|
Swallowing Therapy Session
|
$202.00 |
$202.00 |
$202.00 |
$240.31
|
|
Sympathectomy digital artery
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$2,310.83
|
|
Synch audio-only est high 40
|
$705.00 |
$705.00 |
$705.00 |
$190.77
|
|
Synch audio-only est low 20
|
$353.00 |
$353.00 |
$353.00 |
$90.60
|
|
Synch audio-only est mod 30
|
$505.00 |
$505.00 |
$505.00 |
$136.64
|
|
Synch audio-only est sf 10
|
$176.00 |
$176.00 |
$176.00 |
$53.20
|
|
Synch audio-only new high 60
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$207.64
|
|
Synch audio-only new low 30
|
$529.00 |
$529.00 |
$529.00 |
$117.00
|
|
Synch audio-only new mod 45
|
$794.00 |
$794.00 |
$794.00 |
$166.70
|
|
Synch audio-only new sf 15
|
$264.00 |
$264.00 |
$264.00 |
$67.80
|
|
Synvisc or synvisc-one
|
$71.21 |
$71.21 |
$71.21 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$125.00 |
$125.00 |
$125.00 |
$41.60
|
|
System cardiomems hosp electronics
|
$27,720.00 |
$27,720.00 |
$27,720.00 |
$38,234.70
|
|
System pacing micra av
|
$20,405.00 |
$20,405.00 |
$20,405.00 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$18,818.80 |
$18,818.80 |
$18,818.80 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$382.00 |
$382.00 |
$382.00 |
$100.32
|
|
T3 (triiodothyronine) total
|
$294.00 |
$294.00 |
$294.00 |
$93.52
|
|
T4 (thyroxine) free
|
$196.00 |
$196.00 |
$196.00 |
$88.44
|
|
T4 (thyroxine) total
|
$166.00 |
$166.00 |
$166.00 |
$69.58
|
|
Tacrol envarsus ex rel oral
|
$5.92 |
$5.92 |
$5.92 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$16.58 |
$16.58 |
$16.58 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$246.33 |
$246.33 |
$246.33 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$409.00 |
$409.00 |
$409.00 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$33.83 |
$33.83 |
$33.83 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$394.00 |
$394.00 |
$394.00 |
$289.90
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$285.38 |
$285.38 |
$285.38 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$177.60 |
$177.60 |
$177.60 |
$21,745.13
|
|
Tap block bilat cont infusion 64489
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,541.40
|
|
Target gsa panel organ/hmtlmph neop
|
$10,074.00 |
$10,074.00 |
$10,074.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,485.00 |
$2,485.00 |
$2,485.00 |
$1,681.28
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$5,297.14 |
$5,297.14 |
$5,297.14 |
$24,217.20
|
|
Tas congenital car anomal
|
$37,485.00 |
$37,485.00 |
$37,485.00 |
$6,003.27
|
|
Tavr perq femoral
|
$31,476.00 |
$31,476.00 |
$31,476.00 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$3.60 |
$3.60 |
$3.60 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$768.00 |
$768.00 |
$768.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$768.00 |
$768.00 |
$768.00 |
$180.80
|
|
Tc-99m bicisate
|
$4,057.00 |
$4,057.00 |
$4,057.00 |
$2,070.00
|
|
Tc-99m diag per dose
|
$8,111.00 |
$8,111.00 |
$8,111.00 |
$470.40
|
|
Tc-99m disofenin
|
$509.00 |
$509.00 |
$509.00 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$7,787.00 |
$7,787.00 |
$7,787.00 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$4,043.09 |
$4,043.09 |
$4,043.09 |
$2,135.70
|
|
Tc-99m graphite crucible
|
$742.50 |
$742.50 |
$742.50 |
$742.50
|
|
Tc-99m labeled rbc
|
$2,521.00 |
$2,521.00 |
$2,521.00 |
$306.00
|
|
Tc-99m maa
|
$508.53 |
$508.53 |
$508.53 |
$312.06
|
|
Tc-99m mebrofenin
|
$4,893.25 |
$4,893.25 |
$4,893.25 |
$157.65
|
|
Tc-99m medronate
|
$4,893.25 |
$4,893.25 |
$4,893.25 |
$111.01
|
|
Tc-99m mertiatide
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$756.00
|
|
Tc-99m oxidronate
|
$135.00 |
$135.00 |
$135.00 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$175.00 |
$175.00 |
$175.00 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$256.00 |
