.60 |
$16,026.60 |
$16,026.60 |
$10,454.34
|
|
Transferrin
|
$96.00 |
$96.00 |
$96.00 |
$81.60
|
|
Transfusion blood/blood component(s)
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$936.80
|
|
Transplj hematopoietic boost
|
$2,748.60 |
$2,748.60 |
$2,748.60 |
$2,667.20
|
|
Transplt allo hct/donor
|
$73,761.60 |
$73,761.60 |
$73,761.60 |
$44,370.34
|
|
Transplt allo lymphocytes
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$2,751.65
|
|
Transplt autol hct/donor
|
$1,975.20 |
$1,975.20 |
$1,975.20 |
$3,817.44
|
|
Trans shoe caliper plate new
|
$237.73 |
$237.73 |
$237.73 |
$217.22
|
|
Trans shoe calip plate exist
|
$180.55 |
$180.55 |
$180.55 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$180.55 |
$180.55 |
$180.55 |
$141.41
|
|
Trans shoe solid stirrup new
|
$237.73 |
$237.73 |
$237.73 |
$217.22
|
|
Trapezius sling
|
$265.44 |
$265.44 |
$265.44 |
$242.54
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$19,421.76 |
$19,421.76 |
$19,421.76 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$17,294.52 |
$17,294.52 |
$17,294.52 |
$5,525.09
|
|
Tray bonemarrw oncontrol 102mm
|
$9,053.56 |
$9,053.56 |
$9,053.56 |
$940.80
|
|
Treat clavicle dislocation 23545
|
$576.00 |
$576.00 |
$576.00 |
$705.60
|
|
Treat elbow dislocation
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$2,259.95
|
|
Treat elbow fracture
|
$3,520.20 |
$3,520.20 |
$3,520.20 |
$1,912.50
|
|
Treat finger fracture each
|
$3,607.20 |
$3,607.20 |
$3,607.20 |
$1,592.00
|
|
Treat fracture of radius
|
$3,619.80 |
$3,619.80 |
$3,619.80 |
$1,790.00
|
|
Treat fracture of radius
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,849.00
|
|
Treat fracture of ulna
|
$520.80 |
$520.80 |
$520.80 |
$726.05
|
|
Treat humerus fracture
|
$3,569.40 |
$3,569.40 |
$3,569.40 |
$1,772.97
|
|
Treat humerus fracture
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,772.97
|
|
Treat kneecap dislocation
|
$576.00 |
$576.00 |
$576.00 |
$1,098.60
|
|
Treat knee fracture 27530
|
$520.80 |
$520.80 |
$520.80 |
$550.00
|
|
Treat knee fracture(s)
|
$520.80 |
$520.80 |
$520.80 |
$642.55
|
|
Treat lower leg dislocation
|
$520.80 |
$520.80 |
$520.80 |
$530.75
|
|
Treat lower leg joint
|
$30,263.94 |
$30,263.94 |
$30,263.94 |
$7,807.24
|
|
Treatment incomplete abortion completed surgically any trimester
|
$11,145.84 |
$11,145.84 |
$11,145.84 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$126.00 |
$126.00 |
$126.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$117.60 |
$117.60 |
$117.60 |
$143.16
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$136.80 |
$136.80 |
$136.80 |
$203.49
|
|
Treatment missed abortion completed surgically 1st trimester
|
$12,460.80 |
$12,460.80 |
$12,460.80 |
$3,982.44
|
|
Treatment of ankle fracture
|
$28,217.45 |
$28,217.45 |
$28,217.45 |
$8,412.89
|
|
Treatment of ankle fracture
|
$30,263.94 |
$30,263.94 |
$30,263.94 |
$8,453.60
|
|
Treatment of ankle fracture 27786
|
$520.80 |
$520.80 |
$520.80 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$520.80 |
$520.80 |
$520.80 |
$491.50
|
|
Treatment of foot infection
|
$2,532.00 |
$2,532.00 |
$2,532.00 |
$2,441.00
|
|
Treatment of thigh fracture
|
$433.80 |
$433.80 |
$433.80 |
$477.75
|
|
Treatment of thigh fracture
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,698.58
|
|
Treatment of thigh fracture
|
$520.80 |
$520.80 |
$520.80 |
$567.60
|
|
Treatment of thigh fracture
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,771.43
|
|
Treat metacarpal fracture
|
$21,953.92 |
$21,953.92 |
$21,953.92 |
$3,986.00
|
|
Treat metacarpal fracture
|
$18,628.05 |
$18,628.05 |
$18,628.05 |
$5,464.97
|
|
Treat sternum fracture
|
$433.80 |
$433.80 |
$433.80 |
$432.64
|
|
Treat thigh fracture
|
$520.80 |
$520.80 |
$520.80 |
$661.00
|
|
Treat thigh fracture
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,893.86
|
|
Treat thigh fracture
|
$520.80 |
$520.80 |
$520.80 |
$618.80
|
|
Treat thigh fx growth plate
|
$520.80 |
$520.80 |
$520.80 |
$475.68
|
|
Treat thigh fx growth plate
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,893.86
|
|
Treat ulnar fracture
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,607.38
|
|
Treat wrist bone fracture
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,588.95
|
