|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$49.80 |
$49.80 |
$49.80 |
$152.36
|
|
Tobramycin non-comp unit
|
$1.80 |
$1.80 |
$1.80 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$115.80 |
$115.80 |
$115.80 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$783.00 |
$783.00 |
$783.00 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$188.40 |
$188.40 |
$188.40 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$65.40 |
$65.40 |
$65.40 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$65.40 |
$65.40 |
$65.40 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$141.00 |
$141.00 |
$141.00 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$889.20 |
$889.20 |
$889.20 |
$15,383.12
|
|
Toxoplasma antibody igg
|
$80.40 |
$80.40 |
$80.40 |
$91.65
|
|
Toxoplasma antibody igm
|
$80.40 |
$80.40 |
$80.40 |
$88.00
|
|
Tpmt gene com vrnts
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$2,068.20 |
$2,068.20 |
$2,068.20 |
$6,684.23
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$70.80 |
$70.80 |
$70.80 |
$103.20
|
|
Transabdom amnioinfus w/us
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$678.70
|
|
Transab esoph hiat hern repair 43332
|
$3,075.60 |
$3,075.60 |
$3,075.60 |
$2,835.20
|
|
Transcath biopsy
|
$6,966.60 |
$6,966.60 |
$6,966.60 |
$4,285.93
|
|
Transcath closure of asd
|
$29,803.20 |
$29,803.20 |
$29,803.20 |
$17,088.00
|
|
Transcatheter bx s&i
|
$6,169.80 |
$6,169.80 |
$6,169.80 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$4,354.20 |
$4,354.20 |
$4,354.20 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$10,503.00 |
$10,503.00 |
$10,503.00 |
$13,093.20
|
|
Transcath occlusion cns
|
$7,125.60 |
$7,125.60 |
$7,125.60 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$15,162.00 |
$15,162.00 |
$15,162.00 |
$10,270.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$10,522.80 |
$10,522.80 |
$10,522.80 |
$4,822.00
|
|
Transferrin
|
$64.80 |
$64.80 |
$64.80 |
$82.00
|
|
Transpl allograft pancreas
|
$8,883.00 |
$8,883.00 |
$8,883.00 |
$3,793.11
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$419.40 |
$419.40 |
$419.40 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$394.20 |
$394.20 |
$394.20 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$934.80 |
$934.80 |
$934.80 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$2,284.80 |
$2,284.80 |
$2,284.80 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$2,034.60 |
$2,034.60 |
$2,034.60 |
$5,846.40
|
|
Tray bonemarrw oncontrol 102mm
|
$858.60 |
$858.60 |
$858.60 |
$940.80
|
|
Treat big toe fracture
|
$6,649.80 |
$6,649.80 |
$6,649.80 |
$4,454.10
|
|
Treat clavicle dislocation 23545
|
$1,961.40 |
$1,961.40 |
$1,961.40 |
$692.80
|
|
Treat elbow fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$2,027.40
|
|
Treat finger fracture each
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,592.00
|
|
Treat foot dislocation
|
$759.00 |
$759.00 |
$759.00 |
$405.60
|
|
Treat foot dislocation
|
$625.80 |
$625.80 |
$625.80 |
$527.28
|
|
Treat fracture of radius
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,821.60
|
|
Treat fracture of radius
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$965.40 |
$965.40 |
$965.40 |
$726.05
|
|
Treat humerus fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,790.00
|
|
Treat humerus fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,790.00
|
|
Treat knee fracture 27530
|
$759.00 |
$759.00 |
$759.00 |
$550.73
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,405.40 |
$5,405.40 |
$5,405.40 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$273.00 |
$273.00 |
$273.00 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$424.80 |
$424.80 |
$424.80 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$5,405.40 |
$5,405.40 |
$5,405.40 |
$4,230.80
|
|
Treatment of ankle fracture 27786
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$769.80 |
