|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$130.80 |
$136.80 |
$4,942.80 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$70.80 |
$70.80 |
$70.80 |
$15,383.12
|
|
Total tau
|
$56.40 |
$100.20 |
$366.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$99.00 |
$201.60 |
$1,085.40 |
$91.76
|
|
Toxoplasma antibody igm
|
$102.60 |
$249.60 |
$1,774.20 |
$89.05
|
|
Tp53 gene full gene sequence
|
$3,902.40 |
$3,902.40 |
$3,902.40 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$2,060.40 |
$2,060.40 |
$2,060.40 |
$804.00
|
|
Tpmt gene com vrnts
|
$477.00 |
$477.00 |
$477.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$10,688.40 |
$10,688.40 |
$10,688.40 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$1,172.40 |
$1,172.40 |
$11,719.80 |
$6,684.23
|
|
Tracheobrnchsc thru est trachs incisn
|
$3,054.00 |
$3,054.00 |
$3,544.20 |
$1,437.45
|
|
Tracheostoma hmes filter
|
$10.80 |
$10.80 |
$10.80 |
$1.34
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$121.20 |
$121.20 |
$400.20 |
$103.40
|
|
Transcath biopsy
|
$2,898.60 |
$3,075.00 |
$9,409.80 |
$4,285.93
|
|
Transcath closure of asd
|
$14,788.80 |
$14,788.80 |
$15,283.20 |
$17,352.58
|
|
Transcath closure of vsd
|
$18,553.20 |
$18,553.20 |
$18,553.20 |
$17,458.00
|
|
Transcatheter bx s&i
|
$2,236.20 |
$2,360.40 |
$3,277.20 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$2,269.20 |
$2,269.20 |
$2,269.20 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$17,108.40 |
$17,108.40 |
$17,108.40 |
$13,384.80
|
|
Transcath occlusion cns
|
$5,636.40 |
$5,636.40 |
$8,813.40 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$8,596.80 |
$8,733.00 |
$9,294.60 |
$10,416.60
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,642.80 |
$1,642.80 |
$2,724.00 |
$4,822.00
|
|
Transferrin
|
$91.80 |
$108.60 |
$438.00 |
$82.00
|
|
Transparent film >16<=48 in
|
$3.60 |
$33.00 |
$47.40 |
$12.95
|
|
Transparent film <= 16 sq in
|
$0.60 |
$0.60 |
$13.20 |
$4.50
|
|
Transperi needle place pros
|
$11,120.40 |
$11,120.40 |
$11,120.40 |
$6,203.00
|
|
Transplj hematopoietic boost
|
$576.60 |
$576.60 |
$1,437.00 |
$2,667.20
|
|
Transplt allo hct/donor
|
$1,657.80 |
$1,657.80 |
$3,943.20 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$1,133.40 |
$1,133.40 |
$2,009.40 |
$2,751.65
|
|
Transplt autol hct/donor
|
$1,367.40 |
$3,260.40 |
$3,393.00 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$455.40 |
$1,494.00 |
$2,313.00 |
$563.55
|
|
Transvaginal Pregnancy Ultrasound
|
$400.80 |
$843.60 |
$2,313.00 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$122.40 |
$4,378.80 |
$7,527.60 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$382.80 |
$382.80 |
$443.40 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$196.80 |
$198.00 |
$6,197.40 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$1,463.40 |
$8,257.80 |
$9,021.00 |
$4,523.04
|
|
Treat ankle dislocation
|
$1,205.40 |
$1,980.00 |
$3,232.20 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$2,813.40 |
$2,813.40 |
$3,015.00 |
$692.80
|
|
Treat elbow dislocation
|
$1,980.60 |
$2,074.80 |
$4,185.00 |
$2,322.40
|
|
Treat elbow fracture
|
$3,520.20 |
$3,825.00 |
$3,921.60 |
$2,055.00
|
|
Treat eyelid by injection
|
$10,059.60 |
$10,059.60 |
$10,335.60 |
$472.21
|
|
Treat finger fracture each
|
$6,807.00 |
$6,807.00 |
$7,945.20 |
$4,192.86
|
|
Treat finger fracture each
|
$1,651.80 |
$3,069.60 |
$5,052.60 |
$1,592.00
|
|
Treat foot dislocation
|
$5,011.20 |
$5,011.20 |
$5,011.20 |
$405.60
|
|
Treat foot dislocation
|
$1,969.20 |
$1,969.20 |
$1,969.20 |
$535.60
|
|
Treat foot dislocation
|
$568.20 |
$615.00 |
$944.40 |
$445.80
|
|
Treat fracture of radius
|
$2,429.40 |
$2,665.20 |
$4,057.80 |
$1,839.55
|
|
Treat fracture of radius
|
$2,377.20 |
$2,813.40 |
$3,855.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$1,728.60 |
$2,236.20 |
$4,108.80 |
$731.04
|
|
Treat hip dislocation
