|
Thyroid (TSH) Test
|
$143.40 |
$143.40 |
$143.40 |
$111.00
|
|
Thyroid Ultrasound
|
$804.00 |
$804.00 |
$804.00 |
$588.50
|
|
Thyroid uptake measurement
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$170.40 |
$170.40 |
$170.40 |
$64.35
|
|
Tilt table study
|
$2,011.20 |
$2,011.20 |
$2,011.20 |
$1,507.01
|
|
Tissue amnio epifix inj 100mg
|
$8,844.38 |
$8,844.38 |
$8,844.38 |
$4,834.73
|
|
Tissue culture placenta
|
$687.00 |
$687.00 |
$687.00 |
$457.00
|
|
Tissue culture skin/biopsy
|
$765.00 |
$765.00 |
$765.00 |
$484.00
|
|
Tissue culture tumor
|
$824.40 |
$824.40 |
$824.40 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$34.20 |
$34.20 |
$34.20 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$38,781.89 |
$38,781.89 |
$38,781.89 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$30.00 |
$30.00 |
$30.00 |
$44.16
|
|
Tlh uterus 250 g or less
|
$39,108.13 |
$39,108.13 |
$39,108.13 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$42,737.17 |
$42,737.17 |
$42,737.17 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$38,541.73 |
$38,541.73 |
$38,541.73 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$42,561.67 |
$42,561.67 |
$42,561.67 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$2,452.00 |
$2,452.00 |
$2,452.00 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$2,111.46 |
$2,111.46 |
$2,111.46 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,510.39 |
$2,510.39 |
$2,510.39 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$3,122.63 |
$3,122.63 |
$3,122.63 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,374.94 |
$1,374.94 |
$1,374.94 |
$1,051.18
|
|
Tlso corset front
|
$526.54 |
$526.54 |
$526.54 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$1,077.99 |
$1,077.99 |
$1,077.99 |
$931.57
|
|
Tlso full corset
|
$735.58 |
$735.58 |
$735.58 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$1,179.31 |
$1,179.31 |
$1,179.31 |
$801.11
|
|
Tlso r fram soft pre ots
|
$1,179.31 |
$1,179.31 |
$1,179.31 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,307.25 |
$1,307.25 |
$1,307.25 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,307.25 |
$1,307.25 |
$1,307.25 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,808.95 |
$1,808.95 |
$1,808.95 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,962.66 |
$3,962.66 |
$3,962.66 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,759.89 |
$2,759.89 |
$2,759.89 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$4,152.73 |
$4,152.73 |
$4,152.73 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$982.50 |
$982.50 |
$982.50 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,298.98 |
$1,298.98 |
$1,298.98 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$300.00 |
$300.00 |
$300.00 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$78.60 |
$78.60 |
$78.60 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$7,967.46 |
$7,967.46 |
$7,967.46 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$30.00 |
$30.00 |
$30.00 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$21.60 |
$21.60 |
$21.60 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$152.52 |
$152.52 |
$152.52 |
$325.00
|
|
Torsion ank & half solid sti
|
$562.10 |
$562.10 |
$562.10 |
$291.13
|
|
Torsion straight knee joint
|
$528.61 |
$528.61 |
$528.61 |
$253.84
|
|
Total Hip Replacement
|
$54,525.11 |
$54,525.11 |
$54,525.11 |
$9,161.60
|
|
Total Knee Replacement
|
$50,568.01 |
$50,568.01 |
$50,568.01 |
$14,543.50
|
|
Toxoplasma antibody igg
|
$166.80 |
$166.80 |
$166.80 |
$89.40
|
|
Toxoplasma antibody igm
|
$166.80 |
$166.80 |
$166.80 |
$87.00
|
|
Tpmt gene com vrnts
|
$325.20 |
$325.20 |
$325.20 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,918.20 |
$1,918.20 |
$1,918.20 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$78.78 |
$78.78 |
$78.78 |
$56.38
|
|
Transcutaneous carboxyhb
|
$18.00 |
$18.00 |
$18.00 |
$33.57
|
|
Transcutaneous hgb 88738
