|
Thoracoscopy w/lobectomy
|
$2,581.80 |
$2,581.80 |
$2,710.80 |
$3,408.80
|
|
Thoracoscopy w/mediast exc
|
$2,182.20 |
$2,182.20 |
$2,291.40 |
$2,172.00
|
|
Thoracoscopy w/pleurectomy 32656
|
$1,237.80 |
$1,237.80 |
$1,299.60 |
$3,409.02
|
|
Thoracoscopy w/sac drng 32659
|
$1,814.40 |
$1,814.40 |
$1,905.00 |
$1,780.00
|
|
Thoracoscopy w/thymus resect
|
$2,209.20 |
$2,209.20 |
$2,319.60 |
$4,290.40
|
|
Thoracoscopy w/wedge resect
|
$1,596.00 |
$1,596.00 |
$1,675.80 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$288.60 |
$288.60 |
$303.00 |
$477.00
|
|
Thoracoscopy w w resect diag 32668
|
$289.80 |
$289.80 |
$304.20 |
$304.20
|
|
Thoracostomy w/flap drng 32036
|
$1,582.20 |
$1,582.20 |
$1,661.40 |
$3,198.00
|
|
Thoracostomy w/rib resection 32035
|
$1,320.00 |
$1,320.00 |
$1,386.00 |
$2,935.40
|
|
Thoracotomy opn free adhesions 32124
|
$1,850.40 |
$1,850.40 |
$1,942.80 |
$2,256.80
|
|
Thoracotomy w/expl
|
$1,516.20 |
$1,516.20 |
$1,591.80 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,434.60 |
$1,434.60 |
$1,506.60 |
$2,138.76
|
|
Thorcscpy w/biop pleura
|
$220.20 |
$220.20 |
$231.00 |
$6,904.15
|
|
Thor rib belt custom fabrica
|
$51.00 |
$51.00 |
$53.40 |
$225.50
|
|
Thrcspy w/diag bp lng inf uni
|
$361.20 |
$361.20 |
$379.20 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$344.40 |
$344.40 |
$361.80 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$959.40 |
$959.40 |
$1,048.20 |
$1,703.45
|
|
Thrombectmy crnry perq mechanical
|
$2,287.80 |
$2,287.80 |
$2,547.00 |
$3,903.25
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,655.80 |
$6,655.80 |
$7,491.60 |
$8,095.35
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,733.00 |
$11,733.00 |
$13,552.20 |
$14,625.70
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,978.60 |
$18,978.60 |
$21,920.40 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$1,996.20 |
$1,996.20 |
$2,095.80 |
$6,422.91
|
|
Thrombin time
|
$117.60 |
$117.60 |
$123.60 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$1,565.40 |
$1,565.40 |
$1,643.40 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$1,701.00 |
$1,701.00 |
$1,786.20 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$1,747.80 |
$1,747.80 |
$1,835.40 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$2,141.40 |
$2,141.40 |
$2,248.20 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$117.60 |
$117.60 |
$123.60 |
$61.52
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$2,517.00 |
$2,517.00 |
$2,643.00 |
$3,328.80
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$2,100.60 |
$2,100.60 |
$2,205.60 |
$6,465.11
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$2,068.80 |
$2,068.80 |
$2,172.00 |
$2,736.00
|
|
Thyroglobulin antibody
|
$91.80 |
$91.80 |
$96.60 |
$83.25
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$2,491.20 |
$2,491.20 |
$2,616.00 |
$2,616.00
|
|
Thyroid imaging
|
$462.60 |
$462.60 |
$505.80 |
$696.75
|
|
Thyroid mets imag whole body
|
$655.80 |
$655.80 |
$716.40 |
$1,524.99
|
|
Thyroid met uptake
|
$222.60 |
$222.60 |
$243.60 |
$407.40
|
|
Thyroid (TSH) Test
|
$118.80 |
$118.80 |
$124.80 |
$111.75
|
|
Thyroid Ultrasound
|
$321.60 |
$321.60 |
$351.00 |
$588.50
|
|
Thyroid uptake measurement
|
$270.60 |
$270.60 |
$295.80 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,429.09 |
$3,429.09 |
$3,594.01 |
$4,152.21
|
|
Thyrotropin releasing hormone
|
$156.00 |
$156.00 |
$174.00 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$78.60 |
$78.60 |
$82.80 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$20,079.60 |
$20,079.60 |
$22,348.80 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$8,039.40 |
$8,039.40 |
$8,948.40 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$11,292.60 |
$11,292.60 |
$12,568.80 |
$10,165.00
|
|
Tigecycline injection
|
$117.25 |
$117.25 |
$117.25 |
$235.29
|
|
Tilt table study
|
$1,203.00 |
$1,203.00 |
$1,339.20 |
$1,569.40
|
|
Tirofiban 12.5 mg/50 ml
|
$452.93 |
$452.93 |
$452.93 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$11,729.55 |
