|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$24,618.16 |
$52,680.00 |
$71,182.00 |
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$1,577.40 |
$1,577.40 |
$1,577.40 |
|
|
Thrombin time
|
$4.21 |
$15.00 |
$119.20 |
|
|
Thrombin time titer
|
$9.45 |
$9.45 |
$9.45 |
|
|
Thromboendarterectomy common femoral
|
$1,135.60 |
$1,135.60 |
$1,135.60 |
|
|
Thromboendarterectomy including patch graft if preformed;
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$1,524.32 |
$1,801.11 |
$1,801.11 |
|
|
Thromboendarterectomy sfa
|
$1,557.91 |
$1,557.91 |
$1,557.91 |
|
|
Thrombomodulin
|
$23.83 |
$23.83 |
$23.83 |
|
|
Thromboplastin inhibition
|
$6.58 |
$12.32 |
$13.29 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$8.93 |
$30.00 |
$247.20 |
|
|
Thromboxane urine
|
$16.45 |
$48.45 |
$48.45 |
|
|
Thumb fusion with graft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Thumb fusion with graft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Thumb tendon transfer
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Th/wght bear nar m-l brim cu
|
$1,086.18 |
$1,086.18 |
$1,086.18 |
|
|
Th/wght bear nar m-l brim mo
|
$1,933.06 |
$1,933.06 |
$1,933.06 |
|
|
Th/wght bear quad-lat brim c
|
$911.60 |
$911.60 |
$911.60 |
|
|
Th/wght bear quad-lat brim m
|
$1,367.84 |
$1,367.84 |
$1,367.84 |
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$1,956.63 |
$1,956.63 |
$1,956.63 |
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$5,826.24 |
$8,139.99 |
$8,139.99 |
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$1,625.52 |
$1,625.52 |
$1,625.52 |
|
|
Thyroglobulin antibody
|
$10.49 |
$84.00 |
$170.40 |
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$1,828.78 |
$1,828.78 |
$1,828.78 |
|
|
Thyroid imaging
|
$215.60 |
$491.00 |
$1,079.00 |
|
|
Thyroid met imaging
|
$509.60 |
$549.70 |
$1,359.20 |
|
|
Thyroid met imaging/studies
|
$549.70 |
$549.70 |
$549.70 |
|
|
Thyroid mets imag whole body
|
$444.64 |
$1,021.86 |
$2,395.20 |
|
|
Thyroid met uptake
|
$71.39 |
$194.00 |
$355.20 |
|
|
Thyroid (TSH) Test
|
$22.09 |
$76.00 |
$203.20 |
|
|
Thyroid Ultrasound
|
$143.36 |
$873.00 |
$1,077.60 |
|
|
Thyroid uptake measurement
|
$164.08 |
$549.70 |
$1,426.00 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,146.61 |
$2,933.38 |
$2,933.38 |
|
|
Thyrotropin releasing hormone
|
$69.57 |
$69.57 |
$80.37 |
|
|
Thyroxine binding globulin (tbg)
|
$13.14 |
$20.40 |
$75.20 |
|
|
Tibial arthroscopy/surgery
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Tibial arthroscopy/surgery
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Tibial length sock fx or equ
|
$29.82 |
$73.17 |
$73.17 |
|
|
Tibial tubercle hgt with toe f
|
$4,263.10 |
$4,263.10 |
$4,263.10 |
|
|
Tib/per revasc stent & ather 37231
|
$38,032.40 |
$62,141.00 |
$62,141.00 |
|
|
Tib/per revasc stnt & ather
|
$13,321.00 |
$13,321.00 |
$22,738.24 |
|
|
Tib/per revasc w/ather add-on 37233
|
$21,960.96 |
$39,080.00 |
$39,080.00 |
|
|
Tigecycline injection
|
$0.78 |
$0.78 |
$2.93 |
|
|
Tilt table locking hip sing
|
$10,585.99 |
$10,585.99 |
$10,585.99 |
|
|
Tilt table study
|
$511.36 |
$1,345.60 |
$2,255.00 |
|
|
Tirofiban 12.5 mg/50 ml
|
$4.76 |
$4.76 |
$683.35 |
|
|
Tisagenlecleucel car-pos t
|
$781,813.20 |
$781,813.20 |
$781,813.20 |
|
|
Tis cgen car anomal 1st shnt
|
$1,424.42 |
$1,424.42 |
$1,424.42 |
|
|
Tis cgen car anomal ea addl
|
$568.57 |
$568.57 |
$568.57 |
