|
Thrombectomy/inf pq dialysis circuit w/pta
|
$51,807.35 |
$51,807.35 |
$51,807.35 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,189.80 |
$25,189.80 |
$25,189.80 |
$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
|
$2,492.89 |
$2,492.89 |
$2,492.89 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$4,436.50 |
$4,436.50 |
$4,436.50 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$2,092.15 |
$2,092.15 |
$2,092.15 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$3,139.24 |
$3,139.24 |
$3,139.24 |
$1,695.23
|
|
Thyroglobulin antibody
|
$176.40 |
$176.40 |
$176.40 |
$82.00
|
|
Thyroid imaging
|
$759.00 |
$759.00 |
$759.00 |
$695.02
|
|
Thyroid mets imag whole body
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$231.00 |
$231.00 |
$231.00 |
$111.00
|
|
Thyroid Ultrasound
|
$722.40 |
$722.40 |
$722.40 |
$588.50
|
|
Thyroid uptake measurement
|
$289.80 |
$289.80 |
$289.80 |
$591.25
|
|
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
|
$12,521.46 |
$12,521.46 |
$12,521.46 |
$4,834.73
|
|
Tissue culture placenta
|
$474.60 |
$474.60 |
$474.60 |
$457.00
|
|
Tissue culture skin/biopsy
|
$499.20 |
$499.20 |
$499.20 |
$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
|
$54,905.59 |
$54,905.59 |
$54,905.59 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$40.20 |
$40.20 |
$40.20 |
$44.16
|
|
Tlso 2mod symphis-xipho pre
|
$3,471.43 |
$3,471.43 |
$3,471.43 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$2,989.31 |
$2,989.31 |
$2,989.31 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$3,554.10 |
$3,554.10 |
$3,554.10 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$4,420.87 |
$4,420.87 |
$4,420.87 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,946.58 |
$1,946.58 |
$1,946.58 |
$1,051.18
|
|
Tlso corset front
|
$415.94 |
$415.94 |
$415.94 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$1,349.93 |
$1,349.93 |
$1,349.93 |
$931.57
|
|
Tlso full corset
|
$680.18 |
$680.18 |
$680.18 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$801.11
|
|
Tlso r fram soft pre ots
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,850.74 |
$1,850.74 |
$1,850.74 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,850.74 |
$1,850.74 |
$1,850.74 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$2,561.02 |
$2,561.02 |
$2,561.02 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$5,610.16 |
$5,610.16 |
$5,610.16 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$3,907.31 |
$3,907.31 |
$3,907.31 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$5,879.24 |
$5,879.24 |
$5,879.24 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$1,101.05 |
$1,101.05 |
$1,101.05 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,839.04 |
$1,839.04 |
$1,839.04 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$494.34 |
$494.34 |
$494.34 |
$152.36
|
|
Tobramycin non-comp unit
|
$67.68 |
$67.68 |
$67.68 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$128.40 |
$128.40 |
$128.40 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$9,959.33 |
$9,959.33 |
$9,959.33 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$279.00 |
$279.00 |
$279.00 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$108.60 |
$108.60 |
$108.60 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$544.54 |
$544.54 |
$544.54 |
$325.00
|
|
Torsion ank & half solid sti
|
$478.93 |
$478.93 |
$478.93 |
$291.13
|
|
Torsion straight knee joint
|
$417.58 |
$417.58 |
$417.58 |
$253.84
|
|
Total hip arthroplasty
|
$98,581.15 |
$98,581.15 |
$98,581.15 |
$7,347.60
|
|
Total Hip Replacement
|
$54,119.15 |
$54,119.15 |
$54,119.15 |
$9,161.60
|
|
Total Knee Replacement
|
$51,577.94 |
$51,577.94 |
$51,577.94 |
$14,543.50
|
|
Tot disc arthrp 1ntrspc crv
|
$40,958.48 |
$40,958.48 |
$40,958.48 |
$20,154.40
|
|
Toxoplasma antibody igg
|
$75.60 |
$75.60 |
$75.60 |
$89.40
|
|
Toxoplasma antibody igm
|
$85.20 |
$85.20 |
$85.20 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$790.68
|
|
Tracheobrnchsc thru est trachs incisn
|
$634.80 |
$634.80 |
$634.80 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$42.00 |
$42.00 |
$42.00 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$37.24 |
$37.24 |
$37.24 |
$56.38
|
|
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
|
$3,070.80 |
$3,070.80 |
$3,070.80 |
$1,915.00
|
|
Transcath occlusion non-cns
|
$25,292.40 |
$25,292.40 |
$25,292.40 |
$10,031.28
|
|
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
|
|
Trans shoe caliper plate new
|
$391.08 |
$391.08 |
$391.08 |
$217.22
|
|
Trans shoe calip plate exist
|
$297.01 |
$297.01 |
$297.01 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$297.01 |
$297.01 |
$297.01 |
$141.41
|
|
Trans shoe solid stirrup new
|
$391.08 |
$391.08 |
$391.08 |
$217.22
|
|
Trapezius sling
|
$436.66 |
$436.66 |
$436.66 |
$242.54
|
|
Trastuzumab 150 mg intravenous solution
|
$6,167.42 |
$6,167.42 |
$6,167.42 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$14,966.15 |
$14,966.15 |
$14,966.15 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$13,326.95 |
$13,326.95 |
$13,326.95 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$14,893.65 |
$14,893.65 |
$14,893.65 |
$940.80
|
|
Trb@ gene rearrange dirprobe
|
$148.80 |
$148.80 |
$148.80 |
$73.46
|
|
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
|
$38,143.49 |
$38,143.49 |
$38,143.49 |
$12,896.80
|
|
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 humerus fracture
|
$34,035.08 |
$34,035.08 |
$34,035.08 |
$10,629.07
|
|
Treat kneecap dislocation
|
$445.80 |
$445.80 |
$445.80 |
$1,068.90
|
|
Treat lower leg joint
|
$51,959.82 |
$51,959.82 |
$51,959.82 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$94,821.80 |
$94,821.80 |
$94,821.80 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$61,877.43 |
$61,877.43 |
$61,877.43 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$45,456.91 |
$45,456.91 |
$45,456.91 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,928.20 |
$3,928.20 |
$3,928.20 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$175.80 |
$175.80 |
$175.80 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$142.80 |
$142.80 |
$142.80 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$159.00 |
$159.00 |
$159.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$3,928.20 |
$3,928.20 |
$3,928.20 |
$3,982.44
|
|
Treatment of ankle fracture
|
$43,718.44 |
$43,718.44 |
$43,718.44 |
$8,412.89
|
