|
Thigh/wght bear lacer molded
|
$873.03 |
$873.03 |
$873.03 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$464.92 |
$464.92 |
$464.92 |
$464.92
|
|
Thiotepa injection
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$938.70 |
$938.70 |
$938.70 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$3,422.10 |
$3,422.10 |
$3,422.10 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,787.75 |
$11,787.75 |
$11,787.75 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$17,867.40 |
$17,867.40 |
$17,867.40 |
$21,413.60
|
|
Thrombin time
|
$115.95 |
$115.95 |
$115.95 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$154.65 |
$154.65 |
$154.65 |
$61.52
|
|
Thyroglobulin antibody
|
$12.30 |
$12.30 |
$12.30 |
$82.00
|
|
Thyroid mets imag whole body
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$324.00 |
$324.00 |
$324.00 |
$111.00
|
|
Thyroid Ultrasound
|
$601.05 |
$601.05 |
$601.05 |
$588.50
|
|
Thyroid uptake measurement
|
$382.95 |
$382.95 |
$382.95 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,914.94 |
$3,914.94 |
$3,914.94 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$119.25 |
$119.25 |
$119.25 |
$64.35
|
|
Tibial length sock fx or equ
|
$228.69 |
$228.69 |
$228.69 |
$88.92
|
|
Tib/per revasc stent & ather 37231
|
$22,970.40 |
$22,970.40 |
$22,970.40 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$10,012.80 |
$10,012.80 |
$10,012.80 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$13,263.75 |
$13,263.75 |
$13,263.75 |
$9,769.65
|
|
Tigecycline injection
|
$216.00 |
$216.00 |
$216.00 |
$234.00
|
|
Tilt table study
|
$1,051.80 |
$1,051.80 |
$1,051.80 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$516.15 |
$516.15 |
$516.15 |
$458.85
|
|
Tissue amnio epifix inj 100mg
|
$4,201.20 |
$4,201.20 |
$4,201.20 |
$4,834.73
|
|
Tissue culture placenta
|
$365.40 |
$365.40 |
$365.40 |
$457.00
|
|
Tissue culture skin/biopsy
|
$757.20 |
$757.20 |
$757.20 |
$484.00
|
|
Tissue culture tumor
|
$738.00 |
$738.00 |
$738.00 |
$483.36
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$293.82 |
$293.82 |
$293.82 |
$1,134.00
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$92.25 |
$92.25 |
$92.25 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$36.90 |
$36.90 |
$36.90 |
$44.16
|
|
Tlso 2 shl symphys-stern cst
|
$2,095.23 |
$2,095.23 |
$2,095.23 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,570.48 |
$2,570.48 |
$2,570.48 |
$2,117.57
|
|
Tlso r fram soft ant pre cst
|
$801.11 |
$801.11 |
$801.11 |
$801.11
|
|
Tlso rigid frame pre subclav
|
$1,193.13 |
$1,193.13 |
$1,193.13 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$2,831.21 |
$2,831.21 |
$2,831.21 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,118.31 |
$2,118.31 |
$2,118.31 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$5,853.60 |
$5,853.60 |
$5,853.60 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$2,788.42 |
$2,788.42 |
$2,788.42 |
$2,788.42
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$175.50 |
$175.50 |
$175.50 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$362.70 |
$362.70 |
$362.70 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,258.52 |
$5,258.52 |
$5,258.52 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$71.40 |
$71.40 |
$71.40 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$66.15 |
$66.15 |
$66.15 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$507.60 |
$507.60 |
$507.60 |
$325.00
|
|
Torsion ank & half solid sti
|
$292.47 |
$292.47 |
$292.47 |
$291.13
|
|
Torsion straight knee joint
|
$318.65 |
$318.65 |
$318.65 |
$253.84
|
|
Toxoplasma antibody igg
|
$209.10 |
$209.10 |
$209.10 |
$89.40
|
|
Toxoplasma antibody igm
|
$209.10 |
$209.10 |
$209.10 |
$87.00
|
|
Trabectedin 1 mg intravenous solution
|
$6,827.00 |
$6,827.00 |
$6,827.00 |
$6,827.00
|
|
