|
Tobramycin peak therapeutic drug level
|
$118.00 |
$118.00 |
$118.00 |
$120.60
|
|
Tomosynthesis breast screen bilateral
|
$358.50 |
$358.50 |
$358.50 |
$72.68
|
|
Tongue base vol reduction
|
$4,084.00 |
$4,084.00 |
$4,084.00 |
$3,986.00
|
|
Tongue biopsy; posterior one-third 41105
|
$2,786.00 |
$2,786.00 |
$2,786.00 |
$3,544.29
|
|
Total tau
|
$844.00 |
$844.00 |
$844.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$102.00 |
$102.00 |
$102.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$145.00 |
$145.00 |
$145.00 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$486.00 |
$486.00 |
$486.00 |
$790.68
|
|
Tprnl plmt biodegrdabl matrl
|
$6,845.00 |
$6,845.00 |
$6,845.00 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$336.50 |
$336.50 |
$336.50 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,195.50 |
$1,195.50 |
$1,195.50 |
$1,420.44
|
|
Tracheostoma revision; simple, without flap rotation
|
$3,423.50 |
$3,423.50 |
$3,423.50 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$68.50 |
$68.50 |
$68.50 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$487.00 |
$487.00 |
$487.00 |
$678.70
|
|
Transcath biopsy
|
$3,572.00 |
$3,572.00 |
$3,572.00 |
$4,285.93
|
|
Transcath closure of asd
|
$11,639.50 |
$11,639.50 |
$11,639.50 |
$16,741.40
|
|
Transcath closure of vsd
|
$18,005.00 |
$18,005.00 |
$18,005.00 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,748.50 |
$1,748.50 |
$1,748.50 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$3,374.00 |
$3,374.00 |
$3,374.00 |
$12,418.00
|
|
Transcath occlusion cns
|
$2,911.50 |
$2,911.50 |
$2,911.50 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$7,885.50 |
$7,885.50 |
$7,885.50 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$20,427.00 |
$20,427.00 |
$20,427.00 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,596.00 |
$2,596.00 |
$2,596.00 |
$4,775.16
|
|
Transferrin
|
$75.50 |
$75.50 |
$75.50 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$983.00
|
|
Transparent film >16<=48 in
|
$124.50 |
$124.50 |
$124.50 |
$12.95
|
|
Transplj hematopoietic boost
|
$1,522.00 |
$1,522.00 |
$1,522.00 |
$2,667.20
|
|
Transplt allo hct/donor
|
$2,308.00 |
$2,308.00 |
$2,308.00 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$2,456.00 |
$2,456.00 |
$2,456.00 |
$2,456.00
|
|
Transplt autol hct/donor
|
$2,843.50 |
$2,843.50 |
$2,843.50 |
$3,786.00
|
|
Transthor cath for stent
|
$7,042.00 |
$7,042.00 |
$7,042.00 |
$3,612.00
|
|
Trauma partial team response w/critical care services level 4
|
$5,520.50 |
$5,520.50 |
$5,520.50 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$940.80
|
|
Treat ankle dislocation
|
$2,843.00 |
$2,843.00 |
$2,843.00 |
$2,358.40
|
|
Treat ankle fracture
|
$6,632.00 |
$6,632.00 |
$6,632.00 |
$5,488.00
|
|
Treat elbow dislocation
|
$2,843.00 |
$2,843.00 |
$2,843.00 |
$2,223.20
|
|
Treat elbow fracture
|
$2,983.00 |
$2,983.00 |
$2,983.00 |
$1,919.13
|
|
Treat eyelid by injection
|
$245.50 |
$245.50 |
$245.50 |
$481.44
|
|
Treat eyelid lesion 67850
|
$1,419.50 |
$1,419.50 |
$1,419.50 |
$1,146.13
|
|
Treat finger fracture each
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,536.00
|
|
Treat foot dislocation
|
$345.50 |
$345.50 |
$345.50 |
$396.30
|
|
Treat foot dislocation
|
$524.50 |
$524.50 |
$524.50 |
$445.80
|
|
Treat fracture of radius
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,790.00
|
|
Treat fracture of radius
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$488.50 |
$488.50 |
$488.50 |
$726.05
|
|
Treat hip dislocation
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$2,192.80
|
|
Treat hip dislocation
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$2,641.60
|
|
Treat humerus fracture
|
$2,254.50 |
$2,254.50 |
$2,254.50 |
$1,771.43
|
|
Treat humerus fracture
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,771.43
|
|
Treat kneecap dislocation
|
