|
Tissue amnio epifix inj 100mg
|
$8,323.68 |
$8,323.68 |
$8,323.68 |
$4,834.73
|
|
Tissue culture placenta
|
$1,167.60 |
$1,167.60 |
$1,167.60 |
$457.00
|
|
Tissue culture skin/biopsy
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$484.00
|
|
Tissue culture tumor
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$28.20 |
$28.20 |
$28.20 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$36,498.67 |
$36,498.67 |
$36,498.67 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$30.00 |
$30.00 |
$30.00 |
$44.16
|
|
Tlso 2mod symphis-xipho pre
|
$2,307.64 |
$2,307.64 |
$2,307.64 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,987.15 |
$1,987.15 |
$1,987.15 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,362.60 |
$2,362.60 |
$2,362.60 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,938.79 |
$2,938.79 |
$2,938.79 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,294.00 |
$1,294.00 |
$1,294.00 |
$1,051.18
|
|
Tlso corset front
|
$276.50 |
$276.50 |
$276.50 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$897.37 |
$897.37 |
$897.37 |
$931.57
|
|
Tlso full corset
|
$452.15 |
$452.15 |
$452.15 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$981.71 |
$981.71 |
$981.71 |
$801.11
|
|
Tlso r fram soft pre ots
|
$981.71 |
$981.71 |
$981.71 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,230.29 |
$1,230.29 |
$1,230.29 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,230.29 |
$1,230.29 |
$1,230.29 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,702.45 |
$1,702.45 |
$1,702.45 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,729.37 |
$3,729.37 |
$3,729.37 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,597.40 |
$2,597.40 |
$2,597.40 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$3,908.24 |
$3,908.24 |
$3,908.24 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$731.93 |
$731.93 |
$731.93 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,222.51 |
$1,222.51 |
$1,222.51 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$13.44 |
$13.44 |
$13.44 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$121.80 |
$121.80 |
$121.80 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,326.22 |
$6,326.22 |
$6,326.22 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$28.20 |
$28.20 |
$28.20 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$30.00 |
$30.00 |
$30.00 |
$72.68
|
|
Tongue biopsy; posterior one-third 41105
|
$5,094.00 |
$5,094.00 |
$5,094.00 |
$3,544.29
|
|
Torsion ank & half solid sti
|
$318.37 |
$318.37 |
$318.37 |
$291.13
|
|
Torsion straight knee joint
|
$277.59 |
$277.59 |
$277.59 |
$253.84
|
|
Total Hip Replacement
|
$34,395.49 |
$34,395.49 |
$34,395.49 |
$9,161.60
|
|
Total Knee Replacement
|
$32,406.29 |
$32,406.29 |
$32,406.29 |
$14,543.50
|
|
Toxoplasma antibody igg
|
$133.20 |
$133.20 |
$133.20 |
$89.40
|
|
Toxoplasma antibody igm
|
$58.20 |
$58.20 |
$58.20 |
$87.00
|
|
Tpmt gene com vrnts
|
$265.80 |
$265.80 |
$265.80 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,933.20 |
$1,933.20 |
$1,933.20 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$15.18 |
$15.18 |
$15.18 |
$56.38
|
|
Transcath biopsy
|
$4,824.00 |
$4,824.00 |
$4,824.00 |
$4,285.93
|
|
Transcath occlusion non-cns
|
$17,716.80 |
$17,716.80 |
$17,716.80 |
$10,031.28
|
|
Transcutaneous carboxyhb
|
$21.60 |
$21.60 |
$21.60 |
$33.57
|
|
Transcutaneous hgb 88738
|
$21.60 |
$21.60 |
$21.60 |
$13.80
|
|
Transcutaneous methb
|
$21.60 |
$21.60 |
$21.60 |
$19.20
|
|
Transferrin
|
$93.60 |
$93.60 |
$93.60 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$476.40 |
$476.40 |
$476.40 |
$983.00
|
|
Trans shoe caliper plate new
|
$259.97 |
$259.97 |
$259.97 |
$217.22
|
|
Trans shoe calip plate exist
|
$197.44 |
$197.44 |
$197.44 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$197.44 |
$197.44 |
$197.44 |
$141.41
|
|