|
$18.00 |
$18.00 |
$18.00 |
$13.80
|
|
Transcutaneous methb
|
$18.00 |
$18.00 |
$18.00 |
$19.20
|
|
Transferrin
|
$25.80 |
$25.80 |
$25.80 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$474.00 |
$474.00 |
$474.00 |
$983.00
|
|
Trans shoe caliper plate new
|
$495.05 |
$495.05 |
$495.05 |
$217.22
|
|
Trans shoe calip plate exist
|
$375.98 |
$375.98 |
$375.98 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$375.98 |
$375.98 |
$375.98 |
$141.41
|
|
Trans shoe solid stirrup new
|
$495.05 |
$495.05 |
$495.05 |
$217.22
|
|
Trapezius sling
|
$512.50 |
$512.50 |
$512.50 |
$242.54
|
|
Trastuzumab 150 mg intravenous solution
|
$4,868.04 |
$4,868.04 |
$4,868.04 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$11,812.98 |
$11,812.98 |
$11,812.98 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$10,519.14 |
$10,519.14 |
$10,519.14 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$10,519.95 |
$10,519.95 |
$10,519.95 |
$940.80
|
|
Treat elbow dislocation
|
$2,776.20 |
$2,776.20 |
$2,776.20 |
$2,223.20
|
|
Treat elbow fracture
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$1,919.13
|
|
Treat finger fracture each
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$1,536.00
|
|
Treat foot dislocation
|
$618.60 |
$618.60 |
$618.60 |
$527.28
|
|
Treat foot dislocation
|
$476.40 |
$476.40 |
$476.40 |
$445.80
|
|
Treat fracture of radius
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$1,790.00
|
|
Treat fracture of ulna
|
$514.80 |
$514.80 |
$514.80 |
$726.05
|
|
Treat hip dislocation
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$2,192.80
|
|
Treat humerus fracture
|
$55,923.84 |
$55,923.84 |
$55,923.84 |
$13,278.70
|
|
Treat humerus fracture
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$1,771.43
|
|
Treat humerus fracture
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$1,771.43
|
|
Treat kneecap dislocation
|
$463.80 |
$463.80 |
$463.80 |
$1,068.90
|
|
Treat lower leg dislocation
|
$394.20 |
$394.20 |
$394.20 |
$530.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$32,554.68 |
$32,554.68 |
$32,554.68 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$9,730.32 |
$9,730.32 |
$9,730.32 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$382.20 |
$382.20 |
$382.20 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$382.20 |
$382.20 |
$382.20 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$130.20 |
$130.20 |
$130.20 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$7,846.62 |
$7,846.62 |
$7,846.62 |
$3,982.44
|
|
Treatment of ankle fracture
|
$40,062.24 |
$40,062.24 |
$40,062.24 |
$8,453.60
|
|
Treatment of ankle fracture 27786
|
$360.00 |
$360.00 |
$360.00 |
$520.80
|
|
Treatment of thigh fracture
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$1,748.40
|
|
Treatment of thigh fracture
|
$2,848.20 |
$2,848.20 |
$2,848.20 |
$1,772.97
|
|
Treat thigh fracture
|
$394.20 |
$394.20 |
$394.20 |
$618.80
|
|
Treat ulnar fracture
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$1,662.00
|
|
Treat wrist dislocation
|
$403.80 |
$403.80 |
$403.80 |
$656.25
|
|
Treponema pallidum antibody
|
$174.60 |
$174.60 |
$174.60 |
$70.40
|
|
Trg gene rearrangement anal
|
$435.00 |
$435.00 |
$435.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$31.92 |
$31.92 |
$31.92 |
$43.21
|
|
Trichinella antibody
|
$159.60 |
$159.60 |
$159.60 |
$70.20
|
|
Triglycerides
|
$118.80 |
$118.80 |
$118.80 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$4,839.12 |
$4,839.12 |
$4,839.12 |
$4,043.12
|
|
Trluml dil aq o/f can without st
|
$14,611.85 |
$14,611.85 |
$14,611.85 |
$5,419.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,782.40 |
$6,782.40 |
$6,782.40 |
$4,523.96
|
|
Trnscath tx thromblytc vein ini day
|
$7,743.60 |
$7,743.60 |
$7,743.60 |
$3,866.70
|
|
Troponin quantitative
|
$117.00 |
$117.00 |
$117.00 |
$127.20
|
|
Trurl dstrj prst8 tiss rf wv
|
$5,616.60 |
$5,616.60 |
$5,616.60 |
$4,228.00
|
