|
Sweat collection by iontophoresis
|
$90.00 |
$90.00 |
$100.20 |
$121.55
|
|
Synch audio-only est high 40
|
$196.80 |
$196.80 |
$196.80 |
$190.77
|
|
Synch audio-only est low 20
|
$90.60 |
$90.60 |
$90.60 |
$90.60
|
|
Synch audio-only est mod 30
|
$132.60 |
$132.60 |
$132.60 |
$136.64
|
|
Synch audio-only est sf 10
|
$49.20 |
$49.20 |
$49.20 |
$53.20
|
|
Synch audio-only new high 60
|
$241.80 |
$241.80 |
$241.80 |
$207.64
|
|
Synch audio-only new low 30
|
$117.00 |
$117.00 |
$117.00 |
$117.00
|
|
Synch audio-only new mod 45
|
$183.60 |
$183.60 |
$183.60 |
$166.70
|
|
Synch audio-only new sf 15
|
$67.80 |
$67.80 |
$67.80 |
$67.80
|
|
Synvisc or synvisc-one
|
$2,438.29 |
$2,438.29 |
$2,438.29 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$55.20 |
$55.20 |
$58.20 |
$42.24
|
|
System cardiomems hosp electronics
|
$52,875.00 |
$52,875.00 |
$52,875.00 |
$38,234.70
|
|
System pacing micra av
|
$25,312.80 |
$25,312.80 |
$25,312.80 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$9,433.20 |
$9,433.20 |
$27,495.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$231.60 |
$231.60 |
$243.60 |
$100.00
|
|
T3 (triiodothyronine) total
|
$159.00 |
$159.00 |
$167.40 |
$93.52
|
|
T4 (thyroxine) free
|
$151.20 |
$151.20 |
$159.00 |
$87.75
|
|
T4 (thyroxine) total
|
$124.20 |
$124.20 |
$130.80 |
$68.40
|
|
Tacrol envarsus ex rel oral
|
$8.57 |
$8.57 |
$14.21 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$50.21 |
$50.21 |
$50.21 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$438.20 |
$438.20 |
$464.12 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$262.80 |
$262.80 |
$276.00 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,359.28 |
$2,359.28 |
$2,513.77 |
$2,762.00
|
|
Tah rad debulk/lymph remove 58954
|
$3,901.20 |
$3,901.20 |
$4,096.20 |
$5,380.00
|
|
Tah rad dissect for debulk 58953
|
$3,598.80 |
$3,598.80 |
$3,778.80 |
$4,964.80
|
|
Tah w/mmk 58152
|
$2,313.00 |
$2,313.00 |
$2,428.80 |
$2,428.80
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$171.00 |
$171.00 |
$186.60 |
$291.20
|
|
Tap block bilat cont infusion 64489
|
$178.20 |
$178.20 |
$187.20 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$145.80 |
$145.80 |
$153.00 |
$868.40
|
|
Tape plstc 1inx5yd hosp tb pk
|
$16.20 |
$16.20 |
$16.80 |
$2.06
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$26,609.40 |
$26,609.40 |
$26,609.40 |
$24,217.20
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$365.40 |
$365.40 |
$383.40 |
$931.50
|
|
Tavr perq femoral
|
$1,800.00 |
$1,800.00 |
$1,890.00 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$780.64 |
$780.64 |
$780.64 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$239.40 |
$239.40 |
$251.40 |
$181.80
|
|
Tc-99m exametazime diag
|
$1,605.60 |
$1,605.60 |
$1,686.00 |
$2,135.70
|
|
Tc-99m gluceptate
|
$729.00 |
$729.00 |
$765.60 |
$31.35
|
|
Tc-99m labeled rbc
|
$294.00 |
$294.00 |
$309.00 |
$306.00
|
|
Tc-99m maa
|
$187.20 |
$187.20 |
$196.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$169.80 |
$169.80 |
$178.80 |
$157.65
|
|
Tc-99m medronate
|
$63.60 |
$63.60 |
$67.20 |
$111.01
|
|
Tc-99m mertiatide
|
$530.40 |
$530.40 |
$557.40 |
$756.00
|
|
Tc-99m oxidronate
|
$120.60 |
$120.60 |
$127.20 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$121.20 |
$121.20 |
$127.80 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$114.00 |
$114.00 |
$120.00 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$133.80 |
$133.80 |
$141.00 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$302.40 |
$302.40 |
$318.00 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$338.40 |
$338.40 |
$355.80 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$201.60 |
$201.60 |
$211.80 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$243.00 |
$243.00 |
$255.60 |
$193.28
