|
Tlso full corset
|
$469.39 |
$469.39 |
$469.39 |
$413.47
|
|
Tlso r fram soft ant pre cst
|
$1,019.13 |
$1,019.13 |
$1,019.13 |
$801.11
|
|
Tlso r fram soft pre ots
|
$1,019.13 |
$1,019.13 |
$1,019.13 |
$1,019.13
|
|
Tlso rig fram pelvic pre cst
|
$1,277.18 |
$1,277.18 |
$1,277.18 |
$1,125.03
|
|
Tlso rig fram pelvic pre ots
|
$1,277.18 |
$1,277.18 |
$1,277.18 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,767.34 |
$1,767.34 |
$1,767.34 |
$1,193.13
|
|
Tlso rigid lined custom fab
|
$3,871.52 |
$3,871.52 |
$3,871.52 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,696.40 |
$2,696.40 |
$2,696.40 |
$2,118.31
|
|
Tlso rigid plastic custom fa
|
$4,057.21 |
$4,057.21 |
$4,057.21 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$759.82 |
$759.82 |
$759.82 |
$669.31
|
|
Tlso trnk sj-t9 pre cst
|
$1,269.11 |
$1,269.11 |
$1,269.11 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$326.40 |
$326.40 |
$326.40 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$93.00 |
$93.00 |
$93.00 |
$123.50
|
|
Tomosynthesis breast diagnostic left
|
$30.00 |
$30.00 |
$30.00 |
$71.40
|
|
Tomosynthesis breast screen bilateral
|
$30.00 |
$30.00 |
$30.00 |
$69.60
|
|
Torsion ank & half solid sti
|
$330.50 |
$330.50 |
$330.50 |
$291.75
|
|
Torsion straight knee joint
|
$288.17 |
$288.17 |
$288.17 |
$253.84
|
|
Total Hip Replacement
|
$65,863.67 |
$65,863.67 |
$65,863.67 |
$9,161.60
|
|
Total Knee Replacement
|
$61,409.44 |
$61,409.44 |
$61,409.44 |
$14,543.50
|
|
Toxoplasma antibody igg
|
$145.80 |
$145.80 |
$145.80 |
$93.60
|
|
Toxoplasma antibody igm
|
$104.40 |
$104.40 |
$104.40 |
$89.10
|
|
Tpmt gene com vrnts
|
$454.20 |
$454.20 |
$454.20 |
$373.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,803.60 |
$1,803.60 |
$1,803.60 |
$1,371.84
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$97.20 |
$97.20 |
$97.20 |
$104.00
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$16.74 |
$16.74 |
$16.74 |
$55.69
|
|
Transferrin
|
$74.40 |
$74.40 |
$74.40 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$900.00 |
$900.00 |
$900.00 |
$936.80
|
|
Trans shoe caliper plate new
|
$269.88 |
$269.88 |
$269.88 |
$237.73
|
|
Trans shoe calip plate exist
|
$204.97 |
$204.97 |
$204.97 |
$180.55
|
|
Trans shoe solid stirrup exi
|
$204.97 |
$204.97 |
$204.97 |
$180.55
|
|
Trans shoe solid stirrup new
|
$269.88 |
$269.88 |
$269.88 |
$237.73
|
|
Trapezius sling
|
$301.34 |
$301.34 |
$301.34 |
$265.44
|
|
Tray bonemarrw oncontrol 102mm
|
$10,277.96 |
$10,277.96 |
$10,277.96 |
$940.80
|
|
Treat elbow dislocation
|
$2,931.60 |
$2,931.60 |
$2,931.60 |
$2,211.05
|
|
Treat elbow fracture
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,893.86
|
|
Treat finger fracture each
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,592.00
|
|
Treat foot dislocation
|
$699.60 |
$699.60 |
$699.60 |
$487.50
|
|
Treat foot dislocation
|
$472.80 |
$472.80 |
$472.80 |
$445.00
|
|
Treat fracture of radius
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,790.00
|
|
Treat fracture of ulna
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$725.92
|
|
Treat hip dislocation
|
$2,467.20 |
$2,467.20 |
$2,467.20 |
$2,144.80
|
|
Treat humerus fracture
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,763.07
|
|
Treat humerus fracture
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,772.97
|
|
Treat kneecap dislocation
|
$784.80 |
$784.80 |
$784.80 |
$1,137.75
|
|
Treat lower leg dislocation
|
$390.60 |
$390.60 |
$390.60 |
$530.75
|
|
Treat lower leg joint
|
$35,018.84 |
$35,018.84 |
$35,018.84 |
$7,807.24
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,480.80 |
$4,480.80 |
$4,480.80 |
$3,845.50
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$196.20 |
$196.20 |
$196.20 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$179.40 |
$179.40 |
$179.40 |
$143.48
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$177.00 |
$177.00 |
$177.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$4,935.60 |
$4,935.60 |
