|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$1,679.65 |
$1,679.65 |
$1,679.65 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$6,114.24 |
$6,114.24 |
$6,114.24 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$42.75 |
$42.75 |
$42.75 |
$45.60
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$286.24 |
$286.24 |
$286.24 |
$152.36
|
|
Tobramycin non-comp unit
|
$124.14 |
$124.14 |
$124.14 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$93.00 |
$93.00 |
$93.00 |
$120.60
|
|
Toe X-ray (both feet)
|
$272.25 |
$272.25 |
$272.25 |
$259.50
|
|
Tomosynthesis breast screen bilateral
|
$83.25 |
$83.25 |
$83.25 |
$74.10
|
|
Tongue biopsy; posterior one-third 41105
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$3,592.74
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$517.65 |
$517.65 |
$517.65 |
$316.84
|
|
Total tau
|
$504.00 |
$504.00 |
$504.00 |
$312.50
|
|
Tot estradiol response panel
|
$257.25 |
$257.25 |
$257.25 |
$140.80
|
|
Toxoplasma antibody igg
|
$62.25 |
$62.25 |
$62.25 |
$90.00
|
|
Toxoplasma antibody igm
|
$99.00 |
$99.00 |
$99.00 |
$89.05
|
|
Tpmt gene com vrnts
|
$1,022.25 |
$1,022.25 |
$1,022.25 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$6,610.50 |
$6,610.50 |
$6,610.50 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$13,641.34 |
$13,641.34 |
$13,641.34 |
$6,684.23
|
|
Trabeculoplasty laser surg
|
$1,737.75 |
$1,737.75 |
$1,737.75 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,807.50 |
$1,807.50 |
$1,807.50 |
$1,437.45
|
|
Tracheostoma revision; simple, without flap rotation
|
$3,946.50 |
$3,946.50 |
$3,946.50 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$101.25 |
$101.25 |
$101.25 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$77.65 |
$77.65 |
$77.65 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$606.00 |
$606.00 |
$606.00 |
$678.70
|
|
Transcath biopsy
|
$4,294.50 |
$4,294.50 |
$4,294.50 |
$4,285.93
|
|
Transcath closure of asd
|
$23,139.75 |
$23,139.75 |
$23,139.75 |
$17,352.58
|
|
Transcath closure of vsd
|
$15,782.25 |
$15,782.25 |
$15,782.25 |
$17,458.00
|
|
Transcatheter bx s&i
|
$3,122.25 |
$3,122.25 |
$3,122.25 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$3,303.75 |
$3,303.75 |
$3,303.75 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$19,213.50 |
$19,213.50 |
$19,213.50 |
$13,384.80
|
|
Transcath occlusion cns
|
$19,546.50 |
$19,546.50 |
$19,546.50 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$16,788.75 |
$16,788.75 |
$16,788.75 |
$10,452.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,696.00 |
$3,696.00 |
$3,696.00 |
$4,822.00
|
|
Transferrin
|
$136.50 |
$136.50 |
$136.50 |
$82.00
|
|
Transorl lwr esophgl myotomy
|
$6,978.00 |
$6,978.00 |
$6,978.00 |
$6,594.64
|
|
Transperi needle place pros
|
$4,608.75 |
$4,608.75 |
$4,608.75 |
$6,203.00
|
|
Transplt allo hct/donor
|
$149,325.75 |
$149,325.75 |
$149,325.75 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$4,851.00 |
$4,851.00 |
$4,851.00 |
$2,751.65
|
|
Transplt autol hct/donor
|
$5,686.50 |
$5,686.50 |
$5,686.50 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$921.00 |
$921.00 |
$921.00 |
$558.35
|
|
Transvaginal Pregnancy Ultrasound
|
$803.25 |
$803.25 |
$803.25 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$5,762.28 |
$5,762.28 |
$5,762.28 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$12,199.65 |
$12,199.65 |
$12,199.65 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$7,410.00 |
$7,410.00 |
$7,410.00 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,094.25 |
$1,094.25 |
$1,094.25 |
$940.80
|
|
Treat ankle dislocation
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$2,358.40
|
|
Treat elbow dislocation
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$2,322.40
|
|
Treat elbow fracture
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$2,055.00
|
|
Treat finger fracture each
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$1,592.00
|
|
Treat foot dislocation
|
$261.75 |
$261.75 |
$261.75 |
$535.60
|
|
Treat fracture of radius
|
