|
Throat x-ray & fluoroscopy
|
$267.00 |
$267.00 |
$267.00 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$547.50 |
$547.50 |
$547.50 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,250.50 |
$6,250.50 |
$6,250.50 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$8,430.00 |
$8,430.00 |
$8,430.00 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$13,641.00 |
$13,641.00 |
$13,641.00 |
$21,413.60
|
|
Thrombin time
|
$30.00 |
$30.00 |
$30.00 |
$53.76
|
|
Thrombin time titer
|
$41.25 |
$41.25 |
$41.25 |
$17.60
|
|
Thrombomodulin
|
$85.50 |
$85.50 |
$85.50 |
$35.20
|
|
Thromboplastin inhibition
|
$58.50 |
$58.50 |
$58.50 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$42.75 |
$42.75 |
$42.75 |
$61.52
|
|
Thromboxane urine
|
$172.50 |
$172.50 |
$172.50 |
$95.00
|
|
Thyroglobulin antibody
|
$90.00 |
$90.00 |
$90.00 |
$82.00
|
|
Thyroid imaging
|
$997.50 |
$997.50 |
$997.50 |
$695.02
|
|
Thyroid met imaging
|
$997.50 |
$997.50 |
$997.50 |
$838.25
|
|
Thyroid met imaging/studies
|
$997.50 |
$997.50 |
$997.50 |
$763.73
|
|
Thyroid mets imag whole body
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$1,524.99
|
|
Thyroid met uptake
|
$207.75 |
$207.75 |
$207.75 |
$398.40
|
|
Thyroid (TSH) Test
|
$111.75 |
$111.75 |
$111.75 |
$111.00
|
|
Thyroid Ultrasound
|
$585.00 |
$585.00 |
$585.00 |
$588.50
|
|
Thyroid uptake measurement
|
$997.50 |
$997.50 |
$997.50 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,735.53 |
$4,735.53 |
$4,735.53 |
$4,112.43
|
|
Thyrotropin releasing hormone
|
$306.75 |
$306.75 |
$306.75 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$93.00 |
$93.00 |
$93.00 |
$64.35
|
|
Tic-brn enceph vac 0.25ml im
|
$750.45 |
$750.45 |
$750.45 |
$520.31
|
|
Tic-brn enceph vac 0.5ml im
|
$750.45 |
$750.45 |
$750.45 |
$520.31
|
|
Tigecycline injection
|
$333.34 |
$333.34 |
$333.34 |
$234.00
|
|
Tilt table study
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$562.92 |
$562.92 |
$562.92 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$17,351.63 |
$17,351.63 |
$17,351.63 |
$13,339.20
|
|
Tissue culture placenta
|
$609.75 |
$609.75 |
$609.75 |
$457.00
|
|
Tissue culture skin/biopsy
|
$551.25 |
$551.25 |
$551.25 |
$484.00
|
|
Tissue culture tumor
|
$456.00 |
$456.00 |
$456.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$18.75 |
$18.75 |
$18.75 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$9.75 |
$9.75 |
$9.75 |
$1,134.00
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$24.75 |
$24.75 |
$24.75 |
$18,999.96
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$25.50 |
$25.50 |
$25.50 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$33.75 |
$33.75 |
$33.75 |
$44.16
|
|
Tixagev and cilgav inj
|
$345.00 |
$345.00 |
$345.00 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$350.78 |
$350.78 |
$350.78 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$219.75 |
$219.75 |
$219.75 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$100.50 |
$100.50 |
$100.50 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,218.37 |
$6,218.37 |
$6,218.37 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$102.75 |
$102.75 |
$102.75 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$123.00 |
$123.00 |
$123.00 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$357.99 |
$357.99 |
$357.99 |
$325.00
|
|
Topotecan oral
|
$1,139.81 |
$1,139.81 |
$1,139.81 |
$851.05
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$20,602.40 |
$20,602.40 |
$20,602.40 |
$15,383.12
|
|
Total Hip Replacement
|
$8,739.00 |
$8,739.00 |
$8,739.00 |
$9,161.60
|
|
Total Knee Replacement
|
$8,739.00 |
$8,739.00 |
$8,739.00 |
$14,543.50
|
|
Tot estradiol response panel
|
$340.50 |
$340.50 |
$340.50 |
$140.80
|
|
Toxoplasma antibody igg
|
$90.75 |
$90.75 |
$90.75 |
$89.40
|
|
Toxoplasma antibody igm
|
$90.75 |
