|
Tc-99m labeled rbc
|
$309.00 |
$309.00 |
$309.00 |
$306.00
|
|
Tc-99m maa
|
$196.80 |
$196.80 |
$196.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$157.80 |
$157.80 |
$157.80 |
$157.65
|
|
Tc-99m medronate
|
$67.20 |
$67.20 |
$67.20 |
$111.01
|
|
Tc-99m mertiatide
|
$557.40 |
$557.40 |
$557.40 |
$756.00
|
|
Tc-99m oxidronate
|
$127.20 |
$127.20 |
$127.20 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$127.80 |
$127.80 |
$127.80 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$120.00 |
$120.00 |
$120.00 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$141.00 |
$141.00 |
$141.00 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$318.00 |
$318.00 |
$318.00 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$355.80 |
$355.80 |
$355.80 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$211.80 |
$211.80 |
$211.80 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$255.60 |
$255.60 |
$255.60 |
$193.28
|
|
Tca peel dermal 15789
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$1,324.80
|
|
T cells absolute cd4/cd8 including ratio
|
$163.20 |
$163.20 |
$163.20 |
$185.28
|
|
T cells absolute cd 4 count
|
$98.40 |
$98.40 |
$98.40 |
$111.20
|
|
T cells total count
|
$129.60 |
$129.60 |
$129.60 |
$130.35
|
|
Teaec w/wo patch graft iliofemoral
|
$2,322.60 |
$2,322.60 |
$2,322.60 |
$6,120.00
|
|
Team conf w/pat by hc prof
|
$74.40 |
$74.40 |
$74.40 |
$104.59
|
|
Telehealth original site facility fee
|
$25.20 |
$25.20 |
$25.20 |
$51.00
|
|
Temozolomide
|
$4,671.14 |
$4,671.14 |
$4,671.14 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$1,818.11 |
$1,818.11 |
$1,818.11 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,861.96 |
$2,861.96 |
$2,861.96 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$14,708.53 |
$14,708.53 |
$14,708.53 |
$14,951.87
|
|
Tenolysis extensor tendon hand/finger each
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,893.86
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$840.00 |
$840.00 |
$840.00 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$744.00 |
$744.00 |
$744.00 |
$2,175.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$19.51 |
$19.51 |
$19.51 |
$39.33
|
|
Teriparatide injection
|
$3,175.78 |
$3,175.78 |
$3,175.78 |
$7,403.20
|
|
Testicular imaging w/vasc flow
|
$629.40 |
$629.40 |
$629.40 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$582.60 |
$582.60 |
$582.60 |
$953.40
|
|
Tetanus immune globulin inj
|
$997.91 |
$997.91 |
$997.91 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$7,750.72 |
$7,750.72 |
$7,750.72 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$135.60 |
$135.60 |
$135.60 |
$108.00
|
|
Therapeutic procd strg endur
|
$69.00 |
$69.00 |
$69.00 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$75.60 |
$75.60 |
$75.60 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$91.20 |
$91.20 |
$91.20 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$88.20 |
$88.20 |
$88.20 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$75.60 |
$75.60 |
$75.60 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$755.40 |
$755.40 |
$755.40 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$240.00 |
$240.00 |
$240.00 |
$3,837.72
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$231.60 |
$231.60 |
$231.60 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,287.60 |
$1,287.60 |
$1,287.60 |
$1,733.65
|
|
Thoracic aortic graft 33875
|
$5,329.20 |
$5,329.20 |
$5,329.20 |
$5,329.20
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$499.80 |
$499.80 |
$499.80 |
$499.80
|
|
Thoracoabdominal graft 33877
|
$6,070.20 |
$6,070.20 |
$6,070.20 |
$8,824.00
|
|
Thoracoscopy bilobectomy 32670
|
$3,288.00 |
$3,288.00 |
$3,288.00 |
$3,910.40
|
|
Thoracoscopy diagnostic 32601
|
$600.60 |
$600.60 |
$600.60 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$414.00 |
$414.00 |
$414.00 |
$1,071.20
|
|
Thoracoscopy remove cortex
