|
Tilt table study
|
$1,933.47 |
$1,933.47 |
$7,917.11 |
$1,495.00
|
|
Tissue culture skin/biopsy
|
$231.53 |
$231.53 |
$231.53 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$14.18 |
$14.18 |
$14.18 |
$47.40
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$36.02 |
$36.02 |
$36.02 |
$2,114.68
|
|
Tl-201 thallium diag per mci
|
$27.09 |
$27.09 |
$27.09 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$11.20 |
$11.20 |
$11.20 |
$125.87
|
|
Tobramycin non-comp unit
|
$1,409.76 |
$1,409.76 |
$1,409.76 |
$107.07
|
|
Tobramycin peak therapeutic drug level
|
$88.52 |
$88.52 |
$1,507.47 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$1,903.77 |
$1,903.77 |
$1,903.77 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$1,888.94 |
$1,888.94 |
$1,888.94 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$24,487.21 |
$24,487.21 |
$24,487.21 |
$303.88
|
|
Toxoplasma antibody igg
|
$71.75 |
$71.75 |
$1,038.32 |
$84.35
|
|
Toxoplasma antibody igm
|
$77.70 |
$77.70 |
$1,815.12 |
$83.20
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$34.65 |
$34.65 |
$547.79 |
$93.75
|
|
Transcath biopsy
|
$1,521.45 |
$1,521.45 |
$1,521.45 |
$4,298.05
|
|
Transcath closure of asd
|
$73,749.89 |
$73,749.89 |
$73,749.89 |
$18,772.00
|
|
Transcath closure of vsd
|
$73,749.89 |
$73,749.89 |
$73,749.89 |
$18,837.00
|
|
Transcath occlusion cns
|
$1,606.50 |
$1,606.50 |
$1,606.50 |
$8,944.39
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,342.22 |
$1,342.22 |
$1,342.22 |
$4,627.00
|
|
Transferrin
|
$82.95 |
$82.95 |
$992.16 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$560.51 |
$560.51 |
$1,537.55 |
$988.24
|
|
Tray bonemarrw oncontrol 102mm
|
$191.10 |
$191.10 |
$191.10 |
$1,094.25
|
|
Treat ankle dislocation
|
$461.16 |
$461.16 |
$461.16 |
$2,207.20
|
|
Treat elbow dislocation
|
$1,071.32 |
$1,071.32 |
$1,071.32 |
$2,326.40
|
|
Treat elbow fracture
|
$1,416.24 |
$1,416.24 |
$1,416.24 |
$2,125.60
|
|
Treat finger fracture each
|
$465.57 |
$465.57 |
$465.57 |
$1,815.75
|
|
Treat foot dislocation
|
$79.07 |
$79.07 |
$79.07 |
$435.60
|
|
Treat foot dislocation
|
$1,647.14 |
$1,647.14 |
$1,647.14 |
$3,935.24
|
|
Treat fracture of radius
|
$465.57 |
$465.57 |
$465.57 |
$2,030.33
|
|
Treat fracture of ulna
|
$137.03 |
$137.03 |
$137.03 |
$766.72
|
|
Treat hip dislocation
|
$797.90 |
$797.90 |
$797.90 |
$2,561.90
|
|
Treat hip socket fracture
|
$77.49 |
$77.49 |
$77.49 |
$1,340.10
|
|
Treat humerus fracture
|
$465.57 |
$465.57 |
$465.57 |
$1,950.60
|
|
Treat humerus fracture
|
$74.66 |
$74.66 |
$74.66 |
$2,045.35
|
|
Treat kneecap dislocation
|
$311.22 |
$311.22 |
$311.22 |
$1,351.35
|
|
Treat knee dislocation
|
$461.16 |
$461.16 |
$461.16 |
$2,592.08
|
|
Treat knee fracture
|
$2,740.50 |
$2,740.50 |
$2,740.50 |
$4,424.00
|
|
Treat knee fracture 27530
|
$131.67 |
$131.67 |
$131.67 |
$580.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$169.16 |
$169.16 |
$169.16 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$147.42 |
$147.42 |
$147.42 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$208.60 |
$208.60 |
$406.75 |
$210.00
|
|
Treatment of ankle fracture 27786
|
$138.29 |
$138.29 |
$138.29 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$126.95 |
$126.95 |
$126.95 |
$558.75
|
|
Treatment of heel fracture 28400
|
$128.21 |
$128.21 |
$128.21 |
$494.00
|
|
Treatment of thigh fracture
|
$120.02 |
$120.02 |
$120.02 |
$659.00
|
|
Treatment of thigh fracture
|
$461.16 |
$461.16 |
$461.16 |
$2,055.00
|
|
Treatment of toe fracture 28510
|
$80.01 |
$80.01 |
$80.01 |
$371.40
|
|
Treatment radiation delivery level 2
|
$1,044.74 |
$1,044.74 |
$1,044.74 |
$735.00
|
|
Treat midfoot fracture each
|
$86.94 |
$86.94 |
$86.94 |
$1,893.86
|
|
Treat thigh fracture
|
$120.02 |
$120.02 |
$120.02 |
$661.00
|
|
Treat thigh fracture
|
$1,389.15 |
$1,389.15 |
$1,389.15 |
$5,883.20
|
|
Treat thigh fracture
