|
Thoracoscopy w w resect addl 32667
|
$303.00 |
$69,108.18 |
$117,071.47 |
|
|
Thoracoscopy w w resect diag 32668
|
$304.20 |
$383.20 |
$152,066.12 |
|
|
Thoracostomy w/flap drng 32036
|
$1,661.40 |
$1,661.40 |
$3,798.40 |
|
|
Thoracostomy w/rib resection 32035
|
$1,386.00 |
$1,386.00 |
$3,544.00 |
|
|
Thoracotomy opn free adhesions 32124
|
$1,942.80 |
$1,942.80 |
$2,256.80 |
|
|
Thoracotomy w/expl
|
$792.00 |
$1,591.80 |
$1,973.60 |
|
|
Thoracotomy with cardiac massage
|
$417.60 |
$1,130.00 |
$3,088.88 |
|
|
Thorax spine fusion
|
$1,948.80 |
$1,948.80 |
$3,044.00 |
|
|
Thorax stereo rad targetw/tx
|
$529.60 |
$529.60 |
$1,697.76 |
|
|
Thorcscpy w/biop pleura
|
$231.00 |
$30,889.42 |
$51,250.18 |
|
|
Thor rib belt custom fabrica
|
$53.40 |
$53.40 |
$308.00 |
|
|
Thrcspy w/diag bp lng inf uni
|
$379.20 |
$752.00 |
$112,974.29 |
|
|
Thrcspy w/diag bp lng nod uni
|
$361.80 |
$41,509.52 |
$75,758.14 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$433.75 |
$1,710.00 |
$3,196.00 |
|
|
Throat x-ray & fluoroscopy
|
$172.20 |
$322.80 |
$620.40 |
|
|
Thrombectmy crnry perq mechanical
|
$361.90 |
$2,811.60 |
$16,476.48 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$633.60 |
$6,950.00 |
$45,152.11 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$796.20 |
$15,255.00 |
$47,290.80 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$928.80 |
$21,770.00 |
$69,415.14 |
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$1,517.40 |
$5,520.00 |
$41,493.19 |
|
|
Thrombin time
|
$14.19 |
$64.40 |
$232.80 |
|
|
Thrombin time titer
|
$8.25 |
$8.64 |
$17.60 |
|
|
Thromboendarterectomy common femoral
|
$1,309.20 |
$10,018.08 |
$16,705.50 |
|
|
Thromboendarterectomy including patch graft if preformed;
|
$1,786.20 |
$1,786.20 |
$45,259.83 |
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$992.16 |
$1,835.40 |
$6,262.40 |
|
|
Thromboendarterectomy sfa
|
$470.88 |
$4,185.30 |
$18,397.44 |
|
|
Thrombomodulin
|
$35.20 |
$35.20 |
$35.20 |
|
|
Thromboplastin inhibition
|
$32.85 |
$87.50 |
$434.16 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$24.42 |
$69.85 |
$368.40 |
|
|
Thromboxane urine
|
$70.40 |
$206.50 |
$206.50 |
|
|
Thumb fusion with graft
|
$3,928.00 |
$3,928.00 |
$3,928.00 |
|
|
Thumb fusion with graft
|
$3,907.20 |
$3,907.20 |
$3,907.20 |
|
|
Thumb tendon transfer
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
|
|
Th/wght bear quad-lat brim m
|
$1,836.80 |
$1,836.80 |
$1,836.80 |
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$2,643.00 |
$2,643.00 |
$3,328.80 |
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$2,205.60 |
$2,564.00 |
$47,675.27 |
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$2,172.00 |
$2,172.00 |
$2,736.00 |
|
|
Thyroglobulin antibody
|
$25.92 |
$118.40 |
$438.90 |
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$2,616.00 |
$2,616.00 |
$37,444.11 |
|
|
Thyroid imaging
|
$251.79 |
$795.00 |
$1,336.30 |
|
|
Thyroid met imaging
|
$488.80 |
$1,051.80 |
$1,532.80 |
|
|
Thyroid met imaging/studies
|
$642.40 |
$642.40 |
$642.40 |
|
|
Thyroid mets imag whole body
|
$500.00 |
$1,482.80 |
$3,352.32 |
|
|
Thyroid met uptake
|
$186.40 |
$380.00 |
$800.80 |
|
|
Thyroid (TSH) Test
|
$55.00 |
$144.00 |
$254.88 |
|
|
Thyroid Ultrasound
|
$331.25 |
$745.20 |
$1,368.00 |
|
|
Thyroid uptake measurement
|
$223.41 |
$720.00 |
$1,361.52 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,599.84 |
$4,490.50 |
$13,442.45 |
|
|
Thyrotropin releasing hormone
|
$127.20 |
$174.00 |
$174.00 |
|
|
