|
Tibial length sock fx or equ
|
$47.60 |
$47.60 |
$47.60 |
$88.92
|
|
Tibial tubercle hgt with toe f
|
$2,970.80 |
$2,970.80 |
$2,970.80 |
$2,970.80
|
|
Tic-brn enceph vac 0.25ml im
|
$560.33 |
$560.33 |
$560.33 |
$520.31
|
|
Tic-brn enceph vac 0.5ml im
|
$560.33 |
$560.33 |
$560.33 |
$520.31
|
|
Tigecycline injection
|
$248.89 |
$248.89 |
$248.89 |
$234.00
|
|
Tilt table locking hip sing
|
$7,711.20 |
$7,711.20 |
$7,711.20 |
$7,711.20
|
|
Tilt table study
|
$4,659.20 |
$4,659.20 |
$4,659.20 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$420.31 |
$420.31 |
$420.31 |
$458.85
|
|
Tis cgen car anomal 1st shnt
|
$44,408.00 |
$44,408.00 |
$44,408.00 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$44,408.00 |
$44,408.00 |
$44,408.00 |
$6,546.38
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$1,148.00
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$1,176.00
|
|
Tis cltr skn agrft t/a/l add
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$1,148.00
|
|
Tis cltr skn agrft t/a/l ea
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$1,148.00
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$12,955.88 |
$12,955.88 |
$12,955.88 |
$13,339.20
|
|
Tissue culture placenta
|
$408.80 |
$408.80 |
$408.80 |
$457.00
|
|
Tissue culture skin/biopsy
|
$375.20 |
$375.20 |
$375.20 |
$484.00
|
|
Tissue culture tumor
|
$258.72 |
$258.72 |
$258.72 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$254.80 |
$254.80 |
$254.80 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$7,687.68 |
$7,687.68 |
$7,687.68 |
$1,134.00
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$18,999.96 |
$18,999.96 |
$18,999.96 |
$18,999.96
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$19,320.00 |
$19,320.00 |
$19,320.00 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$29.12 |
$29.12 |
$29.12 |
$44.16
|
|
Tixagev and cilgav inj
|
$414.40 |
$414.40 |
$414.40 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$261.91 |
$261.91 |
$261.91 |
$78.40
|
|
Tlh uterus 250 g or less
|
$16,940.00 |
$16,940.00 |
$16,940.00 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$13,837.60 |
$13,837.60 |
$13,837.60 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$23,128.00 |
$23,128.00 |
$23,128.00 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$18,967.20 |
$18,967.20 |
$18,967.20 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$982.80 |
$982.80 |
$982.80 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$848.40 |
$848.40 |
$848.40 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,106.00 |
$1,106.00 |
$1,106.00 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$585.20 |
$585.20 |
$585.20 |
$1,051.18
|
|
Tlso corset front
|
$162.40 |
$162.40 |
$162.40 |
$244.50
|
|
Tlso full corset
|
$243.60 |
$243.60 |
$243.60 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$526.40 |
$526.40 |
$526.40 |
$801.11
|
|
Tlso rig fram pelvic pre cst
|
$638.40 |
$638.40 |
$638.40 |
$999.43
|
|
Tlso rigid frame pre subclav
|
$898.80 |
$898.80 |
$898.80 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$1,106.00 |
$1,106.00 |
$1,106.00 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$2,192.40 |
$2,192.40 |
$2,192.40 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$313.60 |
$313.60 |
$313.60 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$383.60 |
$383.60 |
$383.60 |
$523.94
|
|
Tnot opn elbw to sho ea tdn
|
$2,564.80 |
$2,564.80 |
$2,564.80 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$164.08 |
$164.08 |
$164.08 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$213.92 |
$213.92 |
$213.92 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,643.04 |
$4,643.04 |
$4,643.04 |
$5,258.52
|
|
Tocilizumab for covid-19
|
$0.01 |
$0.01 |
$0.01 |
$21.08
|
|