|
$120.02 |
$120.02 |
$120.02 |
$2,021.04
|
|
Treat thigh fracture
|
$120.02 |
$120.02 |
$120.02 |
$716.95
|
|
Treat ulnar fracture
|
$74.97 |
$74.97 |
$74.97 |
$1,861.60
|
|
Treat vaginal bleeding
|
$238.46 |
$238.46 |
$238.46 |
$400.86
|
|
Treat wrist bone fracture
|
$461.16 |
$461.16 |
$461.16 |
$1,907.64
|
|
Treponema pallidum antibody
|
$25.83 |
$25.83 |
$25.83 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$14.70 |
$14.70 |
$14.70 |
$48.22
|
|
Trichinella antibody
|
$66.47 |
$66.47 |
$66.47 |
$70.65
|
|
Triglycerides
|
$75.60 |
$75.60 |
$75.60 |
$54.60
|
|
Trim nail(s)
|
$1,538.30 |
$1,538.30 |
$1,538.30 |
$70.56
|
|
Trim nondyst nails
|
$38.43 |
$38.43 |
$38.43 |
$124.22
|
|
Trmt of fracture (femoral shaft) 27500
|
$120.02 |
$120.02 |
$120.02 |
$777.00
|
|
Trnscath plc stent crv crtd w/prtct
|
$27,102.00 |
$27,102.00 |
$27,102.00 |
$11,099.98
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$2,647.58 |
$2,647.58 |
$2,647.58 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,912.49 |
$2,912.49 |
$2,912.49 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$5,625.27 |
$5,625.27 |
$37,247.70 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,672.34 |
$1,672.34 |
$17,628.11 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,198.70 |
$2,198.70 |
$2,198.70 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,309.77 |
$1,309.77 |
$3,751.58 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$983.12 |
$983.12 |
$2,950.52 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$1,556.42 |
$1,556.42 |
$1,556.42 |
$4,329.36
|
|
Troponin quantitative
|
$162.05 |
$162.05 |
$1,645.92 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$15,345.88 |
$15,345.88 |
$15,345.88 |
$1,446.48
|
|
Tte w or without fol w/cont, com
|
$21,035.15 |
$21,035.15 |
$21,035.15 |
$1,453.15
|
|
Tte w or without fol w/cont, f/u
|
$15,345.88 |
$15,345.88 |
$15,345.88 |
$934.93
|
|
Tube drain vert dev st 5-40f
|
$487.00 |
$487.00 |
$487.00 |
$72.21
|
|
Tube trach fen sz 6 uncuffed
|
$212.13 |
$212.13 |
$212.13 |
$132.40
|
|
Tx closed hip disl traumatic without anes
|
$190.26 |
$190.26 |
$190.26 |
$657.28
|
|
Tx closed tib shaft fx without manip
|
$131.99 |
$131.99 |
$131.99 |
$635.46
|
|
Tx l/r atrial fib addl
|
$99,980.90 |
$99,980.90 |
$99,980.90 |
$7,717.80
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$1,395.45 |
$1,395.45 |
$1,395.45 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$124.74 |
$124.74 |
$124.74 |
$469.20
|
|
Ultrasound abdomen aorta screening study aaa
|
$274.37 |
$274.37 |
$1,051.21 |
$403.26
|
|
Ultrasound breast complete
|
$1,388.45 |
$1,388.45 |
$1,388.45 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,101.10 |
$1,101.10 |
$1,101.10 |
$449.35
|
|
Ultrasound chest
|
$530.67 |
$530.67 |
$530.67 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$1,063.09 |
$1,063.09 |
$1,063.09 |
$340.14
|
|
Ultrasound encephalogram
|
$3,140.32 |
$3,140.32 |
$3,140.32 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$362.25 |
$362.25 |
$362.25 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$800.05 |
$800.05 |
$800.05 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,240.75 |
$1,240.75 |
$1,240.75 |
$701.35
|
|
Ultrasound guide intraoperative
|
$482.16 |
$482.16 |
$482.16 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$1,018.60 |
$1,018.60 |
$1,018.60 |
$403.00
|
|
Ultrasound joint complete left
|
$3,921.68 |
$3,921.68 |
$3,921.68 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$980.54 |
$980.54 |
$980.54 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$694.40 |
$694.40 |
$2,544.28 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$478.80 |
$478.80 |
$1,435.23 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$3,294.52 |
$3,294.52 |
$3,294.52 |
$690.48
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$581.70 |
$581.70 |
$581.70 |
$459.00
|