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$207.62 |
$207.62 |
$207.62 |
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$228.03 |
$228.03 |
$228.03 |
|
|
Tis cltr skn agrft t/a/l add
|
$149.65 |
$149.65 |
$149.65 |
|
|
Tis cltr skn agrft t/a/l ea
|
$188.45 |
$188.45 |
$188.45 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$270.57 |
$270.57 |
$270.57 |
|
|
Tissue culture placenta
|
$77.08 |
$731.00 |
$2,098.40 |
|
|
Tissue culture skin/biopsy
|
$73.32 |
$803.00 |
$2,408.80 |
|
|
Tissue culture tumor
|
$66.64 |
$803.00 |
$5,848.00 |
|
|
Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Tissue exam koh skin/hair/nails
|
$5.89 |
$11.00 |
$96.00 |
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$96.88 |
$171.12 |
$558.36 |
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$4,511.06 |
$13,052.48 |
$13,052.48 |
|
|
Tissue transglutaminase iga
|
$7.99 |
$79.00 |
$109.00 |
|
|
Tixagev and cilgav inj
|
$128.80 |
$128.80 |
$128.80 |
|
|
Tl-201 thallium diag per mci
|
$64.68 |
$108.08 |
$164.08 |
|
|
Tlh uterus 250 g or less
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
|
|
Tlh uterus over 250 g
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
|
|
Tlh w/t/o 250 g or less
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
|
|
Tlh w/t/o uterus over 250 g
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
|
|
Tlso 2mod symphis-xipho pre
|
$577.50 |
$1,512.56 |
$1,512.56 |
|
|
Tlso 2 piece rigid shell
|
$1,302.50 |
$1,302.50 |
$1,302.50 |
|
|
Tlso 2 shl symphys-stern cst
|
$650.16 |
$1,702.48 |
$1,702.48 |
|
|
Tlso 3mod sacro-scap pre
|
$808.50 |
$2,117.57 |
$2,117.57 |
|
|
Tlso 3 piece rigid shell
|
$848.13 |
$848.13 |
$848.13 |
|
|
Tlso corset front
|
$181.25 |
$181.25 |
$181.25 |
|
|
Tlso flex trnk sj-t9 pre ots
|
$315.55 |
$315.55 |
$315.55 |
|
|
Tlso full corset
|
$296.37 |
$296.37 |
$296.37 |
|
|
Tlso r fram soft ant pre cst
|
$253.26 |
$643.44 |
$643.44 |
|
|
Tlso r fram soft pre ots
|
$353.90 |
$353.90 |
$353.90 |
|
|
Tlso rig fram pelvic pre cst
|
$310.80 |
$806.39 |
$806.39 |
|
|
Tlso rig fram pelvic pre ots
|
$450.93 |
$450.93 |
$450.93 |
|
|
Tlso rigid frame pre subclav
|
$432.18 |
$1,115.85 |
$1,115.85 |
|
|
Tlso rigid lined custom fab
|
$1,050.84 |
$2,861.42 |
$2,861.42 |
|
|
Tlso rigid lined pre one pie
|
$650.16 |
$1,702.48 |
$1,702.48 |
|
|
Tlso rigid plastic cust fab
|
$1,204.56 |
$3,090.19 |
$3,090.19 |
|
|
Tlso rigid plastic custom fa
|
$965.16 |
$2,561.68 |
$2,561.68 |
|
|
Tlso rigid plastic pre one
|
$479.74 |
$479.74 |
$479.74 |
|
|
Tlso trnk sj-t9 pre cst
|
$224.70 |
$588.18 |
$588.18 |
|
|
Tmvr w/prosthetic ring 33426
|
$3,386.85 |
$3,386.85 |
$3,386.85 |
|
|
Tmvr w/rad reconst w or without ring 33427
|
$3,447.10 |
$3,447.10 |
$3,447.10 |
|
|
Tnot opn elbw to sho ea tdn
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$2.86 |
$2.86 |
$119.05 |
|
|
Tobramycin non-comp unit
|
$17.21 |
$17.21 |
$17.21 |
|
|
Tobramycin peak therapeutic drug level
|
$16.80 |
$125.00 |
$263.20 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3.89 |
$7.74 |
$7.74 |
|
|
Tocilizumab for covid-19
|
$10.45 |
$10.45 |
$10.45 |
|
|
Toe joint transfer
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Toe X-ray (both feet)
|
$54.88 |
$279.00 |
$609.00 |
|
|
Tomosynthesis breast diagnostic left
|
$15.68 |
$105.00 |
$269.00 |
|
|
Tomosynthesis breast screen bilateral
|
$15.68 |
$233.00 |
$354.00 |
|
