|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$5,334.72 |
$5,334.72 |
$5,334.72 |
$4,293.26
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$1,525.91 |
$1,525.91 |
$1,525.91 |
$2,114.68
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$143.06 |
$143.06 |
$143.06 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$36.12 |
$36.12 |
$36.12 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$16,051.90 |
$16,051.90 |
$16,051.90 |
$5,790.85
|
|
Tomosynthesis breast diagnostic left
|
$63.00 |
$63.00 |
$63.00 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$48.30 |
$48.30 |
$48.30 |
$73.45
|
|
Trabeculoplasty laser surg
|
$274.26 |
$274.26 |
$274.26 |
$1,224.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$529.62 |
$529.62 |
$529.62 |
$1,459.48
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$56.70 |
$56.70 |
$56.70 |
$82.60
|
|
Transcath biopsy
|
$441.42 |
$441.42 |
$441.42 |
$4,298.05
|
|
Transferrin
|
$75.18 |
$75.18 |
$75.18 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$432.18 |
$432.18 |
$432.18 |
$988.24
|
|
Trauma partial team response w/critical care services level 4
|
$1,914.78 |
$1,914.78 |
$1,914.78 |
$5,941.07
|
|
Tray bonemarrw oncontrol 102mm
|
$5,386.50 |
$5,386.50 |
$5,386.50 |
$1,094.25
|
|
Treat ankle dislocation
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$2,207.20
|
|
Treat ankle dislocation
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$7,807.24
|
|
Treat big toe fracture
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$275.94 |
$275.94 |
$275.94 |
$734.00
|
|
Treat elbow dislocation
|
$1,897.56 |
$1,897.56 |
$1,897.56 |
$2,326.40
|
|
Treat elbow fracture
|
$1,677.48 |
$1,677.48 |
$1,677.48 |
$2,125.60
|
|
Treat elbow fracture
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$8,453.60
|
|
Treat eyelid by injection
|
$548.94 |
$548.94 |
$548.94 |
$472.21
|
|
Treat finger fracture each
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$4,108.00
|
|
Treat finger fracture each
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$1,815.75
|
|
Treat foot dislocation
|
$275.94 |
$275.94 |
$275.94 |
$435.60
|
|
Treat foot dislocation
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$3,935.24
|
|
Treat foot dislocation
|
$275.94 |
$275.94 |
$275.94 |
$527.28
|
|
Treat foot dislocation
|
$275.94 |
$275.94 |
$275.94 |
$478.40
|
|
Treat foot dislocation
|
$275.94 |
$275.94 |
$275.94 |
$404.04
|
|
Treat fracture of radius
|
$3,405.78 |
$3,405.78 |
$3,405.78 |
$2,030.33
|
|
Treat fracture of radius
|
$2,084.88 |
$2,084.88 |
$2,084.88 |
$2,316.75
|
|
Treat fracture of ulna
|
$275.94 |
$275.94 |
$275.94 |
$766.72
|
|
Treat hand dislocation
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$1,893.86
|
|
Treat hip dislocation
|
$2,814.00 |
$2,814.00 |
$2,814.00 |
$2,561.90
|
|
Treat hip dislocation
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$3,152.05
|
|
Treat hip socket fracture
|
$300.72 |
$300.72 |
$300.72 |
$1,340.10
|
|
Treat humerus fracture
|
$18,962.58 |
$18,962.58 |
$18,962.58 |
$11,850.08
|
|
Treat humerus fracture
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$1,950.60
|
|
Treat humerus fracture
|
$18,962.58 |
$18,962.58 |
$18,962.58 |
$12,653.00
|
|
Treat humerus fracture
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$2,045.35
|
|
Treat kneecap dislocation
|
$1,010.94 |
$1,010.94 |
$1,010.94 |
$1,351.35
|
|
Treat knee dislocation
|
$2,084.88 |
$2,084.88 |
$2,084.88 |
$2,592.08
|
|
Treat knee fracture 27530
|
$275.94 |
$275.94 |
$275.94 |
$580.20
|
|
Treat knee fracture(s)
|
$275.94 |
$275.94 |
$275.94 |
$642.00
|
|
Treat knuckle dislocation
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$1,893.86
|
|
Treat lower leg dislocation
|
$275.94 |
$275.94 |
$275.94 |
$532.60
|
|
Treat lower leg dislocation
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$4,350.00
|
|
Treat lower leg fracture
|
$18,962.58 |