Tracheostoma stent/stud/bttn
|
$452.64 |
$452.64 |
$452.64 |
$333.29
|
|
Trach/laryn tube plug/stop
|
$9.18 |
$9.18 |
$9.18 |
$9.18
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$144.60 |
$144.60 |
$144.60 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$313.95 |
$313.95 |
$313.95 |
$678.70
|
|
Transcath biopsy
|
$3,794.10 |
$3,794.10 |
$3,794.10 |
$4,285.93
|
|
Transcath closure of asd
|
$12,669.30 |
$12,669.30 |
$12,669.30 |
$16,741.40
|
|
Transcath closure of vsd
|
$12,181.95 |
$12,181.95 |
$12,181.95 |
$17,115.04
|
|
Transcatheter bx s&i
|
$3,961.95 |
$3,961.95 |
$3,961.95 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$3,435.45 |
$3,435.45 |
$3,435.45 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$14,593.50 |
$14,593.50 |
$14,593.50 |
$12,418.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,057.70 |
$5,057.70 |
$5,057.70 |
$4,775.16
|
|
Transferrin
|
$119.85 |
$119.85 |
$119.85 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$2,352.15 |
$2,352.15 |
$2,352.15 |
$983.00
|
|
Transparent film >16<=48 in
|
$18.02 |
$18.02 |
$18.02 |
$12.95
|
|
Transparent film <= 16 sq in
|
$14.78 |
$14.78 |
$14.78 |
$4.50
|
|
Trastuzumab 150 mg intravenous solution
|
$3,085.68 |
$3,085.68 |
$3,085.68 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$7,540.20 |
$7,540.20 |
$7,540.20 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,019.25 |
$1,019.25 |
$1,019.25 |
$940.80
|
|
Treat elbow dislocation
|
$1,408.80 |
$1,408.80 |
$1,408.80 |
$2,223.20
|
|
Treat elbow fracture
|
$1,650.90 |
$1,650.90 |
$1,650.90 |
$1,919.13
|
|
Treat finger fracture each
|
$1,862.25 |
$1,862.25 |
$1,862.25 |
$1,536.00
|
|
Treat fracture of radius
|
$1,862.25 |
$1,862.25 |
$1,862.25 |
$1,790.00
|
|
Treat fracture of ulna
|
$343.95 |
$343.95 |
$343.95 |
$726.05
|
|
Treat hip dislocation
|
$1,408.80 |
$1,408.80 |
$1,408.80 |
$2,192.80
|
|
Treat hip dislocation
|
$1,292.70 |
$1,292.70 |
$1,292.70 |
$2,641.60
|
|
Treat knee dislocation
|
$1,292.70 |
$1,292.70 |
$1,292.70 |
$2,220.89
|
|
Treat knee fracture(s)
|
$424.50 |
$424.50 |
$424.50 |
$642.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$202.80 |
$202.80 |
$202.80 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$154.65 |
$154.65 |
$154.65 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$310.80 |
$310.80 |
$310.80 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,858.95 |
$1,858.95 |
$1,858.95 |
$3,982.44
|
|
Treatment of ankle fracture
|
$10,497.45 |
$10,497.45 |
$10,497.45 |
$8,412.89
|
|
Treatment of ankle fracture 27786
|
$279.90 |
$279.90 |
$279.90 |
$520.80
|
|
Treatment of heel fracture 28400
|
$279.90 |
$279.90 |
$279.90 |
$473.00
|
|
Treatment of thigh fracture
|
$2,661.45 |
$2,661.45 |
$2,661.45 |
$1,748.40
|
|
Treat thigh fx growth plate
|
$424.50 |
$424.50 |
$424.50 |
$475.68
|
|
Treat toe dislocation
|
$389.40 |
$389.40 |
$389.40 |
$756.39
|
|
Treat ulnar fracture
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$1,662.00
|
|
Treponema pallidum antibody
|
$175.20 |
$175.20 |
$175.20 |
$70.40
|
|
Treprostinil injection
|
$25,211.74 |
$25,211.74 |
$25,211.74 |
$19,071.84
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$25.61 |
$25.61 |
$25.61 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$1,869.12 |
$1,869.12 |
$1,869.12 |
$223.56
|
|
Trichinella antibody
|
$94.05 |
$94.05 |
$94.05 |
$70.20
|
|
Triglycerides
|
$265.20 |
$265.20 |
$265.20 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$117.49 |
$117.49 |
$117.49 |
$117.49
|
|
Trim nondyst nails
|
$84.15 |
$84.15 |
$84.15 |
$113.40
|
|
Triptorelin pamoate
|
$1,706.82 |
$1,706.82 |
$1,706.82 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$21,248.85 |
$21,248.85 |
$21,248.85 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$10,624.65 |
$10,624.65 |
$10,624.65 |
$7,354.00
|
