|
System recell skin grafting/harvesting
|
$8,955.20 |
$8,955.20 |
$8,955.20 |
$11,183.00
|
|
System sealant biosentry tract
|
$652.35 |
$652.35 |
$652.35 |
$890.03
|
|
T3 (triiodothyronine) free
|
$55.00 |
$55.00 |
$111.80 |
$100.00
|
|
T3 (triiodothyronine) total
|
$55.00 |
$55.00 |
$77.35 |
$93.52
|
|
T4 (thyroxine) free
|
$55.00 |
$55.00 |
$812.50 |
$87.30
|
|
T4 (thyroxine) total
|
$55.00 |
$55.00 |
$55.25 |
$68.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$1.85 |
$1.85 |
$170.70 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,208.10 |
$1,208.10 |
$1,208.10 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$66.43 |
$66.43 |
$231.40 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,272.00 |
$4,272.00 |
$4,272.00 |
$2,762.00
|
|
Tah rad debulk/lymph remove 58954
|
$5,380.00 |
$5,380.00 |
$5,380.00 |
$5,380.00
|
|
Tah rad dissect for debulk 58953
|
$4,964.80 |
$4,964.80 |
$4,964.80 |
$4,964.80
|
|
Tah w/mmk 58152
|
$3,129.60 |
$3,129.60 |
$3,129.60 |
$2,428.80
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$216.45 |
$216.45 |
$220.06 |
$288.60
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$88,021.00 |
$88,021.00 |
$88,021.00 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$35,941.50 |
$35,941.50 |
$35,941.50 |
$21,745.13
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$2.48 |
$2.48 |
$2.48 |
$14.62
|
|
Tap block bilat cont infusion 64489
|
$691.20 |
$691.20 |
$691.20 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$896.00 |
$896.00 |
$896.00 |
$868.40
|
|
Tape plstc 1inx5yd hosp tb pk
|
$3.04 |
$3.04 |
$3.04 |
$2.06
|
|
Target gsa panel hmtlmph neop
|
$934.05 |
$934.05 |
$1,519.20 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,839.20 |
$5,839.20 |
$5,839.20 |
$3,762.00
|
|
Target gsa panel organ neop
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$1,749.44
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$46,350.00 |
$46,350.00 |
$46,350.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
$6,003.27
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$520.00 |
$520.00 |
$520.00 |
$931.50
|
|
Tavr perq femoral
|
$2,966.40 |
$2,966.40 |
$26,642.20 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1.72 |
$1.72 |
$463.10 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$191.75 |
$191.75 |
$200.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$153.60 |
$153.60 |
$188.50 |
$181.80
|
|
Tc-99m apcitide diag
|
$1,765.30 |
$1,765.30 |
$1,765.30 |
$1,181.70
|
|
Tc-99m arcitumomab
|
$4,224.15 |
$4,224.15 |
$4,224.15 |
$2,085.68
|
|
Tc-99m bicisate
|
$7,128.20 |
$7,128.20 |
$7,128.20 |
$1,984.80
|
|
Tc-99m depreotide
|
$1,937.35 |
$1,937.35 |
$1,937.35 |
$1,486.80
|
|
Tc-99m diag per dose
|
$575.50 |
$575.50 |
$575.50 |
$470.40
|
|
Tc-99m disofenin
|
$339.80 |
$339.80 |
$339.80 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$3,445.70 |
$3,445.70 |
$8,194.15 |
$2,486.31
|
|
Tc-99m exametazime diag
|
$7,031.17 |
$7,031.17 |
$7,382.05 |
$2,135.70
|
|
Tc-99m fanolesomab diag
|
$17,688.75 |
$17,688.75 |
$17,688.75 |
$2,115.12
|
|
Tc-99m gluceptate
|
$1,105.40 |
$1,105.40 |
$1,105.40 |
$31.35
|
|
Tc-99m labeled rbc
|
$295.45 |
$295.45 |
$857.40 |
$306.00
|
|
Tc-99m maa
|
$83.92 |
$83.92 |
$760.95 |
$306.60
|
|
Tc-99m mebrofenin
|
$204.55 |
$204.55 |
$308.25 |
$157.50
|
|
Tc-99m medronate
|
$98.34 |
$98.34 |
$210.35 |
$111.01
|
|
Tc-99m mertiatide
|
$1,340.90 |
$1,340.90 |
$1,409.49 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$8.00 |
$8.00 |
$2,169.96 |
$6.50
|
|
Tc-99m oxidronate
|
$60.00 |
$60.00 |
$199.60 |
$108.04
|
|
Tc-99m pentetate dtpa
|
$118.01 |
$118.01 |
$627.25 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$417.82 |
$417.82 |
$627.25 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$83.92 |
$83.92 |
$99.30 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$60.80 |
