|
Thorcscpy w/biop pleura
|
$220.20 |
$630.40 |
$2,728.74 |
|
|
Thor rib belt custom fabrica
|
$51.00 |
$308.00 |
$308.00 |
|
|
Thrcspy w/diag bp lng inf uni
|
$361.20 |
$752.00 |
$943.00 |
|
|
Thrcspy w/diag bp lng nod uni
|
$344.40 |
$924.00 |
$3,978.66 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$560.95 |
$1,422.72 |
$2,233.00 |
|
|
Throat x-ray & fluoroscopy
|
$188.00 |
$188.00 |
$188.00 |
|
|
Thrombectmy crnry perq mechanical
|
$381.60 |
$4,485.07 |
$24,855.00 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$633.60 |
$8,560.13 |
$14,558.84 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$796.20 |
$19,708.23 |
$43,513.72 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$928.80 |
$25,104.30 |
$32,295.25 |
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$1,996.20 |
$5,520.00 |
$5,520.00 |
|
|
Thrombin time
|
$32.85 |
$33.80 |
$186.55 |
|
|
Thrombin time titer
|
$17.60 |
$17.60 |
$17.60 |
|
|
Thromboendarterectomy common femoral
|
$1,565.40 |
$3,987.20 |
$24,054.80 |
|
|
Thromboendarterectomy including patch graft if preformed;
|
$1,701.00 |
$4,355.20 |
$4,355.20 |
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$1,747.80 |
$6,262.40 |
$6,262.40 |
|
|
Thromboendarterectomy sfa
|
$2,141.40 |
$5,472.00 |
$5,472.00 |
|
|
Thrombomodulin
|
$35.20 |
$35.20 |
$35.20 |
|
|
Thromboplastin inhibition
|
$32.85 |
$32.85 |
$32.85 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$32.85 |
$41.60 |
$179.00 |
|
|
Thromboxane urine
|
$70.40 |
$70.40 |
$70.40 |
|
|
Thumb fusion with graft
|
$3,928.00 |
$3,928.00 |
$3,928.00 |
|
|
Thumb fusion with graft
|
$2,896.00 |
$3,907.20 |
$3,907.20 |
|
|
Thumb tendon transfer
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$2,517.00 |
$3,328.80 |
$3,328.80 |
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$2,100.60 |
$2,564.00 |
$3,131.00 |
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$2,068.80 |
$2,736.00 |
$3,322.00 |
|
|
Thyroglobulin antibody
|
$38.64 |
$90.16 |
$1,875.00 |
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$1,781.28 |
$3,366.40 |
$3,366.40 |
|
|
Thyroid imaging
|
$228.48 |
$462.60 |
$987.10 |
|
|
Thyroid met imaging
|
$393.12 |
$488.80 |
$844.12 |
|
|
Thyroid met imaging/studies
|
$642.40 |
$642.40 |
$642.40 |
|
|
Thyroid mets imag whole body
|
$655.80 |
$1,100.05 |
$2,050.75 |
|
|
Thyroid met uptake
|
$186.40 |
$186.40 |
$494.65 |
|
|
Thyroid (TSH) Test
|
$55.00 |
$118.80 |
$37,992.15 |
|
|
Thyroid Ultrasound
|
$247.20 |
$514.80 |
$1,209.00 |
|
|
Thyroid uptake measurement
|
$171.20 |
$363.92 |
$900.80 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,215.20 |
$4,745.38 |
$10,828.50 |
|
|
Thyrotropin releasing hormone
|
$127.20 |
$127.20 |
$174.00 |
|
|
Thyroxine binding globulin (tbg)
|
$32.64 |
$55.00 |
$82.80 |
|
|
Tibial arthroscopy/surgery
|
$3,849.60 |
$3,849.60 |
$22,202.51 |
|
|
Tibial arthroscopy/surgery
|
$4,872.00 |
$4,872.00 |
$4,872.00 |
|
|
Tib/per revasc stent & ather 37231
|
$1,274.40 |
$68,368.00 |
$68,368.00 |
|
|
Tib/per revasc stnt & ather
|
$8,039.40 |
$19,827.20 |
$35,148.76 |
|
|
Tib/per revasc w/ather add-on 37233
|
$690.60 |
$12,568.80 |
$52,944.00 |
|
|
Tigecycline injection
|
$6.40 |
$117.25 |
$508.10 |
|
|
Tilt table study
|
$362.40 |
$1,339.20 |
$5,721.72 |
|
|
Tirofiban 12.5 mg/50 ml
|
$359.50 |
$452.93 |
$535.33 |
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$390.40 |
$390.40 |
$390.40 |
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$436.00 |
$436.00 |
$436.00 |
|
|
