|
Tiss ex molecul study add-on
|
$45.53 |
$45.53 |
$45.53 |
$45.53
|
|
Tissue amnio epifix inj 100mg
|
$35.06 |
$35.06 |
$35.06 |
$4,201.20
|
|
Tissue culture placenta
|
$520.91 |
$520.91 |
$520.91 |
$453.00
|
|
Tissue culture skin/biopsy
|
$144.03 |
$144.03 |
$645.58 |
$498.40
|
|
Tissue culture tumor
|
$196.35 |
$196.35 |
$652.70 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$9.28 |
$9.28 |
$56.37 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$304.84 |
$304.84 |
$582.23 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$5,971.88 |
$5,971.88 |
$19,288.03 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$1,403.42 |
$1,403.42 |
$12,121.38 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$119.60 |
$119.60 |
$119.60 |
$45.60
|
|
Tixagev and cilgav inj
|
$180.60 |
$180.60 |
$180.60 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$33.78 |
$33.78 |
$33.78 |
$80.10
|
|
Tlh uterus 250 g or less
|
$8,134.69 |
$8,134.69 |
$8,134.69 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$9,363.13 |
$9,363.13 |
$9,363.13 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$10,799.26 |
$10,799.26 |
$10,799.26 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$10,700.71 |
$10,700.71 |
$10,700.71 |
$12,320.22
|
|
Tlso 2 piece rigid shell
|
$722.40 |
$722.40 |
$722.40 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$944.40 |
$944.40 |
$944.40 |
$1,808.59
|
|
Tlso rigid plastic cust fab
|
$1,428.18 |
$1,428.18 |
$1,554.60 |
$2,347.16
|
|
Tnot opn elbw to sho ea tdn
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$11.47 |
$11.47 |
$228.45 |
$152.36
|
|
Tobramycin non-comp unit
|
$143.38 |
$143.38 |
$143.38 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$60.55 |
$60.55 |
$181.99 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$391.42 |
$391.42 |
$2,390.24 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$271.84 |
$271.84 |
$271.84 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$19.78 |
$19.78 |
$19.78 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$34.83 |
$34.83 |
$117.47 |
$74.10
|
|
Tone decay hearing test
|
$90.37 |
$90.37 |
$90.37 |
$90.37
|
|
Tongue base vol reduction
|
$2,495.61 |
$2,495.61 |
$2,495.61 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$38.50 |
$38.50 |
$3,085.83 |
$3,592.74
|
|
Tongue suspension
|
$3,999.24 |
$3,999.24 |
$3,999.24 |
$4,082.40
|
|
Tongue to lip surgery
|
$2,365.55 |
$2,365.55 |
$2,365.55 |
$3,837.72
|
|
Tonsillectomy (age 12+)
|
$61.95 |
$61.95 |
$2,735.53 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$4,182.80 |
$4,182.80 |
$4,182.80 |
$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
|
$10,646.17 |
$10,646.17 |
$10,646.17 |
$20,154.40
|
|
Toxoplasma antibody igg
|
$48.13 |
$48.13 |
$315.00 |
$90.00
|
|
Toxoplasma antibody igm
|
$46.03 |
$46.03 |
$240.00 |
$89.05
|
|
Tp53 gene full gene sequence
|
$660.00 |
$660.00 |
$660.00 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,828.50 |
$1,828.50 |
$1,828.50 |
$790.68
|
|
Tpmt gene com vrnts
|
$474.00 |
$474.00 |
$474.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$5,980.69 |
$5,980.69 |
$5,980.69 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$520.98 |
$520.98 |
$520.98 |
$6,684.23
|
|
Trabeculoplasty laser surg
|
$1,720.58 |
$1,720.58 |
$1,720.58 |
$1,180.80
|
|
Trachelectomy (cervicectomy) 57530
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,224.15 |
