|
Swallowing Therapy Session
|
$228.58 |
$228.58 |
$228.58 |
$240.31
|
|
Symes ankle without (sach) foot
|
$4,293.94 |
$4,293.94 |
$4,293.94 |
$2,707.60
|
|
Symes met fr leath socket ar
|
$5,748.96 |
$5,748.96 |
$5,748.96 |
$4,141.20
|
|
Symes type medial opening so
|
$464.59 |
$464.59 |
$464.59 |
$288.40
|
|
Symes type poster opening so
|
$607.82 |
$607.82 |
$607.82 |
$456.40
|
|
Symes type ptb brim design s
|
$486.05 |
$486.05 |
$486.05 |
$266.00
|
|
Syme typ expandabl wall sckt
|
$991.06 |
$991.06 |
$991.06 |
$621.60
|
|
Synvisc or synvisc-one
|
$741.07 |
$741.07 |
$741.07 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$34.94 |
$34.94 |
$34.94 |
$41.60
|
|
System cardiomems hosp electronics
|
$32,765.57 |
$32,765.57 |
$32,765.57 |
$38,234.70
|
|
System pacing micra av
|
$20,075.52 |
$20,075.52 |
$20,075.52 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,228.48 |
$12,228.48 |
$12,228.48 |
$12,003.00
|
|
System sealant biosentry tract
|
$581.28 |
$581.28 |
$581.28 |
$889.35
|
|
T3 (triiodothyronine) free
|
$28.46 |
$28.46 |
$28.46 |
$100.32
|
|
T3 (triiodothyronine) total
|
$27.12 |
$27.12 |
$27.12 |
$93.52
|
|
T4 (thyroxine) free
|
$27.41 |
$27.41 |
$27.41 |
$88.44
|
|
T4 (thyroxine) total
|
$27.12 |
$27.12 |
$27.12 |
$69.58
|
|
Tacrol astagraf ex rel oral
|
$48.67 |
$48.67 |
$48.67 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$6.29 |
$6.29 |
$6.29 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$7.21 |
$7.21 |
$7.21 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$438.61 |
$438.61 |
$438.61 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$97.20 |
$97.20 |
$97.20 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$138.43 |
$138.43 |
$138.43 |
$289.90
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$9,362.46 |
$9,362.46 |
$9,362.46 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$10,990.49 |
$10,990.49 |
$10,990.49 |
$21,745.13
|
|
Tap block bilat cont infusion 64489
|
$2,524.13 |
$2,524.13 |
$2,524.13 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$2,093.33 |
$2,093.33 |
$2,093.33 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$3,783.79 |
$3,783.79 |
$3,783.79 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$4,807.06 |
$4,807.06 |
$4,807.06 |
$3,746.70
|
|
Target gsa panel organ neop
|
$640.22 |
$640.22 |
$640.22 |
$1,681.28
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$20,964.00 |
$20,964.00 |
$20,964.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$3,546.86 |
$3,546.86 |
$3,546.86 |
$6,003.27
|
|
Tavr perq femoral
|
$31,124.45 |
$31,124.45 |
$31,124.45 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$805.41 |
$805.41 |
$805.41 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$226.80 |
$226.80 |
$226.80 |
$180.80
|
|
Tc-99m bicisate
|
$1,680.72 |
$1,680.72 |
$1,680.72 |
$2,070.00
|
|
Tc-99m depreotide
|
$1,860.72 |
$1,860.72 |
$1,860.72 |
$1,486.80
|
|
Tc-99m diag per dose
|
$3,073.68 |
$3,073.68 |
$3,073.68 |
$470.40
|
|
Tc-99m disofenin
|
$68.30 |
$68.30 |
$68.30 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$3,176.50 |
$3,176.50 |
$3,176.50 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$1,550.11 |
$1,550.11 |
$1,550.11 |
$2,135.70
|
|
Tc-99m gluceptate
|
$43.73 |
$43.73 |
$43.73 |
$31.35
|
|
Tc-99m labeled rbc
|
$150.24 |
$150.24 |
$150.24 |
$306.00
|
|
Tc-99m maa
|
$218.59 |
$218.59 |
$218.59 |
$312.06
|
|
Tc-99m mebrofenin
|
$55.92 |
$55.92 |
$55.92 |
$157.65
|
|
Tc-99m medronate
|
$24.77 |
$24.77 |
$24.77 |
$111.01
|
|
Tc-99m mertiatide
|
$503.33 |
$503.33 |
$503.33 |
$756.00
|
|
Tc-99m oxidronate
|
$44.02 |
$44.02 |
$44.02 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$160.08 |
$160.08 |
$160.08 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$25.25 |
$25.25 |
$25.25 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$11.47 |
