|
St treatment speech individual
|
$126.84 |
$126.84 |
$126.84 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$140.70 |
$140.70 |
$140.70 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$56.70 |
$56.70 |
$56.70 |
$49.13
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$68.51 |
$68.51 |
$68.51 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$73.38 |
$73.38 |
$73.38 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$126.42 |
$126.42 |
$126.42 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$126.42 |
$126.42 |
$126.42 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$254.94 |
$254.94 |
$254.94 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$254.94 |
$254.94 |
$254.94 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,492.68 |
$1,492.68 |
$1,492.68 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$3,362.10 |
$3,362.10 |
$3,362.10 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$28.98 |
$28.98 |
$28.98 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$8.82 |
$8.82 |
$8.82 |
$34.48
|
|
Susceptibility mic per plate
|
$45.78 |
$45.78 |
$45.78 |
$94.38
|
|
System cardiomems hosp electronics
|
$42,700.77 |
$42,700.77 |
$42,700.77 |
$41,639.82
|
|
System pacing micra av
|
$26,599.86 |
$26,599.86 |
$26,599.86 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$7,795.20 |
$7,795.20 |
$7,795.20 |
$10,980.00
|
|
System sealant biosentry tract
|
$1,197.76 |
$1,197.76 |
$1,197.76 |
$900.00
|
|
T3 (triiodothyronine) total
|
$76.44 |
$76.44 |
$76.44 |
$94.90
|
|
T4 (thyroxine) free
|
$48.72 |
$48.72 |
$48.72 |
$81.60
|
|
T4 (thyroxine) total
|
$36.96 |
$36.96 |
$36.96 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$24.36 |
$24.36 |
$24.36 |
$122.40
|
|
T cells absolute cd4/cd8 including ratio
|
$359.94 |
$359.94 |
$359.94 |
$186.00
|
|
T cells absolute cd 4 count
|
$205.38 |
$205.38 |
$205.38 |
$120.25
|
|
T cells total count
|
$288.96 |
$288.96 |
$288.96 |
$124.11
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$42,656.71 |
$42,656.71 |
$42,656.71 |
$16,531.64
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,839.54
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$56.70 |
$56.70 |
$56.70 |
$46.10
|
|
Theophylline therapeutic drug level
|
$25.20 |
$25.20 |
$25.20 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$103.74 |
$103.74 |
$103.74 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$73.92 |
$73.92 |
$73.92 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$174.72 |
$174.72 |
$174.72 |
$534.32
|
|
Ther/proph/diag inj ia
|
$315.84 |
$315.84 |
$315.84 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,351.56 |
$1,351.56 |
$1,351.56 |
$1,804.00
|
|
Thoracotomy w/expl
|
$120.96 |
$120.96 |
$120.96 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$120.96 |
$120.96 |
$120.96 |
$2,926.56
|
|
Thrombin time
|
$35.70 |
$35.70 |
$35.70 |
$48.75
|
|
Thyroid (TSH) Test
|
$90.30 |
$90.30 |
$90.30 |
$120.00
|
|
Thyroid Ultrasound
|
$270.06 |
$270.06 |
$270.06 |
$589.96
|
|
Tissue exam koh skin/hair/nails
|
$26.04 |
$26.04 |
$26.04 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$5,334.72 |
$5,334.72 |
$5,334.72 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$1,525.91 |
$1,525.91 |
$1,525.91 |
$2,085.14
|
|
Tobramycin peak therapeutic drug level
|
$28.56 |
$28.56 |
$28.56 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$16,051.90 |
$16,051.90 |
$16,051.90 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$57.54 |
$57.54 |
$57.54 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$44.10 |
$44.10 |
$44.10 |
$73.45
|
|
Tracheobrnchsc thru est trachs incisn
|
$499.80 |
$499.80 |
$499.80 |
$1,459.48
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$56.70 |
$56.70 |
$56.70 |
$77.65
|
|
Transcath biopsy
|