$18,962.58 |
$18,962.58 |
$12,905.86
|
|
Treat lower leg fracture
|
$18,962.58 |
$18,962.58 |
$18,962.58 |
$12,653.00
|
|
Treat lower leg joint
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$8,819.16 |
$8,819.16 |
$8,819.16 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,417.92 |
$1,417.92 |
$1,417.92 |
$3,806.40
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$274.26 |
$274.26 |
$274.26 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$3,769.92 |
$3,769.92 |
$3,769.92 |
$3,820.53
|
|
Treatment mouth roof lesion
|
$3,793.02 |
$3,793.02 |
$3,793.02 |
$4,350.00
|
|
Treatment of ankle fracture
|
$8,819.16 |
$8,819.16 |
$8,819.16 |
$7,907.11
|
|
Treatment of ankle fracture
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$7,907.11
|
|
Treatment of ankle fracture
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$7,348.32
|
|
Treatment of ankle fracture 27786
|
$460.32 |
$460.32 |
$460.32 |
$580.00
|
|
Treatment of choroid lesion
|
$740.46 |
$740.46 |
$740.46 |
$1,126.50
|
|
Treatment of fibula fracture
|
$8,819.16 |
$8,819.16 |
$8,819.16 |
$7,069.90
|
|
Treatment of fibula fracture 27780
|
$275.94 |
$275.94 |
$275.94 |
$558.75
|
|
Treatment of heel fracture 28400
|
$275.94 |
$275.94 |
$275.94 |
$494.00
|
|
Treatment of miscarriage
|
$3,769.92 |
$3,769.92 |
$3,769.92 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$191.52 |
$191.52 |
$191.52 |
$3,544.29
|
|
Treatment of retinal lesion
|
$475.86 |
$475.86 |
$475.86 |
$1,522.19
|
|
Treatment of thigh fracture
|
$300.72 |
$300.72 |
$300.72 |
$467.25
|
|
Treatment of thigh fracture
|
$2,084.88 |
$2,084.88 |
$2,084.88 |
$1,893.86
|
|
Treatment of thigh fracture
|
$275.94 |
$275.94 |
$275.94 |
$659.00
|
|
Treatment of thigh fracture
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$6,651.45
|
|
Treatment of thigh fracture
|
$2,814.00 |
$2,814.00 |
$2,814.00 |
$2,055.00
|
|
Treatment of tibia fracture
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$6,183.84
|
|
Treatment of toe fracture 28510
|
$275.94 |
$275.94 |
$275.94 |
$371.40
|
|
Treatment x10sv retinopathy
|
$814.38 |
$814.38 |
$814.38 |
$1,574.83
|
|
Treat metacarpal fracture
|
$4,326.00 |
$4,326.00 |
$4,326.00 |
$3,958.50
|
|
Treat metacarpal fracture
|
$4,326.00 |
$4,326.00 |
$4,326.00 |
$4,627.00
|
|
Treat metatarsal fracture
|
$8,819.16 |
$8,819.16 |
$8,819.16 |
$7,913.97
|
|
Treat midfoot fracture each
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$1,893.86
|
|
Treat sternum fracture
|
$300.72 |
$300.72 |
$300.72 |
$423.00
|
|
Treat thigh fracture
|
$275.94 |
$275.94 |
$275.94 |
$661.00
|
|
Treat thigh fracture
|
$9,612.96 |
$9,612.96 |
$9,612.96 |
$7,372.60
|
|
Treat thigh fracture
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$2,021.04
|
|
Treat thigh fracture
|
$275.94 |
$275.94 |
$275.94 |
$716.95
|
|
Treat thigh fx growth plate
|
$275.94 |
$275.94 |
$275.94 |
$421.50
|
|
Treat toe dislocation
|
$320.04 |
$320.04 |
$320.04 |
$855.66
|
|
Treat toe fracture
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$3,981.06
|
|
Treat ulnar fracture
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$1,861.60
|
|
Treat vaginal bleeding
|
$237.72 |
$237.72 |
$237.72 |
$400.86
|
|
Treat wrist bone fracture
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$1,907.64
|
|
Treat wrist dislocation
|
$656.04 |
$656.04 |
$656.04 |
$760.00
|
|
Treponema pallidum antibody
|
$113.82 |
$113.82 |
$113.82 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$56.70 |
$56.70 |
$56.70 |
$48.22
|
|
Triglycerides
|
$34.02 |
$34.02 |
$34.02 |
$54.60
|
|
Trim nondyst nails
|
$76.86 |
$76.86 |
$76.86 |
$124.22
|
|
Trmt of fracture (femoral shaft) 27500
|
$275.94 |
$275.94 |
$275.94 |
$777.00
|
|
Trnscath tx thromblytc vein ini day
|
$4,329.36 |
$4,329.36 |
$4,329.36 |
$4,329.36
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$4,727.52 |
$4,727.52 |
$4,727.52 |
$4,805.85
|