|
Tonsillectomy (child under 12)
|
$4,555.73 |
$4,555.73 |
$4,555.73 |
$6,056.50
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$664.50 |
$664.50 |
$664.50 |
$316.84
|
|
Total ob care failed vbac 59618
|
$4,159.52 |
$4,159.52 |
$4,159.52 |
$4,792.80
|
|
Total tau
|
$600.00 |
$600.00 |
$600.00 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$16,139.55 |
$16,139.55 |
$16,139.55 |
$20,154.40
|
|
Toxoplasma antibody igg
|
$274.02 |
$274.02 |
$315.00 |
$90.00
|
|
Toxoplasma antibody igm
|
$240.00 |
$240.00 |
$242.96 |
$89.05
|
|
Tp53 gene full gene sequence
|
$275.58 |
$275.58 |
$275.58 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,828.50 |
$1,828.50 |
$1,828.50 |
$790.68
|
|
Tpmt gene com vrnts
|
$146.11 |
$146.11 |
$474.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$6,105.61 |
$6,105.61 |
$6,105.61 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$1,671.96 |
$1,671.96 |
$1,671.96 |
$1,180.80
|
|
Trachelectomy (cervicectomy) 57530
|
$4,933.66 |
$4,933.66 |
$4,933.66 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,691.67 |
$1,691.67 |
$1,691.67 |
$1,437.45
|
|
Tracheostoma revision; simple, without flap rotation
|
$4,467.89 |
$4,467.89 |
$4,467.89 |
$3,837.72
|
|
Tracheostoma stent/stud/bttn
|
$385.94 |
$385.94 |
$385.94 |
$333.29
|
|
Trach/laryn tube plug/stop
|
$158.30 |
$158.30 |
$158.30 |
$9.18
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$122.01 |
$122.01 |
$122.01 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$460.32 |
$460.32 |
$460.32 |
$678.70
|
|
Transcath biopsy
|
$4,285.93 |
$4,285.93 |
$4,285.93 |
$4,285.93
|
|
Transcath closure of asd
|
$26,635.92 |
$26,635.92 |
$26,635.92 |
$17,352.58
|
|
Transcath closure of vsd
|
$22,263.84 |
$22,263.84 |
$22,263.84 |
$17,458.00
|
|
Transcatheter bx s&i
|
$1,692.91 |
$1,692.91 |
$3,843.50 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$17,345.24 |
$17,345.24 |
$17,345.24 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$25,400.50 |
$25,400.50 |
$25,400.50 |
$13,384.80
|
|
Transcath occlusion cns
|
$3,363.47 |
$3,363.47 |
$3,363.47 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$10,099.69 |
$10,099.69 |
$10,099.69 |
$10,452.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,361.99 |
$3,361.99 |
$3,361.99 |
$4,822.00
|
|
Transfer of abdominal muscle
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Transfer of iliopsoas muscle
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,311.00
|
|
Transferrin
|
$119.06 |
$119.06 |
$175.31 |
$82.00
|
|
Transfer skin pedicle flap
|
$3,209.30 |
$3,209.30 |
$3,209.30 |
$3,189.12
|
|
Transperi needle place pros
|
$7,113.96 |
$7,113.96 |
$7,113.96 |
$6,203.00
|
|
Transplant forearm tendon
|
$3,291.75 |
$3,291.75 |
$3,291.75 |
$3,624.06
|
|
Transplant forearm tendon
|
$4,389.91 |
$4,389.91 |
$4,389.91 |
$3,839.54
|
|
Transplant/graft hand tendon
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,594.44
|
|
Transplant/graft palm tendon
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Transplant hand tendon
|
$3,703.12 |
$3,703.12 |
$3,703.12 |
$3,839.54
|
|
Transplant of thigh tendon
|
$7,507.19 |
$7,507.19 |
$7,507.19 |
$7,507.19
|
|
Transplant palm tendon
|
$3,819.05 |
$3,819.05 |
$3,819.05 |
$3,839.54
|
|
Transplj hematopoietic boost
|
$1,600.42 |
$1,600.42 |
$1,600.42 |
$2,667.20
|
|
Transplt allo hct/donor
|
$7,185.31 |
$7,185.31 |
$7,185.31 |
$29,206.10
|
|
Transplt autol hct/donor
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$3,986.00
|
|
Transurethral rf treatment
|
$2,906.29 |
$2,906.29 |
$2,906.29 |
$3,281.20
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$543.02 |
$543.02 |
$586.43 |
$558.35
|
|
Transvaginal Pregnancy Ultrasound
|
$374.70 |
$374.70 |
$509.00 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$145.30 |
$145.30 |
$8,258.47 |
$3,141.85
|
|
Trauma partial team response w/critical care services level 4
|
$3,336.92 |
$3,336.92 |
$8,026.96 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$2,286.90 |
$2,286.90 |
