|
Theophylline therapeutic drug level
|
$14.14 |
$14.14 |
$14.14 |
$108.00
|
|
Therapeutic procd strg endur
|
$28.84 |
$28.84 |
$28.84 |
$81.36
|
|
Therapeutic pulpotomy
|
$1,958.01 |
$1,958.01 |
$1,958.01 |
$1,967.49
|
|
Therapy activation ipnss
|
$108.10 |
$108.10 |
$108.10 |
$228.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$40.94 |
$40.94 |
$40.94 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$34.61 |
$34.61 |
$34.61 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$234.00 |
$234.00 |
$234.00 |
$283.20
|
|
Ther fx nasal inf turbinate
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,589.62
|
|
Ther nma rdctj intus/obstrcj
|
$209.65 |
$209.65 |
$209.65 |
$534.32
|
|
Ther/proph/diag inj ia
|
$248.12 |
$248.12 |
$248.12 |
$247.33
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$728.10 |
$728.10 |
$728.10 |
$1,804.00
|
|
Thoracoscopy diagnostic 32601
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$4,736.84
|
|
Thoracoscopy w/bx med space
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$5,508.80
|
|
Thoracoscopy wbx sac
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$5,110.00
|
|
Thorcscpy w/biop pleura
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,376.26
|
|
Thrcspy w/diag bp lng inf uni
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$5,339.00
|
|
Thrcspy w/diag bp lng nod uni
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$5,339.00
|
|
Throat x-ray & fluoroscopy
|
$103.69 |
$103.69 |
$103.69 |
$188.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,714.45 |
$6,714.45 |
$6,714.45 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,355.34 |
$13,355.34 |
$13,355.34 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$21,146.91 |
$21,146.91 |
$21,146.91 |
$24,605.30
|
|
Thrombin time
|
$5.77 |
$5.77 |
$5.77 |
$48.75
|
|
Thrombin time titer
|
$6.85 |
$6.85 |
$6.85 |
$9.10
|
|
Thromboendarterectomy including patch graft if preformed;
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$5,983.35
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$6.47 |
$6.47 |
$6.47 |
$56.93
|
|
Thromboxane urine
|
$35.11 |
$35.11 |
$35.11 |
$52.22
|
|
Thumb fusion with graft
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,839.00
|
|
Thumb fusion with graft
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,089.25
|
|
Thumb tendon transfer
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,594.44
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$4,682.81
|
|
Thyroglobulin antibody
|
$15.91 |
$15.91 |
$15.91 |
$84.00
|
|
Thyroid imaging
|
$473.22 |
$473.22 |
$473.22 |
$670.80
|
|
Thyroid met imaging
|
$473.22 |
$473.22 |
$473.22 |
$549.70
|
|
Thyroid met imaging/studies
|
$473.22 |
$473.22 |
$473.22 |
$607.23
|
|
Thyroid mets imag whole body
|
$633.90 |
$633.90 |
$633.90 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$16.80 |
$16.80 |
$16.80 |
$120.00
|
|
Thyroid Ultrasound
|
$125.23 |
$125.23 |
$125.23 |
$589.96
|
|
Thyroid uptake measurement
|
$473.22 |
$473.22 |
$473.22 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,073.34 |
$2,073.34 |
$2,073.34 |
$4,886.55
|
|
Thyrotropin releasing hormone
|
$50.41 |
$50.41 |
$50.41 |
$55.45
|
|
Thyroxine binding globulin (tbg)
|
$14.78 |
$14.78 |
$14.78 |
$63.60
|
|
Tibial arthroscopy/surgery
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,855.00
|
|
Tibial arthroscopy/surgery
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$7,223.44
|
|
Tib/per revasc stent & ather 37231
|
$21,146.91 |
$21,146.91 |
$21,146.91 |
$21,900.00
|
|
Tilt table study
|
$624.87 |
$624.87 |
$624.87 |
$1,495.00
|
|
Tisagenlecleucel car-pos t
|
$529,192.86 |
$529,192.86 |
$529,192.86 |
$578,324.58
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$181.60 |
$181.60 |
$181.60 |
$16,843.32
|
|
Tissue culture placenta
|
$150.30 |
$150.30 |
$150.30 |
$520.91
|
|
Tissue culture skin/biopsy
|
$140.73 |
$140.73 |
$140.73 |
$558.87
|
|
Tissue culture tumor
|
$147.52 |
$147.52 |
