|
Theophylline therapeutic drug level
|
$66.00 |
$123.24 |
$421.12 |
|
|
Therapeutic procd strg endur
|
$35.23 |
$53.82 |
$201.00 |
|
|
Therapy Activity Training (each 15 minutes)
|
$78.39 |
$198.00 |
$583.80 |
|
|
Therapy Exercise Session (each 15 minutes)
|
$88.14 |
$156.00 |
$583.80 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$13.62 |
$36.27 |
$136.00 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$13.62 |
$36.27 |
$117.00 |
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$282.36 |
$282.36 |
$282.36 |
|
|
Ther fx nasal inf turbinate
|
$8,466.00 |
$8,466.00 |
$8,466.00 |
|
|
Ther nma rdctj intus/obstrcj
|
$738.00 |
$1,127.10 |
$1,940.16 |
|
|
Ther/proph/diag inj ia
|
$650.00 |
$669.24 |
$678.00 |
|
|
Ther radiology tx plng cplx
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
|
|
Ther radiology tx plng intrm
|
$873.00 |
$873.00 |
$873.00 |
|
|
Ther radiology tx plng smpl
|
$652.00 |
$652.00 |
$652.00 |
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$20.86 |
$21.55 |
$305.18 |
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$99.46 |
$235.00 |
$1,791.99 |
|
|
Thiotepa 15 mg solution for injection
|
$7,200.00 |
$7,200.00 |
$7,200.00 |
|
|
Thiotepa injection
|
$1,562.08 |
$1,562.08 |
$1,562.08 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,386.17 |
$2,939.04 |
$12,128.26 |
|
|
Thoracoscopy surgical 32650
|
$418.47 |
$418.47 |
$418.47 |
|
|
Thoracotomy with cardiac massage
|
$2,138.76 |
$2,138.76 |
$2,138.76 |
|
|
Thorcscpy w/biop pleura
|
$8,823.75 |
$8,823.75 |
$8,823.75 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,099.02 |
$1,454.84 |
$6,502.97 |
|
|
Throat x-ray & fluoroscopy
|
$113.10 |
$113.10 |
$113.10 |
|
|
Thrombectmy crnry perq mechanical
|
$192.70 |
$3,028.74 |
$11,423.87 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,510.70 |
$5,510.70 |
$7,648.35 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$8,828.20 |
$13,789.23 |
$13,789.23 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$13,451.00 |
$15,559.05 |
$24,605.30 |
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$3,203.91 |
$6,422.91 |
$24,750.00 |
|
|
Thrombin time
|
$17.17 |
$76.05 |
$660.26 |
|
|
Thromboendarterectomy common femoral
|
$2,029.68 |
$29,700.00 |
$29,700.00 |
|
|
Thromboendarterectomy sfa
|
$2,199.58 |
$34,155.00 |
$34,155.00 |
|
|
Thromboplastin inhibition
|
$250.77 |
$250.77 |
$250.77 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$29.31 |
$94.38 |
$408.45 |
|
|
Thromboxane urine
|
$153.00 |
$153.00 |
$153.00 |
|
|
Thumb tendon transfer
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Thyroglobulin antibody
|
$40.26 |
$77.61 |
$760.79 |
|
|
Thyroid imaging
|
$333.30 |
$464.49 |
$1,577.00 |
|
|
Thyroid met imaging
|
$498.03 |
$498.03 |
$498.03 |
|
|
Thyroid met imaging/studies
|
$607.23 |
$607.23 |
$607.23 |
|
|
Thyroid mets imag whole body
|
$522.15 |
$1,024.14 |
$8,023.70 |
|
|
Thyroid met uptake
|
$317.85 |
$317.85 |
$462.00 |
|
|
Thyroid (TSH) Test
|
$57.72 |
$170.82 |
$852.63 |
|
|
Thyroid Ultrasound
|
$374.74 |
$606.00 |
$3,542.44 |
|
|
Thyroid uptake measurement
|
$134.09 |
$476.19 |
$3,056.83 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,319.71 |
$4,887.35 |
$4,887.35 |
|
|
Thyroxine binding globulin (tbg)
|
$23.09 |
$143.13 |
$285.00 |
|
|
Tibial arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
|
|
Tib/per revasc stent & ather 37231
|
$11,919.00 |
$19,405.62 |
$19,821.05 |
|
|
Tib/per revasc stnt & ather
|
$11,121.63 |
$11,121.63 |
