|
Tenotomy open tndn flxr toe sgl tndn spx
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$32.20 |
$33.67 |
$416.40 |
$46.10
|
|
Test for chlorohydrocarbons
|
$92.77 |
$92.77 |
$92.77 |
$71.04
|
|
Test for urine cystines
|
$54.50 |
$54.50 |
$189.75 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$8,384.40 |
$8,384.40 |
$10,620.96 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$670.29 |
$670.29 |
$670.29 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$3,212.94 |
$3,212.94 |
$6,489.96 |
$1,001.55
|
|
Test urine for porphyrins
|
$10.03 |
$10.03 |
$10.03 |
$27.30
|
|
Tetanus immune globulin inj
|
$617.66 |
$617.66 |
$688.00 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$37,691.79 |
$37,691.79 |
$41,903.65 |
$9,460.16
|
|
Tgsap hl neo 5-50 rna alys
|
$2,791.28 |
$2,791.28 |
$2,791.28 |
$1,048.15
|
|
Tgsap so/hl 51/< rna alys
|
$10,729.53 |
$10,729.53 |
$10,729.53 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$2,197.32 |
$2,197.32 |
$2,197.32 |
$816.27
|
|
Thaw preserved stem cells
|
$3,921.67 |
$3,921.67 |
$3,921.67 |
$900.90
|
|
Theophylline therapeutic drug level
|
$220.19 |
$220.19 |
$1,576.92 |
$108.00
|
|
Therapeutic procd strg endur
|
$184.71 |
$184.71 |
$184.71 |
$85.80
|
|
Therapy activity per session >= 45 minutes
|
$282.95 |
$282.95 |
$282.95 |
$158.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$106.58 |
$107.42 |
$263.54 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$91.47 |
$91.47 |
$91.47 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$618.20 |
$618.20 |
$618.20 |
$283.20
|
|
Ther nma rdctj intus/obstrcj
|
$1,646.31 |
$1,646.31 |
$6,500.12 |
$534.32
|
|
Ther/proph/diag inj ia
|
$329.02 |
$329.02 |
$329.02 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$21.50 |
$154.70 |
$168.76 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,539.66 |
$2,539.66 |
$2,539.66 |
$1,804.00
|
|
Thorax spine fusion
|
$14,807.80 |
$14,807.80 |
$14,807.80 |
$4,941.95
|
|
Thrombectmy crnry perq mechanical
|
$6,630.39 |
$6,630.39 |
$6,630.39 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$12,426.74 |
$12,426.74 |
$12,965.82 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$35,207.30 |
$35,207.30 |
$35,207.30 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$45,979.75 |
$45,979.75 |
$45,979.75 |
$24,605.30
|
|
Thrombin time
|
$68.34 |
$68.34 |
$68.34 |
$48.75
|
|
Thromboendarterectomy common femoral
|
$18,262.60 |
$18,262.60 |
$18,262.60 |
$7,431.06
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$99.87 |
$99.87 |
$99.87 |
$56.93
|
|
Thromboxane urine
|
$541.93 |
$541.93 |
$541.93 |
$52.22
|
|
Thyroglobulin antibody
|
$245.57 |
$245.57 |
$245.57 |
$84.00
|
|
Thyroid imaging
|
$3,951.75 |
$3,951.75 |
$8,882.01 |
$670.80
|
|
Thyroid met imaging
|
$6,879.36 |
$6,879.36 |
$6,879.36 |
$549.70
|
|
Thyroid met imaging/studies
|
$3,185.72 |
$3,185.72 |
$3,185.72 |
$607.23
|
|
Thyroid mets imag whole body
|
$3,425.59 |
$3,425.59 |
$14,787.41 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$402.85 |
$402.85 |
$2,228.09 |
$120.00
|
|
Thyroid Ultrasound
|
$2,443.11 |
$2,443.11 |
$3,215.17 |
$589.96
|
|
Thyroid uptake measurement
|
$4,194.99 |
$4,194.99 |
$8,609.15 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,311.00 |
$4,311.00 |
$14,757.30 |
$4,319.71
|
|
Thyrotropin releasing hormone
|
$55.32 |
$55.32 |
$55.32 |
$55.45
|
|
Thyroxine binding globulin (tbg)
|
$12.54 |
$228.13 |
$336.37 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$92,656.53 |
$92,656.53 |
$92,656.53 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$23,960.91 |
$23,960.91 |
$23,960.91 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$20,979.80 |
$20,979.80 |
$20,979.80 |
$10,406.14
|
|
Tigecycline injection
|
$556.75 |
$556.75 |
$585.00 |
$277.31
|
|
Tilt table study
|
$3,780.15 |
$3,780.15 |
$3,780.15 |
$1,495.00
|
|
Tissue culture placenta
|
$231.63 |
$231.63 |
$2,319.88 |
$520.91
|
|
Tissue culture skin/biopsy
|
$215.00 |
$245.25 |
