|
Thoracoscopy remove segment
|
$3,271.20 |
$3,271.20 |
$3,271.20 |
$5,331.20
|
|
Thoracoscopy remov fb/fibrin 32653
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$2,091.00
|
|
Thoracoscopy resect bullae 32655
|
$4,651.20 |
$4,651.20 |
$4,651.20 |
$4,204.20
|
|
Thoracoscopy surgical 32650
|
$2,884.00 |
$2,884.00 |
$3,244.80 |
$2,251.60
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$3,633.00 |
$3,633.00 |
$5,707.20 |
$5,335.20
|
|
Thoracoscopy/thoracic sympathectomy32664
|
$4,124.80 |
$4,124.80 |
$4,124.80 |
$4,083.95
|
|
Thoracoscopy/tot pulm decortication32652
|
$5,101.00 |
$5,101.00 |
$8,091.20 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$6,463.42
|
|
Thoracoscopy wbx sac
|
$1,169.60 |
$1,169.60 |
$1,169.60 |
$7,586.80
|
|
Thoracoscopy w/lobectomy
|
$3,408.80 |
$3,408.80 |
$4,287.00 |
$3,408.80
|
|
Thoracoscopy w/mediast exc
|
$2,172.00 |
$2,172.00 |
$3,199.00 |
$2,172.00
|
|
Thoracoscopy w/pericard exc
|
$1,942.40 |
$1,942.40 |
$2,458.00 |
$1,942.40
|
|
Thoracoscopy w/pleurectomy 32656
|
$2,477.00 |
$2,477.00 |
$3,905.60 |
$3,409.02
|
|
Thoracoscopy w/sac drng 32659
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$1,780.00
|
|
Thoracoscopy w/sac fb remove
|
$1,736.80 |
$1,736.80 |
$1,736.80 |
$1,736.80
|
|
Thoracoscopy w/thymus resect
|
$2,964.80 |
$2,964.80 |
$2,964.80 |
$4,290.40
|
|
Thoracoscopy w/wedge resect
|
$2,677.00 |
$2,677.00 |
$4,232.00 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$383.20 |
$383.20 |
$477.00 |
$477.00
|
|
Thoracoscopy w w resect diag 32668
|
$383.20 |
$383.20 |
$383.20 |
$304.20
|
|
Thoracostomy w/flap drng 32036
|
$3,798.40 |
$3,798.40 |
$3,798.40 |
$3,198.00
|
|
Thoracostomy w/rib resection 32035
|
$3,544.00 |
$3,544.00 |
$3,544.00 |
$2,935.40
|
|
Thoracotomy opn free adhesions 32124
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$2,256.80
|
|
Thoracotomy w/expl
|
$1,973.60 |
$1,973.60 |
$2,988.00 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$2,468.00 |
$2,468.00 |
$3,119.06 |
$2,138.76
|
|
Thorax spine fusion
|
$3,044.00 |
$3,044.00 |
$4,285.00 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$529.60 |
$529.60 |
$529.60 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$630.40 |
$630.40 |
$630.40 |
$6,904.15
|
|
Thor rib belt custom fabrica
|
$308.00 |
$308.00 |
$308.00 |
$225.50
|
|
Thrcspy w/diag bp lng inf uni
|
$752.00 |
$752.00 |
$943.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$924.00 |
$924.00 |
$1,158.00 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,350.05 |
$1,350.05 |
$1,577.14 |
$1,708.85
|
|
Throat x-ray & fluoroscopy
|
$188.00 |
$188.00 |
$188.00 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$6,038.98 |
$6,038.98 |
$16,155.75 |
$3,720.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$8,560.13 |
$8,560.13 |
$14,558.84 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$1,715.35 |
$1,715.35 |
$25,466.14 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$2,337.40 |
$2,337.40 |
$28,646.92 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$3,626.00 |
$3,626.00 |
$5,520.00 |
$6,422.91
|
|
Thrombin time
|
$32.85 |
$32.85 |
$72.80 |
$53.76
|
|
Thrombin time titer
|
$17.60 |
$17.60 |
$17.60 |
$17.60
|
|
Thromboendarterectomy common femoral
|
$3,406.00 |
$3,406.00 |
$3,987.20 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$2,884.00 |
$2,884.00 |
$4,355.20 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$6,262.40 |
$6,262.40 |
$6,262.40 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$3,595.00 |
$3,595.00 |
$5,472.00 |
$5,472.00
|
|
Thrombomodulin
|
$35.20 |
$35.20 |
$35.20 |
$23.83
|
|
Thromboplastin inhibition
|
$32.85 |
$32.85 |
$32.85 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$32.85 |
$32.85 |
$116.35 |
$61.52
|
|
Thromboxane urine
|
$70.40 |
$70.40 |
$70.40 |
$119.40
|
|
Thumb fusion with graft
