|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$21.69 |
$21.69 |
$21.69 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$345.06 |
$345.06 |
$345.06 |
$1,687.50
|
|
Thoracotomy with cardiac massage
|
$1,665.36 |
$1,665.36 |
$1,665.36 |
$2,138.76
|
|
Thyroid Ultrasound
|
$100.98 |
$100.98 |
$100.98 |
$588.50
|
|
Tigecycline injection
|
$1.79 |
$1.79 |
$1.79 |
$234.00
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3,355.89 |
$3,355.89 |
$3,355.89 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$47.52 |
$47.52 |
$47.52 |
$71.40
|
|
Tomosynthesis breast screen bilateral
|
$102.06 |
$102.06 |
$102.06 |
$68.80
|
|
Tongue biopsy; posterior one-third 41105
|
$393.12 |
$393.12 |
$393.12 |
$3,592.74
|
|
Tonsillectomy (age 12+)
|
$543.24 |
$543.24 |
$543.24 |
$3,986.00
|
|
Tonsillectomy (child under 12)
|
$572.40 |
$572.40 |
$572.40 |
$5,152.50
|
|
Total hip arthroplasty
|
$3,894.75 |
$3,894.75 |
$3,894.75 |
$7,347.60
|
|
Total Hip Replacement
|
$3,341.25 |
$3,341.25 |
$3,341.25 |
$9,161.60
|
|
Total hysterectomy
|
$2,114.10 |
$2,114.10 |
$2,114.10 |
$3,001.70
|
|
Total Knee Replacement
|
$3,566.97 |
$3,566.97 |
$3,566.97 |
$14,254.12
|
|
Trabectedin 1 mg intravenous solution
|
$154.44 |
$154.44 |
$154.44 |
$6,684.23
|
|
Trachelectomy (cervicectomy) 57530
|
$784.08 |
$784.08 |
$784.08 |
$4,933.66
|
|
Tracheostoma revision; simple, without flap rotation
|
$882.36 |
$882.36 |
$882.36 |
$3,837.72
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$18.80 |
$18.80 |
$18.80 |
$55.69
|
|
Transab esoph hiat hern repair 43332
|
$2,610.36 |
$2,610.36 |
$2,610.36 |
$2,835.20
|
|
Transplant forearm tendon
|
$1,517.40 |
$1,517.40 |
$1,517.40 |
$3,591.33
|
|
Transplant palm tendon
|
$1,834.11 |
$1,834.11 |
$1,834.11 |
$3,821.05
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$175.50 |
$175.50 |
$175.50 |
$7,540.20
|
|
Treat ankle dislocation
|
$1,051.38 |
$1,051.38 |
$1,051.38 |
$2,321.50
|
|
Treat ankle dislocation
|
$1,887.30 |
$1,887.30 |
$1,887.30 |
$5,855.00
|
|
Treat ankle fracture
|
$2,196.18 |
$2,196.18 |
$2,196.18 |
$5,488.00
|
|
Treat big toe fracture
|
$1,054.62 |
$1,054.62 |
$1,054.62 |
$4,256.32
|
|
Treat ectopic pregnancy
|
$1,635.93 |
$1,635.93 |
$1,635.93 |
$4,350.00
|
|
Treat ectopic pregnancy
|
$1,594.35 |
$1,594.35 |
$1,594.35 |
$6,707.99
|
|
Treat elbow dislocation
|
$1,023.30 |
$1,023.30 |
$1,023.30 |
$2,243.00
|
|
Treat elbow fracture
|
$859.68 |
$859.68 |
$859.68 |
$1,919.13
|
|
Treat finger fracture each
|
$1,021.68 |
$1,021.68 |
$1,021.68 |
$4,192.86
|
|
Treat finger fracture each
|
$730.08 |
