|
Sympathectomy supfc palmar
|
$3,880.00 |
$3,880.00 |
$3,880.00 |
|
|
Synch audio-only est high 40
|
$196.80 |
$265.60 |
$265.60 |
|
|
Synch audio-only est low 20
|
$90.60 |
$160.80 |
$160.80 |
|
|
Synch audio-only est mod 30
|
$132.60 |
$192.00 |
$235.00 |
|
|
Synch audio-only est sf 10
|
$49.20 |
$83.20 |
$83.20 |
|
|
Synch audio-only new high 60
|
$241.80 |
$367.20 |
$367.20 |
|
|
Synch audio-only new low 30
|
$117.00 |
$189.60 |
$189.60 |
|
|
Synch audio-only new mod 45
|
$183.60 |
$289.60 |
$289.60 |
|
|
Synch audio-only new sf 15
|
$67.80 |
$133.60 |
$133.60 |
|
|
Synojoynt, inj., 1 mg
|
$32.36 |
$32.36 |
$32.36 |
|
|
Synthetic sentence id test
|
$80.80 |
$80.80 |
$80.80 |
|
|
Synvisc or synvisc-one
|
$26.40 |
$272.00 |
$6,298.90 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$21.45 |
$48.57 |
$153.40 |
|
|
System cardiomems hosp electronics
|
$19,547.22 |
$24,023.02 |
$83,764.00 |
|
|
System pacing micra av
|
$4,783.32 |
$19,500.00 |
$34,803.67 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$5,704.92 |
$27,099.09 |
$41,690.91 |
|
|
System recell skin grafting/harvesting
|
$8,508.50 |
$8,955.20 |
$13,777.23 |
|
|
System sealant biosentry tract
|
$439.78 |
$652.35 |
$1,003.62 |
|
|
T3 (triiodothyronine) free
|
$55.00 |
$122.20 |
$243.60 |
|
|
T3 (triiodothyronine) total
|
$24.05 |
$77.35 |
$813.00 |
|
|
T4 (thyroxine) free
|
$55.00 |
$78.65 |
$38,275.10 |
|
|
T4 (thyroxine) total
|
$28.98 |
$55.00 |
$986.00 |
|
|
Tacrol envarsus ex rel oral
|
$1.77 |
$8.57 |
$14.21 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$1.00 |
$50.21 |
$206.20 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$438.20 |
$1,208.10 |
$1,208.10 |
|
|
Tacrolimus therapeutic drug level
|
$58.20 |
$120.25 |
$382.85 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$22.48 |
$4,272.00 |
$4,272.00 |
|
|
Tah rad debulk/lymph remove 58954
|
$3,901.20 |
$5,380.00 |
$5,380.00 |
|
|
Tah rad dissect for debulk 58953
|
$3,598.80 |
$4,964.80 |
$4,964.80 |
|
|
Tah w/mmk 58152
|
$2,313.00 |
$3,129.60 |
$3,129.60 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$102.06 |
$221.65 |
$625.00 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$88,021.00 |
$88,021.00 |
$88,021.00 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$109.97 |
$35,941.50 |
$35,941.50 |
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$2.31 |
$2.48 |
$3.00 |
|
|
Tap block bilat cont infusion 64489
|
$178.20 |
$691.20 |
$1,783.66 |
|
|
Tap block uni by cont infusion 64487
|
$145.80 |
$896.00 |
$1,465.36 |
|
|
Tape plstc 1inx5yd hosp tb pk
|
$3.02 |
$3.04 |
$16.80 |
|
|
Target gsa panel hmtlmph neop
|
$934.05 |
$1,519.20 |
$3,319.00 |
|
|
Target gsa panel organ/hmtlmph neop
|
$5,839.20 |
$5,839.20 |
$5,839.20 |
|
|
Target gsa panel organ neop
|
$1,196.00 |
$1,196.00 |
$1,418.95 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,470.00 |
$46,350.00 |
$46,350.00 |
|
|
Tas congenital car anomal
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$365.40 |
$520.00 |
$520.00 |
|
|
Tavr perq femoral
|
$1,800.00 |
$8,256.36 |
$35,076.54 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$0.80 |
$463.10 |
$992.65 |
|
|
Tbs dxa cal w/i&r fx risk
|
$943.00 |
$943.00 |
$943.00 |
|
|
Tbs techl calculation only
|
$186.55 |
$186.55 |
$203.45 |
|
|
Tbs techl prep&transmis data
|
$159.25 |
$159.25 |
