|
Temozolomide 100 mg intravenous solution
|
$5,015.55 |
$5,015.55 |
$5,015.55 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$10,501.70 |
$10,501.70 |
$10,501.70 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$23,582.35 |
$23,582.35 |
$23,582.35 |
$14,951.87
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$2,175.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$90.60 |
$90.60 |
$90.60 |
$39.33
|
|
Test pathogen(s) for platelets reference
|
$104.00 |
$104.00 |
$104.00 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$1,129.05 |
$1,129.05 |
$1,129.05 |
$953.40
|
|
Tetanus immune globulin inj
|
$2,622.15 |
$2,622.15 |
$2,622.15 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$22,937.05 |
$22,937.05 |
$22,937.05 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$123.50 |
$123.50 |
$123.50 |
$108.00
|
|
Therapy activity per session >= 45 minutes
|
$146.25 |
$146.25 |
$146.25 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$1,905.15 |
$1,905.15 |
$1,905.15 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$1,907.10 |
$1,907.10 |
$1,907.10 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$210.60 |
$210.60 |
$210.60 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$43.55 |
$43.55 |
$43.55 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$5.80 |
$5.80 |
$5.80 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$337.35 |
$337.35 |
$337.35 |
$313.60
|
|
Thiotepa 15 mg solution for injection
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,090.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$1,724.25
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$3,633.00 |
$3,633.00 |
$3,633.00 |
$5,335.20
|
|
Thrcspy w/diag bp lng inf uni
|
$943.00 |
$943.00 |
$943.00 |
$6,792.80
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,366.30 |
$1,366.30 |
$1,366.30 |
$1,703.45
|
|
Thrombin time
|
$33.80 |
$33.80 |
$33.80 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$36.40 |
$36.40 |
$36.40 |
$62.01
|
|
Thyroglobulin antibody
|
$117.65 |
$117.65 |
$117.65 |
$82.50
|
|
Thyroid (TSH) Test
|
$525.20 |
$525.20 |
$525.20 |
$112.70
|
|
Thyroid Ultrasound
|
$586.95 |
$586.95 |
$586.95 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$10,828.50 |
$10,828.50 |
$10,828.50 |
$4,152.21
|
|
Tilt table study
|
$1,478.75 |
$1,478.75 |
$1,478.75 |
$1,561.82
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$22,202.40 |
$22,202.40 |
$22,202.40 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$2,555.89 |
$2,555.89 |
$2,555.89 |
$4,201.20
|
|
Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm
|
$67.73 |
$67.73 |
$67.73 |
$67.73
|
|
Tissue exam koh skin/hair/nails
|
$84.50 |
$84.50 |
$84.50 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$271.69 |
$271.69 |
$271.69 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$49.04 |
$49.04 |
$49.04 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$38.88 |
$38.88 |
$38.88 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$195.00 |
$195.00 |
$195.00 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$80.10 |
$80.10 |
$80.10 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$354.15 |
$354.15 |
$354.15 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$125.45 |
$125.45 |
$125.45 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12,214.20 |
$12,214.20 |
$12,214.20 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$302.25 |
$302.25 |
$302.25 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$58.50 |
$58.50 |
$58.50 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$58.50 |
$58.50 |
$58.50 |
$74.10
|
|
Tongue and neck surgery
|
$7,945.00 |
$7,945.00 |
$7,945.00 |
$2,745.01
|
|
Tonsillectomy (age 12+)
|
$17,181.09 |
$17,181.09 |
$17,181.09 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$18,558.94 |
$18,558.94 |
$18,558.94 |
$6,193.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$188.75 |
$188.75 |
$188.75 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$48,786.25 |
$48,786.25 |
$48,786.25 |
$15,383.12
|
|
Total Hip Replacement
|
$42,087.80 |
$42,087.80 |
$42,087.80 |
$9,161.60
|
|
Total hysterectomy