$483.50 |
$483.50 |
$483.50 |
$1,068.90
|
|
Treat knee dislocation
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$2,220.89
|
|
Treat knee fracture 27530
|
$351.00 |
$351.00 |
$351.00 |
$550.00
|
|
Treat knee fracture(s)
|
$483.50 |
$483.50 |
$483.50 |
$642.00
|
|
Treat knuckle dislocation
|
$4,332.00 |
$4,332.00 |
$4,332.00 |
$4,332.00
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,997.00 |
$1,997.00 |
$1,997.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$120.00 |
$120.00 |
$120.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$89.00 |
$89.00 |
$89.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$173.50 |
$173.50 |
$173.50 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,997.00 |
$1,997.00 |
$1,997.00 |
$3,982.44
|
|
Treatment of ankle fracture 27786
|
$302.00 |
$302.00 |
$302.00 |
$520.80
|
|
Treatment of choroid lesion
|
$645.00 |
$645.00 |
$645.00 |
$1,253.20
|
|
Treatment of corneal lesion
|
$373.50 |
$373.50 |
$373.50 |
$856.80
|
|
Treatment of fibula fracture 27780
|
$408.00 |
$408.00 |
$408.00 |
$491.50
|
|
Treatment of foot infection
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$3,821.05
|
|
Treatment of heel fracture 28400
|
$222.50 |
$222.50 |
$222.50 |
$473.00
|
|
Treatment of miscarriage
|
$1,997.00 |
$1,997.00 |
$1,997.00 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$2,812.00 |
$2,812.00 |
$2,812.00 |
$3,589.62
|
|
Treatment of retinal lesion
|
$336.50 |
$336.50 |
$336.50 |
$1,033.14
|
|
Treatment of thigh fracture
|
$345.50 |
$345.50 |
$345.50 |
$548.90
|
|
Treatment of thigh fracture
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$345.50 |
$345.50 |
$345.50 |
$369.70
|
|
Treatment radiation delivery level 2
|
$631.50 |
$631.50 |
$631.50 |
$767.65
|
|
Treatment x10sv retinopathy
|
$336.50 |
$336.50 |
$336.50 |
$1,513.20
|
|
Treat midfoot fracture each
|
$1,853.50 |
$1,853.50 |
$1,853.50 |
$1,851.78
|
|
Treat pelvic ring fracture
|
$5,201.00 |
$5,201.00 |
$5,201.00 |
$2,223.20
|
|
Treat spinal cord lesion
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$1,142.50
|
|
Treat spinal cord lesion
|
$1,550.50 |
$1,550.50 |
$1,550.50 |
$1,337.00
|
|
Treat thigh fracture
|
$222.50 |
$222.50 |
$222.50 |
$618.80
|
|
Treat thigh fracture
|
$3,744.00 |
$3,744.00 |
$3,744.00 |
$2,032.10
|
|
Treat toe dislocation
|
$409.00 |
$409.00 |
$409.00 |
$756.39
|
|
Treat ulnar fracture
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,662.00
|
|
Treat vaginal bleeding
|
$101.50 |
$101.50 |
$101.50 |
$379.60
|
|
Treat wrist bone fracture
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,548.40
|
|
Treat wrist dislocation
|
$106.50 |
$106.50 |
$106.50 |
$656.25
|
|
Treponema pallidum antibody
|
$90.00 |
$90.00 |
$90.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$535.00 |
$535.00 |
$535.00 |
$455.70
|
|
Triglycerides
|
$46.50 |
$46.50 |
$46.50 |
$58.05
|
|
Trim nondyst nails
|
$64.00 |
$64.00 |
$64.00 |
$113.40
|
|
Trluml dil aq o/f can without st
|
$2,459.00 |
$2,459.00 |
$2,459.00 |
$5,419.00
|
|
Trmt of fracture (femoral shaft) 27500
|
$526.50 |
$526.50 |
$526.50 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$10,170.00 |
$10,170.00 |
$10,170.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$7,347.00 |
$7,347.00 |
$7,347.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$7,520.50 |
$7,520.50 |
$7,520.50 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$7,458.00 |
$7,458.00 |
$7,458.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$8,194.00 |
$8,194.00 |
$8,194.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$16,942.50 |
$16,942.50 |
$16,942.50 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$5,708.50 |
$5,708.50 |
$5,708.50 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,462.50 |
$2,462.50 |
$2,462.50 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,230.00 |
$4,230.00 |
$4,230.00 |
$4,250.25
|
