|
Terbutaline 1 mg/ml subcutaneous solution
|
$48.62 |
$48.62 |
$48.62 |
$39.33
|
|
Term dev, passive hand mitt
|
$206.00 |
$206.00 |
$206.00 |
$406.00
|
|
Term dev, sport/rec/work att
|
$391.20 |
$391.20 |
$391.20 |
$879.20
|
|
Test for porphobilinogen
|
$14.80 |
$14.80 |
$14.80 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$105.20 |
$105.20 |
$105.20 |
$70.00
|
|
Test socket below knee
|
$185.20 |
$185.20 |
$185.20 |
$535.15
|
|
Test socket symes
|
$194.80 |
$194.80 |
$194.80 |
$324.80
|
|
Test sock wrist disart/bel e
|
$148.40 |
$148.40 |
$148.40 |
$350.00
|
|
Test stress cardiovascular tracing only
|
$477.20 |
$477.20 |
$477.20 |
$949.70
|
|
Tetanus immune globulin inj
|
$895.28 |
$895.28 |
$895.28 |
$1,285.36
|
|
Tgsap so neo 5-50 rna alys
|
$868.40 |
$868.40 |
$868.40 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$62.80 |
$62.80 |
$62.80 |
$108.00
|
|
Therapeutic procd strg endur
|
$60.40 |
$60.40 |
$60.40 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$38.00 |
$38.00 |
$38.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$38.00 |
$38.00 |
$38.00 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$904.40 |
$904.40 |
$904.40 |
$529.08
|
|
Ther/proph/diag inj ia
|
$355.20 |
$355.20 |
$355.20 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$56.08 |
$56.08 |
$56.08 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,118.80 |
$1,118.80 |
$1,118.80 |
$1,687.50
|
|
Thoracic pad
|
$66.00 |
$66.00 |
$66.00 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$4,277.20 |
$4,277.20 |
$4,277.20 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$75.20 |
$75.20 |
$75.20 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$5,428.40 |
$5,428.40 |
$5,428.40 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$14,704.00 |
$14,704.00 |
$14,704.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$22,794.00 |
$22,794.00 |
$22,794.00 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$34,744.40 |
$34,744.40 |
$34,744.40 |
$21,413.60
|
|
Thrombin time
|
$25.60 |
$25.60 |
$25.60 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$5,479.20 |
$5,479.20 |
$5,479.20 |
$3,980.60
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$28.80 |
$28.80 |
$28.80 |
$61.52
|
|
Th/wght bear quad-lat brim m
|
$472.80 |
$472.80 |
$472.80 |
$1,695.23
|
|
Thyroglobulin antibody
|
$69.60 |
$69.60 |
$69.60 |
$82.00
|
|
Thyroid mets imag whole body
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$74.40 |
$74.40 |
$74.40 |
$111.00
|
|
Thyroid Ultrasound
|
$420.80 |
$420.80 |
$420.80 |
$588.50
|
|
Thyroid uptake measurement
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$591.25
|
|
Tibial length sock fx or equ
|
$124.80 |
$124.80 |
$124.80 |
$88.92
|
|
Tilt table study
|
$885.20 |
$885.20 |
$885.20 |
$1,507.01
|
|
Tissue culture placenta
|
$338.00 |
$338.00 |
$338.00 |
$457.00
|
|
Tissue culture skin/biopsy
|
$323.60 |
$323.60 |
$323.60 |
$484.00
|
|
Tissue culture tumor
|
$338.80 |
$338.80 |
$338.80 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$18.80 |
$18.80 |
$18.80 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$17,883.60 |
$17,883.60 |
$17,883.60 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$10.40 |
$10.40 |
$10.40 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$56.80 |
$56.80 |
$56.80 |
$78.40
|
|
Tlso 2mod symphis-xipho pre
|
$545.20 |
$545.20 |
$545.20 |
$1,874.66
|
|
Tlso 2 shl symphys-stern cst
|
$614.00 |
$614.00 |
$614.00 |
$1,808.59
|
|
Tlso rigid lined custom fab
|
$993.60 |
$993.60 |
$993.60 |
$2,831.21
|
|
Tlso rigid plastic cust fab
|
$1,041.20 |
$1,041.20 |
$1,041.20 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$975.20 |
$975.20 |
$975.20 |
$2,788.42
|
|
Tlso trnk sj-t9 pre cst
|
$207.20 |
$207.20 |
$207.20 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$53.58 |
$53.58 |