$159.25 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$162.50 |
$200.00 |
$341.00 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$108.55 |
$164.45 |
$593.00 |
|
|
Tc-99m apcitide diag
|
$1,447.32 |
$1,765.30 |
$1,765.30 |
|
|
Tc-99m arcitumomab
|
$4,224.15 |
$4,224.15 |
$4,224.15 |
|
|
Tc-99m bicisate
|
$1,343.95 |
$7,128.20 |
$7,357.29 |
|
|
Tc-99m depreotide
|
$721.56 |
$1,937.35 |
$1,937.35 |
|
|
Tc-99m diag per dose
|
$220.08 |
$575.50 |
$575.50 |
|
|
Tc-99m disofenin
|
$95.04 |
$339.80 |
$339.80 |
|
|
Tc-99m exame autol wbc diag per dose
|
$3,378.47 |
$8,194.15 |
$8,194.15 |
|
|
Tc-99m exametazime diag
|
$1,605.60 |
$5,730.25 |
$7,382.05 |
|
|
Tc-99m fanolesomab diag
|
$1,590.96 |
$17,688.75 |
$17,688.75 |
|
|
Tc-99m gluceptate
|
$729.00 |
$1,105.40 |
$1,105.40 |
|
|
Tc-99m labeled rbc
|
$162.96 |
$384.60 |
$857.40 |
|
|
Tc-99m maa
|
$83.92 |
$542.56 |
$936.80 |
|
|
Tc-99m mebrofenin
|
$57.12 |
$275.24 |
$308.25 |
|
|
Tc-99m medronate
|
$63.60 |
$133.60 |
$2,287.35 |
|
|
Tc-99m mertiatide
|
$530.40 |
$966.40 |
$1,563.67 |
|
|
Tc-99m non-heu per study dose
|
$1.00 |
$4.20 |
$2,169.96 |
|
|
Tc-99m oxidronate
|
$60.00 |
$199.60 |
$252.71 |
|
|
Tc-99m pentetate dtpa
|
$37.60 |
$524.46 |
$797.11 |
|
|
Tc-99m pentetate dtpa aerosol
|
$92.80 |
$594.94 |
$973.13 |
|
|
Tc-99m pertechnetate per mci
|
$1.26 |
$99.30 |
$205.36 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$60.80 |
$302.00 |
$335.80 |
|
|
Tc-99m sestamibi p study dose
|
$120.60 |
$318.00 |
$577.26 |
|
|
Tc-99m succimer (dmsa)
|
$134.88 |
$802.24 |
$2,988.10 |
|
|
Tc-99m sulfur colloid
|
$201.60 |
$515.72 |
$3,100.40 |
|
|
Tc-99m tetrofosmin p study dose
|
$68.16 |
$198.05 |
$606.56 |
|
|
Tc-99m tilmanocept diag
|
$327.60 |
$2,740.00 |
$2,740.00 |
|
|
Tca peel dermal 15789
|
$1,011.60 |
$1,324.80 |
$1,324.80 |
|
|
Tcd emboli detect w/inj
|
$524.16 |
$764.80 |
$764.80 |
|
|
Tcd emboli detect without inj
|
$524.16 |
$666.40 |
$666.40 |
|
|
T cells absolute cd4/cd8 including ratio
|
$67.60 |
$110.00 |
$373.10 |
|
|
T cells absolute cd 4 count
|
$78.24 |
$110.00 |
$167.20 |
|
|
T cells total count
|
$67.60 |
$110.00 |
$313.95 |
|
|
Tcranial magn stim tx deli
|
$312.00 |
$312.00 |
$457.00 |
|
|
Tcranial magn stim tx plan
|
$513.60 |
$513.60 |
$711.00 |
|
|
Tcran magn stim redetemine
|
$322.40 |
$635.20 |
$635.20 |
|
|
Tdh sdrl/ventr pnxr
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
|
|
Teaec w/wo patch graft iliofemoral
|
$2,212.20 |
$5,030.40 |
$5,030.40 |
|
|
Team conf without pat by hc pro
|
$67.20 |
$67.20 |
$67.20 |
|
|
Team conf without pat by phys
|
$102.40 |
$102.40 |
$102.40 |
|
|
Team conf w/pat by hc prof
|
$70.80 |
$78.40 |
$185.25 |
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$328.72 |
$107,550.00 |
$107,550.00 |
|
|
Tee w or without fol w/cont,cong
|
$1,642.24 |
$1,720.64 |
$2,333.50 |
|
|
Tee w or without fol w/cont, mon
|
$1,431.95 |
$1,692.44 |
$1,976.69 |
|
|
Telavancin injection
|
$749.37 |
$874.26 |
$3,365.50 |
|
|
Telehealth original site facility fee
|
$24.00 |
$61.60 |
$81.00 |
|
|
Telethx isodose plan cplx
|
$513.50 |
$848.72 |
$4,403.75 |
|
|
Telethx isodose plan simple
|
$272.00 |
$578.34 |
$2,903.18 |
|
|
Temozolomide
|
$2.56 |
$4,671.14 |
$4,671.14 |
|
|
Temozolomide 100 mg intravenous solution
|
$1,818.11 |
$5,015.55 |
$5,015.55 |
|
|
Temperature gradient studies
|
$19.20 |
$19.20 |
$19.20 |
|
