|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$63.35 |
$63.35 |
$63.35 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$6,789.19 |
$6,789.19 |
$6,789.19 |
$1,687.50
|
|
Thoracoscopy diagnostic 32601
|
$11,188.10 |
$11,188.10 |
$11,188.10 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$107,635.82 |
$107,635.82 |
$107,635.82 |
$1,071.20
|
|
Thoracoscopy remove segment
|
$115,000.28 |
$115,000.28 |
$115,000.28 |
$5,331.20
|
|
Thoracoscopy remov fb/fibrin 32653
|
$137,966.95 |
$137,966.95 |
$137,966.95 |
$2,587.20
|
|
Thoracoscopy surgical 32650
|
$62,870.64 |
$62,870.64 |
$62,870.64 |
$2,815.80
|
|
Thoracoscopy/tot pulm decortication32652
|
$137,966.95 |
$137,966.95 |
$137,966.95 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$99,100.69 |
$99,100.69 |
$99,100.69 |
$6,463.42
|
|
Thoracoscopy w/lobectomy
|
$152,066.12 |
$152,066.12 |
$152,066.12 |
$3,408.80
|
|
Thoracoscopy w/mediast exc
|
$76,741.49 |
$76,741.49 |
$76,741.49 |
$2,172.00
|
|
Thoracoscopy w/wedge resect
|
$99,513.64 |
$99,513.64 |
$99,513.64 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$117,071.47 |
$117,071.47 |
$117,071.47 |
$780.00
|
|
Thoracoscopy w w resect diag 32668
|
$152,066.12 |
$152,066.12 |
$152,066.12 |
$304.20
|
|
Thorcscpy w/biop pleura
|
$32,015.37 |
$32,015.37 |
$32,015.37 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$112,974.29 |
$112,974.29 |
$112,974.29 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$68,037.64 |
$68,037.64 |
$68,037.64 |
$6,120.30
|
|
Thrombectmy crnry perq mechanical
|
$2,298.10 |
$2,298.10 |
$2,298.10 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$45,152.11 |
$45,152.11 |
$45,152.11 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$20,705.21 |
$20,705.21 |
$20,705.21 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$69,415.14 |
$69,415.14 |
$69,415.14 |
$21,413.60
|
|
Thrombin time
|
$84.70 |
$84.70 |
$84.70 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$16,705.50 |
$16,705.50 |
$16,705.50 |
$3,980.60
|
|
Thromboendarterectomy sfa
|
$4,185.30 |
$4,185.30 |
$4,185.30 |
$4,185.30
|
|
Thromboplastin inhibition
|
$104.30 |
$104.30 |
$104.30 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$183.40 |
$183.40 |
$183.40 |
$61.52
|
|
Thromboxane urine
|
$206.50 |
$206.50 |
$206.50 |
$95.00
|
|
Th/wght bear quad-lat brim m
|
$1,836.80 |
$1,836.80 |
$1,836.80 |
$1,695.23
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$47,675.27 |
$47,675.27 |
$47,675.27 |
$6,465.11
|
|
Thyroglobulin antibody
|
$274.40 |
$274.40 |
$274.40 |
$82.00
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$37,444.11 |
$37,444.11 |
$37,444.11 |
$2,616.00
|
|
Thyroid imaging
|
$865.20 |
$865.20 |
$865.20 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,532.30 |
$1,532.30 |
$1,532.30 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$162.40 |
$162.40 |
$162.40 |
$111.00
|
|
Thyroid Ultrasound
|
$1,343.30 |
$1,343.30 |
$1,343.30 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$13,442.45 |
$13,442.45 |
$13,442.45 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$254.10 |
$254.10 |
$254.10 |
$64.35
|
|
Tib/per revasc w/ather add-on 37233
|
$9,074.80 |
$9,074.80 |
$9,074.80 |
$9,769.65
|
|
Tigecycline injection
|
$1,299.37 |
$1,299.37 |
$1,299.37 |
$234.00
|
|
Tilt table study
|
$2,136.40 |
$2,136.40 |
$2,136.40 |
$1,507.01
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$46,340.00 |
$46,340.00 |
$46,340.00 |
$13,339.20
|
|
Tissue culture placenta
|
$363.30 |
$363.30 |
$363.30 |
$457.00
|
|
Tissue culture skin/biopsy
|
$2,269.40 |
$2,269.40 |
$2,269.40 |
$484.00
|
|
Tissue culture tumor
|
$658.00 |
$658.00 |
$658.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$86.80 |
$86.80 |
$86.80 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$473.90 |
$473.90 |
$473.90 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$247.80 |
$247.80 |
$247.80 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$240.10 |
$240.10 |
$240.10 |
$78.40
|
|
Tlh uterus 250 g or less
|
$61,127.68 |
$61,127.68 |
$61,127.68 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$54,597.33 |
$54,597.33 |