Trans shoe solid stirrup new
|
$259.97 |
$259.97 |
$259.97 |
$217.22
|
|
Trapezius sling
|
$290.27 |
$290.27 |
$290.27 |
$242.54
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$11,356.02 |
$11,356.02 |
$11,356.02 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$10,112.22 |
$10,112.22 |
$10,112.22 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$9,900.61 |
$9,900.61 |
$9,900.61 |
$940.80
|
|
Treat elbow dislocation
|
$3,020.40 |
$3,020.40 |
$3,020.40 |
$2,223.20
|
|
Treat elbow fracture
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,919.13
|
|
Treat finger fracture each
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,536.00
|
|
Treat foot dislocation
|
$672.60 |
$672.60 |
$672.60 |
$527.28
|
|
Treat foot dislocation
|
$476.40 |
$476.40 |
$476.40 |
$445.80
|
|
Treat fracture of radius
|
$1,332.60 |
$1,332.60 |
$1,332.60 |
$1,790.00
|
|
Treat fracture of ulna
|
$672.60 |
$672.60 |
$672.60 |
$726.05
|
|
Treat humerus fracture
|
$36,480.73 |
$36,480.73 |
$36,480.73 |
$13,278.70
|
|
Treat humerus fracture
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,771.43
|
|
Treat humerus fracture
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,771.43
|
|
Treat kneecap dislocation
|
$604.80 |
$604.80 |
$604.80 |
$1,068.90
|
|
Treat kneecap fracture
|
$12,272.03 |
$12,272.03 |
$12,272.03 |
$6,311.00
|
|
Treat lower leg dislocation
|
$394.20 |
$394.20 |
$394.20 |
$530.75
|
|
Treat lower leg joint
|
$16,758.51 |
$16,758.51 |
$16,758.51 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$23,149.85 |
$23,149.85 |
$23,149.85 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,617.00 |
$4,617.00 |
$4,617.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$422.40 |
$422.40 |
$422.40 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$426.60 |
$426.60 |
$426.60 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$148.80 |
$148.80 |
$148.80 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$4,984.80 |
$4,984.80 |
$4,984.80 |
$3,982.44
|
|
Treatment of thigh fracture
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$1,748.40
|
|
Treatment of thigh fracture
|
$383.40 |
$383.40 |
$383.40 |
$548.90
|
|
Treatment of thigh fracture
|
$2,847.00 |
$2,847.00 |
$2,847.00 |
$1,772.97
|
|
Treat metatarsal fracture
|
$34,283.56 |
$34,283.56 |
$34,283.56 |
$8,453.60
|
|
Treat thigh fracture
|
$372.00 |
$372.00 |
$372.00 |
$661.00
|
|
Treat thigh fracture
|
$394.20 |
$394.20 |
$394.20 |
$618.80
|
|
Treat ulnar fracture
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,662.00
|
|
Treat wrist dislocation
|
$604.80 |
$604.80 |
$604.80 |
$656.25
|
|
Treponema pallidum antibody
|
$108.60 |
$108.60 |
$108.60 |
$70.40
|
|
Trg gene rearrangement anal
|
$466.20 |
$466.20 |
$466.20 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$33.66 |
$33.66 |
$33.66 |
$43.21
|
|
Trichinella antibody
|
$110.40 |
$110.40 |
$110.40 |
$70.20
|
|
Triglycerides
|
$44.40 |
$44.40 |
$44.40 |
$58.05
|
|
Trnscath tx thromblytc vein ini day
|
$7,743.60 |
$7,743.60 |
$7,743.60 |
$3,866.70
|
|
Troponin quantitative
|
$106.20 |
$106.20 |
$106.20 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$1,632.80
|
|
Tube trach disp innr can 5 xlt
|
$487.71 |
$487.71 |
$487.71 |
$445.99
|
|
Tx closed distal humerus fx
|
$360.00 |
$360.00 |
$360.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$620.40 |
$620.40 |
$620.40 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,110.80 |
$2,110.80 |
$2,110.80 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$394.20 |
$394.20 |
$394.20 |
$535.60
|
|
Tx tarsal bone fx without manip 28450
|
$218.40 |
$218.40 |
$218.40 |
$416.16
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$444.00 |
$444.00 |
$444.00 |
$911.43
|
|
Ua w/micro/comp poc
|
$8.40 |
$8.40 |
$8.40 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$703.80 |
$703.80 |
$703.80 |
$438.75
|
