|
Thi/glut/ischia wgt bearing
|
$563.76 |
$563.76 |
$563.76 |
$657.72
|
|
Thorac cont lat support upri
|
$271.15 |
$271.15 |
$271.15 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$295.58 |
$295.58 |
$295.58 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$920.21 |
$920.21 |
$920.21 |
$1,733.65
|
|
Thoracic control thoracic ba
|
$332.06 |
$332.06 |
$332.06 |
$387.41
|
|
Thoracic intern lock elbow
|
$8,277.84 |
$8,277.84 |
$8,277.84 |
$5,829.60
|
|
Thoracic pad
|
$200.74 |
$200.74 |
$200.74 |
$234.19
|
|
Thor rib belt custom fabrica
|
$239.38 |
$239.38 |
$239.38 |
$225.50
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$744.00 |
$744.00 |
$744.00 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$2,741.57 |
$2,741.57 |
$2,741.57 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$12,640.75 |
$12,640.75 |
$12,640.75 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$24,051.36 |
$24,051.36 |
$24,051.36 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$39,991.87 |
$39,991.87 |
$39,991.87 |
$21,413.60
|
|
Thrombin time
|
$59.38 |
$59.38 |
$59.38 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$14,982.00 |
$14,982.00 |
$14,982.00 |
$3,987.20
|
|
Thromboendarterectomy sfa
|
$9,123.07 |
$9,123.07 |
$9,123.07 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$88.37 |
$88.37 |
$88.37 |
$61.52
|
|
Th/wght bear nar m-l brim cu
|
$1,153.92 |
$1,153.92 |
$1,153.92 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,053.54 |
$2,053.54 |
$2,053.54 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$968.40 |
$968.40 |
$968.40 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,453.06 |
$1,453.06 |
$1,453.06 |
$1,695.23
|
|
Thyroglobulin antibody
|
$24.53 |
$24.53 |
$24.53 |
$82.73
|
|
Thyroid imaging
|
$448.22 |
$448.22 |
$448.22 |
$696.75
|
|
Thyroid met imaging
|
$509.04 |
$509.04 |
$509.04 |
$838.25
|
|
Thyroid mets imag whole body
|
$595.10 |
$595.10 |
$595.10 |
$1,524.99
|
|
Thyroid met uptake
|
$595.10 |
$595.10 |
$595.10 |
$407.40
|
|
Thyroid (TSH) Test
|
$44.45 |
$44.45 |
$44.45 |
$112.67
|
|
Thyroid Ultrasound
|
$341.47 |
$341.47 |
$341.47 |
$588.50
|
|
Thyroid uptake measurement
|
$896.16 |
$896.16 |
$896.16 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,248.46 |
$3,248.46 |
$3,248.46 |
$4,152.21
|
|
Thyrotropin releasing hormone
|
$82.18 |
$82.18 |
$82.18 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$55.30 |
$55.30 |
$55.30 |
$64.51
|
|
Tibial length sock fx or equ
|
$79.92 |
$79.92 |
$79.92 |
$88.92
|
|
Tibial tubercle hgt with toe f
|
$4,270.08 |
$4,270.08 |
$4,270.08 |
$2,970.80
|
|
Tigecycline injection
|
$279.44 |
$279.44 |
$279.44 |
$235.29
|
|
Tilt table locking hip sing
|
$10,603.20 |
$10,603.20 |
$10,603.20 |
$7,711.20
|
|
Tilt table study
|
$7,310.88 |
$7,310.88 |
$7,310.88 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$769.45 |
$769.45 |
$769.45 |
$458.85
|
|
Tissue amnio epifix inj 100mg
|
$26.26 |
$26.26 |
$26.26 |
$4,201.20
|
|
Tissue culture placenta
|
$533.23 |
$533.23 |
$533.23 |
$440.50
|
|
Tissue culture skin/biopsy
|
$356.30 |
$356.30 |
$356.30 |
$484.00
|
|
Tissue culture tumor
|
$228.24 |
$228.24 |
$228.24 |
$479.50
|
|
Tissue exam koh skin/hair/nails
|
$40.90 |
$40.90 |
$40.90 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$317.95 |
$317.95 |
$317.95 |
$537.50
|
|
Tissue transglutaminase iga
|
$78.48 |
$78.48 |
$78.48 |
$44.80
|
|
Tixagev and cilgav inj
|
$111.07 |
$111.07 |
$111.07 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$37.82 |
$37.82 |
$37.82 |
$80.10
|
|
Tlso 2mod symphis-xipho pre
|
$1,606.85 |
$1,606.85 |
$1,606.85 |
$1,696.00
|
|
Tlso 2 piece rigid shell
|
$1,383.70 |
$1,383.70 |
$1,383.70 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,808.59 |
$1,808.59 |
$1,808.59 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,249.57 |
$2,249.57 |