$2,224.15 |
$2,224.15 |
$1,437.45
|
|
Tracheostoma revision; simple, without flap rotation
|
$5,208.28 |
$5,208.28 |
$5,208.28 |
$3,837.72
|
|
Tracheostoma stent/stud/bttn
|
$175.89 |
$175.89 |
$175.89 |
$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
|
$104.33 |
$104.33 |
$104.33 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$460.32 |
$460.32 |
$460.32 |
$678.70
|
|
Transcath biopsy
|
$2,128.00 |
$2,128.00 |
$4,426.92 |
$4,285.93
|
|
Transcath closure of asd
|
$4,916.28 |
$4,916.28 |
$28,600.65 |
$17,352.58
|
|
Transcath closure of vsd
|
$25,060.49 |
$25,060.49 |
$25,060.49 |
$17,458.00
|
|
Transcatheter bx s&i
|
$168.53 |
$168.53 |
$1,828.34 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$15,677.33 |
$15,677.33 |
$15,677.33 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$26,034.38 |
$26,034.38 |
$26,034.38 |
$13,384.80
|
|
Transcath occlusion cns
|
$4,204.34 |
$4,204.34 |
$7,045.15 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$2,413.43 |
$2,413.43 |
$11,109.65 |
$10,452.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,196.30 |
$1,196.30 |
$3,112.96 |
$4,822.00
|
|
Transfer of abdominal muscle
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Transfer of iliopsoas muscle
|
$3,753.16 |
$3,753.16 |
$3,753.16 |
$6,311.00
|
|
Transferrin
|
$36.58 |
$36.58 |
$119.06 |
$82.00
|
|
Transfer skin pedicle flap
|
$3,530.23 |
$3,530.23 |
$3,530.23 |
$3,189.12
|
|
Transorl lwr esophgl myotomy
|
$3,661.93 |
$3,661.93 |
$3,661.93 |
$6,594.64
|
|
Transparent film >16<=48 in
|
$1.93 |
$1.93 |
$1.93 |
$12.95
|
|
Transperi needle place pros
|
$8,873.95 |
$8,873.95 |
$8,873.95 |
$6,203.00
|
|
Transplant forearm tendon
|
$3,762.00 |
$3,762.00 |
$3,762.00 |
$3,624.06
|
|
Transplant forearm tendon
|
$4,344.50 |
$4,344.50 |
$4,344.50 |
$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
|
$3,350.44 |
$3,350.44 |
$3,350.44 |
$3,839.54
|
|
Transplant of thigh tendon
|
$7,507.19 |
$7,507.19 |
$7,507.19 |
$7,507.19
|
|
Transplant palm tendon
|
$3,813.26 |
$3,813.26 |
$3,813.26 |
$3,839.54
|
|
Transplj hematopoietic boost
|
$1,770.28 |
$1,770.28 |
$1,770.28 |
$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)
|
$196.35 |
$196.35 |
$604.78 |
$558.35
|
|
Transvaginal Pregnancy Ultrasound
|
$284.73 |
$284.73 |
$509.00 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$257.07 |
$257.07 |
$8,258.47 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$214.14 |
$214.14 |
$214.14 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$1,958.08 |
$1,958.08 |
$8,026.96 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$455.18 |
$455.18 |
$2,286.90 |
$940.80
|
|
Trb@ gene rearrange dirprobe
|
$73.46 |
$73.46 |
$73.46 |
$73.46
|
|
Treat ankle dislocation
|
$2,798.24 |
$2,798.24 |
$2,798.24 |
$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
|
$6,004.47 |
$6,004.47 |
$6,004.47 |
$5,488.00
|
|
Treat big toe fracture
|
$4,579.34 |
$4,579.34 |
$4,579.34 |
$4,454.10
|
|
Treat cheek bone fracturemalar 21360
|
$6,489.73 |
$6,489.73 |
$6,489.73 |
$6,489.73
|
|
Treat clavicle dislocation 23545
|
$208.08 |
$208.08 |
$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
|
$586.08 |
$586.08 |
$3,185.59 |
$2,322.40
|
|
Treat elbow dislocation
|
$7,292.92 |
$7,292.92 |
$7,292.92 |
$7,292.92
|
|
Treat elbow fracture
|
$8,098.33 |
$8,098.33 |
$8,098.33 |
$9,791.00
|
|
Treat elbow fracture
|
$774.73 |
$774.73 |
$1,691.35 |
$2,055.00
|