|
Tilt table study
|
$655.84 |
$655.84 |
$949.54 |
$1,561.82
|
|
Tisagenlecleucel car-pos t
|
$1,464,080.08 |
$1,464,080.08 |
$1,464,080.08 |
$1,780,600.03
|
|
Tissue culture placenta
|
$134.85 |
$134.85 |
$147.90 |
$440.50
|
|
Tissue culture skin/biopsy
|
$126.29 |
$126.29 |
$264.45 |
$484.00
|
|
Tissue culture tumor
|
$132.25 |
$132.25 |
$264.45 |
$479.50
|
|
Tissue exam koh skin/hair/nails
|
$35.05 |
$35.05 |
$64.46 |
$47.40
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$10.71 |
$10.71 |
$14,618.31 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$8.67 |
$8.67 |
$165.32 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$122.27 |
$122.27 |
$122.27 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$209.10 |
$209.10 |
$209.10 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$8.13 |
$8.13 |
$88.56 |
$119.40
|
|
Toe X-ray (both feet)
|
$74.55 |
$74.55 |
$74.55 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$21.68 |
$21.68 |
$21.68 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$27.04 |
$27.04 |
$36.90 |
$74.10
|
|
Tongue biopsy; posterior one-third 41105
|
$1,344.66 |
$1,344.66 |
$1,344.66 |
$3,592.74
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$589.67 |
$589.67 |
$589.67 |
$316.84
|
|
Total tau
|
$74.87 |
$74.87 |
$326.37 |
$312.50
|
|
Toxoplasma antibody igg
|
$9.26 |
$9.26 |
$77.48 |
$91.65
|
|
Toxoplasma antibody igm
|
$8.82 |
$8.82 |
$14.18 |
$88.00
|
|
Tp53 gene full gene sequence
|
$340.90 |
$340.90 |
$340.90 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$281.08 |
$281.08 |
$324.24 |
$804.00
|
|
Tpmt gene com vrnts
|
$149.21 |
$149.21 |
$172.02 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$3,277.89 |
$3,277.89 |
$3,277.89 |
$7,144.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$93.24 |
$93.24 |
$93.24 |
$103.20
|
|
Transabdom amnioinfus w/us
|
$794.58 |
$794.58 |
$794.58 |
$678.70
|
|
Transcath biopsy
|
$893.68 |
$893.68 |
$893.68 |
$4,285.93
|
|
Transcath closure of asd
|
$8,876.67 |
$8,876.67 |
$8,876.67 |
$17,088.00
|
|
Transcath closure of vsd
|
$12,102.71 |
$12,102.71 |
$12,102.71 |
$17,115.04
|
|
Transcatheter bx s&i
|
$559.55 |
$559.55 |
$773.43 |
$1,950.85
|
|
Transcath occlusion cns
|
$1,322.86 |
$1,322.86 |
$8,395.25 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$1,273.44 |
$1,273.44 |
$8,982.94 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$8,070.03 |
$8,070.03 |
$8,070.03 |
$14,593.50
|
|
Transferrin
|
$24.73 |
$24.73 |
$55.60 |
$82.00
|
|
Transperi needle place pros
|
$2,178.16 |
$2,178.16 |
$2,178.16 |
$6,015.75
|
|
Transplt allo hct/donor
|
$2,350.13 |
$2,350.13 |
$2,350.13 |
$29,206.10
|
|
Transplt autol hct/donor
|
$1,736.28 |
$1,736.28 |
$1,736.28 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$235.97 |
$235.97 |
$328.17 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$198.60 |
$198.60 |
$328.17 |
$501.60
|
|
Trauma partial team response w/critical care services level 4
|
$1,366.58 |
$1,366.58 |
$3,439.33 |
$4,471.50
|
|
Tray bonemarrw oncontrol 102mm
|
$109.89 |
$109.89 |
$1,057.07 |
$940.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$311.93 |
$311.93 |
$311.93 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$247.23 |
$247.23 |
$247.23 |
$147.48
|
|
Treatment of toe fracture 28510
|
$50.19 |
$50.19 |
$50.19 |
$371.40
|
|
Treatment radiation delivery level 2
|
$255.02 |
$255.02 |
$255.02 |
$830.70
|
|
Treat spinal cord lesion
|
$410.77 |
$410.77 |
$410.77 |
$1,142.50
|
|
Treat spinal cord lesion
|
$414.14 |
$414.14 |
$414.14 |
$1,337.00
|
|
Treponema pallidum antibody
|
$10.88 |
$10.88 |
$13.03 |
$72.05
|
|
Treprostinil injection
|
$140.72 |
$140.72 |
$140.72 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$171.87 |
$171.87 |
$198.28 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$19.68 |
$19.68 |
$19.68 |
$43.00
|
|
Trichinella antibody
|
$10.14 |
$10.14 |
$73.62 |
$70.65
|