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$5,332.80
|
|
Thoracoscopy remove segment
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$5,331.20
|
|
Thoracoscopy remov fb/fibrin 32653
|
$2,034.00 |
$2,034.00 |
$2,034.00 |
$2,091.00
|
|
Thoracoscopy resect bullae 32655
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$4,204.20
|
|
Thoracoscopy surgical 32650
|
$1,291.80 |
$1,291.80 |
$1,291.80 |
$2,251.60
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$5,335.20
|
|
Thoracoscopy/thoracic sympathectomy32664
|
$1,818.60 |
$1,818.60 |
$1,818.60 |
$4,083.95
|
|
Thoracoscopy/tot pulm decortication32652
|
$3,192.00 |
$3,192.00 |
$3,192.00 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$895.80 |
$895.80 |
$895.80 |
$6,463.42
|
|
Thoracoscopy w/lobectomy
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$3,408.80
|
|
Thoracoscopy w/mediast exc
|
$2,291.40 |
$2,291.40 |
$2,291.40 |
$2,172.00
|
|
Thoracoscopy w/pleurectomy 32656
|
$1,299.60 |
$1,299.60 |
$1,299.60 |
$3,409.02
|
|
Thoracoscopy w/sac drng 32659
|
$1,905.00 |
$1,905.00 |
$1,905.00 |
$1,780.00
|
|
Thoracoscopy w/thymus resect
|
$2,319.60 |
$2,319.60 |
$2,319.60 |
$4,290.40
|
|
Thoracoscopy w/wedge resect
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$303.00 |
$303.00 |
$303.00 |
$477.00
|
|
Thoracoscopy w w resect diag 32668
|
$304.20 |
$304.20 |
$304.20 |
$304.20
|
|
Thoracostomy w/flap drng 32036
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$3,198.00
|
|
Thoracostomy w/rib resection 32035
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$2,935.40
|
|
Thoracotomy opn free adhesions 32124
|
$1,942.80 |
$1,942.80 |
$1,942.80 |
$2,256.80
|
|
Thoracotomy w/expl
|
$1,591.80 |
$1,591.80 |
$1,591.80 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,506.60 |
$1,506.60 |
$1,506.60 |
$2,138.76
|
|
Thorcscpy w/biop pleura
|
$231.00 |
$231.00 |
$231.00 |
$6,904.15
|
|
Thor rib belt custom fabrica
|
$53.40 |
$53.40 |
$53.40 |
$225.50
|
|
Thrcspy w/diag bp lng inf uni
|
$379.20 |
$379.20 |
$379.20 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$361.80 |
$361.80 |
$361.80 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,048.20 |
$1,048.20 |
$1,048.20 |
$1,684.80
|
|
Thrombectomy/inf pq dialysis circuit
|
$633.60 |
$633.60 |
$633.60 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$796.20 |
$796.20 |
$796.20 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$928.80 |
$928.80 |
$928.80 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$2,095.80 |
$2,095.80 |
$2,095.80 |
$6,422.91
|
|
Thrombin time
|
$82.20 |
$82.20 |
$82.20 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$1,643.40 |
$1,643.40 |
$1,643.40 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$1,786.20 |
$1,786.20 |
$1,786.20 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$1,835.40 |
$1,835.40 |
$1,835.40 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$2,248.20 |
$2,248.20 |
$2,248.20 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$78.00 |
$78.00 |
$78.00 |
$61.52
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$2,643.00 |
$2,643.00 |
$2,643.00 |
$3,328.80
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$6,465.11
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$2,736.00
|
|
Thyroglobulin antibody
|
$87.00 |
$87.00 |
$87.00 |
$82.73
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$2,616.00
|
|
Thyroid imaging
|
$505.80 |
$505.80 |
$505.80 |
$696.75
|
|
Thyroid mets imag whole body
|
$716.40 |
$716.40 |
$716.40 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$82.20 |
$82.20 |
$82.20 |
$112.67
|
|
Thyroid Ultrasound
|
$351.00 |
$351.00 |
$351.00 |
$588.50
|
|
Thyroid uptake measurement
|
$295.80 |
$295.80 |
$295.80 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,594.01 |
$3,594.01 |
$3,594.01 |
$4,152.21
|
|
Thyrotropin releasing hormone
|
$174.00 |
$174.00 |
$174.00 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$82.80 |
$82.80 |
$82.80 |
$64.51
|
