|
Thyroxine binding globulin (tbg)
|
$6.12 |
$6.12 |
$6.12 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$25,795.99 |
$25,795.99 |
$25,795.99 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$7,009.79 |
$7,009.79 |
$7,009.79 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$14,930.78 |
$14,930.78 |
$14,930.78 |
$10,406.14
|
|
Tilt table study
|
$1,251.90 |
$1,251.90 |
$1,251.90 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$2,123.74 |
$2,123.74 |
$2,123.74 |
$384.17
|
|
Tissue amnio epifix inj 100mg
|
$6,012.98 |
$6,012.98 |
$6,012.98 |
$3,846.61
|
|
Tissue culture placenta
|
$70.39 |
$70.39 |
$70.39 |
$520.91
|
|
Tissue culture skin/biopsy
|
$89.58 |
$89.58 |
$89.58 |
$558.87
|
|
Tissue culture tumor
|
$69.21 |
$69.21 |
$69.21 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$23.12 |
$23.12 |
$23.12 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$24,670.35 |
$24,670.35 |
$24,670.35 |
$2,516.07
|
|
Tissue transglutaminase iga
|
$62.44 |
$62.44 |
$62.44 |
$48.57
|
|
Tlso 2mod symphis-xipho pre
|
$564.54 |
$564.54 |
$564.54 |
$1,512.56
|
|
Tlso 2 shl symphys-stern cst
|
$433.57 |
$433.57 |
$433.57 |
$1,535.15
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$898.80 |
$898.80 |
$898.80 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$231.98 |
$231.98 |
$231.98 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$9,573.08 |
$9,573.08 |
$9,573.08 |
$4,711.84
|
|
Tocilizumab for covid-19
|
$9,573.08 |
$9,573.08 |
$9,573.08 |
$21.60
|
|
Tomosynthesis breast diagnostic left
|
$185.33 |
$185.33 |
$185.33 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$77.04 |
$77.04 |
$77.04 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,533.53 |
$1,533.53 |
$1,533.53 |
$404.20
|
|
Toxoplasma antibody igg
|
$92.45 |
$92.45 |
$92.45 |
$84.35
|
|
Toxoplasma antibody igm
|
$73.48 |
$73.48 |
$73.48 |
$83.20
|
|
Tp53 gene full gene sequence
|
$62.30 |
$62.30 |
$62.30 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$421.05 |
$421.05 |
$421.05 |
$919.10
|
|
Tpmt gene com vrnts
|
$42.80 |
$42.80 |
$42.80 |
$381.55
|
|
Trabectedin 1 mg intravenous solution
|
$13,555.19 |
$13,555.19 |
$13,555.19 |
$7,403.70
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$31.68 |
$31.68 |
$31.68 |
$104.50
|
|
Transcath biopsy
|
$4,754.23 |
$4,754.23 |
$4,754.23 |
$4,298.05
|
|
Transcath closure of asd
|
$12,470.21 |
$12,470.21 |
$12,470.21 |
$18,772.00
|
|
Transcath closure of vsd
|
$13,118.20 |
$13,118.20 |
$13,118.20 |
$18,837.00
|
|
Transcatheter bx s&i
|
$1,117.51 |
$1,117.51 |
$1,117.51 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$24,789.76 |
$24,789.76 |
$24,789.76 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$49,408.75 |
$49,408.75 |
$49,408.75 |
$17,106.18
|
|
Transcath occlusion cns
|
$1,997.91 |
$1,997.91 |
$1,997.91 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$10,952.52 |
$10,952.52 |
$10,952.52 |
$12,427.79
|
|
Trans cath replace aortic valve 33366
|
$48,468.44 |
$48,468.44 |
$48,468.44 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,467.47 |
$4,467.47 |
$4,467.47 |
$4,627.00
|
|
Transcutaneous hgb 88738
|
$10.70 |
$10.70 |
$10.70 |
$11.40
|
|
Transferrin
|
$26.11 |
$26.11 |
$26.11 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,691.03 |
$1,691.03 |
$1,691.03 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$7,324.80 |
$7,324.80 |
$7,324.80 |
$3,900.04
|
|
Trauma partial team response w/critical care services level 4
|
$5,941.07 |
$5,941.07 |
$5,941.07 |
$5,104.55
|
|
Tray bonemarrw oncontrol 102mm
|
$955.30 |
$955.30 |
$955.30 |
$977.62
|
|
Treat hip dislocation
|
$2,148.56 |
$2,148.56 |
$2,148.56 |
$2,561.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$207.16 |
$207.16 |
$207.16 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$169.49 |
$169.49 |
$169.49 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$312.87 |
$312.87 |
$312.87 |
$210.00
|
|
Treponema pallidum antibody
|
$47.51 |
$47.51 |
$47.51 |
