|
Theophylline therapeutic drug level
|
$161.85 |
$161.85 |
$757.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$234.00 |
$234.00 |
$234.00 |
$85.68
|
|
Therapy activation ipnss
|
$266.50 |
$266.50 |
$266.50 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$161.20 |
$161.20 |
$161.20 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$161.20 |
$161.20 |
$161.20 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$45.50 |
$45.50 |
$45.50 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$45.50 |
$45.50 |
$45.50 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$570.70 |
$570.70 |
$570.70 |
$314.50
|
|
Ther nma rdctj intus/obstrcj
|
$1,702.35 |
$1,702.35 |
$2,527.00 |
$538.88
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$86.00 |
$89.70 |
$89.70 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$627.90 |
$627.90 |
$627.90 |
$314.50
|
|
Thiotepa injection
|
$1,840.00 |
$1,840.00 |
$1,840.00 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,753.75 |
$3,753.75 |
$3,753.75 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,737.80 |
$2,737.80 |
$5,948.00 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$13,229.45 |
$13,229.45 |
$13,229.45 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,322.90 |
$7,322.90 |
$7,322.90 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$12,687.35 |
$12,687.35 |
$12,687.35 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,164.25 |
$18,164.25 |
$18,164.25 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$9,909.25 |
$9,909.25 |
$9,909.25 |
$6,422.91
|
|
Thrombin time
|
$240.50 |
$240.50 |
$315.00 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$24,408.80 |
$24,408.80 |
$24,408.80 |
$3,987.20
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$10,206.30 |
$10,206.30 |
$10,206.30 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$9,909.25 |
$9,909.25 |
$9,909.25 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$81.25 |
$81.25 |
$81.25 |
$61.52
|
|
Thyroglobulin antibody
|
$111.15 |
$111.15 |
$111.15 |
$82.73
|
|
Thyroid imaging
|
$1,219.40 |
$1,219.40 |
$4,581.00 |
$696.75
|
|
Thyroid met imaging
|
$1,028.30 |
$1,028.30 |
$9,237.00 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,985.75 |
$1,985.75 |
$8,416.00 |
$1,524.99
|
|
Thyroid met uptake
|
$546.00 |
$546.00 |
$546.00 |
$407.40
|
|
Thyroid (TSH) Test
|
$165.75 |
$165.75 |
$2,801.00 |
$112.67
|
|
Thyroid Ultrasound
|
$718.25 |
$718.25 |
$718.25 |
$588.50
|
|
Thyroid uptake measurement
|
$770.25 |
$770.25 |
$2,725.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$6,056.05 |
$6,056.05 |
$18,920.00 |
$4,152.21
|
|
Thyrotropin releasing hormone
|
$8,378.00 |
$8,378.00 |
$8,378.00 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$15.60 |
$15.60 |
$533.00 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$80,769.00 |
$80,769.00 |
$80,769.00 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$61,406.15 |
$61,406.15 |
$61,406.15 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$29,671.20 |
$29,671.20 |
$29,671.20 |
$10,165.00
|
|
Tigecycline injection
|
$16.25 |
$16.25 |
$1,502.00 |
$235.29
|
|
Tilt table study
|
$2,172.30 |
$2,172.30 |
$2,172.30 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$44.20 |
$44.20 |
$44.20 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$708.50 |
$708.50 |
$708.50 |
$13,339.20
|
|
Tissue culture placenta
|
$215.80 |
$215.80 |
$875.00 |
$440.50
|
|
Tissue culture skin/biopsy
|
$533.00 |
$562.90 |
$562.90 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$196.95 |
$196.95 |
$636.00 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$31,844.15 |
$31,844.15 |
$31,844.15 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$1.00 |
$41,834.00 |
$41,834.00 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$76,424.40 |
$76,424.40 |
$76,424.40 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$40.95 |
$40.95 |
$40.95 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$71.50 |
$71.50 |
