|
Thorcscpy w/biop pleura
|
$30,889.42 |
$30,889.42 |
$30,889.42 |
$6,904.15
|
|
Thrcspy w/diag bp lng nod uni
|
$53,520.98 |
$53,520.98 |
$53,520.98 |
$6,120.30
|
|
Thrombectmy crnry perq mechanical
|
$4,062.10 |
$4,062.10 |
$4,062.10 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$17,182.24 |
$17,182.24 |
$17,182.24 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$27,529.99 |
$27,529.99 |
$27,529.99 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$51,778.57 |
$51,778.57 |
$51,778.57 |
$21,413.60
|
|
Thrombin time
|
$88.20 |
$88.20 |
$88.20 |
$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
|
$87.50 |
$87.50 |
$87.50 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$63.00 |
$63.00 |
$63.00 |
$61.52
|
|
Thyroglobulin antibody
|
$438.90 |
$438.90 |
$438.90 |
$82.00
|
|
Thyroid mets imag whole body
|
$2,081.80 |
$2,081.80 |
$2,081.80 |
$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
|
$12,529.82 |
$12,529.82 |
$12,529.82 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$128.80 |
$128.80 |
$128.80 |
$64.35
|
|
Tib/per revasc w/ather add-on 37233
|
$9,074.80 |
$9,074.80 |
$9,074.80 |
$9,769.65
|
|
Tigecycline injection
|
$100.62 |
$100.62 |
$100.62 |
$234.00
|
|
Tilt table study
|
$2,149.00 |
$2,149.00 |
$2,149.00 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$458.85
|
|
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
|
$59.50 |
$59.50 |
$59.50 |
$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
|
$224.70 |
$224.70 |
$224.70 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$240.10 |
$240.10 |
$240.10 |
$78.40
|
|
Tlh uterus 250 g or less
|
$78,192.61 |
$78,192.61 |
$78,192.61 |
$11,533.76
|
|
Tlh w/t/o 250 g or less
|
$77,704.97 |
$77,704.97 |
$77,704.97 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$89,496.76 |
$89,496.76 |
$89,496.76 |
$12,320.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$451.67 |
$451.67 |
$451.67 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$188.30 |
$188.30 |
$188.30 |
$120.60
|
|
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+)
|
$13,550.22 |
$13,550.22 |
$13,550.22 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$14,355.57 |
$14,355.57 |
$14,355.57 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$742.52 |
$742.52 |
$742.52 |
$325.00
|
|
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
|
$490.70 |
$490.70 |
$490.70 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$9,430.40 |
$9,430.40 |
$9,430.40 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$21,532.52 |
$21,532.52 |
$21,532.52 |
$6,827.00
|
|
Trachelectomy (cervicectomy) 57530
|
$28,688.87 |
$28,688.87 |
$28,688.87 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$1,420.44
|
|
Tracheostoma stent/stud/bttn
|
$819.24 |
$819.24 |
$819.24 |
$333.29
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$108.32 |
$108.32 |
$108.32 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$125.30 |
$125.30 |
$125.30 |
$678.70
|
|
Transcath biopsy
|
$28,432.68 |
$28,432.68 |
$28,432.68 |
$4,285.93
|
|
Transcath closure of asd
|
$19,075.70 |
$19,075.70 |
$19,075.70 |
$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 occlusion cns
|
$37,463.30 |
$37,463.30 |
$37,463.30 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$7,733.60 |
$7,733.60 |
$7,733.60 |
$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
|
|
Transcrv abltj utrn fibrd rf
|
$59,498.64 |
$59,498.64 |
$59,498.64 |
$8,750.72
|
|
Transferrin
|
$179.90 |
$179.90 |
$179.90 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$17,712.62 |
$17,712.62 |
$17,712.62 |
$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
|
|
Trastuzumab 150 mg intravenous solution
|
$9,095.62 |
$9,095.62 |
$9,095.62 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$21,036.22 |
$21,036.22 |
$21,036.22 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$6,223.70 |
$6,223.70 |
$6,223.70 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,046.18 |
$1,046.18 |
$1,046.18 |
$940.80
|
|
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
|
|
Treat finger fracture each
|
$886.90 |
$886.90 |
$886.90 |
$1,536.00
|
|
Treat foot dislocation
|
$741.30 |
$741.30 |
$741.30 |
$527.28
|
|
Treat foot dislocation
|
$541.80 |
$541.80 |
$541.80 |
$445.80
|
|
Treat fracture of radius
|
$809.90 |
$809.90 |
$809.90 |
$1,790.00
|
|
Treat fracture of ulna
|
$2,103.50 |
$2,103.50 |
$2,103.50 |
$726.05
|
|
Treat hip dislocation
|
$2,779.70 |
$2,779.70 |
$2,779.70 |
$2,641.60
|
|
Treat humerus fracture
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$1,771.43
|
|
Treat lower jaw fracture 21462
|
$17,292.10 |
$17,292.10 |
$17,292.10 |
$7,000.36
|
|
Treatment incomplete abortion completed surgically any trimester
|
$12,915.96 |
$12,915.96 |
$12,915.96 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$301.70 |
$301.70 |
$301.70 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$191.10 |
$191.10 |
$191.10 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$385.00 |
$385.00 |
$385.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$12,066.61 |
$12,066.61 |
$12,066.61 |
$3,982.44
|
|
Treatment of anal fissure w/dilat 46940
|
$12,814.93 |
$12,814.93 |
$12,814.93 |
$3,245.23
|
|
Treatment of foot infection
|
$5,389.30 |
$5,389.30 |
$5,389.30 |
$2,614.25
|
|
Treatment of thigh fracture
|
$3,503.50 |
$3,503.50 |
$3,503.50 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$829.50 |
$829.50 |
$829.50 |
$369.70
|
|
Treatment radiation delivery level 2
|
$13,936.30 |
$13,936.30 |
$13,936.30 |
$767.65
|
|
Treat thigh fx growth plate
|
$2,933.00 |
$2,933.00 |
$2,933.00 |
$1,938.38
|
|
Treat ulnar fracture
|
$2,085.30 |
$2,085.30 |
$2,085.30 |
$1,662.00
|
|
Treponema pallidum antibody
|
$196.70 |
$196.70 |
$196.70 |
$70.40
|
|
Treprostinil injection
|
$93,928.10 |
$93,928.10 |
$93,928.10 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$844.90 |
$844.90 |
$844.90 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$51.45 |
$51.45 |
$51.45 |
$43.21
|
|
Trichinella antibody
|
$135.10 |
$135.10 |
$135.10 |
$70.20
|
|
Trichomonas assay w/optic
|
$57.40 |
$57.40 |
$57.40 |
$55.50
|
|
#tricyclicantidprssnt
|
$43.40 |
$43.40 |
$43.40 |
$50.86
|