|
$1,980.60 |
$3,854.40 |
$4,405.80 |
$2,211.05
|
|
Treat hip dislocation
|
$4,357.80 |
$4,402.20 |
$6,194.40 |
$2,643.60
|
|
Treat hip socket fracture
|
$7,751.40 |
$7,751.40 |
$10,438.80 |
$1,340.10
|
|
Treat hip wall fracture
|
$9,405.00 |
$9,405.00 |
$9,405.00 |
$7,413.38
|
|
Treat humerus fracture
|
$5,715.60 |
$5,715.60 |
$5,715.60 |
$9,803.49
|
|
Treat humerus fracture
|
$2,552.40 |
$2,976.60 |
$3,948.00 |
$1,808.80
|
|
Treat humerus fracture
|
$3,242.40 |
$4,334.40 |
$5,431.80 |
$1,790.00
|
|
Treat kneecap dislocation
|
$2,554.80 |
$2,586.00 |
$3,237.00 |
$1,063.40
|
|
Treat knee dislocation
|
$1,453.20 |
$2,630.40 |
$3,279.60 |
$2,211.05
|
|
Treat knee fracture 27530
|
$3,073.80 |
$3,073.80 |
$3,948.00 |
$550.73
|
|
Treat knee fracture(s)
|
$4,553.40 |
$4,553.40 |
$4,553.40 |
$643.26
|
|
Treat knuckle dislocation
|
$2,824.20 |
$3,448.20 |
$5,288.40 |
$1,726.01
|
|
Treat lower leg dislocation
|
$2,274.00 |
$2,812.80 |
$4,177.20 |
$532.60
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,531.60 |
$3,531.60 |
$3,531.60 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$121.20 |
$186.60 |
$355.80 |
$230.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$91.20 |
$186.60 |
$272.40 |
$148.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$4,230.80
|
|
Treatment of ankle fracture 27786
|
$3,560.40 |
$3,560.40 |
$3,560.40 |
$528.00
|
|
Treatment of thigh fracture
|
$3,597.00 |
$3,597.00 |
$4,719.60 |
$1,749.06
|
|
Treatment of thigh fracture
|
$8,413.80 |
$8,413.80 |
$8,413.80 |
$570.40
|
|
Treatment of thigh fracture
|
$1,804.80 |
$2,479.80 |
$3,594.00 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$766.20 |
$766.20 |
$766.20 |
$371.40
|
|
Treatment radiation delivery level 2
|
$659.40 |
$1,503.60 |
$1,557.60 |
$835.20
|
|
Treat metacarpal fracture
|
$7,899.60 |
$7,899.60 |
$7,899.60 |
$5,741.00
|
|
Treat midfoot fracture each
|
$5,502.00 |
$5,502.00 |
$5,502.00 |
$1,893.86
|
|
Treat thigh fracture
|
$4,002.60 |
$4,002.60 |
$6,364.20 |
$2,008.18
|
|
Treat toe dislocation
|
$3,029.40 |
$3,029.40 |
$3,964.20 |
$756.00
|
|
Treat ulnar fracture
|
$2,874.60 |
$2,979.60 |
$3,508.80 |
$1,678.55
|
|
Treat vaginal bleeding
|
$2,967.00 |
$2,967.00 |
$2,967.00 |
$392.00
|
|
Treat wrist bone fracture
|
$3,363.00 |
$3,363.00 |
$3,363.00 |
$1,749.06
|
|
Treat wrist dislocation
|
$3,046.80 |
$3,046.80 |
$3,759.00 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$262.80 |
$263.40 |
$265.80 |
$73,346.25
|
|
Treponema pallidum antibody
|
$80.40 |
$194.40 |
$226.20 |
$72.05
|
|
Treprostinil injection
|
$253.20 |
$1,570.80 |
$9,431.40 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$2,920.80 |
$2,920.80 |
$3,894.40 |
$2,970.72
|
|
Trg gene rearrangement anal
|
$1,114.20 |
$1,114.80 |
$1,671.60 |
$465.30
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$16.80 |
$45.00 |
$133.20 |
$43.00
|
|
Triamcinolone a inj prs-free
|
$21.15 |
$508.20 |
$843.00 |
$223.56
|
|
Triamcinolone diacetate inj
|
$3.60 |
$3.60 |
$22.80 |
$3.60
|
|
Triamcinolone hexacetonl inj
|
$24.60 |
$24.60 |
$33.00 |
$21.36
|
|
Trichinella antibody
|
$112.20 |
$222.00 |
$355.80 |
$70.65
|
|
Trichomonas assay w/optic
|
$112.80 |
$123.60 |
$124.20 |
$57.40
|
|
Triglycerides
|
$48.60 |
$144.60 |
$339.60 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$10.80 |
$10.80 |
$10.80 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$98.40 |
$98.40 |
$99.20 |
$117.49
|
|
Trim nail(s)
|
$91.20 |
$105.60 |
$105.60 |
$78.40
|
|
Trim nondyst nails
|
$83.40 |
$138.60 |
$168.00 |
$115.20
|
|
Triptorelin pamoate
|
$5,526.60 |
$5,526.60 |
$5,526.60 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$9,821.40 |
$10,385.40 |
$10,828.20 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$9,821.40 |
$10,065.00 |
$10,705.80 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$13,400.40 |
$13,401.00 |
$17,983.80 |
$8,372.00
|
