|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$77.60 |
$3,841.93 |
$10,501.70 |
|
|
Tendon lengthening
|
$1,493.60 |
$1,493.60 |
$1,493.60 |
|
|
Tendon lngth upr a/e ea tdn
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
|
|
Tendon shortening
|
$1,460.80 |
$1,460.80 |
$1,460.80 |
|
|
Tendon transfer with graft
|
$2,200.80 |
$2,200.80 |
$2,200.80 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$238.61 |
$16,814.41 |
$23,582.35 |
|
|
Tenodesis biceps tdn at elbw
|
$3,020.80 |
$3,020.80 |
$53,277.60 |
|
|
Tenolysis extensor tendon hand/finger each
|
$1,035.00 |
$1,436.00 |
$24,836.75 |
|
|
Tenolysis triceps
|
$3,012.80 |
$3,012.80 |
$3,012.80 |
|
|
Tenoplasty elbow to sho 1
|
$1,919.20 |
$1,919.20 |
$1,919.20 |
|
|
Tenosynovectomy radic 26145
|
$1,057.20 |
$1,266.40 |
$18,959.05 |
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$799.80 |
$2,243.20 |
$2,243.20 |
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$511.68 |
$962.40 |
$27,344.53 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$6.90 |
$71.60 |
$92.00 |
|
|
Teriparatide injection
|
$65.60 |
$65.60 |
$3,175.78 |
|
|
Test for chlorohydrocarbons
|
$32.15 |
$32.15 |
$68.90 |
|
|
Test for porphobilinogen
|
$33.57 |
$33.57 |
$56.35 |
|
|
Test for urine cystines
|
$23.20 |
$23.20 |
$186.00 |
|
|
Testicular imaging w/vasc flow
|
$459.20 |
$459.20 |
$1,427.44 |
|
|
Testosterone pellet 75 mg
|
$102.40 |
$102.40 |
$1,421.90 |
|
|
Testosterone response panel
|
$129.60 |
$129.60 |
$129.60 |
|
|
Testosterone undecanoate 1mg
|
$2.40 |
$2.40 |
$5,077.59 |
|
|
Test pathogen(s) for platelets reference
|
$70.00 |
$73.45 |
$160.00 |
|
|
Test stress cardiovascular tracing only
|
$523.20 |
$765.05 |
$1,365.00 |
|
|
Test urine for lactose
|
$23.20 |
$23.20 |
$23.20 |
|
|
Test urine for porphyrins
|
$27.20 |
$27.20 |
$49.98 |
|
|
Test urine urobilinogen
|
$9.60 |
$9.60 |
$23.94 |
|
|
Tetanus ig im
|
$624.00 |
$624.00 |
$624.00 |
|
|
Tetanus immune globulin inj
|
$634.40 |
$1,073.68 |
$2,622.15 |
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$32.04 |
$22,937.05 |
$22,937.05 |
|
|
Tgsap hl neo 5-50 rna alys
|
$729.16 |
$729.16 |
$729.16 |
|
|
Tgsap so/hl 51/< rna alys
|
$2,802.82 |
$2,802.82 |
$2,802.82 |
|
|
Tgsap so neo 5-50 rna alys
|
$792.10 |
$792.10 |
$792.10 |
|
|
Thaw cryoprsvrd reprod tiss
|
$419.20 |
$419.20 |
$419.20 |
|
|
Thawing cryopresrved embryo
|
$419.20 |
$419.20 |
$419.20 |
|
|
Thawing cryopresrved oocyte
|
$419.20 |
$419.20 |
$419.20 |
|
|
Thawing cryopresrved sperm
|
$419.20 |
$419.20 |
$419.20 |
|
|
Thaw preserved stem cells
|
$1,236.48 |
$1,236.48 |
$1,236.48 |
|
|
Theophylline therapeutic drug level
|
$66.43 |
$88.69 |
$267.00 |
|
|
Therapeutic procd strg endur
|
$44.85 |
$83.16 |
$132.48 |
|
|
Therapeutic pulpotomy
|
$18,488.57 |
$42,261.80 |
$44,598.30 |
|
|
Therapy activation ipnss
|
$228.80 |
$228.80 |
$228.80 |
|
|
Therapy activity per session >= 45 minutes
|
$72.73 |
$173.28 |
$650.00 |
|
|
Therapy Activity Training (each 15 minutes)
|
$54.72 |
$128.00 |
$50,282.56 |
|
|
Therapy Exercise Session (each 15 minutes)
|
$56.70 |
$129.35 |
$3,376.00 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$18.72 |
$83.20 |
$315.00 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$17.28 |
$72.00 |
$803.00 |
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$283.20 |
$283.20 |
$755.40 |
|
|
Ther fx nasal inf turbinate
|
$228.60 |
$291.20 |
$57,237.11 |
|
|
Ther nma rdctj intus/obstrcj
|
$524.80 |
$524.80 |
$718.36 |
|
|
Ther/proph/diag inj ia
|
$40.00 |
$181.35 |
$522.12 |
