|
Tap block bilat cont infusion 64489
|
$102.04 |
$102.04 |
$102.04 |
|
|
Tap block uni by cont infusion 64487
|
$80.58 |
$80.58 |
$80.58 |
|
|
Target gsa panel hmtlmph neop
|
$357.20 |
$3,726.00 |
$8,216.80 |
|
|
Target gsa panel organ/hmtlmph neop
|
$2,125.20 |
$5,609.00 |
$5,609.00 |
|
|
Target gsa panel organ neop
|
$281.02 |
$1,913.00 |
$5,023.20 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,161.89 |
$2,161.89 |
$2,161.89 |
|
|
Tas congenital car anomal
|
$995.49 |
$6,242.00 |
$6,935.00 |
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
|
|
Tavr perq femoral
|
$1,647.31 |
$15,614.00 |
$23,773.00 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$0.34 |
$1.13 |
$5.08 |
|
|
Tbp gene detc abnor alleles
|
$189.06 |
$189.06 |
$189.06 |
|
|
Tbs dxa cal w/i&r fx risk
|
$39.01 |
$54.25 |
$54.25 |
|
|
Tbs i&r fx rsk qhp
|
$9.40 |
$13.99 |
$13.99 |
|
|
Tbs techl calculation only
|
$78.49 |
$119.66 |
$119.66 |
|
|
Tbs techl prep&transmis data
|
$78.49 |
$119.66 |
$119.66 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$47.00 |
$138.00 |
$138.00 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$19.82 |
$233.00 |
$411.20 |
|
|
Tc-99m bicisate
|
$400.68 |
$1,070.22 |
$7,561.72 |
|
|
Tc-99m disofenin
|
$372.96 |
$372.96 |
$372.96 |
|
|
Tc-99m exame autol wbc diag per dose
|
$843.36 |
$1,337.84 |
$4,500.49 |
|
|
Tc-99m exametazime diag
|
$577.36 |
$1,280.24 |
$5,883.57 |
|
|
Tc-99m graphite crucible
|
$453.47 |
$453.47 |
$453.47 |
|
|
Tc-99m labeled rbc
|
$202.16 |
$293.42 |
$717.78 |
|
|
Tc-99m maa
|
$46.48 |
$458.34 |
$458.34 |
|
|
Tc-99m mebrofenin
|
$82.88 |
$130.13 |
$130.50 |
|
|
Tc-99m medronate
|
$26.88 |
$120.30 |
$147.00 |
|
|
Tc-99m mertiatide
|
$220.64 |
$1,044.51 |
$1,044.51 |
|
|
Tc-99m oxidronate
|
$72.80 |
$133.35 |
$133.35 |
|
|
Tc-99m pentetate dtpa
|
$36.96 |
$487.14 |
$487.14 |
|
|
Tc-99m pentetate dtpa aerosol
|
$36.96 |
$632.69 |
$646.90 |
|
|
Tc-99m pertechnetate per mci
|
$2.24 |
$9.00 |
$9.71 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$56.00 |
$193.44 |
$194.57 |
|
|
Tc-99m sestamibi p study dose
|
$89.43 |
$89.55 |
$366.80 |
|
|
Tc-99m succimer (dmsa)
|
$149.52 |
$4,785.00 |
$4,785.00 |
|
|
Tc-99m sulfur colloid
|
$67.76 |
$254.01 |
$340.53 |
|
|
Tc-99m tetrofosmin p study dose
|
$93.84 |
$93.84 |
$192.08 |
|
|
Tc-99m tilmanocept diag
|
$234.64 |
$768.68 |
$1,991.18 |
|
|
Tca peel dermal 15789
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
|
|
Tcd emboli detect w/inj
|
$143.75 |
$143.75 |
$328.72 |
|
|
Tcd emboli detect without inj
|
$143.75 |
$143.75 |
$226.54 |
|
|
T-cell depletion of harvest
|
$606.63 |
$606.63 |
$606.63 |
|
|
T cells absolute cd4/cd8 including ratio
|
$62.90 |
$296.00 |
$328.00 |
|
|
T cells absolute cd 4 count
|
$28.20 |
$140.00 |
$176.00 |
|
|
T cells total count
|
$52.07 |
$275.00 |
$318.00 |
|
|
Tcranial magn stim tx deli
|
$296.91 |
$296.91 |
$296.91 |
|
|
Tcranial magn stim tx plan
|
$296.91 |
$296.91 |
$296.91 |
|
|
Tcran magn stim redetemine
|
$148.40 |
$296.91 |
$296.91 |
|
|
Tdh sdrl/ventr pnxr
|
$746.32 |
$746.32 |
$746.32 |
|
|
Teaec w/wo patch graft iliofemoral
|
$1,436.95 |
$1,436.95 |
$1,436.95 |
|
|
Team conf without pat by hc pro
|
$56.00 |
$56.00 |
$56.00 |
|
|
Team conf without pat by phys
|
$80.00 |
$80.00 |
