|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$11.50 |
$141.75 |
$375.37 |
|
|
Tobramycin peak therapeutic drug level
|
$65.95 |
$91.65 |
$202.00 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$25.62 |
$25.62 |
$9,737.46 |
|
|
Tomosynthesis breast diagnostic left
|
$34.97 |
$34.97 |
$161.85 |
|
|
Tomosynthesis breast screen bilateral
|
$34.97 |
$34.97 |
$117.65 |
|
|
Tonsillectomy (age 12+)
|
$4,874.10 |
$4,874.10 |
$4,874.10 |
|
|
Tonsillectomy (child under 12)
|
$4,130.78 |
$4,130.78 |
$4,130.78 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$28.64 |
$28.64 |
$559.64 |
|
|
Total Hip Replacement
|
$3,415.75 |
$3,415.75 |
$3,415.75 |
|
|
Total hysterectomy
|
$13,073.40 |
$13,073.40 |
$13,073.40 |
|
|
Total Knee Replacement
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
|
|
Total tau
|
$538.85 |
$538.85 |
$538.85 |
|
|
Toxoplasma antibody igg
|
$49.77 |
$79.30 |
$132.00 |
|
|
Toxoplasma antibody igm
|
$48.93 |
$79.30 |
$132.00 |
|
|
Tp53 gene full gene sequence
|
$535.76 |
$535.76 |
$535.76 |
|
|
Tp53 gene trgt sequence alys
|
$1,108.25 |
$1,108.25 |
$1,108.25 |
|
|
Tpmt gene com vrnts
|
$332.80 |
$360.75 |
$457.00 |
|
|
Tprnl plmt biodegrdabl matrl
|
$13,392.21 |
$13,392.21 |
$13,392.21 |
|
|
Trabectedin 1 mg intravenous solution
|
$14,456.30 |
$14,456.30 |
$14,456.30 |
|
|
Trachelectomy (cervicectomy) 57530
|
$15,791.00 |
$15,791.00 |
$15,791.00 |
|
|
Tracheobrnchsc thru est trachs incisn
|
$429.02 |
$429.02 |
$429.02 |
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$40.89 |
$40.89 |
$150.15 |
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$29.25 |
$91.86 |
$102.37 |
|
|
Transabdom amnioinfus w/us
|
$4,680.06 |
$4,680.06 |
$4,680.06 |
|
|
Transcath biopsy
|
$1,720.69 |
$1,720.69 |
$11,329.96 |
|
|
Transcath closure of asd
|
$6,954.34 |
$6,954.34 |
$20,099.30 |
|
|
Transcath closure of vsd
|
$6,954.34 |
$6,954.34 |
$20,891.65 |
|
|
Transcatheter bx s&i
|
$710.22 |
$710.22 |
$2,473.25 |
|
|
Transcath mv repair addl prosthesis
|
$649.63 |
$649.63 |
$649.63 |
|
|
Transcath mv repair init prosthesis
|
$2,750.03 |
$2,750.03 |
$2,750.03 |
|
|
Transcath occlusion cns
|
$582.75 |
$582.75 |
$3,615.95 |
|
|
Transcath occlusion non-cns
|
$5,137.08 |
$5,137.08 |
$5,137.08 |
|
|
Transferrin
|
$28.60 |
$53.47 |
$96.85 |
|
|
Transfusion blood/blood component(s)
|
$393.40 |
$1,439.00 |
$7,813.00 |
|
|
Transorl lwr esophgl myotomy
|
$10,388.64 |
$10,388.64 |
$10,388.64 |
|
|
Trastuzumab 150 mg intravenous solution
|
$194.29 |
$194.29 |
$5,728.66 |
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$11,145.43 |
$11,145.43 |
$13,947.04 |
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$9,925.41 |
$9,925.41 |
$12,423.37 |
|
|
Trauma partial team response w/critical care services level 4
|
$5,079.10 |
$5,079.10 |
$6,483.10 |
|
|
Treat ankle dislocation
|
$979.55 |
$2,132.50 |
$2,132.50 |
|
|
Treat clavicle dislocation 23545
|
$759.61 |
$759.61 |
$759.61 |
|
|
Treat ectopic pregnancy
|
$11,931.72 |
$11,931.72 |
$11,931.72 |
|
|
Treat elbow dislocation
|
$1,078.35 |
$2,132.50 |
$2,132.50 |
|
|
Treat elbow fracture
|
$2,856.96 |
$2,856.96 |
$2,856.96 |
|
|
Treat eyelid by injection
|
$147.08 |
$147.08 |
$147.08 |
|
|
Treat finger fracture each
|
$611.00 |
$2,628.48 |
$2,628.48 |
|
|
Treat foot dislocation
|
$198.60 |
$198.60 |
$198.60 |
|
|
Treat foot dislocation
|
$260.85 |
$260.85 |
$260.85 |
|
|
Treat foot dislocation
|
$235.69 |
$235.69 |
$235.69 |
|
|
Treat fracture of radius
|
$793.00 |
