|
Thyroid imaging
|
$676.80 |
$676.80 |
$676.80 |
$695.02
|
|
Thyroid met imaging
|
$1,057.80 |
$1,057.80 |
$1,057.80 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,498.80 |
$1,498.80 |
$1,498.80 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$130.80 |
$130.80 |
$130.80 |
$111.00
|
|
Thyroid Ultrasound
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$588.50
|
|
Thyroid uptake measurement
|
$508.20 |
$508.20 |
$508.20 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$108.60 |
$108.60 |
$108.60 |
$64.35
|
|
Tissue amnio epifix inj 100mg
|
$7,611.55 |
$7,611.55 |
$7,611.55 |
$4,834.73
|
|
Tissue culture placenta
|
$546.00 |
$546.00 |
$546.00 |
$457.00
|
|
Tissue culture skin/biopsy
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$484.00
|
|
Tissue culture tumor
|
$393.60 |
$393.60 |
$393.60 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$87.00 |
$87.00 |
$87.00 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$33,376.04 |
$33,376.04 |
$33,376.04 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$29.40 |
$29.40 |
$29.40 |
$44.16
|
|
Tlso 2mod symphis-xipho pre
|
$2,110.21 |
$2,110.21 |
$2,110.21 |
$1,874.66
|
|
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 |
$244.50
|
|
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 |
$910.81
|
|
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
|
$348.00 |
$348.00 |
$348.00 |
$152.36
|
|
Tobramycin non-comp unit
|
$45.12 |
$45.12 |
$45.12 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$157.80 |
$157.80 |
$157.80 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,419.66 |
$4,419.66 |
$4,419.66 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$24.00 |
$24.00 |
$24.00 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$22.20 |
$22.20 |
$22.20 |
$72.68
|
|
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
|
$59,950.27 |
$59,950.27 |
$59,950.27 |
$9,161.60
|
|
Total Knee Replacement
|
$38,434.10 |
$38,434.10 |
$38,434.10 |
$14,543.50
|
|
Toxoplasma antibody igg
|
$93.60 |
$93.60 |
$93.60 |
$89.40
|
|
Toxoplasma antibody igm
|
$146.40 |
$146.40 |
$146.40 |
$87.00
|
|
Tpmt gene com vrnts
|
$323.40 |
$323.40 |
$323.40 |
$371.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$111.60 |
$111.60 |
$111.60 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$25.26 |
$25.26 |
$25.26 |
$56.38
|
|
Transferrin
|
$155.40 |
$155.40 |
$155.40 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$983.00
|
|
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
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$14,166.48 |
$14,166.48 |
$14,166.48 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$12,614.82 |
$12,614.82 |
$12,614.82 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$9,053.56 |
$9,053.56 |
$9,053.56 |
$940.80
|
|
Treat elbow dislocation
|
$2,024.40 |
$2,024.40 |
$2,024.40 |
$2,223.20
|
|
Treat finger fracture each
|
$19,875.88 |
$19,875.88 |
$19,875.88 |
$4,132.02
|
|
Treat finger fracture each
|
$13,668.56 |
$13,668.56 |
$13,668.56 |
$1,536.00
|
|
Treat foot dislocation
|
$376.20 |
$376.20 |
$376.20 |
$527.28
|
|
Treat fracture of radius
|
$2,411.40 |
$2,411.40 |
$2,411.40 |
$1,790.00
|
|
Treat fracture of ulna
|
$375.60 |
$375.60 |
$375.60 |
$726.05
|
|
Treat humerus fracture
|
$16,693.52 |
$16,693.52 |
$16,693.52 |
$10,629.07
|
|
Treat knee fracture
|
$47,954.66 |
$47,954.66 |
$47,954.66 |
$3,486.60
|
|
Treat lower leg dislocation
|
$375.60 |
$375.60 |
$375.60 |
$530.75
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$22,418.35 |
$22,418.35 |
$22,418.35 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$15,455.93 |
$15,455.93 |
$15,455.93 |
$8,370.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$268.80 |
$268.80 |
$268.80 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$276.60 |
$276.60 |
$276.60 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$316.80 |
$316.80 |
$316.80 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$360.00 |
$360.00 |
$360.00 |
$520.80
|
|
Treatment of thigh fracture
|
$2,722.20 |
$2,722.20 |
$2,722.20 |
$1,772.97
|
|
Treat metacarpal fracture
|
$5,868.96 |
$5,868.96 |
$5,868.96 |
$3,977.49
|
|
Treat metacarpal fracture
|
$7,055.23 |
$7,055.23 |
$7,055.23 |
$5,464.97
|
|
Treat thigh fracture
|
$375.60 |
$375.60 |
$375.60 |
$618.80
|
|
Treponema pallidum antibody
|
$170.40 |
$170.40 |
$170.40 |
$70.40
|
|
Trg gene rearrangement anal
|
$723.00 |
$723.00 |
$723.00 |
$455.70
|
|
Trichinella antibody
|
$247.80 |
$247.80 |
$247.80 |
$70.20
|
|
Triglycerides
|
$107.40 |
$107.40 |
$107.40 |
$58.05
|
|
Trim nondyst nails
|
$366.00 |
$366.00 |
$366.00 |
$113.40
|
|
Trnscath tx thromblytc vein ini day
|
$12,619.20 |
$12,619.20 |
$12,619.20 |
$3,866.70
|
|
Troponin quantitative
|
$129.60 |
$129.60 |
$129.60 |
$127.20
|
|
Tube trach disp innr can 5 xlt
|
$445.99 |
$445.99 |
$445.99 |
$445.99
|
|
Tx closed distal humerus fx
|
$342.60 |
$342.60 |
$342.60 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$322.20 |
$322.20 |
$322.20 |
$581.07
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$19,234.94 |
$19,234.94 |
$19,234.94 |
$4,499.12
|
|
Ua w/micro/comp poc
|
$52.20 |
$52.20 |
$52.20 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$619.20 |
$619.20 |
$619.20 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$156.60 |
$156.60 |
$156.60 |
$394.20
|
|
Ultrasound breast complete
|
$591.00 |
$591.00 |
$591.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$591.00 |
$591.00 |
$591.00 |
$449.35
|
|
Ultrasound chest
|
$861.60 |
$861.60 |
$861.60 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$198.00 |
$198.00 |
$198.00 |
$338.00
|
|
Ultrasound encephalogram
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$860.40 |
$860.40 |
$860.40 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$332.40 |
$332.40 |
$332.40 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$809.40 |
$809.40 |
$809.40 |
$720.15
|
|
Ultrasound guide intraoperative
|
$1,390.20 |
$1,390.20 |
$1,390.20 |
$632.85
|