$60.80 |
$335.80 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$221.60 |
$221.60 |
$380.24 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$2,988.10 |
$2,988.10 |
$2,988.10 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$334.40 |
$334.40 |
$855.40 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$198.05 |
$198.05 |
$198.05 |
$192.08
|
|
Tc-99m tilmanocept diag
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$958.31
|
|
Tca peel dermal 15789
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$764.80 |
$764.80 |
$764.80 |
$475.80
|
|
Tcd emboli detect without inj
|
$666.40 |
$666.40 |
$666.40 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$99.45 |
$99.45 |
$110.00 |
$185.28
|
|
T cells absolute cd 4 count
|
$110.00 |
$110.00 |
$110.00 |
$111.20
|
|
T cells total count
|
$73.45 |
$73.45 |
$110.00 |
$132.63
|
|
Tcranial magn stim tx deli
|
$312.00 |
$312.00 |
$312.00 |
$389.22
|
|
Tcranial magn stim tx plan
|
$513.60 |
$513.60 |
$513.60 |
$437.22
|
|
Tcran magn stim redetemine
|
$635.20 |
$635.20 |
$635.20 |
$457.60
|
|
Tdh sdrl/ventr pnxr
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$1,087.20
|
|
Teaec w/wo patch graft iliofemoral
|
$5,030.40 |
$5,030.40 |
$5,030.40 |
$6,120.00
|
|
Team conf without pat by hc pro
|
$67.20 |
$67.20 |
$67.20 |
$110.62
|
|
Team conf without pat by phys
|
$102.40 |
$102.40 |
$102.40 |
$139.05
|
|
Team conf w/pat by hc prof
|
$78.40 |
$78.40 |
$78.40 |
$105.70
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$107,550.00 |
$107,550.00 |
$107,550.00 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$1,642.24 |
$1,642.24 |
$1,642.24 |
$2,101.65
|
|
Telavancin injection
|
$3,365.50 |
$3,365.50 |
$3,365.50 |
$1,191.80
|
|
Telehealth original site facility fee
|
$26.00 |
$26.00 |
$61.60 |
$51.00
|
|
Telethx isodose plan cplx
|
$718.90 |
$718.90 |
$1,015.72 |
$1,526.85
|
|
Telethx isodose plan simple
|
$578.34 |
$578.34 |
$578.34 |
$889.80
|
|
Temozolomide 100 mg intravenous solution
|
$5,015.55 |
$5,015.55 |
$5,015.55 |
$1,867.28
|
|
Temperature gradient studies
|
$19.20 |
$19.20 |
$19.20 |
$242.25
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$77.60 |
$77.60 |
$10,501.70 |
$3,723.60
|
|
Tendon lengthening
|
$1,493.60 |
$1,493.60 |
$1,493.60 |
$3,986.00
|
|
Tendon lngth upr a/e ea tdn
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$3,591.33
|
|
Tendon shortening
|
$1,460.80 |
$1,460.80 |
$1,460.80 |
$3,786.00
|
|
Tendon transfer with graft
|
$2,200.80 |
$2,200.80 |
$2,200.80 |
$3,839.54
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$239.65 |
$239.65 |
$23,582.35 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$3,020.80 |
$3,020.80 |
$3,020.80 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$1,436.00 |
$1,436.00 |
$1,436.00 |
$2,811.20
|
|
Tenolysis triceps
|
$3,012.80 |
$3,012.80 |
$3,012.80 |
$4,350.00
|
|
Tenoplasty elbow to sho 1
|
$1,919.20 |
$1,919.20 |
$1,919.20 |
$7,807.24
|
|
Tenosynovectomy radic 26145
|
$1,266.40 |
$1,266.40 |
$1,266.40 |
$2,211.05
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$2,243.20 |
$2,243.20 |
$2,243.20 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$962.40 |
$962.40 |
$962.40 |
$2,211.05
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$71.60 |
$71.60 |
$92.00 |
$39.33
|
|
Teriparatide injection
|
$65.60 |
$65.60 |
$65.60 |
$7,498.09
|
|
Test for chlorohydrocarbons
|
$32.15 |
$32.15 |
$68.90 |
$61.60
|
|
Test for porphobilinogen
|
$33.57 |
$33.57 |
$33.57 |
$29.25
|
|
Test for urine cystines
|
$23.20 |
$23.20 |
$23.20 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$459.20 |
$459.20 |
$459.20 |
$842.56
|
|
Testosterone pellet 75 mg
|
$102.40 |
$102.40 |
$102.40 |
$102.40
|
|
Testosterone response panel
|
$129.60 |
$129.60 |
$129.60 |
$129.60
|
|
Testosterone undecanoate 1mg
|
$2.40 |
$2.40 |
$2.40 |
$3,528.08
|