$2,628.48 |
$2,628.48 |
|
|
Treat fracture of radius
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
|
|
Treat fracture of ulna
|
$637.33 |
$637.33 |
$930.80 |
|
|
Treat hand dislocation
|
$697.17 |
$697.17 |
$2,393.00 |
|
|
Treat hip dislocation
|
$2,132.50 |
$2,132.50 |
$2,175.00 |
|
|
Treat hip dislocation
|
$806.00 |
$2,452.36 |
$2,452.36 |
|
|
Treat humerus fracture
|
$1,365.00 |
$2,628.48 |
$2,628.48 |
|
|
Treat humerus fracture
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
|
|
Treat kneecap dislocation
|
$900.25 |
$2,285.86 |
$2,285.86 |
|
|
Treat kneecap fracture
|
$1,519.05 |
$1,519.05 |
$1,519.05 |
|
|
Treat knee fracture 27530
|
$239.39 |
$425.96 |
$768.30 |
|
|
Treat knee fracture(s)
|
$394.98 |
$724.46 |
$1,229.00 |
|
|
Treat knuckle dislocation
|
$937.95 |
$937.95 |
$937.95 |
|
|
Treat knuckle dislocation
|
$1,437.27 |
$1,437.27 |
$1,437.27 |
|
|
Treat lower leg dislocation
|
$394.79 |
$394.79 |
$394.79 |
|
|
Treatment incomplete abortion completed surgically any trimester
|
$2,974.25 |
$2,974.25 |
$6,004.76 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$89.05 |
$103.79 |
$328.25 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$87.97 |
$89.05 |
$137.00 |
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$29.88 |
$102.70 |
$480.35 |
|
|
Treatment missed abortion completed surgically 1st trimester
|
$2,005.86 |
$2,005.86 |
$5,491.11 |
|
|
Treatment of anal fissure w/dilat 46940
|
$6,603.35 |
$6,603.35 |
$6,603.35 |
|
|
Treatment of ankle fracture
|
$1,489.80 |
$1,489.80 |
$1,489.80 |
|
|
Treatment of ankle fracture
|
$624.28 |
$624.28 |
$1,810.90 |
|
|
Treatment of ankle fracture 27786
|
$283.05 |
$382.86 |
$590.85 |
|
|
Treatment of fibula fracture
|
$577.66 |
$577.66 |
$577.66 |
|
|
Treatment of fibula fracture 27780
|
$376.11 |
$376.11 |
$470.64 |
|
|
Treatment of heel fracture 28400
|
$258.82 |
$258.82 |
$304.23 |
|
|
Treatment of miscarriage
|
$2,388.81 |
$2,388.81 |
$6,204.91 |
|
|
Treatment of thigh fracture
|
$394.98 |
$394.98 |
$771.82 |
|
|
Treatment of thigh fracture
|
$227.74 |
$227.74 |
$635.20 |
|
|
Treatment of thigh fracture
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
|
|
Treatment of toe fracture 28510
|
$227.50 |
$376.11 |
$376.11 |
|
|
Treatment of urethra lesion
|
$12,444.70 |
$12,444.70 |
$12,444.70 |
|
|
Treatment radiation delivery level 2
|
$150.96 |
$150.96 |
$37,928.15 |
|
|
Treat metacarpal fracture
|
$1,363.05 |
$1,363.05 |
$1,363.05 |
|
|
Treat thigh fracture
|
$394.98 |
$394.98 |
$728.90 |
|
|
Treat thigh fracture
|
$1,055.60 |
$2,289.56 |
$2,289.56 |
|
|
Treat thigh fracture
|
$2,570.75 |
$2,570.75 |
$2,570.75 |
|
|
Treat thigh fracture
|
$376.11 |
$376.11 |
$720.76 |
|
|
Treat thigh fx growth plate
|
$394.98 |
$394.98 |
$1,114.44 |
|
|
Treat toe dislocation
|
$343.85 |
$343.85 |
$343.85 |
|
|
Treat ulnar fracture
|
$802.10 |
$2,628.48 |
$2,628.48 |
|
|
Treat vaginal bleeding
|
$142.27 |
$142.27 |
$232.70 |
|
|
Treat wrist bone fracture
|
$741.65 |
$741.65 |
$741.65 |
|
|
Treat wrist dislocation
|
$266.40 |
$534.93 |
$763.10 |
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$155,002.54 |
$155,002.54 |
$155,002.54 |
|
|
Treponema pallidum antibody
|
$59.02 |
$75.40 |
$124.00 |
|
|
Treprostinil injection
|
$4,774.98 |
$4,774.98 |
$4,774.98 |
|
|
Trg gene rearrangement anal
|
$111.80 |
$214.32 |
$730.00 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$27.12 |
$37.19 |
$220.01 |
|
|
Triamcinolone a inj prs-free
|
$6.68 |
$10.38 |
$10.38 |
|