|
Therapy activation ipnss
|
$462.38 |
$462.38 |
$462.38 |
$226.24
|
|
Therapy activity per session >= 45 minutes
|
$190.40 |
$190.40 |
$190.40 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$18.90 |
$18.90 |
$87.60 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$38.78 |
$38.78 |
$38.78 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$8,369.58 |
$8,369.58 |
$8,369.58 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$1,425.02 |
$1,425.02 |
$1,425.02 |
$529.08
|
|
Ther/proph/diag inj ia
|
$315.00 |
$315.00 |
$410.00 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$12.24 |
$12.24 |
$24.71 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$546.31 |
$546.31 |
$546.31 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$728.65 |
$728.65 |
$728.65 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$234.74 |
$234.74 |
$234.74 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$502.45 |
$502.45 |
$502.45 |
$657.72
|
|
Thorac cont lat support upri
|
$184.16 |
$184.16 |
$184.16 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$191.29 |
$191.29 |
$191.29 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,895.22 |
$2,895.22 |
$6,294.00 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$201.93 |
$201.93 |
$201.93 |
$387.41
|
|
Thoracic pad
|
$239.79 |
$239.79 |
$239.79 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$1,690.20 |
$1,690.20 |
$1,690.20 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$1,845.91 |
$1,845.91 |
$1,845.91 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$7,078.80 |
$7,078.80 |
$20,270.20 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,440.40 |
$6,440.40 |
$6,440.40 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$24,625.10 |
$24,625.10 |
$24,625.10 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$32,216.53 |
$32,216.53 |
$32,216.53 |
$21,413.60
|
|
Thrombin time
|
$32.40 |
$32.40 |
$68.76 |
$53.76
|
|
Thrombin time titer
|
$166.55 |
$166.55 |
$166.55 |
$17.60
|
|
Thromboplastin inhibition
|
$146.40 |
$146.40 |
$308.84 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$45.60 |
$45.60 |
$172.53 |
$61.52
|
|
Thromboxane urine
|
$578.21 |
$578.21 |
$578.21 |
$95.00
|
|
Th/wght bear nar m-l brim cu
|
$1,028.34 |
$1,028.34 |
$1,028.34 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$1,830.09 |
$1,830.09 |
$1,830.09 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$863.03 |
$863.03 |
$863.03 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,294.96 |
$1,294.96 |
$1,294.96 |
$1,695.23
|
|
Thyroglobulin antibody
|
$112.80 |
$112.80 |
$200.41 |
$82.00
|
|
Thyroid imaging
|
$1,016.40 |
$1,016.40 |
$2,595.89 |
$695.02
|
|
Thyroid met imaging
|
$1,068.29 |
$1,068.29 |
$1,068.29 |
$838.25
|
|
Thyroid mets imag whole body
|
$3,243.62 |
$3,243.62 |
$3,251.40 |
$1,524.99
|
|
Thyroid met uptake
|
$148.43 |
$148.43 |
$148.43 |
$398.40
|
|
Thyroid (TSH) Test
|
$212.10 |
$212.10 |
$241.20 |
$111.00
|
|
Thyroid Ultrasound
|
$942.66 |
$942.66 |
$1,486.80 |
$588.50
|
|
Thyroid uptake measurement
|
$618.60 |
$618.60 |
$796.17 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,099.62 |
$1,099.62 |
$21,224.78 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$132.60 |
$132.60 |
$187.62 |
$64.35
|
|
Tigecycline injection
|
$1,428.19 |
$1,428.19 |
$1,428.19 |
$234.00
|
|
Tilt table study
|
$2,447.40 |
$2,447.40 |
$7,614.83 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$2,081.19 |
$2,081.19 |
$2,081.19 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$1,920.51 |
$1,920.51 |
$23,490.18 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$9,195.74 |
$9,195.74 |
$9,195.74 |
$4,834.73
|
|
Tissue culture placenta
|
$573.60 |
$573.60 |
$1,618.71 |
$457.00
|
|
Tissue culture skin/biopsy
|
$718.20 |
$718.20 |
$1,648.92 |
$484.00
|
|
Tissue culture tumor
|
$382.20 |
$382.20 |
$767.96 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$49.80 |
$49.80 |