$72.80
|
|
Trg gene rearrangement anal
|
$282.48 |
$282.48 |
$282.48 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$44.09 |
$44.09 |
$44.09 |
$55.80
|
|
Trichinella antibody
|
$32.02 |
$32.02 |
$32.02 |
$70.65
|
|
Triglycerides
|
$154.51 |
$154.51 |
$154.51 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$130.97 |
$130.97 |
$130.97 |
$128.00
|
|
Triptorelin pamoate
|
$4,693.02 |
$4,693.02 |
$4,693.02 |
$4,619.39
|
|
Trnscath plc stent crv crtd w/prtct
|
$25,816.96 |
$25,816.96 |
$25,816.96 |
$11,099.98
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$9,001.70 |
$9,001.70 |
$9,001.70 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$9,001.70 |
$9,001.70 |
$9,001.70 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$18,613.30 |
$18,613.30 |
$18,613.30 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$4,523.96 |
$4,523.96 |
$4,523.96 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,836.21 |
$5,836.21 |
$5,836.21 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,836.21 |
$5,836.21 |
$5,836.21 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,836.21 |
$5,836.21 |
$5,836.21 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$5,836.21 |
$5,836.21 |
$5,836.21 |
$4,329.36
|
|
Troponin quantitative
|
$309.45 |
$309.45 |
$309.45 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$1,557.50 |
$1,557.50 |
$1,557.50 |
$1,582.75
|
|
Tx atrial fib pulm vein isol
|
$30,782.62 |
$30,782.62 |
$30,782.62 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$1,539.09 |
$1,539.09 |
$1,539.09 |
$7,717.80
|
|
Ugt1a1 gene analy common variants
|
$95.51 |
$95.51 |
$95.51 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$303.03 |
$303.03 |
$303.03 |
$403.26
|
|
Ultrasound chest
|
$512.75 |
$512.75 |
$512.75 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$145.95 |
$145.95 |
$145.95 |
$340.14
|
|
Ultrasound elastography parenchyma
|
$284.20 |
$284.20 |
$284.20 |
$284.25
|
|
Ultrasound encephalogram
|
$594.07 |
$594.07 |
$594.07 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$566.68 |
$566.68 |
$566.68 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$733.17 |
$733.17 |
$733.17 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$346.68 |
$346.68 |
$346.68 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$627.02 |
$627.02 |
$627.02 |
$701.35
|
|
Ultrasound guide intraoperative
|
$231.98 |
$231.98 |
$231.98 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$373.22 |
$373.22 |
$373.22 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$550.84 |
$550.84 |
$550.84 |
$403.00
|
|
Ultrasound ob >=14wks ea addl gest
|
$524.73 |
$524.73 |
$524.73 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$453.26 |
$453.26 |
$453.26 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,441.51 |
$1,441.51 |
$1,441.51 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$481.93 |
$481.93 |
$481.93 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$642.00 |
$642.00 |
$642.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$802.50 |
$802.50 |
$802.50 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$600.06 |
$600.06 |
$600.06 |
$498.00
|
|
Ultrasound scrotum and contents
|
$911.22 |
$911.22 |
$911.22 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$541.85 |
$541.85 |
$541.85 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$720.76 |
$720.76 |
$720.76 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$742.58 |
$742.58 |
$742.58 |
$567.44
|
|
Unlisted fluoroscopic px
|
$145.95 |
$145.95 |
$145.95 |
$324.85
|
|
Unlisted misc path test
|
$3.53 |
$3.53 |
$3.53 |
$89.40
|
|
Unlisted muscskel px head
|
$285.91 |
$285.91 |
$285.91 |
$274.80
|
|
Unlisted procedure microbiology
|
$166.86 |
$166.86 |
$166.86 |
$487.50
|
|
Unlisted transfusion med px
|
$118.92 |
$118.92 |
$118.92 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$1,268.17 |
$1,268.17 |
$1,268.17 |
$1,469.76
|
|
Upgrade pm system
|
$13,520.95 |
$13,520.95 |
$13,520.95 |
$12,324.60
|