$1,514.25 |
$1,514.25 |
$1,514.25 |
$1,839.55
|
|
Treat fracture of radius
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$2,169.75 |
$2,169.75 |
$2,169.75 |
$731.04
|
|
Treat hip dislocation
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$2,211.05
|
|
Treat humerus fracture
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$1,808.80
|
|
Treat humerus fracture
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,790.00
|
|
Treat knee dislocation
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$2,211.05
|
|
Treat knee fracture 27530
|
$296.25 |
$296.25 |
$296.25 |
$550.73
|
|
Treat knee fracture(s)
|
$642.00 |
$642.00 |
$642.00 |
$643.26
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$11,160.75 |
$11,160.75 |
$11,160.75 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$11,160.75 |
$11,160.75 |
$11,160.75 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$6,429.75 |
$6,429.75 |
$6,429.75 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,996.00 |
$3,996.00 |
$3,996.00 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$307.50 |
$307.50 |
$307.50 |
$226.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$280.50 |
$280.50 |
$280.50 |
$148.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$5,517.75 |
$5,517.75 |
$5,517.75 |
$4,230.80
|
|
Treatment of ankle fracture 27786
|
$284.25 |
$284.25 |
$284.25 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$558.75 |
$558.75 |
$558.75 |
$528.00
|
|
Treatment of foot infection
|
$1,872.75 |
$1,872.75 |
$1,872.75 |
$2,928.60
|
|
Treatment of heel fracture 28400
|
$258.75 |
$258.75 |
$258.75 |
$478.40
|
|
Treatment of miscarriage
|
$5,336.25 |
$5,336.25 |
$5,336.25 |
$4,146.69
|
|
Treatment of thigh fracture
|
$732.75 |
$732.75 |
$732.75 |
$487.50
|
|
Treatment of thigh fracture
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$1,749.06
|
|
Treatment of thigh fracture
|
$525.75 |
$525.75 |
$525.75 |
$570.40
|
|
Treatment of thigh fracture
|
$2,093.25 |
$2,093.25 |
$2,093.25 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$249.75 |
$249.75 |
$249.75 |
$371.40
|
|
Treatment radiation delivery level 2
|
$953.25 |
$953.25 |
$953.25 |
$867.24
|
|
Treatment x10sv retinopathy
|
$674.25 |
$674.25 |
$674.25 |
$1,513.20
|
|
Treat metacarpal fracture
|
$3,793.50 |
$3,793.50 |
$3,793.50 |
$4,289.60
|
|
Treat sternum fracture
|
$423.00 |
$423.00 |
$423.00 |
$423.00
|
|
Treat thigh fracture
|
$1,265.25 |
$1,265.25 |
$1,265.25 |
$661.00
|
|
Treat thigh fracture
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$2,008.18
|
|
Treat thigh fx growth plate
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$1,938.38
|
|
Treat ulnar fracture
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,678.55
|
|
Treat vaginal bleeding
|
$235.50 |
$235.50 |
$235.50 |
$392.00
|
|
Treat wrist bone fracture
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$1,749.06
|
|
Treat wrist dislocation
|
$656.25 |
$656.25 |
$656.25 |
$656.25
|
|
Treponema pallidum antibody
|
$169.50 |
$169.50 |
$169.50 |
$72.05
|
|
Treprostinil injection
|
$21,186.46 |
$21,186.46 |
$21,186.46 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$12,632.52 |
$12,632.52 |
$12,632.52 |
$2,970.72
|
|
Trg gene rearrangement anal
|
$732.00 |
$732.00 |
$732.00 |
$465.30
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$162.88 |
$162.88 |
$162.88 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$3,235.98 |
$3,235.98 |
$3,235.98 |
$223.56
|
|
Trichinella antibody
|
$148.50 |
$148.50 |
$148.50 |
$70.65
|
|
Triglycerides
|
$72.75 |
$72.75 |
$72.75 |
$57.91
|
|
Trimethobenzamide hcl inj
|
$191.20 |
$191.20 |
$191.20 |
$117.49
|
|
Trim nondyst nails
|
$226.50 |
$226.50 |
$226.50 |
$115.70
|
|
Triptorelin pamoate
|
$16,454.18 |
$16,454.18 |
$16,454.18 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$8,441.25 |
$8,441.25 |
$8,441.25 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$9,767.25 |
$9,767.25 |
$9,767.25 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$10,075.50 |
$10,075.50 |
$10,075.50 |
$8,372.00
|