$53.58 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$70.80 |
$70.80 |
$70.80 |
$120.60
|
|
Torsion ank & half solid sti
|
$64.80 |
$64.80 |
$64.80 |
$291.13
|
|
Torsion straight knee joint
|
$71.60 |
$71.60 |
$71.60 |
$253.84
|
|
Toxoplasma antibody igg
|
$64.00 |
$64.00 |
$64.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$64.00 |
$64.00 |
$64.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$386.40 |
$386.40 |
$386.40 |
$709.80
|
|
Tpmt gene com vrnts
|
$254.40 |
$254.40 |
$254.40 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$881.20 |
$881.20 |
$881.20 |
$1,420.44
|
|
Tracheostoma revision; simple, without flap rotation
|
$4,274.80 |
$4,274.80 |
$4,274.80 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$86.40 |
$86.40 |
$86.40 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$0.46 |
$0.46 |
$0.46 |
$56.38
|
|
Transcath biopsy
|
$8,833.60 |
$8,833.60 |
$8,833.60 |
$4,285.93
|
|
Transcath closure of asd
|
$32,994.80 |
$32,994.80 |
$32,994.80 |
$16,741.40
|
|
Transcath closure of vsd
|
$24,746.40 |
$24,746.40 |
$24,746.40 |
$17,115.04
|
|
Transcatheter bx s&i
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,915.00
|
|
Transcath occlusion cns
|
$18,253.20 |
$18,253.20 |
$18,253.20 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$9,982.00 |
$9,982.00 |
$9,982.00 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$5,214.40 |
$5,214.40 |
$5,214.40 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,387.60 |
$5,387.60 |
$5,387.60 |
$4,775.16
|
|
Transferrin
|
$56.40 |
$56.40 |
$56.40 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$847.20 |
$847.20 |
$847.20 |
$983.00
|
|
Trans shoe solid stirrup exi
|
$46.80 |
$46.80 |
$46.80 |
$141.41
|
|
Trauma partial team response w/critical care services level 4
|
$2,410.80 |
$2,410.80 |
$2,410.80 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,214.80 |
$1,214.80 |
$1,214.80 |
$940.80
|
|
Treat clavicle dislocation 23545
|
$392.80 |
$392.80 |
$392.80 |
$705.60
|
|
Treat elbow dislocation
|
$2,538.00 |
$2,538.00 |
$2,538.00 |
$2,223.20
|
|
Treat elbow fracture
|
$2,538.00 |
$2,538.00 |
$2,538.00 |
$1,919.13
|
|
Treat finger fracture each
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,536.00
|
|
Treat fracture of radius
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,790.00
|
|
Treat fracture of ulna
|
$358.80 |
$358.80 |
$358.80 |
$726.05
|
|
Treat hand dislocation
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$1,749.06
|
|
Treat hip dislocation
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$2,641.60
|
|
Treat humerus fracture
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,771.43
|
|
Treat humerus fracture
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,771.43
|
|
Treat lower leg dislocation
|
$5,115.60 |
$5,115.60 |
$5,115.60 |
$3,908.80
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,273.60 |
$4,273.60 |
$4,273.60 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$230.00 |
$230.00 |
$230.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$150.00 |
$150.00 |
$150.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$511.20 |
$511.20 |
$511.20 |
$203.35
|
|
Treatment of thigh fracture
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,748.40
|
|
Treatment of thigh fracture
|
$2,495.20 |
$2,495.20 |
$2,495.20 |
$1,772.97
|
|
Treatment radiation delivery level 2
|
$896.00 |
$896.00 |
$896.00 |
$767.65
|
|
Treat ulnar fracture
|
$2,051.20 |
$2,051.20 |
$2,051.20 |
$1,662.00
|
|
Treat vaginal bleeding
|
$324.00 |
$324.00 |
$324.00 |
$379.60
|
|
Treat wrist dislocation
|
$359.20 |
$359.20 |
$359.20 |
$656.25
|
|
Treponema pallidum antibody
|
$58.00 |
$58.00 |
$58.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$890.80 |
$890.80 |
$890.80 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$13.44 |
$13.44 |
$13.44 |
$43.21
|