|
$3,928.00 |
$3,928.00 |
$3,928.00 |
$7,907.11
|
|
Thumb fusion with graft
|
$3,907.20 |
$3,907.20 |
$3,907.20 |
$7,807.24
|
|
Thumb tendon transfer
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$3,839.54
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$3,328.80 |
$3,328.80 |
$3,328.80 |
$3,328.80
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$2,564.00 |
$2,564.00 |
$3,131.00 |
$6,465.11
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$2,736.00 |
$2,736.00 |
$3,322.00 |
$2,736.00
|
|
Thyroglobulin antibody
|
$48.57 |
$48.57 |
$100.75 |
$83.25
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$3,366.40 |
$3,366.40 |
$3,366.40 |
$2,616.00
|
|
Thyroid imaging
|
$987.10 |
$987.10 |
$987.10 |
$695.02
|
|
Thyroid met imaging
|
$488.80 |
$488.80 |
$488.80 |
$838.25
|
|
Thyroid met imaging/studies
|
$642.40 |
$642.40 |
$642.40 |
$767.93
|
|
Thyroid mets imag whole body
|
$1,662.67 |
$1,662.67 |
$2,050.75 |
$1,524.99
|
|
Thyroid met uptake
|
$186.40 |
$186.40 |
$186.40 |
$407.40
|
|
Thyroid (TSH) Test
|
$55.00 |
$55.00 |
$37,992.15 |
$111.75
|
|
Thyroid Ultrasound
|
$785.85 |
$785.85 |
$843.24 |
$588.50
|
|
Thyroid uptake measurement
|
$523.72 |
$523.72 |
$596.70 |
$589.22
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$9,836.91 |
$9,836.91 |
$10,828.50 |
$4,152.21
|
|
Thyrotropin releasing hormone
|
$127.20 |
$127.20 |
$127.20 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$53.30 |
$53.30 |
$55.00 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$3,849.60 |
$3,849.60 |
$3,849.60 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$4,872.00 |
$4,872.00 |
$4,872.00 |
$10,629.07
|
|
Tib/per revasc stent & ather 37231
|
$68,368.00 |
$68,368.00 |
$68,368.00 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$20,937.42 |
$20,937.42 |
$20,937.42 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$17,259.72 |
$17,259.72 |
$17,259.72 |
$10,165.00
|
|
Tigecycline injection
|
$78.20 |
$78.20 |
$78.20 |
$235.29
|
|
Tilt table study
|
$1,860.47 |
$1,860.47 |
$1,860.47 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$359.50 |
$359.50 |
$359.50 |
$458.85
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$390.40 |
$390.40 |
$390.40 |
$715.00
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$436.00 |
$436.00 |
$436.00 |
$780.00
|
|
Tis cltr skn agrft t/a/l add
|
$291.20 |
$291.20 |
$291.20 |
$978.50
|
|
Tis cltr skn agrft t/a/l ea
|
$380.00 |
$380.00 |
$380.00 |
$650.00
|
|
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 culture placenta
|
$377.60 |
$377.60 |
$737.75 |
$453.00
|
|
Tissue culture skin/biopsy
|
$353.60 |
$353.60 |
$748.80 |
$498.40
|
|
Tissue culture tumor
|
$370.40 |
$370.40 |
$370.40 |
$486.50
|
|
Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm
|
$67.73 |
$67.73 |
$67.73 |
$67.73
|
|
Tissue exam koh skin/hair/nails
|
$38.58 |
$38.58 |
$50.70 |
$47.20
|
|
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
|
$48.57 |
$48.57 |
$139.75 |
$45.60
|
|
Tl-201 thallium diag per mci
|
$80.10 |
$80.10 |
$144.80 |
$80.10
|
|
Tlh uterus 250 g or less
|
$1,982.40 |
$1,982.40 |
$36,582.95 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$2,575.20 |
$2,575.20 |
$2,575.20 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$2,235.20 |
$2,235.20 |
$38,872.67 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$3,020.00 |
$3,020.00 |
$45,203.17 |
$12,320.22
|
|
Tlso 2 shl symphys-stern cst
|
$5,062.72 |
$5,062.72 |
$5,062.72 |
$1,808.59
|
|
Tmvr w/prosthetic ring 33426
|
$5,816.80 |
$5,816.80 |
$7,705.00 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$5,969.60 |
$5,969.60 |
$7,896.00 |
$5,969.60
|
|
Tnot opn elbw to sho ea tdn
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$73.20 |
$73.20 |
$354.15 |
$152.36
|
|
Tobramycin non-comp unit
|
$17.88 |
$17.88 |
$17.88 |
$108.42
|
