|
Thoracoabdominal graft 33877
|
$17,947.80 |
$17,947.80 |
$17,947.80 |
$8,824.00
|
|
Thoracoscopy bilobectomy 32670
|
$7,415.20 |
$7,415.20 |
$7,415.20 |
$3,910.40
|
|
Thoracoscopy diagnostic 32601
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$6,442.80
|
|
Thoracoscopy for lvrs
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$5,411.20
|
|
Thoracoscopy lymph node exc
|
$1,071.20 |
$1,071.20 |
$1,071.20 |
$1,071.20
|
|
Thoracoscopy pneumonectomy
|
$8,299.20 |
$8,299.20 |
$8,299.20 |
$6,238.40
|
|
Thoracoscopy remove cortex
|
$4,882.80 |
$4,882.80 |
$4,882.80 |
$5,332.80
|
|
Thoracoscopy remove segment
|
$6,117.80 |
$6,117.80 |
$6,117.80 |
$5,331.20
|
|
Thoracoscopy remov fb/fibrin 32653
|
$4,724.20 |
$4,724.20 |
$4,724.20 |
$2,091.00
|
|
Thoracoscopy resect bullae 32655
|
$4,204.20 |
$4,204.20 |
$4,204.20 |
$4,204.20
|
|
Thoracoscopy surgical 32650
|
$2,815.80 |
$2,815.80 |
$2,815.80 |
$2,251.60
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$5,335.20 |
$5,335.20 |
$5,335.20 |
$5,335.20
|
|
Thoracoscopy/thoracic sympathectomy32664
|
$4,083.95 |
$4,083.95 |
$4,083.95 |
$4,083.95
|
|
Thoracoscopy/tot pulm decortication32652
|
$7,573.80 |
$7,573.80 |
$7,573.80 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$2,181.40 |
$2,181.40 |
$2,181.40 |
$6,463.42
|
|
Thoracoscopy w/lobectomy
|
$6,406.40 |
$6,406.40 |
$6,406.40 |
$3,408.80
|
|
Thoracoscopy w/mediast exc
|
$3,897.40 |
$3,897.40 |
$3,897.40 |
$2,172.00
|
|
Thoracoscopy w/pericard exc
|
$3,465.80 |
$3,465.80 |
$3,465.80 |
$1,942.40
|
|
Thoracoscopy w/pleurectomy 32656
|
$3,447.60 |
$3,447.60 |
$3,447.60 |
$3,409.02
|
|
Thoracoscopy w/sac drng 32659
|
$3,104.40 |
$3,104.40 |
$3,104.40 |
$1,780.00
|
|
Thoracoscopy w/sac fb remove
|
$3,044.60 |
$3,044.60 |
$3,044.60 |
$1,736.80
|
|
Thoracoscopy w/thymus resect
|
$5,493.80 |
$5,493.80 |
$5,493.80 |
$4,290.40
|
|
Thoracoscopy w/wedge resect
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$780.00 |
$780.00 |
$780.00 |
$477.00
|
|
Thoracoscopy w w resect diag 32668
|
$780.00 |
$780.00 |
$780.00 |
$304.20
|
|
Thoracostomy w/flap drng 32036
|
$3,198.00 |
$3,198.00 |
$3,198.00 |
$3,198.00
|
|
Thoracostomy w/rib resection 32035
|
$2,935.40 |
$2,935.40 |
$2,935.40 |
$2,935.40
|
|
Thoracotomy opn free adhesions 32124
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$2,256.80
|
|
Thoracotomy w/expl
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$4,794.40 |
$4,794.40 |
$4,794.40 |
$2,138.76
|
|
Thorax spine fusion
|
$4,941.95 |
$4,941.95 |
$4,941.95 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,252.90 |
$2,252.90 |
$10,454.00 |
$1,703.45
|
|
Thrombectmy crnry perq mechanical
|
$3,104.40 |
$3,104.40 |
$3,104.40 |
$3,903.25
|
|
Thrombectomy/inf pq dialysis circuit
|
$26,637.00 |
$26,637.00 |
$26,637.00 |
$8,095.35
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$52,981.50 |
$52,981.50 |
$52,981.50 |
$14,625.70
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$43,212.65 |
$43,212.65 |
$43,212.65 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$32,662.50 |
$32,662.50 |
$32,662.50 |
$6,422.91
|
|
Thrombin time
|
$33.15 |
$33.15 |
$33.15 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$21,269.95 |
$21,269.95 |
$21,269.95 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$4,313.40 |
$4,313.40 |
$4,313.40 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$6,398.60 |
$6,398.60 |
$6,398.60 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$21,280.35 |
$21,280.35 |
$21,280.35 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$49.40 |
$49.40 |
$49.40 |
$61.52
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$6,104.80 |
$6,104.80 |
$6,104.80 |
$3,328.80
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$4,986.80 |
$4,986.80 |
$4,986.80 |
$2,736.00
|
|