$730.08 |
$730.08 |
$1,592.00
|
|
Treat foot bone lesion
|
$1,212.84 |
$1,212.84 |
$1,212.84 |
$3,839.54
|
|
Treat foot dislocation
|
$385.02 |
$385.02 |
$385.02 |
$405.60
|
|
Treat foot dislocation
|
$435.24 |
$435.24 |
$435.24 |
$519.60
|
|
Treat foot dislocation
|
$478.98 |
$478.98 |
$478.98 |
$445.00
|
|
Treat fracture of radius
|
$996.30 |
$996.30 |
$996.30 |
$1,790.00
|
|
Treat fracture of ulna
|
$988.74 |
$988.74 |
$988.74 |
$731.04
|
|
Treat heel fracture
|
$2,545.56 |
$2,545.56 |
$2,545.56 |
$8,269.81
|
|
Treat hip dislocation
|
$1,564.38 |
$1,564.38 |
$1,564.38 |
$2,192.00
|
|
Treat hip dislocation
|
$836.73 |
$836.73 |
$836.73 |
$2,641.60
|
|
Treat humerus fracture
|
$1,855.44 |
$1,855.44 |
$1,855.44 |
$12,585.65
|
|
Treat humerus fracture
|
$1,230.12 |
$1,230.12 |
$1,230.12 |
$1,771.43
|
|
Treat humerus fracture
|
$1,953.72 |
$1,953.72 |
$1,953.72 |
$12,653.00
|
|
Treat humerus fracture
|
$2,178.90 |
$2,178.90 |
$2,178.90 |
$10,742.40
|
|
Treat humerus fracture
|
$1,765.80 |
$1,765.80 |
$1,765.80 |
$10,629.07
|
|
Treat kneecap dislocation
|
$1,875.42 |
$1,875.42 |
$1,875.42 |
$7,807.24
|
|
Treat kneecap fracture
|
$1,589.22 |
$1,589.22 |
$1,589.22 |
$6,301.00
|
|
Treat knee dislocation
|
$1,434.78 |
$1,434.78 |
$1,434.78 |
$2,220.89
|
|
Treat knee fracture
|
$2,080.08 |
$2,080.08 |
$2,080.08 |
$3,486.60
|
|
Treat knee fracture 27530
|
$895.86 |
$895.86 |
$895.86 |
$550.00
|
|
Treat lower leg fracture
|
$2,349.54 |
$2,349.54 |
$2,349.54 |
$14,061.89
|
|
Treat lower leg fracture
|
$2,997.54 |
$2,997.54 |
$2,997.54 |
$12,653.00
|
|
Treat lower leg joint
|
$1,570.05 |
$1,570.05 |
$1,570.05 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$1,885.14 |
$1,885.14 |
$1,885.14 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$2,225.88 |
$2,225.88 |
$2,225.88 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,577.88 |
$1,577.88 |
$1,577.88 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$672.03 |
$672.03 |
$672.03 |
$3,916.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$24.57 |
$24.57 |
$24.57 |
$203.49
|
|
Treatment missed abortion completed surgically 1st trimester
|
$797.04 |
$797.04 |
$797.04 |
$3,986.00
|
|
Treatment mouth roof lesion
|
$470.34 |
$470.34 |
$470.34 |
$4,256.70
|
|
Treatment of ankle fracture
|
$1,645.65 |
$1,645.65 |
$1,645.65 |
$8,412.89
|
|
Treatment of ankle fracture
|
$1,780.65 |
$1,780.65 |
$1,780.65 |
$8,453.60
|
|
Treatment of ankle fracture
|
$1,937.25 |
$1,937.25 |
$1,937.25 |
$7,907.11
|
|
Treatment of ankle fracture
|
$2,189.97 |
$2,189.97 |
