|
Thyroid uptake measurement
|
$406.20 |
$406.20 |
$406.20 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$196.80 |
$196.80 |
$196.80 |
$64.35
|
|
Tilt table study
|
$2,721.60 |
$2,721.60 |
$2,721.60 |
$1,507.01
|
|
Tissue amnio epifix inj 100mg
|
$7,670.20 |
$7,670.20 |
$7,670.20 |
$4,834.73
|
|
Tissue culture placenta
|
$790.20 |
$790.20 |
$790.20 |
$457.00
|
|
Tissue culture skin/biopsy
|
$880.20 |
$880.20 |
$880.20 |
$484.00
|
|
Tissue culture tumor
|
$949.20 |
$949.20 |
$949.20 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$45.00 |
$45.00 |
$45.00 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$33,633.20 |
$33,633.20 |
$33,633.20 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$30.00 |
$30.00 |
$30.00 |
$44.16
|
|
Tlso 2mod symphis-xipho pre
|
$2,126.47 |
$2,126.47 |
$2,126.47 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,831.14 |
$1,831.14 |
$1,831.14 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,177.11 |
$2,177.11 |
$2,177.11 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,708.06 |
$2,708.06 |
$2,708.06 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,192.40 |
$1,192.40 |
$1,192.40 |
$1,051.18
|
|
Tlso corset front
|
$451.78 |
$451.78 |
$451.78 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$932.39 |
$932.39 |
$932.39 |
$931.57
|
|
Tlso full corset
|
$630.34 |
$630.34 |
$630.34 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$1,020.03 |
$1,020.03 |
$1,020.03 |
$801.11
|
|
Tlso r fram soft pre ots
|
$1,020.03 |
$1,020.03 |
$1,020.03 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,133.70 |
$1,133.70 |
$1,133.70 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,133.70 |
$1,133.70 |
$1,133.70 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,568.79 |
$1,568.79 |
$1,568.79 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,436.58 |
$3,436.58 |
$3,436.58 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,393.48 |
$2,393.48 |
$2,393.48 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$3,601.41 |
$3,601.41 |
$3,601.41 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$844.83 |
$844.83 |
$844.83 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,126.53 |
$1,126.53 |
$1,126.53 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$12.72 |
$12.72 |
$12.72 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$164.40 |
$164.40 |
$164.40 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$30.00 |
$30.00 |
$30.00 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$30.00 |
$30.00 |
$30.00 |
$72.68
|
|
Torsion ank & half solid sti
|
$481.26 |
$481.26 |
$481.26 |
$291.13
|
|
Torsion straight knee joint
|
$453.56 |
$453.56 |
$453.56 |
$253.84
|
|
Total Hip Replacement
|
$72,912.71 |
$72,912.71 |
$72,912.71 |
$9,161.60
|
|
Total Knee Replacement
|
$56,832.68 |
$56,832.68 |
$56,832.68 |
$14,543.50
|
|
Toxoplasma antibody igg
|
$177.00 |
$177.00 |
$177.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$158.40 |
$158.40 |
$158.40 |
$87.00
|
|
Tpmt gene com vrnts
|
$265.80 |
$265.80 |
$265.80 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,026.80 |
$2,026.80 |
$2,026.80 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$147.60 |
$147.60 |
$147.60 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$14.34 |
$14.34 |
$14.34 |
$56.38
|
|
Transcutaneous carboxyhb
|
$29.40 |
$29.40 |
$29.40 |
$33.57
|
|
Transcutaneous hgb 88738
|
$27.60 |
$27.60 |
$27.60 |
$13.80
|
|
Transcutaneous methb
|
$21.60 |
$21.60 |
$21.60 |
$19.20
|
|
Transferrin
|
$116.40 |
$116.40 |
$116.40 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$676.80 |
$676.80 |
$676.80 |
$983.00
|
|
Trans shoe caliper plate new
