|
Tilt table study
|
$2,251.80 |
$2,251.80 |
$2,251.80 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$2,351.76 |
$2,351.76 |
$2,351.76 |
$458.85
|
|
Tissue amnio epifix inj 100mg
|
$7,722.58 |
$7,722.58 |
$7,722.58 |
$4,834.73
|
|
Tissue exam koh skin/hair/nails
|
$35.10 |
$35.10 |
$35.10 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$33,862.90 |
$33,862.90 |
$33,862.90 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$20.10 |
$20.10 |
$20.10 |
$44.16
|
|
Tlh w/t/o 250 g or less
|
$23,680.61 |
$23,680.61 |
$23,680.61 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$26,646.47 |
$26,646.47 |
$26,646.47 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$2,140.99 |
$2,140.99 |
$2,140.99 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,843.65 |
$1,843.65 |
$1,843.65 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,191.98 |
$2,191.98 |
$2,191.98 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,726.56 |
$2,726.56 |
$2,726.56 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,200.55 |
$1,200.55 |
$1,200.55 |
$1,051.18
|
|
Tlso corset front
|
$256.53 |
$256.53 |
$256.53 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$832.56 |
$832.56 |
$832.56 |
$931.57
|
|
Tlso full corset
|
$419.50 |
$419.50 |
$419.50 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$910.81 |
$910.81 |
$910.81 |
$801.11
|
|
Tlso r fram soft pre ots
|
$910.81 |
$910.81 |
$910.81 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,141.44 |
$1,141.44 |
$1,141.44 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,141.44 |
$1,141.44 |
$1,141.44 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,579.50 |
$1,579.50 |
$1,579.50 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,460.05 |
$3,460.05 |
$3,460.05 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,409.83 |
$2,409.83 |
$2,409.83 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$3,626.01 |
$3,626.01 |
$3,626.01 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$679.07 |
$679.07 |
$679.07 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,134.22 |
$1,134.22 |
$1,134.22 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$757.68 |
$757.68 |
$757.68 |
$152.36
|
|
Tobramycin non-comp unit
|
$387.75 |
$387.75 |
$387.75 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$131.40 |
$131.40 |
$131.40 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12,030.87 |
$12,030.87 |
$12,030.87 |
$5,258.52
|
|
Tocilizumab for covid-19
|
$10,976.21 |
$10,976.21 |
$10,976.21 |
$21.08
|
|
Tomosynthesis breast diagnostic left
|
$83.10 |
$83.10 |
$83.10 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$96.30 |
$96.30 |
$96.30 |
$72.68
|
|
Tongue biopsy; posterior one-third 41105
|
$13,105.83 |
$13,105.83 |
$13,105.83 |
$3,544.29
|
|
Tonsillectomy (age 12+)
|
$17,974.77 |
$17,974.77 |
$17,974.77 |
$4,424.11
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$7,021.94 |
$7,021.94 |
$7,021.94 |
$325.00
|
|
Torsion ank & half solid sti
|
$295.38 |
$295.38 |
$295.38 |
$291.13
|
|
Torsion straight knee joint
|
$257.54 |
$257.54 |
$257.54 |
$253.84
|
|
Total hysterectomy
|
$24,992.92 |
$24,992.92 |
$24,992.92 |
$3,001.70
|
|
Total Knee Replacement
|
$48,023.11 |
$48,023.11 |
$48,023.11 |
$14,543.50
|
|
Toxoplasma antibody igg
|
$99.00 |
$99.00 |
$99.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$203.40 |
$203.40 |
$203.40 |
$87.00
|
|
Tprnl plmt biodegrdabl matrl
|
$22,480.29 |
$22,480.29 |
$22,480.29 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$190.50 |
$190.50 |
$190.50 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$48.00 |
$48.00 |
$48.00 |
$56.38
|
|
Transcath closure of asd
|
$16,577.70 |
$16,577.70 |
$16,577.70 |
$16,741.40
|
|
Transcatheter bx s&i
|
$1,470.30 |
$1,470.30 |
$1,470.30 |
$1,915.00
|
|
Transcath occlusion non-cns
|
$4,692.90 |
$4,692.90 |
$4,692.90 |
$10,031.28
|
|
Transferrin
|
$47.40 |
$47.40 |