$54,597.33 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$68,263.20 |
$68,263.20 |
$68,263.20 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$77,299.90 |
$77,299.90 |
$77,299.90 |
$12,320.22
|
|
Tlso rigid lined custom fab
|
$6,454.00 |
$6,454.00 |
$6,454.00 |
$2,831.21
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$1,372.70 |
$1,372.70 |
$1,372.70 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$319.90 |
$319.90 |
$319.90 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$16,226.00 |
$16,226.00 |
$16,226.00 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$95.90 |
$95.90 |
$95.90 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$125.30 |
$125.30 |
$125.30 |
$72.68
|
|
Tonsillectomy (age 12+)
|
$15,244.60 |
$15,244.60 |
$15,244.60 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$14,431.47 |
$14,431.47 |
$14,431.47 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,315.30 |
$1,315.30 |
$1,315.30 |
$325.00
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$59,624.95 |
$59,624.95 |
$59,624.95 |
$15,383.12
|
|
Total hysterectomy
|
$46,196.65 |
$46,196.65 |
$46,196.65 |
$3,001.70
|
|
Total tau
|
$392.00 |
$392.00 |
$392.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$403.90 |
$403.90 |
$403.90 |
$89.40
|
|
Toxoplasma antibody igm
|
$403.90 |
$403.90 |
$403.90 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,483.30 |
$1,483.30 |
$1,483.30 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$761.60 |
$761.60 |
$761.60 |
$790.68
|
|
Tpmt gene com vrnts
|
$791.70 |
$791.70 |
$791.70 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$9,430.40 |
$9,430.40 |
$9,430.40 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$23,100.70 |
$23,100.70 |
$23,100.70 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,493.10 |
$1,493.10 |
$1,493.10 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$240.10 |
$240.10 |
$240.10 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$125.30 |
$125.30 |
$125.30 |
$678.70
|
|
Transcath biopsy
|
$26,035.69 |
$26,035.69 |
$26,035.69 |
$4,285.93
|
|
Transcath closure of asd
|
$14,462.00 |
$14,462.00 |
$14,462.00 |
$16,741.40
|
|
Transcath closure of vsd
|
$39,478.60 |
$39,478.60 |
$39,478.60 |
$17,115.04
|
|
Transcatheter bx s&i
|
$3,234.00 |
$3,234.00 |
$3,234.00 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$7,586.60 |
$7,586.60 |
$7,586.60 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$19,708.50 |
$19,708.50 |
$19,708.50 |
$12,418.00
|
|
Transcath occlusion cns
|
$238,366.69 |
$238,366.69 |
$238,366.69 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$162,611.61 |
$162,611.61 |
$162,611.61 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$22,570.10 |
$22,570.10 |
$22,570.10 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$7,154.00 |
$7,154.00 |
$7,154.00 |
$4,775.16
|
|
Transferrin
|
$149.80 |
$149.80 |
$149.80 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$20,762.17 |
$20,762.17 |
$20,762.17 |
$983.00
|
|
Transorl lwr esophgl myotomy
|
$7,436.10 |
$7,436.10 |
$7,436.10 |
$6,588.93
|
|
Transplj hematopoietic boost
|
$2,987.60 |
$2,987.60 |
$2,987.60 |
$2,667.20
|
|
Transplt allo hct/donor
|
$4,373.60 |
$4,373.60 |
$4,373.60 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$2,433.20 |
$2,433.20 |
$2,433.20 |
$2,456.00
|
|
Transplt autol hct/donor
|
$4,373.60 |
$4,373.60 |
$4,373.60 |
$3,786.00
|
|
Transthor diaphrag hern repair 43334
|
$54,401.79 |
$54,401.79 |
$54,401.79 |
$3,052.00
|
|
Trastuzumab 150 mg intravenous solution
|
$9,758.00 |
$9,758.00 |
$9,758.00 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$22,568.17 |
$22,568.17 |
$22,568.17 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$13,481.30 |
$13,481.30 |
$13,481.30 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$7,560.70 |
$7,560.70 |
$7,560.70 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,375.13 |
$1,375.13 |
$1,375.13 |
$940.80
|
|
Treat ectopic pregnancy
|
$34,575.12 |
$34,575.12 |
$34,575.12 |
$6,707.99
|
|
Treat elbow dislocation
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$2,223.20
|
|
Treat elbow fracture
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$1,919.13
|
