|
Thyrotropin releasing hormone
|
$69.57 |
$69.57 |
$69.57 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$20.40 |
$20.40 |
$20.40 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$10,629.07
|
|
Tibial length sock fx or equ
|
$73.17 |
$73.17 |
$73.17 |
$88.92
|
|
Tibial tubercle hgt with toe f
|
$4,263.10 |
$4,263.10 |
$4,263.10 |
$2,970.80
|
|
Tigecycline injection
|
$0.78 |
$0.78 |
$0.78 |
$235.29
|
|
Tilt table locking hip sing
|
$10,585.99 |
$10,585.99 |
$10,585.99 |
$7,711.20
|
|
Tilt table study
|
$513.11 |
$513.11 |
$513.11 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$4.76 |
$4.76 |
$4.76 |
$458.85
|
|
Tisagenlecleucel car-pos t
|
$781,813.20 |
$781,813.20 |
$781,813.20 |
$1,780,600.03
|
|
Tis cgen car anomal 1st shnt
|
$1,424.42 |
$1,424.42 |
$1,424.42 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$568.57 |
$568.57 |
$568.57 |
$6,546.38
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$207.62 |
$207.62 |
$207.62 |
$715.00
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$228.03 |
$228.03 |
$228.03 |
$780.00
|
|
Tis cltr skn agrft t/a/l add
|
$149.65 |
$149.65 |
$149.65 |
$978.50
|
|
Tis cltr skn agrft t/a/l ea
|
$188.45 |
$188.45 |
$188.45 |
$650.00
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$270.57 |
$270.57 |
$270.57 |
$13,339.20
|
|
Tissue culture placenta
|
$207.41 |
$207.41 |
$207.41 |
$453.00
|
|
Tissue culture skin/biopsy
|
$194.21 |
$194.21 |
$194.21 |
$498.40
|
|
Tissue culture tumor
|
$203.58 |
$203.58 |
$203.58 |
$486.50
|
|
Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$67.73
|
|
Tissue exam koh skin/hair/nails
|
$5.89 |
$5.89 |
$5.89 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$830.41
|
|
Tissue transglutaminase iga
|
$15.91 |
$15.91 |
$15.91 |
$45.60
|
|
Tlh uterus 250 g or less
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$1,512.56 |
$1,512.56 |
$1,512.56 |
$1,696.00
|
|
Tlso 2 piece rigid shell
|
$1,302.50 |
$1,302.50 |
$1,302.50 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,702.48 |
$1,702.48 |
$1,702.48 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,117.57 |
$2,117.57 |
$2,117.57 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$848.13 |
$848.13 |
$848.13 |
$1,051.18
|
|
Tlso corset front
|
$181.25 |
$181.25 |
$181.25 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$315.55 |
$315.55 |
$315.55 |
$931.57
|
|
Tlso full corset
|
$296.37 |
$296.37 |
$296.37 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$643.44 |
$643.44 |
$643.44 |
$801.11
|
|
Tlso r fram soft pre ots
|
$353.90 |
$353.90 |
$353.90 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$806.39 |
$806.39 |
$806.39 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$450.93 |
$450.93 |
$450.93 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,115.85 |
$1,115.85 |
$1,115.85 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$2,861.42 |
$2,861.42 |
$2,861.42 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$1,702.48 |
$1,702.48 |
$1,702.48 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$3,090.19 |
$3,090.19 |
$3,090.19 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$2,561.68 |
$2,561.68 |
$2,561.68 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$479.74 |
$479.74 |
$479.74 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$588.18 |
$588.18 |
$588.18 |
$523.94
|
|
Tmvr w/prosthetic ring 33426
|
$3,386.85 |
$3,386.85 |
$3,386.85 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$3,447.10 |
$3,447.10 |
$3,447.10 |
$5,969.60
|
|
