|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$94.80 |
$94.80 |
$94.80 |
$50.40
|
|
Ther/proph/diag inj ia
|
$108.00 |
$108.00 |
$108.00 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$12.60 |
$12.60 |
$12.60 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$118.80 |
$118.80 |
$118.80 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,092.60 |
$1,092.60 |
$1,092.60 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$1,684.80
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$31.80 |
$31.80 |
$31.80 |
$61.52
|
|
Thyroglobulin antibody
|
$132.60 |
$132.60 |
$132.60 |
$82.73
|
|
Thyroid (TSH) Test
|
$78.60 |
$78.60 |
$78.60 |
$112.67
|
|
Thyroid Ultrasound
|
$339.60 |
$339.60 |
$339.60 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$103.80 |
$103.80 |
$103.80 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$5,801.60
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$18,427.80 |
$18,427.80 |
$18,427.80 |
$13,339.20
|
|
Tissue culture skin/biopsy
|
$635.40 |
$635.40 |
$635.40 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$35.40 |
$35.40 |
$35.40 |
$47.40
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$14,742.60 |
$14,742.60 |
$14,742.60 |
$1,403.42
|
|
Tixagev and cilgav inj
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$181.20 |
$181.20 |
$181.20 |
$80.10
|
|
Tlh w/t/o 250 g or less
|
$1,816.80 |
$1,816.80 |
$1,816.80 |
$12,320.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$465.60 |
$465.60 |
$465.60 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$154.20 |
$154.20 |
$154.20 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,612.60 |
$6,612.60 |
$6,612.60 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$118.80 |
$118.80 |
$118.80 |
$258.65
|
|
Tomosynthesis breast screen bilateral
|
$129.00 |
$129.00 |
$129.00 |
$74.10
|
|
Tongue biopsy; posterior one-third 41105
|
$205.20 |
$205.20 |
$205.20 |
$3,592.74
|
|
Tongue mouth neck surgery
|
$4,382.40 |
$4,382.40 |
$4,382.40 |
$3,012.36
|
|
Tonsillectomy (age 12+)
|
$461.40 |
$461.40 |
$461.40 |
$4,558.89
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$702.00 |
$702.00 |
$702.00 |
$316.84
|
|
Total Hip Replacement
|
$3,477.00 |
$3,477.00 |
$3,477.00 |
$9,161.60
|
|
Total hysterectomy
|
$1,822.80 |
$1,822.80 |
$1,822.80 |
$3,001.70
|
|
Total Knee Replacement
|
$3,271.80 |
$3,271.80 |
$3,271.80 |
$14,061.89
|
|
Toxoplasma antibody igg
|
$100.20 |
$100.20 |
$100.20 |
$91.65
|
|
Tracheostoma revision; simple, without flap rotation
|
$845.40 |
$845.40 |
$845.40 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$166.80 |
$166.80 |
$166.80 |
$103.20
|
|
Transcutaneous hgb 88738
|
$25.20 |
$25.20 |
$25.20 |
$13.20
|
|
Transferrin
|
$135.60 |
$135.60 |
$135.60 |
$82.00
|
|
Transplant forearm tendon
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$3,624.06
|
|
Transplant hand tendon
|
$1,284.60 |
$1,284.60 |
$1,284.60 |
$3,839.54
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$337.20 |
$337.20 |
$337.20 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$326.40 |
$326.40 |
$326.40 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$4,137.00 |
$4,137.00 |
$4,137.00 |
$3,141.85
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$482.40 |
$482.40 |
$482.40 |
$5,846.40
|
|
Treat ankle dislocation
|
$1,580.40 |
$1,580.40 |
$1,580.40 |
$2,358.40
|
|
Treat ankle fracture
|
$1,699.80 |
$1,699.80 |
$1,699.80 |
$5,488.00
|
|
Treat big toe fracture
|
$858.00 |
$858.00 |
$858.00 |
$4,454.10
|
|
Treat clavicle dislocation 23545
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$692.80
|
|
Treat elbow dislocation
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$2,311.20
|
|
Treat elbow fracture
|
$2,013.60 |
$2,013.60 |
$2,013.60 |
$9,791.00
|
|
Treat finger fracture each
|
$903.60 |
$903.60 |
$903.60 |
$4,192.86
|
|
Treat foot dislocation
|
$463.20 |