$147.52 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$4.27 |
$4.27 |
$4.27 |
$47.40
|
|
Tissue transglutaminase iga
|
$11.53 |
$11.53 |
$11.53 |
$48.57
|
|
Tlh uterus 250 g or less
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$8,134.69
|
|
Tlh uterus over 250 g
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$6,311.00
|
|
Tlh w/t/o 250 g or less
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$10,799.26
|
|
Tlh w/t/o uterus over 250 g
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$10,700.71
|
|
Tnot opn elbw to sho ea tdn
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,591.33
|
|
Tobramycin peak therapeutic drug level
|
$16.13 |
$16.13 |
$16.13 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5.96 |
$5.96 |
$5.96 |
$5,790.85
|
|
Tomosynthesis breast diagnostic left
|
$53.92 |
$53.92 |
$53.92 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$65.52 |
$65.52 |
$65.52 |
$73.45
|
|
Tone decay hearing test
|
$46.22 |
$46.22 |
$46.22 |
$64.80
|
|
Tongue base vol reduction
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,589.62
|
|
Tongue suspension
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,419.00
|
|
Tongue to lip surgery
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,592.74
|
|
Tonsillectomy (age 12+)
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,837.72
|
|
Tonsillectomy (child under 12)
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$4,881.00
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$38.87 |
$38.87 |
$38.87 |
$1,953.53
|
|
Total Hip Replacement
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$6,675.20
|
|
Total Knee Replacement
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$6,668.80
|
|
Tot disc arthrp 1ntrspc crv
|
$21,657.23 |
$21,657.23 |
$21,657.23 |
$10,646.17
|
|
Toxoplasma antibody igg
|
$14.39 |
$14.39 |
$14.39 |
$84.35
|
|
Toxoplasma antibody igm
|
$14.41 |
$14.41 |
$14.41 |
$83.20
|
|
Tp53 gene full gene sequence
|
$641.85 |
$641.85 |
$641.85 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$329.51 |
$329.51 |
$329.51 |
$919.10
|
|
Tpmt gene com vrnts
|
$174.81 |
$174.81 |
$174.81 |
$381.55
|
|
Tprnl balo cntnc dev adjmt
|
$286.42 |
$286.42 |
$286.42 |
$287.81
|
|
Tprnl balo cntnc dev bi
|
$15,300.65 |
$15,300.65 |
$15,300.65 |
$14,393.26
|
|
Tprnl balo cntnc dev rmvl ea
|
$4,061.71 |
$4,061.71 |
$4,061.71 |
$4,081.37
|
|
Tprnl balo cntnc dev uni
|
$10,890.00 |
$10,890.00 |
$10,890.00 |
$10,244.18
|
|
Tprnl plmt biodegrdabl matrl
|
$5,986.78 |
$5,986.78 |
$5,986.78 |
$6,105.61
|
|
Trabectedin 1 mg intravenous solution
|
$362.82 |
$362.82 |
$362.82 |
$6,133.80
|
|
Trabeculoplasty laser surg
|
$646.06 |
$646.06 |
$646.06 |
$1,224.00
|
|
Trachelectomy (cervicectomy) 57530
|
$5,813.46 |
$5,813.46 |
$5,813.46 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$599.72 |
$599.72 |
$599.72 |
$1,459.48
|
|
Tracheostoma revision; simple, without flap rotation
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$68.91 |
$68.91 |
$68.91 |
$93.75
|
|
Transabdom amnioinfus w/us
|
$358.23 |
$358.23 |
$358.23 |
$791.05
|
|
Transcath biopsy
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$4,298.05
|
|
Transcath closure of asd
|
$21,146.91 |
$21,146.91 |
$21,146.91 |
$18,772.00
|
|
Transcath closure of vsd
|
$21,146.91 |
$21,146.91 |
$21,146.91 |
$18,837.00
|
|
Transcath occlusion non-cns
|
$13,355.34 |
$13,355.34 |
$13,355.34 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,627.00
|
|
Transcrv abltj utrn fibrd rf
|
$8,708.57 |
$8,708.57 |
$8,708.57 |
$8,708.57
|
|
Transcutaneous hgb 88738
|
$5.02 |
$5.02 |
$5.02 |
$11.40
|
|
Transfer of abdominal muscle
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,886.74
|
|
Transfer of embryo
|
$358.23 |
$358.23 |
$358.23 |
$419.01
|
|
Transfer of iliopsoas muscle
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$5,886.74
|
|
Transfer of iliopsoas muscle
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$4,432.00
|