$71.50 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$574.60 |
$574.60 |
$574.60 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$388.05 |
$388.05 |
$388.05 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$33.80 |
$33.80 |
$33.80 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$456.95 |
$456.95 |
$483.60 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$203.00 |
$203.00 |
$203.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$131.00 |
$131.00 |
$162.50 |
$74.10
|
|
Tongue biopsy; posterior one-third 41105
|
$7,177.30 |
$7,177.30 |
$7,177.30 |
$3,592.74
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$21.45 |
$21.45 |
$10,698.00 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$351.65 |
$351.65 |
$351.65 |
$15,383.12
|
|
Total tau
|
$297.70 |
$297.70 |
$297.70 |
$312.50
|
|
Toxoplasma antibody igg
|
$35.10 |
$35.10 |
$486.00 |
$91.65
|
|
Toxoplasma antibody igm
|
$35.10 |
$35.10 |
$543.00 |
$88.00
|
|
Tp53 gene trgt sequence alys
|
$1,379.30 |
$1,379.30 |
$1,379.30 |
$804.00
|
|
Tpmt gene com vrnts
|
$456.95 |
$456.95 |
$456.95 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$13,211.90 |
$13,211.90 |
$13,211.90 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$1,624.35 |
$1,624.35 |
$33,429.00 |
$6,684.23
|
|
Tracheobrnchsc thru est trachs incisn
|
$3,911.70 |
$3,911.70 |
$3,911.70 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$66.30 |
$226.20 |
$1,971.00 |
$103.20
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$22.00 |
$189.80 |
$189.80 |
$56.38
|
|
Transcath biopsy
|
$10,631.40 |
$10,631.40 |
$10,631.40 |
$4,285.93
|
|
Transcath closure of asd
|
$28,775.50 |
$28,775.50 |
$28,775.50 |
$17,088.00
|
|
Transcath closure of vsd
|
$28,505.75 |
$28,505.75 |
$28,505.75 |
$17,115.04
|
|
Transcatheter bx s&i
|
$9,384.05 |
$9,384.05 |
$9,973.00 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$18,499.65 |
$18,499.65 |
$18,499.65 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$36,998.00 |
$36,998.00 |
$36,998.00 |
$13,093.20
|
|
Transcath occlusion cns
|
$10,881.65 |
$10,881.65 |
$10,881.65 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$23,717.20 |
$23,717.20 |
$23,717.20 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$62,238.80 |
$62,238.80 |
$62,238.80 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$9,775.35 |
$9,775.35 |
$9,775.35 |
$4,822.00
|
|
Transcrv abltj utrn fibrd rf
|
$20,855.90 |
$20,855.90 |
$20,855.90 |
$8,750.72
|
|
Transferrin
|
$386.00 |
$446.55 |
$446.55 |
$82.00
|
|
Transfer skin pedicle flap
|
$5,709.60 |
$5,709.60 |
$5,709.60 |
$3,189.12
|
|
Transparent film <= 16 sq in
|
$5,064.15 |
$5,064.15 |
$5,064.15 |
$4.50
|
|
Transperi needle place pros
|
$13,821.60 |
$13,821.60 |
$13,821.60 |
$6,015.75
|
|
Transplj hematopoietic boost
|
$3,987.75 |
$3,987.75 |
$3,987.75 |
$2,667.20
|
|
Transplt allo hct/donor
|
$39,882.05 |
$39,882.05 |
$39,882.05 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$4,594.85 |
$4,594.85 |
$4,594.85 |
$2,751.65
|
|
Transplt autol hct/donor
|
$14,946.10 |
$14,946.10 |
$14,946.10 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$880.10 |
$880.10 |
$880.10 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$525.20 |
$525.20 |
$525.20 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$458.25 |
$458.25 |
$742.00 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$380.25 |
$380.25 |
$5,199.00 |
$5,846.40
|
|
Tray bonemarrw oncontrol 102mm
|
$2,813.20 |
$2,813.20 |
$2,813.20 |
$940.80
|
|
Treat finger fracture each
|
$4,544.15 |
$4,544.15 |
$4,544.15 |
$1,592.00
|
|
Treat fracture of radius
|
$9,087.65 |
$9,087.65 |
$9,087.65 |
$1,821.60
|
|
Treat fracture of radius
|
$9,087.65 |
$9,087.65 |
$9,087.65 |
$1,849.00
|
|
Treat fracture of ulna
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$726.05
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$224.90 |
$224.90 |
$894.00 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$224.90 |
$224.90 |
$894.00 |
$147.48
|