$256.00 |
$256.00 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$10.44 |
$10.44 |
$10.44 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$230.00 |
$230.00 |
$230.00 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$325.48 |
$325.48 |
$325.48 |
$287.20
|
|
Tc-99m sulfur colloid
|
$356.00 |
$356.00 |
$356.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$714.00 |
$714.00 |
$714.00 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$4,893.25 |
$4,893.25 |
$4,893.25 |
$985.60
|
|
Tcd emboli detect w/inj
|
$289.00 |
$289.00 |
$289.00 |
$475.80
|
|
Tcd emboli detect without inj
|
$296.00 |
$296.00 |
$296.00 |
$475.28
|
|
Tcd vasoreactivity study
|
$644.00 |
$644.00 |
$644.00 |
$566.88
|
|
T-cell depletion of harvest
|
$2,905.00 |
$2,905.00 |
$2,905.00 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$185.28
|
|
T cells absolute cd 4 count
|
$599.00 |
$599.00 |
$599.00 |
$111.20
|
|
T cells total count
|
$438.00 |
$438.00 |
$438.00 |
$130.35
|
|
Teaec w/wo patch graft iliofemoral
|
$22,650.00 |
$22,650.00 |
$22,650.00 |
$6,120.00
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$501.11 |
$501.11 |
$501.11 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$6,055.00 |
$6,055.00 |
$6,055.00 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$5,285.00 |
$5,285.00 |
$5,285.00 |
$1,692.44
|
|
Telehealth original site facility fee
|
$51.00 |
$51.00 |
$51.00 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,117.00 |
$1,117.00 |
$1,117.00 |
$877.09
|
|
Temozolomide
|
$51.86 |
$51.86 |
$51.86 |
$540.06
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$494.48 |
$494.48 |
$494.48 |
$3,723.60
|
|
Tendon lengthening
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$3,986.00
|
|
Tendon lngth upr a/e ea tdn
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$3,591.33
|
|
Tendon transfer with graft
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,839.54
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$375.74 |
$375.74 |
$375.74 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,811.20
|
|
Tenolysis triceps
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,350.00
|
|
Tenosynovectomy radic 26145
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$1,893.86
|
|
Tenotomy hip flexor open
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$3,342.87
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,175.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$83.65 |
$83.65 |
$83.65 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$1,034.00 |
$1,034.00 |
$1,034.00 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,604.74 |
$1,604.74 |
$1,604.74 |
$1,285.36
|
|
Thaw preserved stem cells
|
$2,090.90 |
$2,090.90 |
$2,090.90 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$415.00 |
$415.00 |
$415.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$201.00 |
$201.00 |
$201.00 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$203.00 |
$203.00 |
$203.00 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$180.00 |
$180.00 |
$180.00 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$136.00 |
$136.00 |
$136.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$117.00 |
$117.00 |
$117.00 |
$50.40
|
|
Ther fx nasal inf turbinate
|
$8,466.00 |
$8,466.00 |
$8,466.00 |
$3,837.72
|
|
Ther nma rdctj intus/obstrcj
|
$738.00 |
$738.00 |
$738.00 |
$538.88
|
|
Ther/proph/diag inj ia
|
$650.00 |
$650.00 |
$650.00 |
$247.33
|
|
Ther radiology tx plng cplx
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$332.00
|
|
Ther radiology tx plng intrm
|
$873.00 |
$873.00 |
$873.00 |
$224.00
|
|
Ther radiology tx plng smpl
|
$652.00 |
$652.00 |
$652.00 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$21.55 |
$21.55 |
$21.55 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$235.00 |
$235.00 |
$235.00 |
$314.50
|