|
#tricyclicantidprssnt
|
$15.27 |
$15.27 |
$15.27 |
$50.54
|
|
Triglycerides
|
$26.23 |
$26.23 |
$62.73 |
$58.05
|
|
Trnscath plc stent crv crtd without prtct
|
$2,120.76 |
$2,120.76 |
$3,724.44 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,327.88 |
$3,327.88 |
$3,327.88 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$1,652.88 |
$1,652.88 |
$1,652.88 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$2,707.43 |
$2,707.43 |
$4,536.98 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,256.14 |
$2,256.14 |
$2,256.14 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$3,384.37 |
$3,384.37 |
$3,384.37 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,694.03 |
$1,694.03 |
$1,769.24 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,101.42 |
$2,101.42 |
$2,101.42 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$826.44 |
$826.44 |
$1,692.48 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$713.47 |
$713.47 |
$713.47 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$1,208.97 |
$1,208.97 |
$1,208.97 |
$3,866.70
|
|
Troponin quantitative
|
$54.95 |
$54.95 |
$123.50 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$692.03 |
$692.03 |
$826.32 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$714.31 |
$714.31 |
$999.99 |
$1,254.50
|
|
Tte w or without fol w/cont, f/u
|
$379.29 |
$379.29 |
$379.29 |
$1,178.00
|
|
Tx atrial fib pulm vein isol
|
$13,004.06 |
$13,004.06 |
$13,004.06 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$5,331.56 |
$5,331.56 |
$5,331.56 |
$6,986.85
|
|
Ugt1a1 gene analy common variants
|
$199.66 |
$199.66 |
$230.26 |
$438.75
|
|
Ultrasound breast complete
|
$217.98 |
$217.98 |
$217.98 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$167.81 |
$167.81 |
$167.81 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$124.48 |
$124.48 |
$134.94 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$128.02 |
$128.02 |
$128.02 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$64.01 |
$64.01 |
$64.01 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$135.98 |
$135.98 |
$135.98 |
$313.95
|
|
Ultrasound encephalogram
|
$147.85 |
$147.85 |
$256.73 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$193.07 |
$193.07 |
$218.45 |
$575.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$220.06 |
$220.06 |
$417.96 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$269.88 |
$269.88 |
$371.22 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$211.75 |
$211.75 |
$219.68 |
$388.08
|
|
Ultrasound guide intraoperative
|
$234.93 |
$234.93 |
$335.30 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$168.16 |
$168.16 |
$168.16 |
$560.00
|
|
Ultrasound infant hips ltd without stress
|
$130.63 |
$130.63 |
$142.21 |
$311.25
|
|
Ultrasound joint complete left
|
$161.93 |
$161.93 |
$161.93 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$133.34 |
$133.34 |
$183.03 |
$409.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$120.41 |
$120.41 |
$123.50 |
$335.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$258.55 |
$258.55 |
$302.06 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$175.77 |
$175.77 |
$380.81 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$187.53 |
$187.53 |
$187.53 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$136.53 |
$136.53 |
$271.26 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$139.73 |
$139.73 |
$253.62 |
$421.00
|
|
Unlisted CT procedure
|
$533.56 |
$533.56 |
$533.56 |
$732.70
|
|
Unlisted dx gi procedure
|
$125.00 |
$125.00 |
$125.00 |
$649.22
|
|
Unlisted hematology&coagj px
|
$9.86 |
$9.86 |
$9.86 |
$39.52
|
|
Unlisted mr procedure
|
$688.34 |
$688.34 |
$688.34 |
$1,163.00
|
|
Unlisted procedure microbiology
|
$185.00 |
$185.00 |
$185.00 |
$530.00
|
|
Unlisted transfusion med px
|
$44.22 |
$44.22 |
$178.35 |
$147.50
|
|
Unsched dialysis esrd pt hos
|
$394.02 |
$394.02 |
$565.56 |
$1,296.00
|