$47.40 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$864.30 |
$864.30 |
$864.30 |
$983.00
|
|
Trans shoe caliper plate new
|
$241.20 |
$241.20 |
$241.20 |
$217.22
|
|
Trans shoe calip plate exist
|
$183.18 |
$183.18 |
$183.18 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$183.18 |
$183.18 |
$183.18 |
$141.41
|
|
Trans shoe solid stirrup new
|
$241.20 |
$241.20 |
$241.20 |
$217.22
|
|
Trapezius sling
|
$269.31 |
$269.31 |
$269.31 |
$242.54
|
|
Trastuzumab 150 mg intravenous solution
|
$8,662.64 |
$8,662.64 |
$8,662.64 |
$3,141.85
|
|
Tray bonemarrw oncontrol 102mm
|
$9,185.62 |
$9,185.62 |
$9,185.62 |
$940.80
|
|
Trb@ gene rearrange dirprobe
|
$74.40 |
$74.40 |
$74.40 |
$73.46
|
|
Treat ectopic pregnancy
|
$25,482.15 |
$25,482.15 |
$25,482.15 |
$6,707.99
|
|
Treat elbow dislocation
|
$597.90 |
$597.90 |
$597.90 |
$2,223.20
|
|
Treat elbow fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,919.13
|
|
Treat finger fracture each
|
$597.90 |
$597.90 |
$597.90 |
$1,536.00
|
|
Treat foot dislocation
|
$86.40 |
$86.40 |
$86.40 |
$527.28
|
|
Treat foot dislocation
|
$86.40 |
$86.40 |
$86.40 |
$445.80
|
|
Treat fracture of radius
|
$597.90 |
$597.90 |
$597.90 |
$1,790.00
|
|
Treat fracture of ulna
|
$343.50 |
$343.50 |
$343.50 |
$726.05
|
|
Treat heel fracture
|
$36,421.04 |
$36,421.04 |
$36,421.04 |
$8,269.81
|
|
Treat hip dislocation
|
$1,494.60 |
$1,494.60 |
$1,494.60 |
$2,192.80
|
|
Treat humerus fracture
|
$42,237.70 |
$42,237.70 |
$42,237.70 |
$13,278.70
|
|
Treat humerus fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,771.43
|
|
Treat humerus fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,771.43
|
|
Treat kneecap dislocation
|
$86.40 |
$86.40 |
$86.40 |
$1,068.90
|
|
Treat kneecap fracture
|
$18,939.10 |
$18,939.10 |
$18,939.10 |
$6,311.00
|
|
Treat lower leg dislocation
|
$205.50 |
$205.50 |
$205.50 |
$530.75
|
|
Treat lower leg joint
|
$33,294.46 |
$33,294.46 |
$33,294.46 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$29,257.46 |
$29,257.46 |
$29,257.46 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$23,958.44 |
$23,958.44 |
$23,958.44 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$23,434.38 |
$23,434.38 |
$23,434.38 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$8,791.66 |
$8,791.66 |
$8,791.66 |
$3,916.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$140.70 |
$140.70 |
$140.70 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$9,959.84 |
$9,959.84 |
$9,959.84 |
$3,982.44
|
|
Treatment of ankle fracture
|
$33,294.46 |
$33,294.46 |
$33,294.46 |
$8,412.89
|
|
Treatment of ankle fracture
|
$35,945.53 |
$35,945.53 |
$35,945.53 |
$8,453.60
|
|
Treatment of ankle fracture
|
$31,895.77 |
$31,895.77 |
$31,895.77 |
$7,907.11
|
|
Treatment of ankle fracture
|
$34,025.69 |
$34,025.69 |
$34,025.69 |
$7,913.97
|
|
Treatment of thigh fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,748.40
|
|
Treatment of thigh fracture
|
$1,023.90 |
$1,023.90 |
$1,023.90 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$226.80 |
$226.80 |
$226.80 |
$369.70
|
|
Treatment radiation delivery level 2
|
$2,273.70 |
$2,273.70 |
$2,273.70 |
$767.65
|
|
Treat metacarpal fracture
|
$17,744.42 |
$17,744.42 |
$17,744.42 |
$5,464.97
|
|
Treat metatarsal fracture
|
$22,914.19 |
$22,914.19 |
$22,914.19 |
$8,453.60
|
|
Treat thigh fracture
|
$343.50 |
$343.50 |
$343.50 |
$618.80
|
|
Treat ulnar fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,662.00
|
|
Treat ulnar fracture
|
$18,083.27 |
$18,083.27 |
$18,083.27 |
$5,926.25
|
|
Treat wrist dislocation
|
$86.40 |
$86.40 |
$86.40 |
$656.25
|
|
Treponema pallidum antibody
|
$117.00 |
$117.00 |
$117.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$129.30 |
$129.30 |
$129.30 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$83.64 |
$83.64 |
$83.64 |
$43.21
|
|
Trichomonas assay w/optic
|
$21.00 |
$21.00 |
$21.00 |
$55.50
|
|
Triglycerides
|
$11.10 |
$11.10 |
$11.10 |
$58.05
|