$11.47 |
$11.47 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$56.45 |
$56.45 |
$56.45 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$119.04 |
$119.04 |
$119.04 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$424.80 |
$424.80 |
$424.80 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$112.94 |
$112.94 |
$112.94 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$111.60 |
$111.60 |
$111.60 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$548.06 |
$548.06 |
$548.06 |
$985.60
|
|
Tcd emboli detect without inj
|
$588.86 |
$588.86 |
$588.86 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$131.52 |
$131.52 |
$131.52 |
$185.28
|
|
T cells total count
|
$105.60 |
$105.60 |
$105.60 |
$130.35
|
|
Tcranial magn stim tx deli
|
$144.19 |
$144.19 |
$144.19 |
$389.22
|
|
Tcranial magn stim tx plan
|
$198.24 |
$198.24 |
$198.24 |
$437.22
|
|
Tcran magn stim redetemine
|
$180.24 |
$180.24 |
$180.24 |
$457.60
|
|
Team conf without pat by hc pro
|
$139.44 |
$139.44 |
$139.44 |
$110.62
|
|
Team conf without pat by phys
|
$220.90 |
$220.90 |
$220.90 |
$139.10
|
|
Team conf w/pat by hc prof
|
$139.44 |
$139.44 |
$139.44 |
$104.59
|
|
Teflon or equal cable lining
|
$85.01 |
$85.01 |
$85.01 |
$56.00
|
|
Telehealth original site facility fee
|
$99.31 |
$99.31 |
$99.31 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,399.82 |
$1,399.82 |
$1,399.82 |
$1,526.85
|
|
Telethx isodose plan simple
|
$839.90 |
$839.90 |
$839.90 |
$877.09
|
|
Temozolomide
|
$221.26 |
$221.26 |
$221.26 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$1,609.49 |
$1,609.49 |
$1,609.49 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,027.24 |
$3,027.24 |
$3,027.24 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$11,258.42 |
$11,258.42 |
$11,258.42 |
$14,951.87
|
|
Teniposide, 50 mg
|
$4,593.14 |
$4,593.14 |
$4,593.14 |
$849.48
|
|
Tension based scoliosis orth
|
$5,437.01 |
$5,437.01 |
$5,437.01 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$46.31 |
$46.31 |
$46.31 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$448.22 |
$448.22 |
$448.22 |
$842.56
|
|
Test socket above knee
|
$720.67 |
$720.67 |
$720.67 |
$467.60
|
|
Test socket below knee
|
$535.15 |
$535.15 |
$535.15 |
$535.15
|
|
Test socket hemipelvectomy
|
$1,155.41 |
$1,155.41 |
$1,155.41 |
$546.00
|
|
Test socket hip disarticulat
|
$1,140.96 |
$1,140.96 |
$1,140.96 |
$616.00
|
|
Test socket knee disarticula
|
$721.01 |
$721.01 |
$721.01 |
$428.40
|
|
Test socket symes
|
$603.17 |
$603.17 |
$603.17 |
$324.80
|
|
Test stress cardiovascular tracing only
|
$531.07 |
$531.07 |
$531.07 |
$953.40
|
|
Test urine urobilinogen
|
$33.31 |
$33.31 |
$33.31 |
$9.75
|
|
Tetanus immune globulin inj
|
$964.53 |
$964.53 |
$964.53 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$38.02 |
$38.02 |
$38.02 |
$108.00
|
|
Therapeutic procd strg endur
|
$81.79 |
$81.79 |
$81.79 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$130.03 |
$130.03 |
$130.03 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$77.47 |
$77.47 |
$77.47 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$77.47 |
$77.47 |
$77.47 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$16.37 |
$16.37 |
$16.37 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$16.37 |
$16.37 |
$16.37 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$277.06 |
$277.06 |
$277.06 |
$538.88
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$29.74 |
$29.74 |
$29.74 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$230.88 |
$230.88 |
$230.88 |
$314.50
|
|
Thigh/wght bear high roll cu
|
$613.06 |
$613.06 |
$613.06 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$817.58 |
$817.58 |
$817.58 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$444.43 |
$444.43 |
$444.43 |
$464.92
|