$431.34 |
$431.34 |
$431.34 |
$4,298.05
|
|
Transferrin
|
$68.88 |
$68.88 |
$68.88 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$401.52 |
$401.52 |
$401.52 |
$988.24
|
|
Trauma partial team response w/critical care services level 4
|
$6,425.58 |
$6,425.58 |
$6,425.58 |
$5,455.00
|
|
Tray bonemarrw oncontrol 102mm
|
$5,386.50 |
$5,386.50 |
$5,386.50 |
$1,013.83
|
|
Treat ankle dislocation
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,207.20
|
|
Treat ankle dislocation
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$7,807.24
|
|
Treat big toe fracture
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$275.52 |
$275.52 |
$275.52 |
$734.00
|
|
Treat elbow dislocation
|
$2,621.64 |
$2,621.64 |
$2,621.64 |
$2,326.40
|
|
Treat elbow fracture
|
$2,621.64 |
$2,621.64 |
$2,621.64 |
$2,125.60
|
|
Treat elbow fracture
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$8,453.60
|
|
Treat eyelid by injection
|
$436.80 |
$436.80 |
$436.80 |
$472.21
|
|
Treat finger fracture each
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,108.00
|
|
Treat finger fracture each
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$1,815.75
|
|
Treat foot dislocation
|
$275.52 |
$275.52 |
$275.52 |
$435.60
|
|
Treat foot dislocation
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,935.24
|
|
Treat foot dislocation
|
$275.52 |
$275.52 |
$275.52 |
$527.28
|
|
Treat foot dislocation
|
$275.52 |
$275.52 |
$275.52 |
$478.40
|
|
Treat foot dislocation
|
$275.52 |
$275.52 |
$275.52 |
$404.04
|
|
Treat fracture of radius
|
$2,752.68 |
$2,752.68 |
$2,752.68 |
$2,030.33
|
|
Treat fracture of radius
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,316.75
|
|
Treat fracture of ulna
|
$275.52 |
$275.52 |
$275.52 |
$766.72
|
|
Treat hand dislocation
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$1,893.86
|
|
Treat hip dislocation
|
$2,044.14 |
$2,044.14 |
$2,044.14 |
$2,561.90
|
|
Treat hip dislocation
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$3,152.05
|
|
Treat hip socket fracture
|
$275.52 |
$275.52 |
$275.52 |
$1,340.10
|
|
Treat humerus fracture
|
$17,353.56 |
$17,353.56 |
$17,353.56 |
$11,850.08
|
|
Treat humerus fracture
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$1,950.60
|
|
Treat humerus fracture
|
$17,353.56 |
$17,353.56 |
$17,353.56 |
$12,653.00
|
|
Treat humerus fracture
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,045.35
|
|
Treat kneecap dislocation
|
$417.90 |
$417.90 |
$417.90 |
$1,351.35
|
|
Treat knee dislocation
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,592.08
|
|
Treat knee fracture 27530
|
$275.52 |
$275.52 |
$275.52 |
$580.20
|
|
Treat knee fracture(s)
|
$275.52 |
$275.52 |
$275.52 |
$642.00
|
|
Treat knuckle dislocation
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$1,893.86
|
|
Treat lower leg dislocation
|
$275.52 |
$275.52 |
$275.52 |
$532.60
|
|
Treat lower leg dislocation
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,350.00
|
|
Treat lower leg fracture
|
$17,353.56 |
$17,353.56 |
$17,353.56 |
$12,905.86
|
|
Treat lower leg fracture
|
$17,353.56 |
$17,353.56 |
$17,353.56 |
$12,653.00
|
|
Treat lower leg joint
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,199.94 |
$1,199.94 |
$1,199.94 |
$3,806.40
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$145.32 |
$145.32 |
$145.32 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,820.53
|
|
Treatment mouth roof lesion
|
$3,783.78 |
$3,783.78 |
$3,783.78 |
$4,350.00
|
|
Treatment of ankle fracture
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$7,907.11
|
|
Treatment of ankle fracture
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$7,907.11
|
|
Treatment of ankle fracture
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$7,348.32
|