|
Thi/glut/ischia wgt bearing
|
$1,306.92 |
$1,306.92 |
$1,306.92 |
$657.72
|
|
Thorac cont lat support upri
|
$611.10 |
$611.10 |
$611.10 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$666.13 |
$666.13 |
$666.13 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,210.40 |
$2,210.40 |
$2,210.40 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$748.30 |
$748.30 |
$748.30 |
$387.41
|
|
Thoracic pad
|
$452.32 |
$452.32 |
$452.32 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$1,969.20 |
$1,969.20 |
$1,969.20 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$4,801.34 |
$4,801.34 |
$4,801.34 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$4,171.20 |
$4,171.20 |
$4,171.20 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$17,980.20 |
$17,980.20 |
$17,980.20 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$43,756.20 |
$43,756.20 |
$43,756.20 |
$21,413.60
|
|
Thrombin time
|
$58.20 |
$58.20 |
$58.20 |
$53.76
|
|
Thromboplastin inhibition
|
$55.20 |
$55.20 |
$55.20 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$79.20 |
$79.20 |
$79.20 |
$61.52
|
|
Th/wght bear nar m-l brim cu
|
$2,674.79 |
$2,674.79 |
$2,674.79 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$4,760.21 |
$4,760.21 |
$4,760.21 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$2,244.80 |
$2,244.80 |
$2,244.80 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$3,368.30 |
$3,368.30 |
$3,368.30 |
$1,695.23
|
|
Thyroglobulin antibody
|
$176.40 |
$176.40 |
$176.40 |
$82.00
|
|
Thyroid mets imag whole body
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$231.00 |
$231.00 |
$231.00 |
$111.00
|
|
Thyroid Ultrasound
|
$722.40 |
$722.40 |
$722.40 |
$588.50
|
|
Thyroxine binding globulin (tbg)
|
$108.00 |
$108.00 |
$108.00 |
$64.35
|
|
Tilt table study
|
$2,061.00 |
$2,061.00 |
$2,061.00 |
$1,507.01
|
|
Tissue amnio epifix inj 100mg
|
$13,435.12 |
$13,435.12 |
$13,435.12 |
$4,834.73
|
|
Tissue culture placenta
|
$474.60 |
$474.60 |
$474.60 |
$457.00
|
|
Tissue culture skin/biopsy
|
$765.60 |
$765.60 |
$765.60 |
$484.00
|
|
Tissue culture tumor
|
$513.00 |
$513.00 |
$513.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$45.00 |
$45.00 |
$45.00 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$58,911.91 |
$58,911.91 |
$58,911.91 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$40.20 |
$40.20 |
$40.20 |
$44.16
|
|
Tlh uterus 250 g or less
|
$35,297.11 |
$35,297.11 |
$35,297.11 |
$11,533.76
|
|
Tlh w/t/o 250 g or less
|
$22,275.79 |
$22,275.79 |
$22,275.79 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$30,194.35 |
$30,194.35 |
$30,194.35 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$3,724.73 |
$3,724.73 |
$3,724.73 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$3,207.43 |
$3,207.43 |
$3,207.43 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$3,813.43 |
$3,813.43 |
$3,813.43 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$4,743.44 |
$4,743.44 |
$4,743.44 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$2,088.62 |
$2,088.62 |
$2,088.62 |
$1,051.18
|
|
Tlso corset front
|
$446.29 |
$446.29 |
$446.29 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$1,448.42 |
$1,448.42 |
$1,448.42 |
$931.57
|
|
Tlso full corset
|
$729.82 |
$729.82 |
$729.82 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$1,584.56 |
$1,584.56 |
$1,584.56 |
$801.11
|
|
Tlso r fram soft pre ots
|
$1,584.56 |
$1,584.56 |
$1,584.56 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,985.78 |
$1,985.78 |
$1,985.78 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,985.78 |
$1,985.78 |
$1,985.78 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$2,747.89 |
$2,747.89 |
$2,747.89 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$6,019.52 |
$6,019.52 |
$6,019.52 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$4,192.42 |
$4,192.42 |
$4,192.42 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$6,308.23 |
$6,308.23 |
$6,308.23 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$1,181.39 |
