|
Tlso rig fram pelvic pre ots
|
$2,228.86 |
$2,228.86 |
$2,228.86 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$3,084.25 |
$3,084.25 |
$3,084.25 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$6,756.36 |
$6,756.36 |
$6,756.36 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$4,705.61 |
$4,705.61 |
$4,705.61 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$7,080.41 |
$7,080.41 |
$7,080.41 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$1,326.01 |
$1,326.01 |
$1,326.01 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$2,214.77 |
$2,214.77 |
$2,214.77 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$840.00 |
$840.00 |
$840.00 |
$152.36
|
|
Tobramycin non-comp unit
|
$105.75 |
$105.75 |
$105.75 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$120.60 |
$120.60 |
$120.60 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$268.80 |
$268.80 |
$268.80 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$107.40 |
$107.40 |
$107.40 |
$72.68
|
|
Tonsillectomy (age 12+)
|
$14,780.27 |
$14,780.27 |
$14,780.27 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$12,966.95 |
$12,966.95 |
$12,966.95 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$789.79 |
$789.79 |
$789.79 |
$325.00
|
|
Torsion ank & half solid sti
|
$576.78 |
$576.78 |
$576.78 |
$291.13
|
|
Torsion straight knee joint
|
$502.90 |
$502.90 |
$502.90 |
$253.84
|
|
Total hip arthroplasty
|
$50,702.65 |
$50,702.65 |
$50,702.65 |
$7,347.60
|
|
Total Hip Replacement
|
$53,942.73 |
$53,942.73 |
$53,942.73 |
$9,161.60
|
|
Total hysterectomy
|
$36,054.38 |
$36,054.38 |
$36,054.38 |
$3,001.70
|
|
Total Knee Replacement
|
$51,936.53 |
$51,936.53 |
$51,936.53 |
$14,543.50
|
|
Tot disc arthrp 1ntrspc crv
|
$62,978.46 |
$62,978.46 |
$62,978.46 |
$20,154.40
|
|
Toxoplasma antibody igg
|
$150.60 |
$150.60 |
$150.60 |
$89.40
|
|
Toxoplasma antibody igm
|
$148.20 |
$148.20 |
$148.20 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$833.40 |
$833.40 |
$833.40 |
$790.68
|
|
Trabectedin 1 mg intravenous solution
|
$21,029.24 |
$21,029.24 |
$21,029.24 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$381.00 |
$381.00 |
$381.00 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$220.50 |
$220.50 |
$220.50 |
$56.38
|
|
Transcatheter bx s&i
|
$2,940.60 |
$2,940.60 |
$2,940.60 |
$1,915.00
|
|
Transferrin
|
$94.80 |
$94.80 |
$94.80 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$983.00
|
|
Transplant hand tendon
|
$24,899.82 |
$24,899.82 |
$24,899.82 |
$3,821.05
|
|
Trans shoe caliper plate new
|
$470.98 |
$470.98 |
$470.98 |
$217.22
|
|
Trans shoe calip plate exist
|
$357.69 |
$357.69 |
$357.69 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$357.69 |
$357.69 |
$357.69 |
$141.41
|
|
Trans shoe solid stirrup new
|
$470.98 |
$470.98 |
$470.98 |
$217.22
|
|
Trapezius sling
|
$525.88 |
$525.88 |
$525.88 |
$242.54
|
|
Trastuzumab 150 mg intravenous solution
|
$8,945.12 |
$8,945.12 |
$8,945.12 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$21,706.63 |
$21,706.63 |
$21,706.63 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$19,329.16 |
$19,329.16 |
$19,329.16 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$17,936.55 |
$17,936.55 |
$17,936.55 |
$940.80
|
|
Trb@ gene rearrange dirprobe
|
$148.80 |
$148.80 |
$148.80 |
$73.46
|
|
Treat ectopic pregnancy
|
$22,957.60 |
$22,957.60 |
$22,957.60 |
$6,707.99
|
|
Treat elbow dislocation
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$2,223.20
|
|
Treat elbow fracture
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,919.13
|
|
Treat finger fracture each
|
$10,255.71 |
$10,255.71 |
$10,255.71 |
$4,132.02
|
|
Treat finger fracture each
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,536.00
|
|
Treat foot dislocation
|
$172.80 |
$172.80 |
$172.80 |
$527.28
|
|
Treat foot dislocation
|
$172.80 |
$172.80 |
$172.80 |
$445.80
|
|
Treat fracture of radius
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,790.00
|
|
Treat fracture of ulna
|
$14,085.92 |
$14,085.92 |
$14,085.92 |
