|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$11.28 |
$11.28 |
$11.28 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$805.06 |
$805.06 |
$805.06 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,073.75 |
$1,073.75 |
$1,073.75 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$567.44 |
$567.44 |
$567.44 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$740.42 |
$740.42 |
$740.42 |
$657.72
|
|
Thorac cont lat support upri
|
$346.21 |
$346.21 |
$346.21 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$377.39 |
$377.39 |
$377.39 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,651.00 |
$3,651.00 |
$3,651.00 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$423.94 |
$423.94 |
$423.94 |
$387.41
|
|
Thoracic pad
|
$256.25 |
$256.25 |
$256.25 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$1,542.00 |
$1,542.00 |
$1,542.00 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$2,720.16 |
$2,720.16 |
$2,720.16 |
$239.38
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,761.80 |
$5,761.80 |
$5,761.80 |
$7,648.35
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$14,227.80 |
$14,227.80 |
$14,227.80 |
$14,227.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,210.20 |
$25,210.20 |
$25,210.20 |
$21,249.26
|
|
Thrombin time
|
$70.20 |
$70.20 |
$70.20 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$127.20 |
$127.20 |
$127.20 |
$61.50
|
|
Th/wght bear nar m-l brim cu
|
$1,515.38 |
$1,515.38 |
$1,515.38 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,696.86 |
$2,696.86 |
$2,696.86 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,271.78 |
$1,271.78 |
$1,271.78 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,908.28 |
$1,908.28 |
$1,908.28 |
$1,695.23
|
|
Thyroglobulin antibody
|
$157.80 |
$157.80 |
$157.80 |
$81.90
|
|
Thyroid (TSH) Test
|
$120.60 |
$120.60 |
$120.60 |
$112.67
|
|
Thyroid Ultrasound
|
$693.00 |
$693.00 |
$693.00 |
$588.50
|
|
Thyroxine binding globulin (tbg)
|
$25.20 |
$25.20 |
$25.20 |
$64.51
|
|
Tilt table study
|
$3,066.60 |
$3,066.60 |
$3,066.60 |
$1,551.60
|
|
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 |
$457.00
|
|
Tissue culture skin/biopsy
|
$291.60 |
$291.60 |
$291.60 |
$498.40
|
|
Tissue culture tumor
|
$268.80 |
$268.80 |
$268.80 |
$493.92
|
|
Tissue exam koh skin/hair/nails
|
$27.60 |
$27.60 |
$27.60 |
$47.52
|
|
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 |
$44.60
|
|
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
|
$347.46 |
$347.46 |
$347.46 |
$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
|
|
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
|
$48,659.45 |
$48,659.45 |
$48,659.45 |
$9,161.60
|
|
Total Knee Replacement
|
$55,510.59 |
$55,510.59 |
$55,510.59 |
$14,254.12
|
|
Total tau
|
$339.00 |
$339.00 |
$339.00 |
$312.00
|
|
Toxoplasma antibody igg
|
$118.20 |
$118.20 |
$118.20 |
$89.40
|
|
Toxoplasma antibody igm
|
$82.80 |
$82.80 |
$82.80 |
$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
|
|
Trabeculoplasty laser surg
|
$1,292.40 |
$1,292.40 |
$1,292.40 |
$1,224.00
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$94.80 |
$94.80 |
$94.80 |
$55.69
|
|
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 |
$1,961.75
|
|
Transcath occlusion cns
|
$11,538.00 |
$11,538.00 |
$11,538.00 |
$7,125.60
|
|
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
|
|
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
|
|
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 |
$2,243.00
|
|
Treat elbow fracture
|
$3,520.20 |
$3,520.20 |
$3,520.20 |
$1,919.13
|
|
Treat finger fracture each
|
$10,106.88 |
$10,106.88 |
$10,106.88 |
$4,192.86
|
|
Treat finger fracture each
|
$3,607.20 |
$3,607.20 |
$3,607.20 |
$1,592.00
|
|
Treat foot dislocation
|
$714.60 |
$714.60 |
$714.60 |
$405.60
|
|
Treat foot dislocation
|
$714.60 |
$714.60 |
$714.60 |
$519.60
|
|
Treat foot dislocation
|
$714.60 |
$714.60 |
$714.60 |
$445.00
|
|
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 |
$731.04
|
|
Treat humerus fracture
|
$3,569.40 |
$3,569.40 |
$3,569.40 |
$1,771.43
|
|
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
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$32,533.11 |
$32,533.11 |
$32,533.11 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$34,965.29 |
$34,965.29 |
$34,965.29 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$34,031.70 |
$34,031.70 |
$34,031.70 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,455.80 |
$5,455.80 |
$5,455.80 |
$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 |
$143.75
|