|
$3,033.00 |
$3,033.00 |
$3,033.00 |
$3,001.70
|
|
Total Knee Replacement
|
$34,613.25 |
$34,613.25 |
$34,613.25 |
$14,241.77
|
|
Toxoplasma antibody igg
|
$72.15 |
$72.15 |
$72.15 |
$91.65
|
|
Toxoplasma antibody igm
|
$189.80 |
$189.80 |
$189.80 |
$87.75
|
|
Tprnl plmt biodegrdabl matrl
|
$17,074.12 |
$17,074.12 |
$17,074.12 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$11,842.80 |
$11,842.80 |
$11,842.80 |
$6,684.23
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$98.80 |
$98.80 |
$98.80 |
$102.27
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$27.60 |
$27.60 |
$27.60 |
$56.38
|
|
Transab esoph hiat hern repair 43332
|
$4,079.00 |
$4,079.00 |
$4,079.00 |
$2,835.20
|
|
Transcutaneous hgb 88738
|
$8.45 |
$8.45 |
$8.45 |
$13.80
|
|
Transferrin
|
$611.65 |
$611.65 |
$611.65 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$640.25 |
$640.25 |
$640.25 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$550.55 |
$550.55 |
$550.55 |
$499.20
|
|
Trastuzumab 150 mg intravenous solution
|
$4,708.00 |
$4,708.00 |
$4,708.00 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$10,508.35 |
$10,508.35 |
$10,508.35 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$9,357.40 |
$9,357.40 |
$9,357.40 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$2,718.30 |
$2,718.30 |
$2,718.30 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$699.55 |
$699.55 |
$699.55 |
$940.80
|
|
Tray trach basic clean/care ster
|
$0.55 |
$0.55 |
$0.55 |
$0.57
|
|
Treat finger fracture each
|
$1,657.00 |
$1,657.00 |
$1,657.00 |
$4,307.52
|
|
Treat heel fracture
|
$27,470.35 |
$27,470.35 |
$27,470.35 |
$7,907.11
|
|
Treat humerus fracture
|
$3,034.00 |
$3,034.00 |
$3,034.00 |
$10,629.07
|
|
Treat humerus fracture
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$10,742.40
|
|
Treat knee fracture
|
$4,064.00 |
$4,064.00 |
$4,064.00 |
$4,521.40
|
|
Treat lower leg fracture
|
$4,565.00 |
$4,565.00 |
$4,565.00 |
$12,653.00
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$37,204.83 |
$37,204.83 |
$37,204.83 |
$8,797.32
|
|
Treatment incomplete abortion completed surgically any trimester
|
$16,577.31 |
$16,577.31 |
$16,577.31 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$307.45 |
$307.45 |
$307.45 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$103.35 |
$103.35 |
$103.35 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$16,772.99 |
$16,772.99 |
$16,772.99 |
$4,106.85
|
|
Treatment of ankle fracture
|
$2,233.00 |
$2,233.00 |
$2,233.00 |
$7,913.97
|
|
Treatment of ankle fracture
|
$2,639.00 |
$2,639.00 |
$2,639.00 |
$8,453.60
|
|
Treatment of ankle fracture
|
$3,022.00 |
$3,022.00 |
$3,022.00 |
$7,906.00
|
|
Treatment of ankle fracture
|
$3,397.00 |
$3,397.00 |
$3,397.00 |
$7,907.11
|
|
Treatment of foot infection
|
$2,194.00 |
$2,194.00 |
$2,194.00 |
$3,839.54
|
|
Treatment of thigh fracture
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$1,790.00
|
|
Treatment radiation delivery level 2
|
$1,888.90 |
$1,888.90 |
$1,888.90 |
$830.70
|
|
Treat metacarpal fracture
|
$1,999.00 |
$1,999.00 |
$1,999.00 |
$5,857.86
|
|
Treat metatarsal fracture
|
$23,417.36 |
$23,417.36 |
$23,417.36 |
$8,241.00
|
|
Treat thigh fracture
|
$4,083.00 |
$4,083.00 |
$4,083.00 |
$4,083.00
|
|
Treat thigh fracture
|
$4,197.00 |
$4,197.00 |
$4,197.00 |
$4,726.80
|
|
Treat ulnar fracture
|
$2,954.00 |
$2,954.00 |
$2,954.00 |
$6,653.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$127,265.40 |
$127,265.40 |
$127,265.40 |
$73,346.25
|
|
Treponema pallidum antibody
|
$820.30 |
$820.30 |
$820.30 |
$72.05
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$39.90 |
$39.90 |
$39.90 |
$43.09
|
|
Triglycerides
|
$40.30 |
$40.30 |
$40.30 |
$58.50
|
|
Trilaciclib 300 mg intravenous solution
|
$8,065.15 |
$8,065.15 |
$8,065.15 |
$4,043.12
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$14,864.20 |
$14,864.20 |
$14,864.20 |
$5,139.20
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$27,622.54 |
$27,622.54 |
$27,622.54 |
$4,872.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$22,031.75 |
$22,031.75 |
$22,031.75 |
$2,837.09
|