$80.00 |
|
|
Team conf w/pat by hc prof
|
$73.36 |
$197.00 |
$197.00 |
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$306.65 |
$306.65 |
$306.65 |
|
|
Tee w or without fol w/cont,cong
|
$825.79 |
$2,613.00 |
$2,903.00 |
|
|
Tee w or without fol w/cont, mon
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
|
|
Teflon or equal cable lining
|
$77.80 |
$77.80 |
$77.80 |
|
|
Telavancin injection
|
$10.17 |
$10.17 |
$10.17 |
|
|
Telehealth original site facility fee
|
$63.20 |
$82.00 |
$134.00 |
|
|
Telethx isodose plan cplx
|
$242.05 |
$1,631.00 |
$1,878.00 |
|
|
Telethx isodose plan simple
|
$426.72 |
$1,052.24 |
$1,233.00 |
|
|
Temozolomide
|
$0.75 |
$0.75 |
$7.35 |
|
|
Temozolomide 100 mg intravenous solution
|
$14.35 |
$14.35 |
$14.35 |
|
|
Temperature gradient studies
|
$176.93 |
$176.93 |
$176.93 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$28.04 |
$28.04 |
$34.07 |
|
|
Tendon lengthening
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Tendon lngth upr a/e ea tdn
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Tendon shortening
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Tendon transfer with graft
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$97.25 |
$258.02 |
$3,423.25 |
|
|
Tenodesis biceps tdn at elbw
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Tenolysis extensor tendon hand/finger each
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Tenolysis triceps
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Tenoplasty elbow to sho 1
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Tenosynovectomy radic 26145
|
$2,211.05 |
$3,766.00 |
$4,517.00 |
|
|
Tenotomy hip flexor open
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,211.05 |
$5,457.00 |
$5,457.00 |
|
|
Tension based scoliosis orth
|
$5,428.17 |
$5,428.17 |
$5,428.17 |
|
|
Tens suppl 2 lead per month
|
$17.55 |
$17.55 |
$17.55 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$2.50 |
$3.41 |
$19.14 |
|
|
Term dev auto grasp feature
|
$6,947.09 |
$6,947.09 |
$6,947.09 |
|
|
Term device, multi art digit
|
$5,364.89 |
$5,364.89 |
$5,364.89 |
|
|
Term dev mech hand vol close
|
$2,362.85 |
$2,362.85 |
$2,362.85 |
|
|
Term dev mech hand vol open
|
$1,664.86 |
$1,664.86 |
$1,664.86 |
|
|
Term dev mech hook vol close
|
$2,518.57 |
$2,518.57 |
$2,518.57 |
|
|
Term dev mech hook vol open
|
$711.96 |
$711.96 |
$711.96 |
|
|
Term dev modifier wrist unit
|
$651.72 |
$651.72 |
$651.72 |
|
|
Term dev, passive hand mitt
|
$594.37 |
$594.37 |
$594.37 |
|
|
Term dev precision pinch dev
|
$346.46 |
$346.46 |
$346.46 |
|
|
Term dev, sport/rec/work att
|
$1,147.26 |
$1,147.26 |
$1,147.26 |
|
|
Tert gene targeted seq alys
|
$255.58 |
$255.58 |
$3,048.80 |
|
|
Test for chlorohydrocarbons
|
$8.29 |
$8.29 |
$177.77 |
|
|
Test for porphobilinogen
|
$2.82 |
$8.03 |
$38.08 |
|
|
Test for urine cystines
|
$4.70 |
$13.18 |
$13.18 |
|
|
Testicular imaging w/vasc flow
|
$309.12 |
$549.70 |
$1,388.00 |
|
|
Testosterone response panel
|
$71.26 |
$71.26 |
$71.26 |
|
|
Testosterone undecanoate 1mg
|
$2.86 |
$2.86 |
$2.86 |
|
|
Test pathogen(s) for platelets reference
|
$23.97 |
$81.12 |
$81.12 |
|
|
Test sock elbw disart/above
|
$577.82 |
$577.82 |
$577.82 |
|
|
Test socket above knee
|
$678.42 |
$678.42 |
$678.42 |
|