Tomosynthesis breast diagnostic left
|
$134.40 |
$134.40 |
$134.40 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$115.36 |
$115.36 |
$115.36 |
$72.68
|
|
Tone decay hearing test
|
$112.56 |
$112.56 |
$112.56 |
$90.37
|
|
Tongue base vol reduction
|
$7,352.80 |
$7,352.80 |
$7,352.80 |
$3,986.00
|
|
Tongue biopsy; posterior one-third 41105
|
$5,404.00 |
$5,404.00 |
$5,404.00 |
$3,544.29
|
|
Tongue suspension
|
$4,082.40 |
$4,082.40 |
$4,082.40 |
$4,350.00
|
|
Tongue to lip surgery
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$3,837.72
|
|
Tonsillectomy (age 12+)
|
$8,657.60 |
$8,657.60 |
$8,657.60 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$267.29 |
$267.29 |
$267.29 |
$325.00
|
|
Topotecan oral
|
$851.05 |
$851.05 |
$851.05 |
$851.05
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$15,383.12 |
$15,383.12 |
$15,383.12 |
$15,383.12
|
|
Torsion ank & half solid sti
|
$159.60 |
$159.60 |
$159.60 |
$291.13
|
|
Torsion straight knee joint
|
$173.60 |
$173.60 |
$173.60 |
$253.84
|
|
Total Hip Replacement
|
$9,161.60 |
$9,161.60 |
$9,161.60 |
$9,161.60
|
|
Total Knee Replacement
|
$25,760.00 |
$25,760.00 |
$25,760.00 |
$14,543.50
|
|
Total tau
|
$19.04 |
$19.04 |
$19.04 |
$312.50
|
|
Tot contact ak/knee disart s
|
$733.60 |
$733.60 |
$733.60 |
$733.60
|
|
Tot disc arthrp 1ntrspc crv
|
$20,154.40 |
$20,154.40 |
$20,154.40 |
$20,154.40
|
|
Tot disc arthrp 2ntrspc lmbr
|
$470.40 |
$470.40 |
$470.40 |
$470.40
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$1,230.40
|
|
Tot estradiol response panel
|
$548.80 |
$548.80 |
$548.80 |
$140.80
|
|
Toxoplasma antibody igg
|
$160.16 |
$160.16 |
$160.16 |
$89.40
|
|
Toxoplasma antibody igm
|
$157.36 |
$157.36 |
$157.36 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$709.80
|
|
Tp53 gene known famil vrnt
|
$515.20 |
$515.20 |
$515.20 |
$395.40
|
|
Tp53 gene trgt sequence alys
|
$554.40 |
$554.40 |
$554.40 |
$790.68
|
|
Tpmt gene com vrnts
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$371.80
|
|
Tprnl balo cntnc dev adjmt
|
$744.80 |
$744.80 |
$744.80 |
$551.20
|
|
Tprnl balo cntnc dev bi
|
$25,888.80 |
$25,888.80 |
$25,888.80 |
$15,403.70
|
|
Tprnl balo cntnc dev rmvl ea
|
$6,932.80 |
$6,932.80 |
$6,932.80 |
$5,725.20
|
|
Tprnl balo cntnc dev uni
|
$9,945.60 |
$9,945.60 |
$9,945.60 |
$9,945.60
|
|
Tprnl plmt biodegrdabl matrl
|
$13,949.60 |
$13,949.60 |
$13,949.60 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$6,471.21 |
$6,471.21 |
$6,471.21 |
$6,827.00
|
|
Trabeculoplasty laser surg
|
$1,618.40 |
$1,618.40 |
$1,618.40 |
$1,180.80
|
|
Trachelectomy (cervicectomy) 57530
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,450.40 |
$1,450.40 |
$1,450.40 |
$1,420.44
|
|
Tracheostoma revision; simple, without flap rotation
|
$3,791.20 |
$3,791.20 |
$3,791.20 |
$3,837.72
|
|
Tracheostoma stent/stud/bttn
|
$109.76 |
$109.76 |
$109.76 |
$333.29
|
|
Train for caregiver add 15
|
$47.60 |
$47.60 |
$47.60 |
$47.60
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$142.24 |
$142.24 |
$142.24 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$56.38 |
$56.38 |
$56.38 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$935.20 |
$935.20 |
$935.20 |
$678.70
|
|
Transab esoph hiat hern repair 43332
|
$6,837.60 |
$6,837.60 |
$6,837.60 |
$2,835.20
|
|
Transab esoph hiat hern rpr
|
$6,837.60 |
$6,837.60 |
$6,837.60 |
$3,096.80
|
|
Transcath biopsy
|
$6,087.20 |
$6,087.20 |
$6,087.20 |
$4,285.93
|
|
Transcath closure of asd
|
$34,540.80 |
$34,540.80 |
$34,540.80 |
$16,741.40
|
|
Transcath closure of vsd
|
$34,540.80 |
$34,540.80 |
$34,540.80 |
$17,115.04
|
|
Transcatheter bx s&i
|
$3,606.40 |
$3,606.40 |
$3,606.40 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$2,951.20 |
$2,951.20 |
$2,951.20 |
$4,385.00
|