$769.80 |
$769.80 |
$515.45
|
|
Treatment of heel fracture 28400
|
$759.00 |
$759.00 |
$759.00 |
$473.00
|
|
Treatment of penis lesion
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$3,515.40
|
|
Treatment of thigh fracture
|
$621.60 |
$621.60 |
$621.60 |
$487.50
|
|
Treatment of thigh fracture
|
$759.00 |
$759.00 |
$759.00 |
$548.90
|
|
Treatment of thigh fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$371.40 |
$371.40 |
$371.40 |
$371.40
|
|
Treatment radiation delivery level 2
|
$834.00 |
$834.00 |
$834.00 |
$830.70
|
|
Treat midfoot fracture each
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$1,884.74
|
|
Treat sternum fracture
|
$759.00 |
$759.00 |
$759.00 |
$423.00
|
|
Treat thigh fracture
|
$759.00 |
$759.00 |
$759.00 |
$661.00
|
|
Treat thigh fracture
|
$846.60 |
$846.60 |
$846.60 |
$618.80
|
|
Treat thumb fracture
|
$4,728.00 |
$4,728.00 |
$4,728.00 |
$3,839.54
|
|
Treat ulnar fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,678.55
|
|
Treat vaginal bleeding
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$379.60
|
|
Treat wrist bone fracture
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,679.04
|
|
Treat wrist dislocation
|
$921.60 |
$921.60 |
$921.60 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$73,346.25
|
|
Treponema pallidum antibody
|
$79.80 |
$79.80 |
$79.80 |
$72.05
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$10.80 |
$10.80 |
$10.80 |
$43.00
|
|
Trichinella antibody
|
$70.20 |
$70.20 |
$70.20 |
$70.65
|
|
Triglycerides
|
$29.40 |
$29.40 |
$29.40 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$928.80 |
$928.80 |
$928.80 |
$4,043.12
|
|
Trim nondyst nails
|
$130.20 |
$130.20 |
$130.20 |
$114.48
|
|
Triptorelin pamoate
|
$3,103.20 |
$3,103.20 |
$3,103.20 |
$4,619.39
|
|
Trmt of fracture (femoral shaft) 27500
|
$759.00 |
$759.00 |
$759.00 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$8,784.00 |
$8,784.00 |
$8,784.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$17,777.40 |
$17,777.40 |
$17,777.40 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$10,516.80 |
$10,516.80 |
$10,516.80 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$8,640.60 |
$8,640.60 |
$8,640.60 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$17,352.60 |
$17,352.60 |
$17,352.60 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$7,288.20 |
$7,288.20 |
$7,288.20 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,966.60 |
$6,966.60 |
$6,966.60 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,324.40 |
$5,324.40 |
$5,324.40 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,324.40 |
$5,324.40 |
$5,324.40 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$4,201.80 |
$4,201.80 |
$4,201.80 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$2,289.00 |
$2,289.00 |
$2,289.00 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$582.00 |
$582.00 |
$582.00 |
$2,377.62
|
|
Troponin quantitative
|
$63.60 |
$63.60 |
$63.60 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$1,905.60 |
$1,905.60 |
$1,905.60 |
$2,075.90
|
|
Tte w or without fol w/con,stres
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$1,632.80
|
|
Tubal Ligation (Laparoscopic)
|
$936.60 |
$936.60 |
$936.60 |
$4,323.20
|
|
Tx atrial fib pulm vein isol
|
$30,975.00 |
$30,975.00 |
$30,975.00 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$586.80
|
|
Tx closed tib shaft fx without manip
|
$1,408.20 |
$1,408.20 |
$1,408.20 |
$535.60
|
|
Tx l/r atrial fib addl
|
$4,257.00 |
$4,257.00 |
$4,257.00 |
$6,986.85
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$4,150.20 |
$4,150.20 |
$4,150.20 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$6,223.80 |
$6,223.80 |
$6,223.80 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$509.40 |
$509.40 |
$509.40 |
$419.73
|
|
Ua w/micro/comp poc
|
$18.00 |
$18.00 |
$18.00 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$21,992.26
|