$463.20 |
$463.20 |
$440.04
|
|
Treat fracture of radius
|
$1,581.00 |
$1,581.00 |
$1,581.00 |
$1,821.60
|
|
Treat fracture of ulna
|
$478.20 |
$478.20 |
$478.20 |
$726.05
|
|
Treat hand dislocation
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$1,771.43
|
|
Treat hand dislocation
|
$764.40 |
$764.40 |
$764.40 |
$3,839.54
|
|
Treat hip dislocation
|
$1,391.40 |
$1,391.40 |
$1,391.40 |
$2,211.05
|
|
Treat humerus fracture
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$9,803.49
|
|
Treat humerus fracture
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$12,299.10
|
|
Treat humerus fracture
|
$1,950.60 |
$1,950.60 |
$1,950.60 |
$1,790.00
|
|
Treat humerus fracture
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$10,902.51
|
|
Treat humerus fracture
|
$750.00 |
$750.00 |
$750.00 |
$1,790.00
|
|
Treat humerus fracture
|
$1,536.60 |
$1,536.60 |
$1,536.60 |
$10,629.07
|
|
Treat humerus fracture
|
$1,515.60 |
$1,515.60 |
$1,515.60 |
$7,906.00
|
|
Treat kneecap dislocation
|
$1,520.40 |
$1,520.40 |
$1,520.40 |
$1,068.06
|
|
Treat kneecap dislocation
|
$1,388.40 |
$1,388.40 |
$1,388.40 |
$6,070.00
|
|
Treat kneecap fracture
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$6,839.00
|
|
Treat knee dislocation
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$2,220.89
|
|
Treat knee fracture
|
$1,735.20 |
$1,735.20 |
$1,735.20 |
$3,486.60
|
|
Treat knee fracture 27530
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$550.73
|
|
Treat knuckle dislocation
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$1,693.20
|
|
Treat knuckle dislocation
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$4,332.00
|
|
Treat lower jaw fracture 21462
|
$1,787.40 |
$1,787.40 |
$1,787.40 |
$7,000.36
|
|
Treat lower leg fracture
|
$1,305.60 |
$1,305.60 |
$1,305.60 |
$6,475.41
|
|
Treat lower leg fracture
|
$2,146.20 |
$2,146.20 |
$2,146.20 |
$12,905.86
|
|
Treat lower leg joint
|
$1,157.40 |
$1,157.40 |
$1,157.40 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$1,819.20 |
$1,819.20 |
$1,819.20 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$544.80 |
$544.80 |
$544.80 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$133.20 |
$133.20 |
$133.20 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$45.00 |
$45.00 |
$45.00 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$3,126.00 |
$3,126.00 |
$3,126.00 |
$4,230.80
|
|
Treatment of anal fissure w/dilat 46940
|
$257.40 |
$257.40 |
$257.40 |
$3,640.00
|
|
Treatment of ankle fracture
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$7,913.97
|
|
Treatment of ankle fracture
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$8,453.60
|
|
Treatment of ankle fracture
|
$1,726.20 |
$1,726.20 |
$1,726.20 |
$7,906.00
|
|
Treatment of ankle fracture
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$528.00
|
|
Treatment of fibula fracture
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$6,307.00
|
|
Treatment of fibula fracture 27780
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$515.45
|
|
Treatment of foot infection
|
$669.00 |
$669.00 |
$669.00 |
$2,928.60
|
|
Treatment of foot infection
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$3,839.54
|
|
Treatment of heel fracture 28400
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$473.00
|
|
Treatment of thigh fracture
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$487.50
|
|
Treatment of thigh fracture
|
$1,523.40 |
$1,523.40 |
$1,523.40 |
$1,749.06
|
|
Treatment of thigh fracture
|
$1,671.60 |
$1,671.60 |
$1,671.60 |
$548.90
|
|
Treatment of tibia fracture
|
$1,684.80 |
$1,684.80 |
$1,684.80 |
$6,347.40
|
|
Treatment of tibia fracture
|
$1,944.60 |
$1,944.60 |
$1,944.60 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$394.20 |
$394.20 |
$394.20 |
$371.40
|
|
Treatment of urethra lesion
|
$451.80 |
$451.80 |
$451.80 |
$2,874.36
|