Tnot opn elbw to sho ea tdn
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$2.86 |
$2.86 |
$2.86 |
$152.36
|
|
Tobramycin non-comp unit
|
$17.21 |
$17.21 |
$17.21 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$22.26 |
$22.26 |
$22.26 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$7.74 |
$7.74 |
$7.74 |
$5,258.52
|
|
Tocilizumab for covid-19
|
$10.45 |
$10.45 |
$10.45 |
$20.55
|
|
Toe joint transfer
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,413.38
|
|
Toe X-ray (both feet)
|
$119.66 |
$119.66 |
$119.66 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$16.91 |
$16.91 |
$16.91 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$38.86 |
$38.86 |
$38.86 |
$74.10
|
|
Tone decay hearing test
|
$51.36 |
$51.36 |
$51.36 |
$90.37
|
|
Tongue and neck surgery
|
$2,745.01 |
$2,745.01 |
$2,745.01 |
$2,745.01
|
|
Tongue base vol reduction
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,592.74
|
|
Tongue jaw & neck surgery
|
$3,763.81 |
$3,763.81 |
$3,763.81 |
$3,763.81
|
|
Tongue mouth jaw surgery
|
$2,776.71 |
$2,776.71 |
$2,776.71 |
$5,428.00
|
|
Tongue mouth neck surgery
|
$3,012.36 |
$3,012.36 |
$3,012.36 |
$3,012.36
|
|
Tongue removal neck surgery
|
$3,456.80 |
$3,456.80 |
$3,456.80 |
$3,456.80
|
|
Tongue suspension
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$4,082.40
|
|
Tongue to lip surgery
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Tonsillectomy (age 12+)
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,056.50
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1.72 |
$1.72 |
$1.72 |
$316.84
|
|
Topotecan oral
|
$172.62 |
$172.62 |
$172.62 |
$851.05
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$55.49 |
$55.49 |
$55.49 |
$15,383.12
|
|
Torsion ank & half solid sti
|
$208.68 |
$208.68 |
$208.68 |
$291.13
|
|
Torsion straight knee joint
|
$218.87 |
$218.87 |
$218.87 |
$247.25
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$1,873.17 |
$1,873.17 |
$1,873.17 |
$3,364.80
|
|
Total hip arthroplasty
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$7,347.60
|
|
Total Hip Replacement
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$9,161.60
|
|
Total hysterectomy
|
$1,383.33 |
$1,383.33 |
$1,383.33 |
$3,001.70
|
|
Total Knee Replacement
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$14,061.89
|
|
Total lung lavage
|
$430.99 |
$430.99 |
$430.99 |
$1,758.40
|
|
Total ob care failed vbac 59618
|
$3,840.83 |
$3,840.83 |
$3,840.83 |
$4,792.80
|
|
Total tau
|
$177.91 |
$177.91 |
$177.91 |
$312.50
|
|
Tot contact ak/knee disart s
|
$824.77 |
$824.77 |
$824.77 |
$733.60
|
|
Tot disc arthrp 1ntrspc crv
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$4,365.60
|
|
Tot disc arthrp 2ntrspc lmbr
|
$525.24 |
$525.24 |
$525.24 |
$470.40
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$695.88 |
$695.88 |
$695.88 |
$1,230.40
|
|
Tot esophagectomy without thoracotomy 43107
|
$4,181.97 |
$4,181.97 |
$4,181.97 |
$7,284.80
|
|
Tot estradiol response panel
|
$77.13 |
$77.13 |
$77.13 |
$140.80
|
|
Toxoplasma antibody igg
|
$19.86 |
$19.86 |
$19.86 |
$90.00
|
|
Toxoplasma antibody igm
|
$19.89 |
$19.89 |
$19.89 |
$89.05
|
|
Tp53 gene full gene sequence
|
$885.75 |
$885.75 |
$885.75 |
$706.04
|
|
Tp53 gene known famil vrnt
|
$425.04 |
$425.04 |
$425.04 |
$395.40
|
|
Tp53 gene trgt sequence alys
|
$454.72 |
$454.72 |
$454.72 |
$790.68
|
|
Tpmt gene com vrnts
|
$241.24 |
$241.24 |
$241.24 |
$371.80
|
|
Tprnl balo cntnc dev adjmt
|
$343.55 |
$343.55 |
$343.55 |
$551.20
|