$2,286.90 |
$940.80
|
|
Trb@ gene rearrange dirprobe
|
$73.46 |
$73.46 |
$73.46 |
$73.46
|
|
Treat ankle dislocation
|
$2,821.75 |
$2,821.75 |
$2,821.75 |
$2,358.40
|
|
Treat ankle dislocation
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,913.97
|
|
Treat ankle dislocation
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,741.00
|
|
Treat ankle fracture
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,488.00
|
|
Treat big toe fracture
|
$4,962.95 |
$4,962.95 |
$4,962.95 |
$4,454.10
|
|
Treat cheek bone fracturemalar 21360
|
$6,814.22 |
$6,814.22 |
$6,814.22 |
$6,489.73
|
|
Treat clavicle dislocation 23545
|
$825.57 |
$825.57 |
$825.57 |
$692.80
|
|
Treat ectopic pregnancy
|
$6,515.57 |
$6,515.57 |
$6,515.57 |
$3,986.00
|
|
Treat ectopic pregnancy
|
$6,707.99 |
$6,707.99 |
$6,707.99 |
$6,707.99
|
|
Treat elbow dislocation
|
$2,184.47 |
$2,184.47 |
$2,184.47 |
$2,322.40
|
|
Treat elbow dislocation
|
$6,629.92 |
$6,629.92 |
$6,629.92 |
$7,292.92
|
|
Treat elbow fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$9,791.00
|
|
Treat elbow fracture
|
$1,978.52 |
$1,978.52 |
$1,978.52 |
$2,055.00
|
|
Treat elbow fracture
|
$10,443.23 |
$10,443.23 |
$10,443.23 |
$6,839.00
|
|
Treat eyelid by injection
|
$176.04 |
$176.04 |
$176.04 |
$472.21
|
|
Treat eyelid lesion 67850
|
$1,465.04 |
$1,465.04 |
$1,465.04 |
$1,146.13
|
|
Treat finger fracture each
|
$3,714.93 |
$3,714.93 |
$3,714.93 |
$4,192.86
|
|
Treat finger fracture each
|
$2,226.01 |
$2,226.01 |
$2,226.01 |
$1,592.00
|
|
Treat foot bone lesion
|
$3,700.57 |
$3,700.57 |
$3,700.57 |
$3,839.54
|
|
Treat foot dislocation
|
$396.30 |
$396.30 |
$396.30 |
$410.00
|
|
Treat foot dislocation
|
$3,935.24 |
$3,935.24 |
$3,935.24 |
$4,192.86
|
|
Treat foot dislocation
|
$3,935.24 |
$3,935.24 |
$3,935.24 |
$2,856.00
|
|
Treat foot dislocation
|
$421.50 |
$421.50 |
$421.50 |
$535.60
|
|
Treat foot dislocation
|
$3,079.75 |
$3,079.75 |
$3,079.75 |
$5,112.80
|
|
Treat foot dislocation
|
$394.75 |
$394.75 |
$394.75 |
$445.80
|
|
Treat foot dislocation
|
$276.31 |
$276.31 |
$276.31 |
$440.04
|
|
Treat foot dislocation
|
$3,778.28 |
$3,778.28 |
$3,778.28 |
$3,839.54
|
|
Treat fracture of radius
|
$1,839.55 |
$1,839.55 |
$1,839.55 |
$1,839.55
|
|
Treat fracture of radius
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$1,849.00
|
|
Treat fracture of ulna
|
$551.53 |
$551.53 |
$551.53 |
$731.04
|
|
Treat/graft heel fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$10,629.07
|
|
Treat hand bone lesion
|
$4,149.29 |
$4,149.29 |
$4,149.29 |
$3,073.20
|
|
Treat hand dislocation
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$1,772.97
|
|
Treat hand dislocation
|
$3,565.60 |
$3,565.60 |
$3,565.60 |
$3,839.54
|
|
Treat hand dislocation
|
$7,492.98 |
$7,492.98 |
$7,492.98 |
$3,986.00
|
|
Treat heel fracture
|
$8,683.23 |
$8,683.23 |
$8,683.23 |
$7,907.11
|
|
Treat hip dislocation
|
$2,465.82 |
$2,465.82 |
$2,465.82 |
$2,211.05
|
|
Treat hip dislocation
|
$2,743.15 |
$2,743.15 |
$2,743.15 |
$2,643.60
|
|
Treat hip socket fracture
|
$1,903.18 |
$1,903.18 |
$1,903.18 |
$1,340.10
|
|
Treat humerus fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$9,803.49
|
|
Treat humerus fracture
|
$11,850.08 |
$11,850.08 |
$11,850.08 |
$12,299.10
|
|
Treat humerus fracture
|
$1,417.44 |
$1,417.44 |
$1,417.44 |
$1,808.80
|
|
Treat humerus fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$10,902.51
|
|
Treat humerus fracture
|
$16,139.55 |
$16,139.55 |
$16,139.55 |
$10,742.40
|
|
Treat humerus fracture
|
$1,488.31 |
$1,488.31 |
$1,488.31 |
$1,790.00
|
|
Treat humerus fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$10,629.07
|
|
Treat humerus fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$7,906.00
|
|
Treat humerus fracture
|
$3,079.75 |
$3,079.75 |
$3,079.75 |
$6,311.00
|
|
Treat kneecap dislocation
|
$1,792.16 |
$1,792.16 |
$1,792.16 |
$1,063.40
|
|
Treat kneecap dislocation
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,070.00
|
