|
Tendon transfer with graft
|
$621.49 |
$621.49 |
$621.49 |
$3,786.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$5,913.99 |
$5,913.99 |
$5,913.99 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$407.17 |
$407.17 |
$407.17 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$412.30 |
$412.30 |
$412.30 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$351.12 |
$351.12 |
$351.12 |
$1,893.86
|
|
Tenotomy hip flexor open
|
$480.51 |
$480.51 |
$480.51 |
$2,618.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$163.59 |
$163.59 |
$163.59 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$9.06 |
$9.06 |
$9.06 |
$39.33
|
|
Test for chlorohydrocarbons
|
$22.23 |
$22.23 |
$22.23 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$511.29 |
$511.29 |
$511.29 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$269.23 |
$269.23 |
$269.23 |
$949.70
|
|
Tetanus ig im
|
$623.72 |
$623.72 |
$623.72 |
$250.88
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$3,198.21 |
$3,198.21 |
$3,198.21 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$65.55 |
$65.55 |
$65.55 |
$108.00
|
|
Ther fx nasal inf turbinate
|
$80.18 |
$80.18 |
$80.18 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$244.34 |
$244.34 |
$244.34 |
$529.08
|
|
Ther radiology tx plng cplx
|
$127.87 |
$127.87 |
$127.87 |
$332.00
|
|
Ther radiology tx plng intrm
|
$82.46 |
$82.46 |
$82.46 |
$224.00
|
|
Ther radiology tx plng smpl
|
$53.58 |
$53.58 |
$53.58 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$16.46 |
$16.46 |
$16.46 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$698.06 |
$698.06 |
$698.06 |
$1,687.50
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$129.58 |
$129.58 |
$129.58 |
$499.80
|
|
Thoracoscopy diagnostic 32601
|
$190.38 |
$190.38 |
$190.38 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$129.77 |
$129.77 |
$129.77 |
$1,071.20
|
|
Thoracoscopy remove cortex
|
$682.29 |
$682.29 |
$682.29 |
$5,332.80
|
|
Thoracoscopy remov fb/fibrin 32653
|
$662.72 |
$662.72 |
$662.72 |
$2,587.20
|
|
Thoracoscopy surgical 32650
|
$422.37 |
$422.37 |
$422.37 |
$2,815.80
|
|
Thoracoscopy w/bx med space
|
$283.67 |
$283.67 |
$283.67 |
$6,463.42
|
|
Thoracoscopy w/pleurectomy 32656
|
$80.75 |
$80.75 |
$80.75 |
$3,447.60
|
|
Thoracoscopy w/wedge resect
|
$544.92 |
$544.92 |
$544.92 |
$4,232.00
|
|
Thoracoscopy w w resect diag 32668
|
$94.62 |
$94.62 |
$94.62 |
$304.20
|
|
Thorax spine fusion
|
$829.73 |
$829.73 |
$829.73 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$128.82 |
$128.82 |
$128.82 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$158.84 |
$158.84 |
$158.84 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$190.00 |
$190.00 |
$190.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$232.75 |
$232.75 |
$232.75 |
$6,120.30
|
|
Throat x-ray & fluoroscopy
|
$214.70 |
$214.70 |
$214.70 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$76.57 |
$76.57 |
$76.57 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,487.04 |
$4,487.04 |
$4,487.04 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,068.89 |
$9,068.89 |
$9,068.89 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$12,855.02 |
$12,855.02 |
$12,855.02 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$681.91 |
$681.91 |
$681.91 |
$5,520.00
|
|
Thrombin time
|
$1.83 |
$1.83 |
$1.83 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$492.48 |
$492.48 |
$492.48 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$551.95 |
$551.95 |
$551.95 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$776.15 |
$776.15 |
$776.15 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$672.79 |
$672.79 |
$672.79 |
$4,185.30
|
|
Thromboplastin inhibition
|
$24.70 |
$24.70 |
$24.70 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$1.09 |
$1.09 |
$1.09 |
$61.52
