|
Tetanus immune globulin inj
|
$654.26 |
$654.26 |
$654.26 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$12,284.57 |
$12,284.57 |
$12,284.57 |
$8,737.05
|
|
Therapeutic procd strg endur
|
$132.00 |
$132.00 |
$132.00 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$134.40 |
$134.40 |
$134.40 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$132.80 |
$132.80 |
$132.80 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$50.40 |
$50.40 |
$50.40 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$57.60 |
$57.60 |
$57.60 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$935.20 |
$935.20 |
$935.20 |
$538.88
|
|
Ther/proph/diag inj ia
|
$295.20 |
$295.20 |
$295.20 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$314.53 |
$314.53 |
$314.53 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$455.20 |
$455.20 |
$455.20 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,733.65
|
|
Thoracotomy w/expl
|
$950.40 |
$950.40 |
$950.40 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$2,599.20 |
$2,599.20 |
$2,599.20 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,588.80 |
$2,588.80 |
$2,588.80 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$5,104.00 |
$5,104.00 |
$5,104.00 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$12,553.60 |
$12,553.60 |
$12,553.60 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$25,907.20 |
$25,907.20 |
$25,907.20 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$39,712.80 |
$39,712.80 |
$39,712.80 |
$21,413.60
|
|
Thromboendarterectomy common femoral
|
$10,087.20 |
$10,087.20 |
$10,087.20 |
$3,987.20
|
|
Thromboendarterectomy sfa
|
$10,087.20 |
$10,087.20 |
$10,087.20 |
$5,472.00
|
|
Thyroid imaging
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$696.75
|
|
Thyroid mets imag whole body
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$1,524.99
|
|
Thyroid met uptake
|
$614.40 |
$614.40 |
$614.40 |
$407.40
|
|
Thyroid Ultrasound
|
$892.00 |
$892.00 |
$892.00 |
$588.50
|
|
Thyroid uptake measurement
|
$896.00 |
$896.00 |
$896.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,539.80 |
$4,539.80 |
$4,539.80 |
$4,152.21
|
|
Tigecycline injection
|
$513.06 |
$513.06 |
$513.06 |
$235.29
|
|
Tilt table study
|
$2,681.60 |
$2,681.60 |
$2,681.60 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$501.60 |
$501.60 |
$501.60 |
$458.85
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$118.40 |
$118.40 |
$118.40 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$98.60 |
$98.60 |
$98.60 |
$830.41
|
|
Tl-201 thallium diag per mci
|
$78.40 |
$78.40 |
$78.40 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$312.40 |
$312.40 |
$312.40 |
$152.36
|
|
Tobramycin non-comp unit
|
$76.63 |
$76.63 |
$76.63 |
$108.42
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,842.76 |
$5,842.76 |
$5,842.76 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$344.00 |
$344.00 |
$344.00 |
$258.65
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$546.96 |
$546.96 |
$546.96 |
$316.84
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,857.60 |
$1,857.60 |
$1,857.60 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$88.80 |
$88.80 |
$88.80 |
$103.20
|
|
Transabdom amnioinfus w/us
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$678.70
|
|
Transcath biopsy
|
$6,392.00 |
$6,392.00 |
$6,392.00 |
$4,285.93
|
|
Transcath closure of asd
|
$31,254.40 |
$31,254.40 |
$31,254.40 |
$17,088.00
|
|
Transcath closure of vsd
|
$22,568.80 |
$22,568.80 |
$22,568.80 |
$17,115.04
|
|
Transcatheter bx s&i
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$12,006.40 |
$12,006.40 |
$12,006.40 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$24,160.80 |
$24,160.80 |
$24,160.80 |
$13,093.20
|
|
Transcath occlusion cns
|
$15,020.80 |
$15,020.80 |
$15,020.80 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$12,907.20 |
$12,907.20 |
$12,907.20 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$24,118.40 |
$24,118.40 |