$289.05 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$40,322.60 |
$40,322.60 |
$54,232.98 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$42.00 |
$42.00 |
$743.90 |
$44.16
|
|
Tlh uterus 250 g or less
|
$28,128.38 |
$28,128.38 |
$28,128.38 |
$11,533.76
|
|
Tlh w/t/o 250 g or less
|
$33,606.26 |
$33,606.26 |
$33,606.26 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$28,576.04 |
$28,576.04 |
$28,576.04 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$1,432.00 |
$1,432.00 |
$1,432.00 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,233.11 |
$1,233.11 |
$1,233.11 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,466.10 |
$1,466.10 |
$6,762.77 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$1,823.65 |
$1,823.65 |
$1,823.65 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$802.98 |
$802.98 |
$802.98 |
$1,051.18
|
|
Tlso corset front
|
$236.60 |
$236.60 |
$236.60 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$556.85 |
$556.85 |
$556.85 |
$931.57
|
|
Tlso full corset
|
$199.54 |
$199.54 |
$199.54 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$609.19 |
$609.19 |
$609.19 |
$801.11
|
|
Tlso r fram soft pre ots
|
$609.19 |
$609.19 |
$609.19 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$763.45 |
$763.45 |
$763.45 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$763.45 |
$763.45 |
$763.45 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,056.44 |
$1,056.44 |
$1,056.44 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$2,314.24 |
$2,314.24 |
$2,314.24 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$1,611.80 |
$1,611.80 |
$1,611.80 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$2,425.24 |
$2,425.24 |
$2,425.24 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$454.19 |
$454.19 |
$454.19 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$758.62 |
$758.62 |
$758.62 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$33.80 |
$33.80 |
$393.60 |
$152.36
|
|
Tobramycin non-comp unit
|
$28.08 |
$28.08 |
$28.08 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$121.80 |
$121.80 |
$200.41 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$7,808.16 |
$7,808.16 |
$12,194.52 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$37.50 |
$37.50 |
$52.20 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$37.50 |
$37.50 |
$47.40 |
$72.68
|
|
Tonsillectomy (age 12+)
|
$10,114.02 |
$10,114.02 |
$10,114.02 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$8,453.68 |
$8,453.68 |
$8,453.68 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,292.18 |
$1,292.18 |
$1,292.18 |
$325.00
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$422.00 |
$422.00 |
$422.00 |
$15,383.12
|
|
Torsion ank & half solid sti
|
$171.56 |
$171.56 |
$171.56 |
$291.13
|
|
Torsion straight knee joint
|
$237.53 |
$237.53 |
$237.53 |
$253.84
|
|
Total Hip Replacement
|
$41,200.19 |
$41,200.19 |
$41,200.19 |
$9,161.60
|
|
Total Knee Replacement
|
$44,066.46 |
$44,066.46 |
$44,066.46 |
$14,543.50
|
|
Total tau
|
$339.00 |
$339.00 |
$991.83 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$35,074.61 |
$35,074.61 |
$35,074.61 |
$20,154.40
|
|
Toxoplasma antibody igg
|
$37.80 |
$37.80 |
$314.26 |
$89.40
|
|
Toxoplasma antibody igm
|
$61.20 |
$61.20 |
$180.59 |
$87.00
|
|
Tp53 gene full gene sequence
|
$899.59 |
$899.59 |
$1,058.40 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,616.61 |
$1,616.61 |
$1,616.61 |
$790.68
|
|
Tpmt gene com vrnts
|
$406.20 |
$406.20 |
$1,115.96 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$3,829.54 |
$3,829.54 |
$11,710.02 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$871.20 |
$871.20 |
$2,425.34 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$135.53 |
$135.53 |
$135.53 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$103.32 |
$103.32 |
$103.32 |
$56.38
|
|
Transcath biopsy
|
$16,180.34 |
$16,180.34 |
$16,180.34 |
$4,285.93
|