$2,249.57 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$901.01 |
$901.01 |
$901.01 |
$1,051.18
|
|
Tlso corset front
|
$198.05 |
$198.05 |
$198.05 |
$244.50
|
|
Tlso full corset
|
$323.81 |
$323.81 |
$323.81 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$683.57 |
$683.57 |
$683.57 |
$801.11
|
|
Tlso rig fram pelvic pre cst
|
$856.66 |
$856.66 |
$856.66 |
$999.43
|
|
Tlso rigid frame pre subclav
|
$1,185.41 |
$1,185.41 |
$1,185.41 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,039.79 |
$3,039.79 |
$3,039.79 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$1,808.59 |
$1,808.59 |
$1,808.59 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$3,282.82 |
$3,282.82 |
$3,282.82 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$2,721.36 |
$2,721.36 |
$2,721.36 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$509.66 |
$509.66 |
$509.66 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$624.86 |
$624.86 |
$624.86 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$113.41 |
$113.41 |
$113.41 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$55.30 |
$55.30 |
$55.30 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,308.90 |
$6,308.90 |
$6,308.90 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$207.79 |
$207.79 |
$207.79 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$35.71 |
$35.71 |
$35.71 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$35.71 |
$35.71 |
$35.71 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,854.89 |
$1,854.89 |
$1,854.89 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$12,709.26 |
$12,709.26 |
$12,709.26 |
$15,383.12
|
|
Torsion ank & half solid sti
|
$228.05 |
$228.05 |
$228.05 |
$291.13
|
|
Torsion straight knee joint
|
$239.14 |
$239.14 |
$239.14 |
$247.25
|
|
Total tau
|
$483.84 |
$483.84 |
$483.84 |
$312.50
|
|
Tot contact ak/knee disart s
|
$876.19 |
$876.19 |
$876.19 |
$733.60
|
|
Toxoplasma antibody igg
|
$43.20 |
$43.20 |
$43.20 |
$91.65
|
|
Toxoplasma antibody igm
|
$33.70 |
$33.70 |
$33.70 |
$88.00
|
|
Tp53 gene full gene sequence
|
$269.38 |
$269.38 |
$269.38 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,145.28 |
$1,145.28 |
$1,145.28 |
$804.00
|
|
Tpmt gene com vrnts
|
$216.24 |
$216.24 |
$216.24 |
$371.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$36.96 |
$36.96 |
$36.96 |
$103.20
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$25.68 |
$25.68 |
$25.68 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$349.10 |
$349.10 |
$349.10 |
$678.70
|
|
Transcath biopsy
|
$2,037.79 |
$2,037.79 |
$2,037.79 |
$4,285.93
|
|
Transcath closure of asd
|
$9,595.39 |
$9,595.39 |
$9,595.39 |
$17,088.00
|
|
Transcath closure of vsd
|
$10,966.18 |
$10,966.18 |
$10,966.18 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,276.27 |
$1,276.27 |
$1,276.27 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$2,791.06 |
$2,791.06 |
$2,791.06 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$13,955.14 |
$13,955.14 |
$13,955.14 |
$13,093.20
|
|
Transcath occlusion cns
|
$5,668.75 |
$5,668.75 |
$5,668.75 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$5,445.70 |
$5,445.70 |
$5,445.70 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$24,576.24 |
$24,576.24 |
$24,576.24 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,674.00 |
$4,674.00 |
$4,674.00 |
$4,822.00
|
|
Transcutaneous hgb 88738
|
$13.06 |
$13.06 |
$13.06 |
$13.20
|
|
Transferrin
|
$41.18 |
$41.18 |
$41.18 |
$82.00
|
|
Transplj hematopoietic boost
|
$2,510.50 |
$2,510.50 |
$2,510.50 |
$2,667.20
|
|
Transplt autol hct/donor
|
$2,510.50 |
$2,510.50 |
$2,510.50 |
$3,986.00
|
|
Trans shoe caliper plate new
|
$186.19 |
$186.19 |
$186.19 |
$217.22
|
|
Trans shoe calip plate exist
|
$141.41 |
$141.41 |
$141.41 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$141.41 |
$141.41 |
$141.41 |
$141.41
|