$2,189.97 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$707.40 |
$707.40 |
$707.40 |
$520.80
|
|
Treatment of fibula fracture
|
$1,652.40 |
$1,652.40 |
$1,652.40 |
$6,269.20
|
|
Treatment of fibula fracture 27780
|
$682.02 |
$682.02 |
$682.02 |
$491.50
|
|
Treatment of heel fracture 28400
|
$541.62 |
$541.62 |
$541.62 |
$473.00
|
|
Treatment of miscarriage
|
$776.52 |
$776.52 |
$776.52 |
$4,146.69
|
|
Treatment of thigh fracture
|
$3,097.44 |
$3,097.44 |
$3,097.44 |
$5,109.00
|
|
Treatment of thigh fracture
|
$1,188.81 |
$1,188.81 |
$1,188.81 |
$567.60
|
|
Treatment of thigh fracture
|
$2,285.55 |
$2,285.55 |
$2,285.55 |
$3,409.00
|
|
Treatment of thigh fracture
|
$2,254.50 |
$2,254.50 |
$2,254.50 |
$3,764.80
|
|
Treatment of thigh fracture
|
$2,559.60 |
$2,559.60 |
$2,559.60 |
$5,505.50
|
|
Treatment of thigh fracture
|
$2,243.97 |
$2,243.97 |
$2,243.97 |
$3,796.00
|
|
Treatment of tibia fracture
|
$1,251.72 |
$1,251.72 |
$1,251.72 |
$6,183.84
|
|
Treatment of tibia fracture
|
$1,884.06 |
$1,884.06 |
$1,884.06 |
$6,839.00
|
|
Treatment of tibia fracture
|
$2,308.23 |
$2,308.23 |
$2,308.23 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$265.68 |
$265.68 |
$265.68 |
$362.00
|
|
Treatment of urethra lesion
|
$436.86 |
$436.86 |
$436.86 |
$3,817.53
|
|
Treatment of urethra lesion
|
$395.82 |
$395.82 |
$395.82 |
$2,874.36
|
|
Treat metacarpal fracture
|
$1,035.18 |
$1,035.18 |
$1,035.18 |
$3,986.00
|
|
Treat metacarpal fracture
|
$1,232.82 |
$1,232.82 |
$1,232.82 |
$5,464.97
|
|
Treat metatarsal fracture
|
$1,208.52 |
$1,208.52 |
$1,208.52 |
$8,412.89
|
|
Treat midfoot fracture each
|
$497.88 |
$497.88 |
$497.88 |
$1,848.50
|
|
Treat midfoot fracture each
|
$1,421.82 |
$1,421.82 |
$1,421.82 |
$6,192.78
|
|
Treat radius fracture
|
$1,492.56 |
$1,492.56 |
$1,492.56 |
$7,741.60
|
|
Treat radius fracture
|
$1,550.88 |
$1,550.88 |
$1,550.88 |
$14,061.89
|
|
Treat sternum fracture
|
$327.24 |
$327.24 |
$327.24 |
$432.64
|
|
Treat thigh fracture
|
$2,100.06 |
$2,100.06 |
$2,100.06 |
$6,510.40
|
|
Treat thigh fracture
|
$2,768.85 |
$2,768.85 |
$2,768.85 |
$4,083.00
|
|
Treat thigh fracture
|
$1,347.30 |
$1,347.30 |
$1,347.30 |
$1,893.86
|
|
Treat thigh fracture
|
$2,820.42 |
$2,820.42 |
$2,820.42 |
$4,726.80
|
|
Treat thigh fracture
|
$838.08 |
$838.08 |
$838.08 |
$618.80
|
|
Treat thigh fracture
|
$1,715.04 |
$1,715.04 |
$1,715.04 |
$2,802.80
|
|
Treat thigh fracture
|
$2,002.32 |
$2,002.32 |
$2,002.32 |
$2,008.18
|
|
Treat thigh fracture
|
$2,849.58 |
$2,849.58 |
$2,849.58 |
$3,580.50
|
|
Treat toe fracture
|
$859.14 |
$859.14 |
$859.14 |
$3,839.54
|