|
|
Ther radiology tx plng cplx
|
$332.00 |
$332.00 |
$544.00 |
|
|
Ther radiology tx plng intrm
|
$224.00 |
$224.00 |
$349.00 |
|
|
Ther radiology tx plng smpl
|
$148.80 |
$148.80 |
$148.80 |
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$5.80 |
$41.79 |
$77.96 |
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$65.28 |
$317.60 |
$65,462.18 |
|
|
Thiotepa 15 mg solution for injection
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
|
|
Thiotepa injection
|
$1,369.80 |
$1,369.80 |
$1,369.80 |
|
|
Thorabd diaphr hern repair
|
$3,542.40 |
$3,542.40 |
$3,542.40 |
|
|
Thorabd diaphr hern repair
|
$3,777.60 |
$3,777.60 |
$3,777.60 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$701.76 |
$1,532.80 |
$6,098.00 |
|
|
Thoracic aortic graft 33875
|
$5,075.40 |
$6,691.20 |
$6,691.20 |
|
|
Thoracic duct procedure
|
$1,406.40 |
$1,406.40 |
$1,406.40 |
|
|
Thoracic duct procedure
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
|
|
Thoracic duct procedure
|
$1,656.80 |
$1,656.80 |
$1,656.80 |
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$475.80 |
$524.80 |
$703.00 |
|
|
Thoracoabdominal graft 33877
|
$5,781.00 |
$8,824.00 |
$11,598.00 |
|
|
Thoracoscop w/esoph musc exc
|
$2,999.20 |
$2,999.20 |
$2,999.20 |
|
|
Thoracoscopy bilobectomy 32670
|
$3,131.40 |
$3,910.40 |
$5,407.50 |
|
|
Thoracoscopy diagnostic 32601
|
$571.80 |
$752.80 |
$2,728.74 |
|
|
Thoracoscopy for lvrs
|
$3,711.20 |
$3,711.20 |
$3,711.20 |
|
|
Thoracoscopy lymph node exc
|
$394.20 |
$525.60 |
$653.00 |
|
|
Thoracoscopy pneumonectomy
|
$4,325.60 |
$4,325.60 |
$4,325.60 |
|
|
Thoracoscopy remove cortex
|
$1,593.00 |
$5,332.80 |
$5,332.80 |
|
|
Thoracoscopy remove segment
|
$2,542.80 |
$3,271.20 |
$3,271.20 |
|
|
Thoracoscopy remov fb/fibrin 32653
|
$1,937.40 |
$2,587.20 |
$2,587.20 |
|
|
Thoracoscopy resect bullae 32655
|
$1,755.60 |
$4,651.20 |
$4,651.20 |
|
|
Thoracoscopy surgical 32650
|
$1,230.00 |
$3,244.80 |
$3,244.80 |
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$2,191.80 |
$5,707.20 |
$5,707.20 |
|
|
Thoracoscopy/thoracic sympathectomy32664
|
$1,732.20 |
$4,124.80 |
$4,124.80 |
|
|
Thoracoscopy/tot pulm decortication32652
|
$3,040.20 |
$8,091.20 |
$8,091.20 |
|
|
Thoracoscopy w/bx med space
|
$853.20 |
$1,128.00 |
$1,128.00 |
|
|
Thoracoscopy wbx sac
|
$1,169.60 |
$1,169.60 |
$1,169.60 |
|
|
Thoracoscopy w/lobectomy
|
$2,581.80 |
$3,408.80 |
$4,287.00 |
|
|
Thoracoscopy w/mediast exc
|
$2,172.00 |
$2,172.00 |
$3,199.00 |
|
|
Thoracoscopy w/pericard exc
|
$1,942.40 |
$1,942.40 |
$2,458.00 |
|
|
Thoracoscopy w/pleurectomy 32656
|
$1,237.80 |
$3,905.60 |
$3,905.60 |
|
|
Thoracoscopy w/sac drng 32659
|
$1,780.00 |
$1,780.00 |
$1,905.00 |
|
|
Thoracoscopy w/sac fb remove
|
$1,736.80 |
$1,736.80 |
$1,736.80 |
|
|
Thoracoscopy w/thymus resect
|
$2,209.20 |
$2,964.80 |
$2,964.80 |
|
|
Thoracoscopy w/wedge resect
|
$1,596.00 |
$4,232.00 |
$4,232.00 |
|
|
Thoracoscopy w w resect addl 32667
|
$288.60 |
$383.20 |
$477.00 |
|
|
Thoracoscopy w w resect diag 32668
|
$289.80 |
$383.20 |
$383.20 |
|
|
Thoracostomy w/flap drng 32036
|
$1,582.20 |
$3,798.40 |
$3,798.40 |
|
|
Thoracostomy w/rib resection 32035
|
$1,320.00 |
$3,544.00 |
$3,544.00 |
|
|
Thoracotomy opn free adhesions 32124
|
$1,850.40 |
$2,256.80 |
$2,256.80 |
|
|
Thoracotomy w/expl
|
$1,516.20 |
$1,973.60 |
$4,530.96 |
|
|
Thoracotomy with cardiac massage
|
$1,434.60 |
$1,940.00 |
$3,119.06 |
|
|
Thorax spine fusion
|
$3,044.00 |
$3,044.00 |
$4,285.00 |
|
|
Thorax stereo rad targetw/tx
|
$529.60 |
$529.60 |
$529.60 |
|