|
|
Thumb fusion with graft
|
$557.84 |
$557.84 |
$557.84 |
$7,913.97
|
|
Thyroglobulin antibody
|
$35.15 |
$35.15 |
$35.15 |
$82.00
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$869.82 |
$869.82 |
$869.82 |
$2,616.00
|
|
Thyroid imaging
|
$12.73 |
$12.73 |
$12.73 |
$695.02
|
|
Thyroid met imaging
|
$586.53 |
$586.53 |
$586.53 |
$838.25
|
|
Thyroid mets imag whole body
|
$586.53 |
$586.53 |
$586.53 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$52.06 |
$52.06 |
$52.06 |
$111.00
|
|
Thyroid Ultrasound
|
$258.78 |
$258.78 |
$258.78 |
$588.50
|
|
Thyroid uptake measurement
|
$6.46 |
$6.46 |
$6.46 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,535.51 |
$1,535.51 |
$1,535.51 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$2.50 |
$2.50 |
$2.50 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$518.89 |
$518.89 |
$518.89 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$654.36 |
$654.36 |
$654.36 |
$10,629.07
|
|
Tissue culture placenta
|
$33.35 |
$33.35 |
$33.35 |
$457.00
|
|
Tissue culture skin/biopsy
|
$45.34 |
$45.34 |
$45.34 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$28.88 |
$28.88 |
$28.88 |
$47.20
|
|
Tissue transglutaminase iga
|
$2.28 |
$2.28 |
$2.28 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$35.72 |
$35.72 |
$35.72 |
$78.40
|
|
Tlh uterus 250 g or less
|
$524.78 |
$524.78 |
$524.78 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$673.36 |
$673.36 |
$673.36 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$589.76 |
$589.76 |
$589.76 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$787.17 |
$787.17 |
$787.17 |
$12,320.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$12.09 |
$12.09 |
$12.09 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$77.52 |
$77.52 |
$77.52 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,055.43 |
$2,055.43 |
$2,055.43 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$57.76 |
$57.76 |
$57.76 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$56.81 |
$56.81 |
$56.81 |
$72.68
|
|
Tongue and neck surgery
|
$1,417.59 |
$1,417.59 |
$1,417.59 |
$2,745.01
|
|
Tongue base vol reduction
|
$255.36 |
$255.36 |
$255.36 |
$3,986.00
|
|
Tongue biopsy; posterior one-third 41105
|
$74.29 |
$74.29 |
$74.29 |
$3,544.29
|
|
Tonsillectomy (age 12+)
|
$172.33 |
$172.33 |
$172.33 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$181.64 |
$181.64 |
$181.64 |
$5,339.00
|
|
Total hip arthroplasty
|
$1,084.71 |
$1,084.71 |
$1,084.71 |
$7,347.60
|
|
Total Hip Replacement
|
$836.19 |
$836.19 |
$836.19 |
$9,161.60
|
|
Total hysterectomy
|
$659.11 |
$659.11 |
$659.11 |
$3,001.70
|
|
Total Knee Replacement
|
$835.24 |
$835.24 |
$835.24 |
$14,543.50
|
|
Total ob care failed vbac 59618
|
$1,706.96 |
$1,706.96 |
$1,706.96 |
$4,564.80
|
|
Total tau
|
$57.00 |
$57.00 |
$57.00 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$1,035.50 |
$1,035.50 |
$1,035.50 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$1,132.40 |
$1,132.40 |
$1,132.40 |
$4,365.60
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$314.45 |
$314.45 |
$314.45 |
$1,230.40
|
|
Toxoplasma antibody igg
|
$39.90 |
$39.90 |
$39.90 |
$89.40
|
|
Toxoplasma antibody igm
|
$2.43 |
$2.43 |
$2.43 |
$87.00
|
|
Tp53 gene full gene sequence
|
$184.30 |
$184.30 |
$184.30 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$153.90 |
$153.90 |
$153.90 |
$790.68
|
|
Tpmt gene com vrnts
|
$35.15 |
$35.15 |
$35.15 |
$371.80
|
|
Tprnl balo cntnc dev adjmt
|
$16.72 |
$16.72 |
$16.72 |
$551.20
|
|
Tprnl balo cntnc dev bi
|
$22.23 |
$22.23 |
$22.23 |
$15,403.70
|
|
Tprnl plmt biodegrdabl matrl
|
$106.78 |
$106.78 |
$106.78 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$135.47 |
$135.47 |
$135.47 |
$1,180.80
|
|
Trachelectomy (cervicectomy) 57530
|
$247.38 |
$247.38 |
$247.38 |
$4,933.66
|