Thyroxine binding globulin (tbg)
|
$18.72 |
$90.00 |
$254.10 |
|
|
Tibial arthroscopy/surgery
|
$3,849.60 |
$3,849.60 |
$61,227.51 |
|
|
Tibial arthroscopy/surgery
|
$4,872.00 |
$4,872.00 |
$52,769.00 |
|
|
Tib/per revasc stent & ather 37231
|
$1,274.40 |
$22,348.80 |
$68,368.00 |
|
|
Tib/per revasc stnt & ather
|
$5,690.00 |
$14,220.00 |
$28,926.72 |
|
|
Tib/per revasc w/ather add-on 37233
|
$690.60 |
$9,074.80 |
$84,670.31 |
|
|
Tigecycline injection
|
$1.60 |
$134.05 |
$1,299.37 |
|
|
Tilt table study
|
$750.00 |
$1,320.00 |
$3,407.60 |
|
|
Tirofiban 12.5 mg/50 ml
|
$15.44 |
$235.72 |
$1,288.00 |
|
|
Tisagenlecleucel car-pos t
|
$278,736.83 |
$278,736.83 |
$3,237,522.80 |
|
|
Tis cgen car anomal 1st shnt
|
$5,775.00 |
$6,930.00 |
$12,550.20 |
|
|
Tis cgen car anomal ea addl
|
$2,885.00 |
$3,138.60 |
$3,470.00 |
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$390.40 |
$390.40 |
$390.40 |
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$436.00 |
$436.00 |
$436.00 |
|
|
Tis cltr skn agrft t/a/l add
|
$291.20 |
$291.20 |
$291.20 |
|
|
Tis cltr skn agrft t/a/l ea
|
$380.00 |
$380.00 |
$380.00 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$325.02 |
$12,657.66 |
$46,340.00 |
|
|
Tiss ex molecul study add-on
|
$79.20 |
$79.20 |
$79.20 |
|
|
Tissue culture placenta
|
$142.56 |
$470.00 |
$2,742.85 |
|
|
Tissue culture skin/biopsy
|
$75.00 |
$847.00 |
$2,269.40 |
|
|
Tissue culture tumor
|
$172.26 |
$740.00 |
$4,800.00 |
|
|
Tissue exam koh skin/hair/nails
|
$22.11 |
$62.64 |
$156.80 |
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$0.10 |
$473.90 |
$7,560.00 |
|
|
Tissue transglutaminase iga
|
$27.50 |
$75.00 |
$247.80 |
|
|
Tixagev and cilgav inj
|
$92.40 |
$122.40 |
$325.44 |
|
|
Tl-201 thallium diag per mci
|
$52.47 |
$240.10 |
$240.10 |
|
|
Tlh uterus 250 g or less
|
$1,805.40 |
$41,393.84 |
$78,192.61 |
|
|
Tlh uterus over 250 g
|
$2,249.40 |
$2,575.20 |
$54,597.33 |
|
|
Tlh w/t/o 250 g or less
|
$2,007.00 |
$52,934.16 |
$77,704.97 |
|
|
Tlh w/t/o uterus over 250 g
|
$2,572.20 |
$58,244.69 |
$89,496.76 |
|
|
Tlso 2 shl symphys-stern cst
|
$565.20 |
$565.20 |
$565.20 |
|
|
Tlso rigid lined custom fab
|
$6,454.00 |
$6,454.00 |
$6,454.00 |
|
|
Tmvr w/prosthetic ring 33426
|
$3,382.80 |
$4,653.00 |
$5,816.80 |
|
|
Tmvr w/rad reconst w or without ring 33427
|
$3,469.20 |
$4,785.00 |
$5,969.60 |
|
|
Tnot opn elbw to sho ea tdn
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$9.45 |
$190.97 |
$1,372.70 |
|
|
Tobramycin non-comp unit
|
$12.08 |
$12.08 |
$12.08 |
|
|
Tobramycin peak therapeutic drug level
|
$57.09 |
$147.60 |
$1,384.56 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10.94 |
$22.95 |
$16,226.00 |
|
|
Tocilizumab for covid-19
|
$100.63 |
$100.63 |
$100.63 |
|
|
Toe X-ray (both feet)
|
$125.00 |
$399.60 |
$648.00 |
|
|
Tomosynthesis breast diagnostic left
|
$27.60 |
$134.40 |
$548.10 |
|
|
Tomosynthesis breast screen bilateral
|
$26.40 |
$105.12 |
$152.50 |
|
|
Tone decay hearing test
|
$64.80 |
$73.80 |
$130.00 |
|
|
Tongue base vol reduction
|
$5,772.00 |
$41,847.18 |
$41,847.18 |
|
|
Tongue biopsy; posterior one-third 41105
|
$330.60 |
$330.60 |
$20,631.17 |
|
|
Tongue mouth jaw surgery
|
$5,428.00 |
$5,428.00 |
$5,428.00 |
|
|
Tongue suspension
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
|
|
Tongue to lip surgery
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
|
|
Tonsillectomy (age 12+)
|
$499.20 |
$13,550.22 |
$34,192.09 |
|
|
Tonsillectomy (child under 12)
|
$481.80 |
$9,352.32 |
$14,431.47 |
|