$2,172.17 |
$558.87
|
|
Tissue culture tumor
|
$167.99 |
$554.87 |
$2,276.97 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$65.91 |
$65.91 |
$97.75 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$290.70 |
$290.70 |
$644.97 |
$2,516.07
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$642.72 |
$642.72 |
$642.72 |
$1,679.65
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$192.81 |
$192.81 |
$192.81 |
$1,525.91
|
|
Tissue transglutaminase iga
|
$64.76 |
$64.76 |
$143.55 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$1,406.63 |
$1,406.63 |
$1,536.40 |
$77.22
|
|
Tlh w/t/o 250 g or less
|
$101,345.45 |
$101,345.45 |
$101,345.45 |
$10,799.26
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$66.62 |
$108.75 |
$117.48 |
$141.75
|
|
Tobramycin non-comp unit
|
$1,182.72 |
$1,182.72 |
$1,182.72 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$636.54 |
$636.54 |
$636.54 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,782.46 |
$6,782.46 |
$7,538.86 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$137.62 |
$137.62 |
$210.16 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$69.88 |
$137.62 |
$218.99 |
$73.45
|
|
Tongue biopsy; posterior one-third 41105
|
$30,746.36 |
$30,746.36 |
$30,746.36 |
$3,589.62
|
|
Tonsillectomy (age 12+)
|
$33,427.05 |
$33,427.05 |
$33,427.05 |
$3,837.72
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$285.31 |
$296.15 |
$2,869.00 |
$404.20
|
|
Total tau
|
$500.00 |
$500.00 |
$500.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$95.79 |
$95.79 |
$95.79 |
$84.35
|
|
Toxoplasma antibody igm
|
$222.42 |
$222.42 |
$222.42 |
$83.20
|
|
Tpmt gene com vrnts
|
$2,698.20 |
$2,698.20 |
$2,698.20 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$52,345.62 |
$52,345.62 |
$52,345.62 |
$6,105.61
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$144.84 |
$213.75 |
$213.75 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$19.75 |
$19.75 |
$654.41 |
$77.65
|
|
Transabdom amnioinfus w/us
|
$3,770.08 |
$3,770.08 |
$3,770.08 |
$791.05
|
|
Transcath biopsy
|
$15,318.58 |
$15,318.58 |
$15,318.58 |
$4,298.05
|
|
Transcath closure of asd
|
$44,909.10 |
$44,909.10 |
$44,909.10 |
$18,772.00
|
|
Transcath closure of vsd
|
$59,231.40 |
$59,231.40 |
$59,231.40 |
$18,837.00
|
|
Transcatheter bx s&i
|
$3,687.89 |
$3,687.89 |
$10,690.66 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$18,878.64 |
$18,878.64 |
$18,878.64 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$35,132.33 |
$35,132.33 |
$35,132.33 |
$17,106.18
|
|
Transcath occlusion cns
|
$16,713.25 |
$16,713.25 |
$16,713.25 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$23,236.73 |
$23,236.73 |
$23,236.73 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$4,627.00
|
|
Transcutaneous carboxyhb
|
$144.63 |
$144.63 |
$144.63 |
$33.57
|
|
Transcutaneous hgb 88738
|
$77.48 |
$77.48 |
$77.48 |
$11.40
|
|
Transferrin
|
$19.97 |
$230.90 |
$230.90 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,712.97 |
$2,082.72 |
$2,208.99 |
$988.24
|
|
Transperi needle place pros
|
$52,345.62 |
$52,345.62 |
$52,345.62 |
$6,203.00
|
|
Transplant hand tendon
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,821.05
|
|
Transplj hematopoietic boost
|
$1,952.28 |
$1,952.28 |
$1,952.28 |
$1,952.28
|
|
Transplt allo hct/donor
|
$527,033.09 |
$527,033.09 |
$527,033.09 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$4,170.96 |
$4,170.96 |
$4,170.96 |
$1,939.86
|
|
Transplt autol hct/donor
|
$1,952.28 |
$1,952.28 |
$1,952.28 |
$3,665.25
|
|
Trastuzumab 150 mg intravenous solution
|
$539.00 |
$539.00 |
$539.00 |
$3,900.04
|
|
Treat ankle dislocation
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,207.20
|
|
Treat ankle fracture
|
$59,420.49 |
$59,420.49 |
$59,420.49 |
$6,004.47
|
|
Treat clavicle dislocation 23545
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$734.00
|
|
Treat elbow dislocation
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,326.40
|