$24,118.40 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,784.80 |
$4,784.80 |
$4,784.80 |
$4,822.00
|
|
Transplant forearm tendon
|
$4,639.20 |
$4,639.20 |
$4,639.20 |
$3,624.06
|
|
Transplant hand tendon
|
$4,377.60 |
$4,377.60 |
$4,377.60 |
$3,839.54
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$868.80 |
$868.80 |
$868.80 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$913.60 |
$913.60 |
$913.60 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$4,312.64 |
$4,312.64 |
$4,312.64 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$10,192.48 |
$10,192.48 |
$10,192.48 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$7,150.40 |
$7,150.40 |
$7,150.40 |
$4,471.50
|
|
Tray bonemarrw oncontrol 102mm
|
$2,988.00 |
$2,988.00 |
$2,988.00 |
$940.80
|
|
Treat ankle dislocation
|
$2,117.60 |
$2,117.60 |
$2,117.60 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$432.80 |
$432.80 |
$432.80 |
$692.80
|
|
Treat elbow dislocation
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$2,311.20
|
|
Treat elbow fracture
|
$2,251.20 |
$2,251.20 |
$2,251.20 |
$2,027.40
|
|
Treat finger fracture each
|
$1,819.20 |
$1,819.20 |
$1,819.20 |
$1,592.00
|
|
Treat foot dislocation
|
$392.00 |
$392.00 |
$392.00 |
$405.60
|
|
Treat foot dislocation
|
$464.00 |
$464.00 |
$464.00 |
$527.28
|
|
Treat foot dislocation
|
$396.00 |
$396.00 |
$396.00 |
$445.80
|
|
Treat fracture of radius
|
$1,677.60 |
$1,677.60 |
$1,677.60 |
$1,821.60
|
|
Treat fracture of radius
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$1,849.00
|
|
Treat fracture of ulna
|
$424.80 |
$424.80 |
$424.80 |
$726.05
|
|
Treat hand bone lesion
|
$4,301.60 |
$4,301.60 |
$4,301.60 |
$3,073.20
|
|
Treat hand dislocation
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$1,771.43
|
|
Treat hip dislocation
|
$2,435.20 |
$2,435.20 |
$2,435.20 |
$2,211.05
|
|
Treat hip dislocation
|
$2,612.00 |
$2,612.00 |
$2,612.00 |
$2,612.00
|
|
Treat hip socket fracture
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,344.00
|
|
Treat humerus fracture
|
$1,808.80 |
$1,808.80 |
$1,808.80 |
$1,790.00
|
|
Treat humerus fracture
|
$2,009.60 |
$2,009.60 |
$2,009.60 |
$1,790.00
|
|
Treat kneecap dislocation
|
$596.80 |
$596.80 |
$596.80 |
$1,068.06
|
|
Treat knee dislocation
|
$3,655.20 |
$3,655.20 |
$3,655.20 |
$2,220.89
|
|
Treat knee fracture 27530
|
$503.20 |
$503.20 |
$503.20 |
$550.73
|
|
Treat knee fracture(s)
|
$396.00 |
$396.00 |
$396.00 |
$643.26
|
|
Treat knuckle dislocation
|
$1,884.00 |
$1,884.00 |
$1,884.00 |
$1,693.20
|
|
Treat lower leg dislocation
|
$341.60 |
$341.60 |
$341.60 |
$532.60
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,594.40 |
$3,594.40 |
$3,594.40 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$503.20 |
$503.20 |
$503.20 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$202.40 |
$202.40 |
$202.40 |
$147.48
|
|
Treatment of ankle fracture 27786
|
$480.00 |
$480.00 |
$480.00 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$620.80 |
$620.80 |
$620.80 |
$515.45
|
|
Treatment of foot infection
|
$3,114.40 |
$3,114.40 |
$3,114.40 |
$2,928.60
|
|
Treatment of heel fracture 28400
|
$524.80 |
$524.80 |
$524.80 |
$473.00
|
|
Treatment of mouth lesion physical 40820
|
$3,127.20 |
$3,127.20 |
$3,127.20 |
$3,734.50
|
|
Treatment of thigh fracture
|
$396.00 |
$396.00 |
$396.00 |
$487.50
|
|
Treatment of thigh fracture
|
$1,833.60 |
$1,833.60 |
$1,833.60 |
$1,749.06
|
|
Treatment of thigh fracture
|
$396.00 |
$396.00 |
$396.00 |
$548.90
|
|
Treatment of thigh fracture
|
$1,918.40 |
$1,918.40 |
$1,918.40 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$456.80 |
$456.80 |
$456.80 |
$371.40
|
|
Treatment radiation delivery level 2
|
$2,852.80 |
$2,852.80 |
$2,852.80 |
$830.70
|
|
Treat midfoot fracture each
|
$2,816.80 |
$2,816.80 |
$2,816.80 |
$1,884.74
|
|
Treat sternum fracture
|
$357.60 |
$357.60 |
$357.60 |
$423.00
|
|
Treat thigh fracture
|
$396.00 |
$396.00 |
$396.00 |
$661.00
|