$4,935.60 |
$3,975.19
|
|
Treatment of ankle fracture
|
$35,018.84 |
$35,018.84 |
$35,018.84 |
$8,453.60
|
|
Treatment of ankle fracture 27786
|
$378.00 |
$378.00 |
$378.00 |
$520.80
|
|
Treatment of thigh fracture
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$1,625.05
|
|
Treatment of thigh fracture
|
$2,826.00 |
$2,826.00 |
$2,826.00 |
$1,771.43
|
|
Treatment of toe fracture 28510
|
$378.00 |
$378.00 |
$378.00 |
$362.00
|
|
Treat metatarsal fracture
|
$27,405.63 |
$27,405.63 |
$27,405.63 |
$8,412.89
|
|
Treat thigh fracture
|
$390.60 |
$390.60 |
$390.60 |
$618.80
|
|
Treat ulnar fracture
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,607.38
|
|
Treat wrist dislocation
|
$915.60 |
$915.60 |
$915.60 |
$656.25
|
|
Treponema pallidum antibody
|
$63.00 |
$63.00 |
$63.00 |
$72.80
|
|
Trg gene rearrangement anal
|
$777.60 |
$777.60 |
$777.60 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$39.78 |
$39.78 |
$39.78 |
$43.20
|
|
Trichinella antibody
|
$127.80 |
$127.80 |
$127.80 |
$72.24
|
|
Trichomonas assay w/optic
|
$63.00 |
$63.00 |
$63.00 |
$58.25
|
|
Triglycerides
|
$51.00 |
$51.00 |
$51.00 |
$59.25
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$30,171.31 |
$30,171.31 |
$30,171.31 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$35,130.49 |
$35,130.49 |
$35,130.49 |
$5,179.90
|
|
Trnscath tx thromblytc vein ini day
|
$6,935.40 |
$6,935.40 |
$6,935.40 |
$3,866.70
|
|
Troponin quantitative
|
$145.80 |
$145.80 |
$145.80 |
$129.15
|
|
Tte w or without fol w/con,stres
|
$2,996.40 |
$2,996.40 |
$2,996.40 |
$1,632.80
|
|
Tube trach disp innr can 5 xlt
|
$506.30 |
$506.30 |
$506.30 |
$445.99
|
|
Tx closed distal humerus fx
|
$356.40 |
$356.40 |
$356.40 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$915.60 |
$915.60 |
$915.60 |
$568.00
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,511.60 |
$2,511.60 |
$2,511.60 |
$3,874.79
|
|
Ugt1a1 gene analy common variants
|
$613.20 |
$613.20 |
$613.20 |
$423.54
|
|
Ultrasound abdomen aorta screening study aaa
|
$222.60 |
$222.60 |
$222.60 |
$395.20
|
|
Ultrasound breast complete
|
$526.20 |
$526.20 |
$526.20 |
$546.60
|
|
Ultrasound breast unilateral limited (both sides)
|
$462.00 |
$462.00 |
$462.00 |
$467.46
|
|
Ultrasound chest
|
$607.20 |
$607.20 |
$607.20 |
$461.40
|
|
Ultrasound exam k transpl w/doppler
|
$571.80 |
$571.80 |
$571.80 |
$585.15
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$638.40 |
$638.40 |
$638.40 |
$477.10
|
|
Ultrasound guidance for vascular access
|
$564.60 |
$564.60 |
$564.60 |
$388.08
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,191.60 |
$1,191.60 |
$1,191.60 |
$720.15
|
|
Ultrasound joint complete left
|
$668.40 |
$668.40 |
$668.40 |
$565.60
|
|
Ultrasound joint/nonvascular extremity limited left
|
$446.40 |
$446.40 |
$446.40 |
$426.60
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,254.60 |
$1,254.60 |
$1,254.60 |
$397.15
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$1,254.60 |
$1,254.60 |
$1,254.60 |
$330.75
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$662.40 |
$662.40 |
$662.40 |
$708.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$127.80 |
$127.80 |
$127.80 |
$428.25
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$342.00 |
$342.00 |
$342.00 |
$451.00
|
|
Ultrasound pregnant uterus transvaginal
|
$668.40 |
$668.40 |
$668.40 |
$492.80
|
|
Ultrasound prostate/transrectal
|
$1,176.60 |
$1,176.60 |
$1,176.60 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$771.00 |
$771.00 |
$771.00 |
$483.99
|
|
Ultrasound scrotum and contents
|
$795.60 |
$795.60 |
$795.60 |
$612.55
|
|
Ultrasound transvaginal non obstetric
|
$668.40 |
$668.40 |
$668.40 |
$558.35
|
|
Unlisted misc path test
|
$37.80 |
$37.80 |
$37.80 |
$89.40
|
|
Unlisted procedure microbiology
|
$2,948.40 |
$2,948.40 |
$2,948.40 |
$487.50
|
|
Unlisted px hands/fingers
|
$378.00 |
$378.00 |
$378.00 |
$373.00
|
|
Unlisted px small intestine
|
$1,420.20 |
$1,420.20 |
$1,420.20 |
$1,911.00
|