Thyroglobulin antibody
|
$85.15 |
$85.15 |
$85.15 |
$83.25
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$6,032.00 |
$6,032.00 |
$6,032.00 |
$2,616.00
|
|
Thyroid imaging
|
$1,021.00 |
$1,021.00 |
$2,252.90 |
$696.75
|
|
Thyroid met imaging
|
$174.20 |
$174.20 |
$174.20 |
$838.25
|
|
Thyroid mets imag whole body
|
$3,017.95 |
$3,017.95 |
$7,674.00 |
$1,524.99
|
|
Thyroid met uptake
|
$717.60 |
$717.60 |
$717.60 |
$407.40
|
|
Thyroid (TSH) Test
|
$101.40 |
$101.40 |
$101.40 |
$111.75
|
|
Thyroid Ultrasound
|
$756.60 |
$756.60 |
$756.60 |
$588.50
|
|
Thyroid uptake measurement
|
$2,252.90 |
$2,252.90 |
$4,829.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$9,432.80 |
$9,432.80 |
$9,432.80 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$26.65 |
$26.65 |
$29.00 |
$64.51
|
|
Tigecycline injection
|
$234.00 |
$234.00 |
$1,296.00 |
$235.29
|
|
Tilt table study
|
$2,479.10 |
$2,479.10 |
$2,479.10 |
$1,569.40
|
|
Tirofiban 12.5 mg/50 ml
|
$9.15 |
$9.15 |
$9.15 |
$458.85
|
|
Tisagenlecleucel car-pos t
|
$1,888,860.51 |
$1,888,860.51 |
$1,888,860.51 |
$1,780,600.03
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$23,090.50 |
$23,090.50 |
$23,090.50 |
$13,339.20
|
|
Tissue culture placenta
|
$654.00 |
$654.00 |
$683.80 |
$453.00
|
|
Tissue culture skin/biopsy
|
$625.00 |
$625.00 |
$810.55 |
$488.74
|
|
Tissue culture tumor
|
$221.00 |
$221.00 |
$221.00 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$26.65 |
$26.65 |
$26.65 |
$47.20
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$830.41
|
|
Tissue transglutaminase iga
|
$93.60 |
$93.60 |
$93.60 |
$45.60
|
|
Tlh uterus 250 g or less
|
$3,473.60 |
$3,473.60 |
$3,473.60 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$5,064.80 |
$5,064.80 |
$5,064.80 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$5,405.40 |
$5,405.40 |
$5,405.40 |
$12,320.22
|
|
Tlso full corset
|
$422.50 |
$422.50 |
$422.50 |
$377.78
|
|
Tmvr w/prosthetic ring 33426
|
$11,252.80 |
$11,252.80 |
$11,252.80 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$11,655.80 |
$11,655.80 |
$11,655.80 |
$5,969.60
|
|
Tnot opn elbw to sho ea tdn
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$460.69 |
$460.69 |
$460.69 |
$152.36
|
|
Tobramycin non-comp unit
|
$50.50 |
$50.50 |
$50.50 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$118.30 |
$118.30 |
$118.30 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,072.67 |
$4,072.67 |
$4,072.67 |
$5,258.52
|
|
Tocilizumab for covid-19
|
$60.00 |
$60.00 |
$60.00 |
$20.55
|
|
Toe X-ray (both feet)
|
$527.80 |
$527.80 |
$527.80 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$171.60 |
$171.60 |
$301.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$247.00 |
$247.00 |
$301.00 |
$74.10
|
|
Tone decay hearing test
|
$63.70 |
$63.70 |
$63.70 |
$90.37
|
|
Tongue biopsy; posterior one-third 41105
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,592.74
|
|
Tongue mouth jaw surgery
|
$7,763.60 |
$7,763.60 |
$7,763.60 |
$5,428.00
|
|
Tongue removal neck surgery
|
$9,861.80 |
$9,861.80 |
$9,861.80 |
$3,456.80
|
|
Tonsillectomy (age 12+)
|
$897.00 |
$897.00 |
$897.00 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$912.60 |
$912.60 |
$912.60 |
$6,056.50
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$931.45 |
$931.45 |
$6,003.00 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$5,073.77 |
$5,073.77 |
$5,073.77 |
$15,383.12
|
|
Total hip arthroplasty
|
$7,347.60 |
$7,347.60 |
$7,347.60 |
$7,347.60
|
|
Total Hip Replacement
|
$5,605.60 |
$5,605.60 |
$5,605.60 |
$9,161.60
|
|
Total hysterectomy
|
$4,500.60 |
$4,500.60 |
$4,500.60 |
$3,001.70
|
|
Total Knee Replacement
|
$5,096.00 |
$5,096.00 |
$5,096.00 |
$14,061.89
|
|
Total ob care failed vbac 59618
|
$10,808.20 |
$10,808.20 |
$10,808.20 |
$4,792.80
|