$1,181.39 |
$1,181.39 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,973.23 |
$1,973.23 |
$1,973.23 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$573.60 |
$573.60 |
$573.60 |
$152.36
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12,349.57 |
$12,349.57 |
$12,349.57 |
$5,258.52
|
|
Tonsillectomy (age 12+)
|
$14,221.25 |
$14,221.25 |
$14,221.25 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$17,027.51 |
$17,027.51 |
$17,027.51 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$5,266.46 |
$5,266.46 |
$5,266.46 |
$325.00
|
|
Torsion ank & half solid sti
|
$513.88 |
$513.88 |
$513.88 |
$291.13
|
|
Torsion straight knee joint
|
$448.06 |
$448.06 |
$448.06 |
$253.84
|
|
Total Hip Replacement
|
$73,831.89 |
$73,831.89 |
$73,831.89 |
$9,161.60
|
|
Total Knee Replacement
|
$62,825.99 |
$62,825.99 |
$62,825.99 |
$14,543.50
|
|
Tot disc arthrp 1ntrspc crv
|
$42,257.22 |
$42,257.22 |
$42,257.22 |
$20,154.40
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$61,469.20 |
$61,469.20 |
$61,469.20 |
$1,230.40
|
|
Toxoplasma antibody igg
|
$83.40 |
$83.40 |
$83.40 |
$89.40
|
|
Toxoplasma antibody igm
|
$112.80 |
$112.80 |
$112.80 |
$87.00
|
|
Trabectedin 1 mg intravenous solution
|
$15,273.87 |
$15,273.87 |
$15,273.87 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$634.80 |
$634.80 |
$634.80 |
$1,420.44
|
|
Transcath biopsy
|
$3,685.80 |
$3,685.80 |
$3,685.80 |
$4,285.93
|
|
Transcath closure of asd
|
$19,165.20 |
$19,165.20 |
$19,165.20 |
$16,741.40
|
|
Transcatheter bx s&i
|
$1,995.00 |
$1,995.00 |
$1,995.00 |
$1,915.00
|
|
Transferrin
|
$87.60 |
$87.60 |
$87.60 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,327.20 |
$1,327.20 |
$1,327.20 |
$983.00
|
|
Transplant forearm tendon
|
$23,743.04 |
$23,743.04 |
$23,743.04 |
$3,591.33
|
|
Transplant hand tendon
|
$23,743.04 |
$23,743.04 |
$23,743.04 |
$3,821.05
|
|
Trans shoe caliper plate new
|
$419.61 |
$419.61 |
$419.61 |
$217.22
|
|
Trans shoe calip plate exist
|
$318.68 |
$318.68 |
$318.68 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$318.68 |
$318.68 |
$318.68 |
$141.41
|
|
Trans shoe solid stirrup new
|
$419.61 |
$419.61 |
$419.61 |
$217.22
|
|
Trapezius sling
|
$468.53 |
$468.53 |
$468.53 |
$242.54
|
|
Trastuzumab 150 mg intravenous solution
|
$6,496.98 |
$6,496.98 |
$6,496.98 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$15,765.87 |
$15,765.87 |
$15,765.87 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$14,039.08 |
$14,039.08 |
$14,039.08 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$15,980.40 |
$15,980.40 |
$15,980.40 |
$940.80
|
|
Trb@ gene rearrange dirprobe
|
$148.80 |
$148.80 |
$148.80 |
$73.46
|
|
Treat ectopic pregnancy
|
$22,240.49 |
$22,240.49 |
$22,240.49 |
$6,707.99
|
|
Treat elbow dislocation
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,223.20
|
|
Treat elbow fracture
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,919.13
|
|
Treat finger fracture each
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,536.00
|
|
Treat foot dislocation
|
$445.80 |
$445.80 |
$445.80 |
$527.28
|
|
Treat foot dislocation
|
$445.80 |
$445.80 |
$445.80 |
$445.80
|
|
Treat fracture of radius
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,790.00
|
|
Treat fracture of ulna
|
$445.80 |
$445.80 |
$445.80 |
$726.05
|
|
Treat hip dislocation
|
$3,039.00 |
$3,039.00 |
$3,039.00 |
$2,192.80
|
|
Treat humerus fracture
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,771.43
|
|
Treat humerus fracture
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,771.43
|
|
Treat kneecap dislocation
|
$445.80 |
$445.80 |
$445.80 |
$1,068.90
|
|
Treat kneecap fracture
|
$17,763.52 |
$17,763.52 |
$17,763.52 |
$6,311.00
|
|
Treat lower leg fracture
|
$61,153.76 |
$61,153.76 |
$61,153.76 |
$14,241.77
|
|
Treat lower leg joint
|
$54,022.34 |
$54,022.34 |
$54,022.34 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$34,233.07 |
$34,233.07 |
$34,233.07 |
$8,590.40
|
