|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$422.00 |
$422.00 |
$422.00 |
$15,383.12
|
|
Total tau
|
$991.83 |
$991.83 |
$991.83 |
$312.50
|
|
Toxoplasma antibody igg
|
$314.26 |
$314.26 |
$314.26 |
$89.40
|
|
Toxoplasma antibody igm
|
$180.59 |
$180.59 |
$180.59 |
$87.00
|
|
Tp53 gene full gene sequence
|
$899.59 |
$899.59 |
$899.59 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,616.61 |
$1,616.61 |
$1,616.61 |
$790.68
|
|
Tpmt gene com vrnts
|
$1,115.96 |
$1,115.96 |
$1,115.96 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$3,829.54 |
$3,829.54 |
$3,829.54 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,425.34 |
$2,425.34 |
$2,425.34 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$135.53 |
$135.53 |
$135.53 |
$101.25
|
|
Transcath biopsy
|
$16,180.34 |
$16,180.34 |
$16,180.34 |
$4,285.93
|
|
Transcath closure of asd
|
$84,664.27 |
$84,664.27 |
$84,664.27 |
$16,741.40
|
|
Transcath closure of vsd
|
$72,986.84 |
$72,986.84 |
$72,986.84 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,536.35 |
$1,536.35 |
$1,536.35 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$54,909.71 |
$54,909.71 |
$54,909.71 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$54,909.71 |
$54,909.71 |
$54,909.71 |
$12,418.00
|
|
Transcath occlusion cns
|
$31,300.20 |
$31,300.20 |
$31,300.20 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$46,870.01 |
$46,870.01 |
$46,870.01 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$13,904.65 |
$13,904.65 |
$13,904.65 |
$4,775.16
|
|
Transferrin
|
$163.16 |
$163.16 |
$163.16 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$3,498.82 |
$3,498.82 |
$3,498.82 |
$983.00
|
|
Trastuzumab 150 mg intravenous solution
|
$1,054.19 |
$1,054.19 |
$1,054.19 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$37,384.40 |
$37,384.40 |
$37,384.40 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$514.18 |
$514.18 |
$514.18 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$6,053.51 |
$6,053.51 |
$6,053.51 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$8,885.48 |
$8,885.48 |
$8,885.48 |
$940.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$207.95 |
$207.95 |
$207.95 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$210.80 |
$210.80 |
$210.80 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$348.99 |
$348.99 |
$348.99 |
$203.35
|
|
Treatment of retinal lesion
|
$19,668.72 |
$19,668.72 |
$19,668.72 |
$5,405.82
|
|
Treatment radiation delivery level 2
|
$7,593.75 |
$7,593.75 |
$7,593.75 |
$767.65
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$36,694.86 |
$36,694.86 |
$36,694.86 |
$73,346.25
|
|
Treponema pallidum antibody
|
$74.60 |
$74.60 |
$74.60 |
$70.40
|
|
Trg gene rearrangement anal
|
$3,443.54 |
$3,443.54 |
$3,443.54 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$25.10 |
$25.10 |
$25.10 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$9,392.03 |
$9,392.03 |
$9,392.03 |
$223.56
|
|
Trichinella antibody
|
$156.12 |
$156.12 |
$156.12 |
$70.20
|
|
#tricyclicantidprssnt
|
$191.15 |
$191.15 |
$191.15 |
$50.86
|
|
Triglycerides
|
$330.97 |
$330.97 |
$330.97 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$55.87 |
$55.87 |
$55.87 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$540.75 |
$540.75 |
$540.75 |
$117.49
|
|
Triptorelin pamoate
|
$18,746.07 |
$18,746.07 |
$18,746.07 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$13,628.40 |
$13,628.40 |
$13,628.40 |
$7,795.71
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$57,241.25 |
$57,241.25 |
$57,241.25 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$72,797.16 |
$72,797.16 |
$72,797.16 |
$15,330.11
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$12,544.83 |
$12,544.83 |
$12,544.83 |
$4,250.25
|
|
Troponin quantitative
|
$123.56 |
$123.56 |
$123.56 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$3,387.23 |
$3,387.23 |
$3,387.23 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$3,755.34 |
$3,755.34 |
$3,755.34 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$2,282.00 |
