|
Tissue exam koh skin/hair/nails
|
$52.00 |
$52.00 |
$52.00 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$243.50 |
$243.50 |
$243.50 |
$1,134.00
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$36.00 |
$36.00 |
$36.00 |
$18,999.96
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$17.50 |
$17.50 |
$17.50 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$90.00 |
$90.00 |
$90.00 |
$44.16
|
|
Tixagev and cilgav inj
|
$357.50 |
$357.50 |
$357.50 |
$224.55
|
|
Tlso 2 piece rigid shell
|
$1,451.00 |
$1,451.00 |
$1,451.00 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,183.00 |
$2,183.00 |
$2,183.00 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$2,117.57
|
|
Tlso corset front
|
$246.00 |
$246.00 |
$246.00 |
$244.50
|
|
Tlso r fram soft pre ots
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$910.81
|
|
Tlso rigid lined custom fab
|
$3,121.50 |
$3,121.50 |
$3,121.50 |
$2,831.21
|
|
Tlso rigid plastic cust fab
|
$4,290.50 |
$4,290.50 |
$4,290.50 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$2,254.50 |
$2,254.50 |
$2,254.50 |
$2,788.42
|
|
Tobramycin peak therapeutic drug level
|
$95.50 |
$95.50 |
$95.50 |
$120.60
|
|
Tomosynthesis breast screen bilateral
|
$358.00 |
$358.00 |
$358.00 |
$72.68
|
|
Tongue base vol reduction
|
$2,954.00 |
$2,954.00 |
$2,954.00 |
$3,986.00
|
|
Tongue biopsy; posterior one-third 41105
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$3,544.29
|
|
Toxoplasma antibody igg
|
$110.00 |
$110.00 |
$110.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$157.00 |
$157.00 |
$157.00 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$304.50 |
$304.50 |
$304.50 |
$790.68
|
|
Tprnl plmt biodegrdabl matrl
|
$5,042.00 |
$5,042.00 |
$5,042.00 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$227.00 |
$227.00 |
$227.00 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$720.50 |
$720.50 |
$720.50 |
$1,420.44
|
|
Tracheostoma revision; simple, without flap rotation
|
$2,476.00 |
$2,476.00 |
$2,476.00 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$46.50 |
$46.50 |
$46.50 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$358.50 |
$358.50 |
$358.50 |
$678.70
|
|
Transcath biopsy
|
$2,631.00 |
$2,631.00 |
$2,631.00 |
$4,285.93
|
|
Transcath closure of asd
|
$9,428.00 |
$9,428.00 |
$9,428.00 |
$16,741.40
|
|
Transcath closure of vsd
|
$14,584.00 |
$14,584.00 |
$14,584.00 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$12,418.00
|
|
Transcath occlusion cns
|
$2,144.50 |
$2,144.50 |
$2,144.50 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$5,808.50 |
$5,808.50 |
$5,808.50 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$16,546.00 |
$16,546.00 |
$16,546.00 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,103.00 |
$2,103.00 |
$2,103.00 |
$4,775.16
|
|
Transferrin
|
$55.00 |
$55.00 |
$55.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,547.50 |
$1,547.50 |
$1,547.50 |
$983.00
|
|
Transparent film >16<=48 in
|
$124.50 |
$124.50 |
$124.50 |
$12.95
|
|
Transplt allo hct/donor
|
$1,669.00 |
$1,669.00 |
$1,669.00 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$1,989.50 |
$1,989.50 |
$1,989.50 |
$2,456.00
|
|
Transplt autol hct/donor
|
$2,094.50 |
$2,094.50 |
$2,094.50 |
$3,786.00
|
|
Transthor cath for stent
|
$5,704.00 |
$5,704.00 |
$5,704.00 |
$3,612.00
|
|
Trauma partial team response w/critical care services level 4
|
$4,471.50 |
$4,471.50 |
$4,471.50 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$940.80
|
|
Treat ankle dislocation
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$2,358.40
|
|
Treat elbow dislocation
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$2,223.20
|
|
Treat elbow fracture
|
$2,157.50 |