$726.05
|
|
Treat heel fracture
|
$28,325.04 |
$28,325.04 |
$28,325.04 |
$8,269.81
|
|
Treat hip dislocation
|
$2,989.20 |
$2,989.20 |
$2,989.20 |
$2,192.80
|
|
Treat humerus fracture
|
$33,461.74 |
$33,461.74 |
$33,461.74 |
$13,278.70
|
|
Treat humerus fracture
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,771.43
|
|
Treat humerus fracture
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,771.43
|
|
Treat kneecap dislocation
|
$172.80 |
$172.80 |
$172.80 |
$1,068.90
|
|
Treat knee fracture
|
$59,067.02 |
$59,067.02 |
$59,067.02 |
$4,521.40
|
|
Treat lower leg fracture
|
$99,241.91 |
$99,241.91 |
$99,241.91 |
$14,241.77
|
|
Treat lower leg joint
|
$58,355.53 |
$58,355.53 |
$58,355.53 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$35,955.58 |
$35,955.58 |
$35,955.58 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$38,858.36 |
$38,858.36 |
$38,858.36 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$36,897.19 |
$36,897.19 |
$36,897.19 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$8,732.51 |
$8,732.51 |
$8,732.51 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$456.60 |
$456.60 |
$456.60 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$238.20 |
$238.20 |
$238.20 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$172.20 |
$172.20 |
$172.20 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$9,000.16 |
$9,000.16 |
$9,000.16 |
$3,982.44
|
|
Treatment of ankle fracture
|
$46,246.16 |
$46,246.16 |
$46,246.16 |
$8,412.89
|
|
Treatment of ankle fracture
|
$62,487.06 |
$62,487.06 |
$62,487.06 |
$8,453.60
|
|
Treatment of ankle fracture
|
$58,844.89 |
$58,844.89 |
$58,844.89 |
$7,907.11
|
|
Treatment of ankle fracture
|
$46,766.89 |
$46,766.89 |
$46,766.89 |
$7,913.97
|
|
Treatment of thigh fracture
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,748.40
|
|
Treatment of thigh fracture
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$1,772.97
|
|
Treatment of tibia fracture
|
$148,698.26 |
$148,698.26 |
$148,698.26 |
$7,087.60
|
|
Treat metacarpal fracture
|
$67,846.05 |
$67,846.05 |
$67,846.05 |
$5,464.97
|
|
Treat metatarsal fracture
|
$37,699.48 |
$37,699.48 |
$37,699.48 |
$8,453.60
|
|
Treat thigh fracture
|
$26,715.31 |
$26,715.31 |
$26,715.31 |
$6,510.40
|
|
Treat thigh fracture
|
$658.20 |
$658.20 |
$658.20 |
$618.80
|
|
Treat thumb fracture
|
$9,957.46 |
$9,957.46 |
$9,957.46 |
$3,786.00
|
|
Treat ulnar fracture
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,662.00
|
|
Treat ulnar fracture
|
$30,534.82 |
$30,534.82 |
$30,534.82 |
$5,926.25
|
|
Treat wrist dislocation
|
$172.80 |
$172.80 |
$172.80 |
$656.25
|
|
Treponema pallidum antibody
|
$95.40 |
$95.40 |
$95.40 |
$70.40
|
|
Trg gene rearrangement anal
|
$907.20 |
$907.20 |
$907.20 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$3.00 |
$3.00 |
$3.00 |
$43.21
|
|
Triglycerides
|
$53.40 |
$53.40 |
$53.40 |
$58.05
|
|
Trnscath plc stent crv crtd w/prtct
|
$12,703.80 |
$12,703.80 |
$12,703.80 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$7,922.40 |
$7,922.40 |
$7,922.40 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$12,208.20 |
$12,208.20 |
$12,208.20 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$14,173.20 |
$14,173.20 |
$14,173.20 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,736.80 |
$6,736.80 |
$6,736.80 |
$4,523.96
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,314.80 |
$5,314.80 |
$5,314.80 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,314.80 |
$5,314.80 |
$5,314.80 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$2,483.40 |
$2,483.40 |
$2,483.40 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$26,232.07 |
$26,232.07 |
$26,232.07 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$34,482.72 |
$34,482.72 |
$34,482.72 |
$2,357.04
|
|
Troponin quantitative
|
$74.40 |
$74.40 |
$74.40 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$3,625.80 |
$3,625.80 |
$3,625.80 |
$2,012.40
|
|
Tube trach disp innr can 5 xlt
|
$883.57 |
$883.57 |
$883.57 |
$445.99
|