Tis cltr skn agrft t/a/l add
|
$291.20 |
$291.20 |
$291.20 |
|
|
Tis cltr skn agrft t/a/l ea
|
$380.00 |
$380.00 |
$380.00 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$277.70 |
$22,202.40 |
$69,616.25 |
|
|
Tissue amnio epifix inj 100mg
|
$2,428.40 |
$2,555.89 |
$3,932.14 |
|
|
Tissue culture placenta
|
$377.60 |
$377.60 |
$737.75 |
|
|
Tissue culture skin/biopsy
|
$353.60 |
$353.60 |
$748.80 |
|
|
Tissue culture tumor
|
$370.40 |
$370.40 |
$493.43 |
|
|
Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm
|
$67.73 |
$67.73 |
$104.20 |
|
|
Tissue exam koh skin/hair/nails
|
$28.60 |
$38.58 |
$84.50 |
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$271.69 |
$271.69 |
$417.99 |
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$49.04 |
$49.04 |
$75.45 |
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$38.88 |
$38.88 |
$59.82 |
|
|
Tissue transglutaminase iga
|
$26.65 |
$50.82 |
$1,240.00 |
|
|
Tixagev and cilgav inj
|
$106.56 |
$108.78 |
$113.82 |
|
|
Tl-201 thallium diag per mci
|
$32.64 |
$80.10 |
$165.19 |
|
|
Tlh uterus 250 g or less
|
$1,719.60 |
$1,982.40 |
$67,575.53 |
|
|
Tlh uterus over 250 g
|
$2,142.00 |
$2,575.20 |
$2,575.20 |
|
|
Tlh w/t/o 250 g or less
|
$1,911.60 |
$2,235.20 |
$67,723.81 |
|
|
Tlh w/t/o uterus over 250 g
|
$2,449.80 |
$3,020.00 |
$70,167.33 |
|
|
Tlso 2 shl symphys-stern cst
|
$5,062.72 |
$5,062.72 |
$5,062.72 |
|
|
Tmvr w/prosthetic ring 33426
|
$4,431.60 |
$5,816.80 |
$7,705.00 |
|
|
Tmvr w/rad reconst w or without ring 33427
|
$4,557.00 |
$5,969.60 |
$7,896.00 |
|
|
Tnot opn elbw to sho ea tdn
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$3.60 |
$38.32 |
$1,035.22 |
|
|
Tobramycin non-comp unit
|
$7.68 |
$12.08 |
$33.25 |
|
|
Tobramycin peak therapeutic drug level
|
$66.43 |
$99.84 |
$187.00 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$7.20 |
$5,382.05 |
$12,214.20 |
|
|
Tocilizumab for covid-19
|
$10.73 |
$10.73 |
$10.73 |
|
|
Toe X-ray (both feet)
|
$140.64 |
$241.94 |
$684.00 |
|
|
Tomosynthesis breast diagnostic left
|
$58.50 |
$341.00 |
$8,276.33 |
|
|
Tomosynthesis breast screen bilateral
|
$23.40 |
$85.80 |
$2,249.00 |
|
|
Tone decay hearing test
|
$23.40 |
$64.80 |
$64.80 |
|
|
Tongue and neck surgery
|
$7,945.00 |
$7,945.00 |
$7,945.00 |
|
|
Tongue base vol reduction
|
$5,772.00 |
$5,772.00 |
$5,772.00 |
|
|
Tongue biopsy; posterior one-third 41105
|
$315.00 |
$435.20 |
$17,893.42 |
|
|
Tongue mouth jaw surgery
|
$5,428.00 |
$5,428.00 |
$5,428.00 |
|
|
Tongue suspension
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
|
|
Tongue to lip surgery
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
|
|
Tonsillectomy (age 12+)
|
$475.20 |
$622.40 |
$31,085.19 |
|
|
Tonsillectomy (child under 12)
|
$459.00 |
$650.40 |
$28,175.61 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$30.64 |
$188.75 |
$643.90 |
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$48,786.25 |
$48,786.25 |
$48,786.25 |
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$2,439.00 |
$3,364.80 |
$3,364.80 |
|
|
Total hip arthroplasty
|
$5,700.00 |
$8,249.60 |
$8,249.60 |
|
|
Total Hip Replacement
|
$1,771.80 |
$6,675.20 |
$81,256.87 |
|
|
Total hysterectomy
|
$1,848.60 |
$2,520.80 |
$27,205.95 |
|
|
Total Knee Replacement
|
$1,674.24 |
$6,668.80 |
$106,863.76 |
|
|
Total lung lavage
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
|
|
Total ob care failed vbac 59618
|
$4,564.80 |
$4,795.20 |
$8,318.00 |
|
|
Total tau
|
$64.28 |
$64.28 |
$183.95 |
|
