|
Thrombectmy crnry perq mechanical
|
$3,104.40 |
$3,104.40 |
$3,104.40 |
$3,720.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$26,637.00 |
$26,637.00 |
$26,637.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$52,981.50 |
$52,981.50 |
$52,981.50 |
$14,604.80
|
|
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
|
$5,501.60 |
$5,501.60 |
$5,501.60 |
$6,422.91
|
|
Thrombin time
|
$44.85 |
$44.85 |
$44.85 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$3,980.60 |
$3,980.60 |
$3,980.60 |
$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
|
$35.75 |
$35.75 |
$35.75 |
$61.52
|
|
Thumb fusion with graft
|
$2,207.40 |
$2,207.40 |
$2,207.40 |
$7,807.24
|
|
Thumb tendon transfer
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$3,839.54
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$6,104.80 |
$6,104.80 |
$6,104.80 |
$3,328.80
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$4,461.60 |
$4,461.60 |
$4,461.60 |
$6,465.11
|
|
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
|
$2,349.10 |
$2,349.10 |
$2,349.10 |
$695.02
|
|
Thyroid met imaging
|
$2,427.10 |
$2,427.10 |
$2,427.10 |
$838.25
|
|
Thyroid mets imag whole body
|
$3,241.55 |
$3,241.55 |
$3,241.55 |
$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
|
$2,302.30 |
$2,302.30 |
$2,302.30 |
$589.22
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,298.95 |
$4,298.95 |
$4,298.95 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$14.95 |
$14.95 |
$14.95 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$2,797.60 |
$2,797.60 |
$2,797.60 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$10,629.07
|
|
Tib/per revasc stent & ather 37231
|
$37,252.80 |
$37,252.80 |
$37,252.80 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$19,351.15 |
$19,351.15 |
$19,351.15 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$40,013.35 |
$40,013.35 |
$40,013.35 |
$10,165.00
|
|
Tic-brn enceph vac 0.25ml im
|
$197.60 |
$197.60 |
$197.60 |
$520.31
|
|
Tic-brn enceph vac 0.5ml im
|
$197.60 |
$197.60 |
$197.60 |
$560.33
|
|
Tigecycline injection
|
$234.00 |
$234.00 |
$234.00 |
$235.29
|
|
Tilt table study
|
$3,019.90 |
$3,019.90 |
$3,019.90 |
$1,507.01
|
|
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
|
|
Tis cgen car anomal 1st shnt
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$6,546.38
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$715.00 |
$715.00 |
$715.00 |
$715.00
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$780.00 |
$780.00 |
$780.00 |
$780.00
|
|
Tis cltr skn agrft t/a/l add
|
$520.00 |
$520.00 |
$520.00 |
$978.50
|
|
Tis cltr skn agrft t/a/l ea
|
$650.00 |
$650.00 |
$650.00 |
$650.00
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$23,090.50 |
$23,090.50 |
$23,090.50 |
$13,339.20
|
|
Tissue culture placenta
|
$633.10 |
$633.10 |
$633.10 |
$453.00
|
|
Tissue culture skin/biopsy
|
$810.55 |
$810.55 |
$810.55 |
$498.40
|
|
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 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 2 shl symphys-stern cst
|
$735.15 |
$735.15 |
$735.15 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$914.55 |
$914.55 |
$914.55 |
$2,117.57
|
|
Tlso rigid plastic cust fab
|
$1,296.10 |
$1,296.10 |
$1,296.10 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$969.80 |
$969.80 |
$969.80 |
$2,788.42
|
|
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 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
|
|
Toe X-ray (both feet)
|
$527.80 |
$527.80 |
$527.80 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$242.45 |
$242.45 |
$242.45 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$269.75 |
$269.75 |
$269.75 |
$74.10
|
|
Tone decay hearing test
|
$63.70 |
$63.70 |
$63.70 |
$90.37
|
|
Tongue and neck surgery
|
$7,836.40 |
$7,836.40 |
$7,836.40 |
$2,745.01
|
|
Tongue base vol reduction
|
$910.00 |
$910.00 |
$910.00 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$382.20 |
$382.20 |
$382.20 |
$3,592.74
|
|
Tongue jaw & neck surgery
|
$11,518.00 |
$11,518.00 |
$11,518.00 |
$3,763.81
|
|
Tongue mouth jaw surgery
|
$7,763.60 |
$7,763.60 |
$7,763.60 |
$5,428.00
|
|
Tongue mouth neck surgery
|
$8,733.40 |
$8,733.40 |
$8,733.40 |
$3,012.36
|
|
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 |
$931.45 |
$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
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$6,006.00 |
$6,006.00 |
$6,006.00 |
$3,364.80
|
|
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 lung lavage
|
$1,900.60 |
$1,900.60 |
$1,900.60 |
$1,758.40
|
|
Total tau
|
$72.80 |
$72.80 |
$72.80 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$6,878.30 |
$6,878.30 |
$6,878.30 |
$20,154.40
|
|
Tot disc arthrp 2ntrspc lmbr
|
$1,788.80 |
$1,788.80 |
$1,788.80 |
$470.40
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,230.40
|
|
Tot esophagectomy without thoracotomy 43107
|
$13,533.00 |
$13,533.00 |
$13,533.00 |
$7,284.80
|
|
Toxoplasma antibody igg
|
$91.65 |
$91.65 |
$91.65 |
$90.00
|
|
Toxoplasma antibody igm
|
$81.25 |
$81.25 |
$81.25 |
$89.05
|
|
Tp53 gene full gene sequence
|
$1,021.15 |
$1,021.15 |
$1,021.15 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$919.10 |
$919.10 |
$919.10 |
$790.68
|
|
Tpmt gene com vrnts
|
$402.35 |
$402.35 |
$402.35 |
$371.80
|
|
Tprnl balo cntnc dev adjmt
|
$909.35 |
$909.35 |
$909.35 |
$551.20
|
|
Tprnl balo cntnc dev bi
|
$15,403.70 |
$15,403.70 |
$15,403.70 |
$15,403.70
|
|
Tprnl balo cntnc dev rmvl ea
|
$14,011.40 |
$14,011.40 |
$14,011.40 |
$5,419.00
|
|
Tprnl balo cntnc dev uni
|
$15,127.45 |
$15,127.45 |
$15,127.45 |
$9,945.60
|
|
Tprnl plmt biodegrdabl matrl
|
$787.80 |
$787.80 |
$787.80 |
$7,144.80
|