$2,282.00 |
$2,282.00 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$2,282.00 |
$2,282.00 |
$2,282.00 |
$1,077.92
|
|
Tx atrial fib pulm vein isol
|
$129,144.05 |
$129,144.05 |
$129,144.05 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$56,780.57 |
$56,780.57 |
$56,780.57 |
$6,769.00
|
|
Ua w/micro/comp poc
|
$20.96 |
$20.96 |
$20.96 |
$23.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$716.99 |
$716.99 |
$716.99 |
$20,945.01
|
|
Ugt1a1 gene analy common variants
|
$2,041.63 |
$2,041.63 |
$2,041.63 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$942.66 |
$942.66 |
$942.66 |
$394.20
|
|
Ultrasound breast complete
|
$1,885.32 |
$1,885.32 |
$1,885.32 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,885.32 |
$1,885.32 |
$1,885.32 |
$449.35
|
|
Ultrasound chest
|
$942.66 |
$942.66 |
$942.66 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$438.00 |
$438.00 |
$438.00 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$942.66 |
$942.66 |
$942.66 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$942.66 |
$942.66 |
$942.66 |
$307.00
|
|
Ultrasound encephalogram
|
$942.66 |
$942.66 |
$942.66 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$1,414.02 |
$1,414.02 |
$1,414.02 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$861.92 |
$861.92 |
$861.92 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$942.66 |
$942.66 |
$942.66 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$942.66 |
$942.66 |
$942.66 |
$720.15
|
|
Ultrasound guide intraoperative
|
$861.92 |
$861.92 |
$861.92 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$942.66 |
$942.66 |
$942.66 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$942.66 |
$942.66 |
$942.66 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$942.66 |
$942.66 |
$942.66 |
$311.25
|
|
Ultrasound joint complete left
|
$1,962.27 |
$1,962.27 |
$1,962.27 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$3,228.37 |
$3,228.37 |
$3,228.37 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$204.75 |
$204.75 |
$204.75 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$861.92 |
$861.92 |
$861.92 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$861.92 |
$861.92 |
$861.92 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$501.00 |
$501.00 |
$501.00 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$861.92 |
$861.92 |
$861.92 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$861.92 |
$861.92 |
$861.92 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$942.66 |
$942.66 |
$942.66 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$1,962.27 |
$1,962.27 |
$1,962.27 |
$486.50
|
|
Ultrasound scrotum and contents
|
$942.66 |
$942.66 |
$942.66 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$942.66 |
$942.66 |
$942.66 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$501.00 |
$501.00 |
$501.00 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$861.92 |
$861.92 |
$861.92 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$942.66 |
$942.66 |
$942.66 |
$568.32
|
|
Ultraviolet therapy
|
$70.99 |
$70.99 |
$70.99 |
$39.76
|
|
Unlistd noninvas vasc dx std
|
$1,968.26 |
$1,968.26 |
$1,968.26 |
$528.80
|
|
Unlisted chemotherapy px
|
$835.29 |
$835.29 |
$835.29 |
$150.00
|
|
Unlisted cytogenetic study
|
$123.56 |
$123.56 |
$123.56 |
$160.18
|
|
Unlisted fluoroscopic px
|
$580.34 |
$580.34 |
$580.34 |
$305.76
|
|
Unlisted hematology&coagj px
|
$53.64 |
$53.64 |
$53.64 |
$39.52
|
|
Unlisted maaa
|
$2,374.62 |
$2,374.62 |
$2,374.62 |
$235.20
|
|
Unlisted mr procedure
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
$1,163.00
|
|
Unlisted neurological dx px
|
$1,607.54 |
$1,607.54 |
$1,607.54 |
$242.50
|
|
Unlisted procedure liver
|
$3,350.90 |
$3,350.90 |
$3,350.90 |
$2,287.20
|
|
Unlisted procedure microbiology
|
$5,036.59 |
$5,036.59 |
$5,036.59 |
$523.50
|
|
Unlisted psychiatric service/proc 90899
|
$1,722.59 |
$1,722.59 |
$1,722.59 |
$277.76
|
|
Unlisted px casting/strpg
|
$549.20 |
$549.20 |
$549.20 |
$219.70
|