|
$424.76 |
$424.76 |
$424.76 |
$217.22
|
|
Trans shoe calip plate exist
|
$322.60 |
$322.60 |
$322.60 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$322.60 |
$322.60 |
$322.60 |
$141.41
|
|
Trans shoe solid stirrup new
|
$424.76 |
$424.76 |
$424.76 |
$217.22
|
|
Trapezius sling
|
$438.79 |
$438.79 |
$438.79 |
$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
|
$9,123.32 |
$9,123.32 |
$9,123.32 |
$940.80
|
|
Treat elbow dislocation
|
$2,851.80 |
$2,851.80 |
$2,851.80 |
$2,223.20
|
|
Treat elbow fracture
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,919.13
|
|
Treat finger fracture each
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,536.00
|
|
Treat foot dislocation
|
$690.60 |
$690.60 |
$690.60 |
$527.28
|
|
Treat foot dislocation
|
$476.40 |
$476.40 |
$476.40 |
$445.80
|
|
Treat fracture of radius
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,790.00
|
|
Treat fracture of ulna
|
$428.40 |
$428.40 |
$428.40 |
$726.05
|
|
Treat hip dislocation
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$2,192.80
|
|
Treat humerus fracture
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,771.43
|
|
Treat humerus fracture
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,771.43
|
|
Treat kneecap dislocation
|
$541.20 |
$541.20 |
$541.20 |
$1,068.90
|
|
Treat lower leg dislocation
|
$394.20 |
$394.20 |
$394.20 |
$530.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$348.00 |
$348.00 |
$348.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$288.00 |
$288.00 |
$288.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$107.40 |
$107.40 |
$107.40 |
$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
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$1,748.40
|
|
Treatment of thigh fracture
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$1,772.97
|
|
Treat thigh fracture
|
$32,553.22 |
$32,553.22 |
$32,553.22 |
$4,083.00
|
|
Treat thigh fracture
|
$394.20 |
$394.20 |
$394.20 |
$618.80
|
|
Treat ulnar fracture
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,662.00
|
|
Treat ulnar fracture
|
$34,424.57 |
$34,424.57 |
$34,424.57 |
$5,926.25
|
|
Treat wrist dislocation
|
$537.00 |
$537.00 |
$537.00 |
$656.25
|
|
Treponema pallidum antibody
|
$159.00 |
$159.00 |
$159.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$448.20 |
$448.20 |
$448.20 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$35.10 |
$35.10 |
$35.10 |
$43.21
|
|
Trichinella antibody
|
$145.80 |
$145.80 |
$145.80 |
$70.20
|
|
Triglycerides
|
$137.40 |
$137.40 |
$137.40 |
$58.05
|
|
Trnscath tx thromblytc vein ini day
|
$7,743.60 |
$7,743.60 |
$7,743.60 |
$3,866.70
|
|
Troponin quantitative
|
$97.20 |
$97.20 |
$97.20 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$2,751.00 |
$2,751.00 |
$2,751.00 |
$1,632.80
|
|
Tube trach disp innr can 5 xlt
|
$679.91 |
$679.91 |
$679.91 |
$445.99
|
|
Tx closed distal humerus fx
|
$360.00 |
$360.00 |
$360.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$884.40 |
$884.40 |
$884.40 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$394.20 |
$394.20 |
$394.20 |
$535.60
|
|
Ugt1a1 gene analy common variants
|
$675.60 |
$675.60 |
$675.60 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$422.40 |
$422.40 |
$422.40 |
$394.20
|
|
Ultrasound breast complete
|
$640.20 |
$640.20 |
$640.20 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$640.20 |
$640.20 |
$640.20 |
$449.35
|
|
Ultrasound chest
|
$558.00 |
$558.00 |
$558.00 |
$460.85
|
|
Ultrasound encephalogram
|
$1,019.40 |
$1,019.40 |
$1,019.40 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$867.00 |
$867.00 |
$867.00 |
$573.54
|