$11,729.55 |
$12,657.66 |
$13,339.20
|
|
Tissue culture placenta
|
$453.00 |
$453.00 |
$504.00 |
$453.00
|
|
Tissue culture skin/biopsy
|
$589.20 |
$589.20 |
$656.40 |
$488.74
|
|
Tissue exam koh skin/hair/nails
|
$42.60 |
$42.60 |
$47.40 |
$47.20
|
|
Tissue transglutaminase iga
|
$45.60 |
$45.60 |
$51.60 |
$45.60
|
|
Tl-201 thallium diag per mci
|
$87.00 |
$87.00 |
$91.80 |
$80.10
|
|
Tlh uterus 250 g or less
|
$1,719.60 |
$1,719.60 |
$1,805.40 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$2,142.00 |
$2,142.00 |
$2,249.40 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$1,911.60 |
$1,911.60 |
$2,007.00 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$2,449.80 |
$2,449.80 |
$2,572.20 |
$12,320.22
|
|
Tmvr w/prosthetic ring 33426
|
$4,431.60 |
$4,431.60 |
$4,653.00 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$4,557.00 |
$4,557.00 |
$4,785.00 |
$5,969.60
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$33.23 |
$33.23 |
$33.23 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$101.40 |
$101.40 |
$112.80 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,733.60 |
$4,733.60 |
$4,733.60 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$207.00 |
$207.00 |
$226.20 |
$259.50
|
|
Tomosynthesis breast screen bilateral
|
$23.40 |
$23.40 |
$26.40 |
$74.10
|
|
Tone decay hearing test
|
$23.40 |
$23.40 |
$26.40 |
$90.37
|
|
Tongue biopsy; posterior one-third 41105
|
$315.00 |
$315.00 |
$330.60 |
$3,592.74
|
|
Tonsillectomy (age 12+)
|
$475.20 |
$475.20 |
$499.20 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$459.00 |
$459.00 |
$481.80 |
$6,056.50
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$570.18 |
$570.18 |
$570.18 |
$316.84
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$2,439.00 |
$2,439.00 |
$2,560.80 |
$3,364.80
|
|
Total Hip Replacement
|
$1,771.80 |
$1,771.80 |
$1,771.80 |
$9,161.60
|
|
Total hysterectomy
|
$1,848.60 |
$1,848.60 |
$1,941.00 |
$3,001.70
|
|
Total Knee Replacement
|
$1,770.00 |
$1,770.00 |
$1,770.00 |
$14,061.89
|
|
Total ob care failed vbac 59618
|
$4,564.80 |
$4,564.80 |
$4,792.80 |
$4,792.80
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$1,042.80 |
$1,042.80 |
$1,095.00 |
$1,230.40
|
|
Tot esophagectomy without thoracotomy 43107
|
$4,633.80 |
$4,633.80 |
$4,865.40 |
$7,284.80
|
|
Toxoplasma antibody igg
|
$84.60 |
$84.60 |
$94.20 |
$91.76
|
|
Toxoplasma antibody igm
|
$62.40 |
$62.40 |
$69.60 |
$89.05
|
|
Tpmt gene com vrnts
|
$419.40 |
$419.40 |
$467.40 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$5,748.93 |
$5,748.93 |
$6,148.46 |
$6,684.23
|
|
Trachelectomy (cervicectomy) 57530
|
$637.80 |
$637.80 |
$669.60 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$340.20 |
$340.20 |
$357.00 |
$1,437.45
|
|
Tracheostoma revision; simple, without flap rotation
|
$836.40 |
$836.40 |
$878.40 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$78.60 |
$78.60 |
$82.80 |
$103.40
|
|
Transab esoph hiat hern repair 43332
|
$1,838.40 |
$1,838.40 |
$1,930.20 |
$2,835.20
|
|
Transcath biopsy
|
$5,679.00 |
$5,679.00 |
$6,202.20 |
$4,285.93
|
|
Transcath closure of asd
|
$9,849.60 |
$9,849.60 |
$12,410.40 |
$17,352.58
|
|
Transcatheter bx s&i
|
$1,444.80 |
$1,444.80 |
$1,578.00 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$904.20 |
$904.20 |
$949.20 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$3,829.20 |
$3,829.20 |
$4,020.60 |
$13,384.80
|
|
Transcath occlusion non-cns
|
$4,098.60 |
$4,098.60 |
$4,734.00 |
$10,416.60
|
|
Trans cath replace aortic valve 33366
|
$3,885.00 |
$3,885.00 |
$4,079.40 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,843.00 |
$3,843.00 |
$4,277.40 |
$4,822.00
|
|
Transcutaneous hgb 88738
|
$13.20 |
$13.20 |
$13.80 |
$13.20
|
|
Transferrin
|
$73.20 |
$73.20 |
$81.60 |
$82.00
|
|
Transparent film <= 16 sq in
|
$3.00 |
$3.00 |
$3.00 |
$4.50
|
|
Transthor diaphrag hern repair 43334
|
$2,244.60 |
$2,244.60 |
$2,356.80 |
$3,052.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$337.20 |
$337.20 |
$368.40 |
$563.55
|