$90.75 |
$90.75 |
$87.00
|
|
Trabectedin 1 mg intravenous solution
|
$8,666.81 |
$8,666.81 |
$8,666.81 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,654.50 |
$1,654.50 |
$1,654.50 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$75.51 |
$75.51 |
$75.51 |
$56.38
|
|
Transcath biopsy
|
$3,648.75 |
$3,648.75 |
$3,648.75 |
$4,285.93
|
|
Transcath closure of asd
|
$18,525.00 |
$18,525.00 |
$18,525.00 |
$16,741.40
|
|
Transcath closure of vsd
|
$18,453.00 |
$18,453.00 |
$18,453.00 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,338.75 |
$1,338.75 |
$1,338.75 |
$1,915.00
|
|
Transcath occlusion cns
|
$3,800.25 |
$3,800.25 |
$3,800.25 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$7,305.00 |
$7,305.00 |
$7,305.00 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,135.25 |
$5,135.25 |
$5,135.25 |
$4,775.16
|
|
Transcutaneous carboxyhb
|
$29.25 |
$29.25 |
$29.25 |
$33.57
|
|
Transcutaneous hgb 88738
|
$29.25 |
$29.25 |
$29.25 |
$13.80
|
|
Transcutaneous methb
|
$29.25 |
$29.25 |
$29.25 |
$19.20
|
|
Transferrin
|
$83.25 |
$83.25 |
$83.25 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$906.00 |
$906.00 |
$906.00 |
$983.00
|
|
Transparent film <= 16 sq in
|
$4.50 |
$4.50 |
$4.50 |
$4.50
|
|
Trastuzumab 150 mg intravenous solution
|
$3,680.46 |
$3,680.46 |
$3,680.46 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$8,944.89 |
$8,944.89 |
$8,944.89 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$7,968.88 |
$7,968.88 |
$7,968.88 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$630.00 |
$630.00 |
$630.00 |
$940.80
|
|
Treat ankle dislocation
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$2,358.40
|
|
Treat big toe fracture
|
$6,339.00 |
$6,339.00 |
$6,339.00 |
$4,307.52
|
|
Treat clavicle dislocation 23545
|
$795.75 |
$795.75 |
$795.75 |
$705.60
|
|
Treat ectopic pregnancy
|
$3,831.75 |
$3,831.75 |
$3,831.75 |
$4,350.00
|
|
Treat ectopic pregnancy
|
$3,831.75 |
$3,831.75 |
$3,831.75 |
$6,707.99
|
|
Treat elbow dislocation
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$2,223.20
|
|
Treat elbow fracture
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$1,919.13
|
|
Treat finger fracture each
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$1,536.00
|
|
Treat foot dislocation
|
$772.50 |
$772.50 |
$772.50 |
$527.28
|
|
Treat foot dislocation
|
$772.50 |
$772.50 |
$772.50 |
$445.80
|
|
Treat foot dislocation
|
$772.50 |
$772.50 |
$772.50 |
$446.60
|
|
Treat fracture of radius
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$1,790.00
|
|
Treat fracture of radius
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$1,849.00
|
|
Treat fracture of ulna
|
$862.50 |
$862.50 |
$862.50 |
$726.05
|
|
Treat hand dislocation
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$1,749.06
|
|
Treat hip dislocation
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$2,192.80
|
|
Treat humerus fracture
|
$3,996.75 |
$3,996.75 |
$3,996.75 |
$1,771.43
|
|
Treat kneecap dislocation
|
$862.50 |
$862.50 |
$862.50 |
$1,068.90
|
|
Treat knee dislocation
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$2,220.89
|
|
Treat knuckle dislocation
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$1,523.90
|
|
Treatment incomplete abortion completed surgically any trimester
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$304.50 |
$304.50 |
$304.50 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$40.50 |
$40.50 |
$40.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$230.25 |
$230.25 |
$230.25 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$3,982.44
|
|
Treatment radiation delivery level 2
|
$755.25 |
$755.25 |
$755.25 |
$767.65
|
|
Treat spinal cord lesion
|
$2,266.50 |
$2,266.50 |
$2,266.50 |
$1,337.00
|
|
Treat toe dislocation
|
$852.00 |
$852.00 |
$852.00 |
$756.39
|