|
|
Tca peel dermal 15789
|
$1,011.60 |
$1,011.60 |
$1,062.00 |
$1,324.80
|
|
T cells absolute cd4/cd8 including ratio
|
$155.40 |
$155.40 |
$166.80 |
$185.28
|
|
T cells absolute cd 4 count
|
$88.20 |
$88.20 |
$98.40 |
$111.20
|
|
T cells total count
|
$127.80 |
$127.80 |
$142.80 |
$132.63
|
|
Teaec w/wo patch graft iliofemoral
|
$2,212.20 |
$2,212.20 |
$2,322.60 |
$6,120.00
|
|
Team conf w/pat by hc prof
|
$70.80 |
$70.80 |
$74.40 |
$104.59
|
|
Telehealth original site facility fee
|
$24.00 |
$24.00 |
$25.20 |
$51.00
|
|
Telethx isodose plan cplx
|
$631.80 |
$631.80 |
$690.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$361.80 |
$361.80 |
$395.40 |
$889.80
|
|
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)
|
$13,080.79 |
$13,080.79 |
$14,708.53 |
$14,951.87
|
|
Tenolysis extensor tendon hand/finger each
|
$1,035.00 |
$1,035.00 |
$1,086.60 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$1,057.20 |
$1,057.20 |
$1,110.00 |
$2,211.05
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$799.80 |
$799.80 |
$840.00 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$708.60 |
$708.60 |
$2,298.60 |
$2,211.05
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$19.51 |
$19.51 |
$19.51 |
$39.33
|
|
Teriparatide injection
|
$3,083.57 |
$3,083.57 |
$3,175.78 |
$7,403.20
|
|
Test for urine cystines
|
$166.80 |
$166.80 |
$186.00 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$576.60 |
$576.60 |
$629.40 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$523.20 |
$523.20 |
$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
|
$6,826.85 |
$6,826.85 |
$7,750.72 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$121.80 |
$121.80 |
$135.60 |
$108.00
|
|
Therapeutic procd strg endur
|
$61.80 |
$61.80 |
$69.00 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$70.20 |
$70.20 |
$75.60 |
$102.30
|
|
Therapy Exercise Session (each 15 minutes)
|
$78.60 |
$78.60 |
$91.20 |
$98.70
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$84.00 |
$84.00 |
$88.20 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$72.00 |
$72.00 |
$75.60 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$719.40 |
$719.40 |
$755.40 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$228.60 |
$228.60 |
$240.00 |
$3,837.72
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$211.80 |
$211.80 |
$231.60 |
$313.60
|
|
Thiotepa injection
|
$1,369.80 |
$1,369.80 |
$1,369.80 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,047.60 |
$1,047.60 |
$1,287.60 |
$1,738.26
|
|
Thoracic aortic graft 33875
|
$5,075.40 |
$5,075.40 |
$5,329.20 |
$5,329.20
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$475.80 |
$475.80 |
$499.80 |
$499.80
|
|
Thoracoabdominal graft 33877
|
$5,781.00 |
$5,781.00 |
$6,070.20 |
$8,824.00
|
|
Thoracoscopy bilobectomy 32670
|
$3,131.40 |
$3,131.40 |
$3,288.00 |
$3,910.40
|
|
Thoracoscopy diagnostic 32601
|
$571.80 |
$571.80 |
$600.60 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$394.20 |
$394.20 |
$414.00 |
$1,071.20
|
|
Thoracoscopy remove cortex
|
$1,593.00 |
$1,593.00 |
$1,672.80 |
$5,332.80
|
|
Thoracoscopy remove segment
|
$2,542.80 |
$2,542.80 |
$2,670.00 |
$5,331.20
|
|
Thoracoscopy remov fb/fibrin 32653
|
$1,937.40 |
$1,937.40 |
$2,034.00 |
$2,091.00
|
|
Thoracoscopy resect bullae 32655
|
$1,755.60 |
$1,755.60 |
$1,843.20 |
$4,204.20
|
|
Thoracoscopy surgical 32650
|
$1,230.00 |
$1,230.00 |
$1,291.80 |
$2,251.60
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$2,191.80 |
$2,191.80 |
$2,301.60 |
$5,335.20
|
|
Thoracoscopy/thoracic sympathectomy32664
|
$1,732.20 |
$1,732.20 |
$1,818.60 |
$4,083.95
|
|
Thoracoscopy/tot pulm decortication32652
|
$3,040.20 |
$3,040.20 |
$3,192.00 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$853.20 |
$853.20 |
$895.80 |
$6,463.42
|