$2,157.50 |
$2,157.50 |
$1,919.13
|
|
Treat eyelid by injection
|
$165.50 |
$165.50 |
$165.50 |
$481.44
|
|
Treat eyelid lesion 67850
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$1,146.13
|
|
Treat finger fracture each
|
$805.00 |
$805.00 |
$805.00 |
$1,536.00
|
|
Treat foot dislocation
|
$250.00 |
$250.00 |
$250.00 |
$396.30
|
|
Treat foot dislocation
|
$379.50 |
$379.50 |
$379.50 |
$445.80
|
|
Treat fracture of radius
|
$805.00 |
$805.00 |
$805.00 |
$1,790.00
|
|
Treat fracture of radius
|
$791.50 |
$791.50 |
$791.50 |
$1,849.00
|
|
Treat fracture of ulna
|
$353.00 |
$353.00 |
$353.00 |
$726.05
|
|
Treat hip dislocation
|
$1,719.50 |
$1,719.50 |
$1,719.50 |
$2,192.80
|
|
Treat hip dislocation
|
$1,269.50 |
$1,269.50 |
$1,269.50 |
$2,641.60
|
|
Treat humerus fracture
|
$1,630.50 |
$1,630.50 |
$1,630.50 |
$1,771.43
|
|
Treat humerus fracture
|
$805.00 |
$805.00 |
$805.00 |
$1,771.43
|
|
Treat kneecap dislocation
|
$349.50 |
$349.50 |
$349.50 |
$1,068.90
|
|
Treat knee dislocation
|
$1,719.50 |
$1,719.50 |
$1,719.50 |
$2,220.89
|
|
Treat knee fracture 27530
|
$254.00 |
$254.00 |
$254.00 |
$550.00
|
|
Treat knee fracture(s)
|
$349.50 |
$349.50 |
$349.50 |
$642.00
|
|
Treat knuckle dislocation
|
$3,133.00 |
$3,133.00 |
$3,133.00 |
$4,332.00
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$97.00 |
$97.00 |
$97.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$72.00 |
$72.00 |
$72.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$125.50 |
$125.50 |
$125.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$3,982.44
|
|
Treatment of ankle fracture 27786
|
$218.00 |
$218.00 |
$218.00 |
$520.80
|
|
Treatment of choroid lesion
|
$435.50 |
$435.50 |
$435.50 |
$1,253.20
|
|
Treatment of corneal lesion
|
$252.00 |
$252.00 |
$252.00 |
$856.80
|
|
Treatment of fibula fracture 27780
|
$295.00 |
$295.00 |
$295.00 |
$491.50
|
|
Treatment of miscarriage
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$2,033.50 |
$2,033.50 |
$2,033.50 |
$3,589.62
|
|
Treatment of retinal lesion
|
$227.00 |
$227.00 |
$227.00 |
$1,033.14
|
|
Treatment of thigh fracture
|
$250.00 |
$250.00 |
$250.00 |
$548.90
|
|
Treatment of thigh fracture
|
$791.50 |
$791.50 |
$791.50 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$250.00 |
$250.00 |
$250.00 |
$369.70
|
|
Treatment radiation delivery level 2
|
$488.50 |
$488.50 |
$488.50 |
$767.65
|
|
Treatment x10sv retinopathy
|
$227.00 |
$227.00 |
$227.00 |
$1,513.20
|
|
Treat midfoot fracture each
|
$1,340.50 |
$1,340.50 |
$1,340.50 |
$1,851.78
|
|
Treat pelvic ring fracture
|
$3,831.00 |
$3,831.00 |
$3,831.00 |
$2,223.20
|
|
Treat spinal cord lesion
|
$927.00 |
$927.00 |
$927.00 |
$1,142.50
|
|
Treat spinal cord lesion
|
$1,121.50 |
$1,121.50 |
$1,121.50 |
$1,337.00
|
|
Treat thigh fracture
|
$2,757.50 |
$2,757.50 |
$2,757.50 |
$2,032.10
|
|
Treat toe dislocation
|
$295.50 |
$295.50 |
$295.50 |
$756.39
|
|
Treat ulnar fracture
|
$805.00 |
$805.00 |
$805.00 |
$1,662.00
|
|
Treat vaginal bleeding
|
$73.50 |
$73.50 |
$73.50 |
$379.60
|
|
Treat wrist bone fracture
|
$805.00 |
$805.00 |
$805.00 |
$1,548.40
|
|
Treponema pallidum antibody
|
$97.50 |
$97.50 |
$97.50 |
$70.40
|
|
Trg gene rearrangement anal
|
$336.00 |
$336.00 |
$336.00 |
$455.70
|
|
Triglycerides
|
$34.00 |
$34.00 |
$34.00 |
$58.05
|
|
Trim nondyst nails
|
$46.50 |
$46.50 |
$46.50 |
$113.40
|
|
Trluml dil aq o/f can without st
|
$1,659.50 |
$1,659.50 |
$1,659.50 |
$5,419.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$380.50 |
$380.50 |
$380.50 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$7,491.50 |
$7,491.50 |
$7,491.50 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$5,412.00 |
$5,412.00 |
$5,412.00 |
$9,767.25
|