$11,121.63 |
|
|
Tib/per revasc w/ather add-on 37233
|
$6,321.12 |
$6,321.12 |
$14,797.00 |
|
|
Tic-brn enceph vac 0.5ml im
|
$1,160.81 |
$1,160.81 |
$1,160.81 |
|
|
Tigecycline injection
|
$11.28 |
$11.28 |
$655.20 |
|
|
Tilt table study
|
$1,488.24 |
$1,488.24 |
$5,145.08 |
|
|
Tirofiban 12.5 mg/50 ml
|
$31.67 |
$31.67 |
$1,003.63 |
|
|
Tisagenlecleucel car-pos t
|
$1,055,251.95 |
$1,055,251.95 |
$2,240,569.30 |
|
|
Tis cgen car anomal 1st shnt
|
$23,272.08 |
$23,272.08 |
$37,485.00 |
|
|
Tis cgen car anomal ea addl
|
$5,818.02 |
$5,818.02 |
$9,371.00 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$228.95 |
$228.95 |
$17,761.92 |
|
|
Tissue amnio epifix inj 100mg
|
$362.74 |
$362.74 |
$362.74 |
|
|
Tissue culture placenta
|
$537.03 |
$537.03 |
$537.03 |
|
|
Tissue culture skin/biopsy
|
$297.75 |
$558.87 |
$1,641.94 |
|
|
Tissue culture tumor
|
$529.23 |
$679.00 |
$7,906.43 |
|
|
Tissue exam koh skin/hair/nails
|
$4.44 |
$81.12 |
$367.83 |
|
|
Tissue transglutaminase iga
|
$13.32 |
$53.00 |
$617.96 |
|
|
Tixagev and cilgav inj
|
$398.00 |
$553.02 |
$553.02 |
|
|
Tl-201 thallium diag per mci
|
$28.42 |
$77.22 |
$402.00 |
|
|
Tlh uterus 250 g or less
|
$13,654.00 |
$13,654.00 |
$13,654.00 |
|
|
Tlh uterus over 250 g
|
$13,654.00 |
$13,654.00 |
$13,654.00 |
|
|
Tlh w/t/o 250 g or less
|
$13,654.00 |
$13,654.00 |
$13,654.00 |
|
|
Tlh w/t/o uterus over 250 g
|
$13,654.00 |
$13,654.00 |
$13,654.00 |
|
|
Tlso trnk sj-t9 pre cst
|
$523.94 |
$523.94 |
$523.94 |
|
|
Tmvr w/prosthetic ring 33426
|
$41,040.00 |
$41,040.00 |
$41,040.00 |
|
|
Tnot opn elbw to sho ea tdn
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$22.55 |
$22.55 |
$350.70 |
|
|
Tobramycin non-comp unit
|
$577.31 |
$578.25 |
$578.25 |
|
|
Tobramycin peak therapeutic drug level
|
$75.00 |
$143.91 |
$447.00 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$18.27 |
$18.27 |
$13,906.21 |
|
|
Tocilizumab for covid-19
|
$5,596.58 |
$5,596.58 |
$5,596.58 |
|
|
Toe X-ray (both feet)
|
$109.98 |
$239.91 |
$619.51 |
|
|
Tomosynthesis breast diagnostic left
|
$27.24 |
$65.91 |
$342.00 |
|
|
Tomosynthesis breast screen bilateral
|
$16.58 |
$106.00 |
$220.00 |
|
|
Tone decay hearing test
|
$152.49 |
$152.49 |
$152.49 |
|
|
Tongue biopsy; posterior one-third 41105
|
$9,715.00 |
$9,715.00 |
$9,715.00 |
|
|
Tonsillectomy (age 12+)
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Tonsillectomy (child under 12)
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$25.49 |
$25.49 |
$1,253.88 |
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$93.88 |
$93.88 |
$22,854.04 |
|
|
Total hip arthroplasty
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
|
|
Total Hip Replacement
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
|
|
Total Knee Replacement
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
|
|
Total lung lavage
|
$5,641.00 |
$5,641.00 |
$5,641.00 |
|
|
Total ob care failed vbac 59618
|
$13,752.00 |
$13,752.00 |
$13,752.00 |
|
|
Total tau
|
$158.66 |
$458.00 |
$458.00 |
|
|
Toxoplasma antibody igg
|
$12.14 |
$108.03 |
$322.10 |
|
|
Toxoplasma antibody igm
|
$13.32 |
$123.24 |
$1,071.00 |
|
|
Tp53 gene full gene sequence
|
$2,953.00 |
$2,953.00 |
$2,953.00 |
|
|
Tp53 gene trgt sequence alys
|
$989.00 |
$1,335.36 |
$1,335.36 |
|
|
Tpmt gene com vrnts
|
$312.00 |
$312.00 |
$1,962.84 |
|
|
Tprnl plmt biodegrdabl matrl
|
$4,577.94 |
$11,804.91 |
$11,804.91 |
|
|
Trabectedin 1 mg intravenous solution
|
$863.81 |
$863.81 |
$8,854.42 |
|
