|
Thawing cryopresrved sperm
|
$58.39 |
$59.14 |
$62.92 |
|
|
Thaw preserved stem cells
|
$477.79 |
$3,986.00 |
$6,839.00 |
|
|
Theophylline therapeutic drug level
|
$14.14 |
$15.55 |
$59.50 |
|
|
Therapeutic procd strg endur
|
$26.76 |
$27.13 |
$45.29 |
|
|
Therapeutic pulpotomy
|
$1,817.06 |
$1,840.30 |
$1,958.01 |
|
|
Therapy activation ipnss
|
$100.32 |
$101.60 |
$108.10 |
|
|
Therapy Activity Training (each 15 minutes)
|
$44.62 |
$44.62 |
$76.50 |
|
|
Therapy Exercise Session (each 15 minutes)
|
$37.06 |
$37.06 |
$92.40 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$21.28 |
$40.94 |
$62.50 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$12.77 |
$34.61 |
$55.00 |
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$84.36 |
$219.93 |
$234.00 |
|
|
Ther fx nasal inf turbinate
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Ther nma rdctj intus/obstrcj
|
$64.62 |
$197.04 |
$320.65 |
|
|
Ther/proph/diag inj ia
|
$42.82 |
$121.84 |
$248.12 |
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$96.23 |
$97.54 |
$243.00 |
|
|
Thiotepa injection
|
$209.02 |
$209.02 |
$209.02 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$675.68 |
$3,986.00 |
$6,839.00 |
|
|
Thoracoscopy diagnostic 32601
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Thoracoscopy w/bx med space
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Thoracoscopy wbx sac
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Thorcscpy w/biop pleura
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Thrcspy w/diag bp lng inf uni
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Thrcspy w/diag bp lng nod uni
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$433.69 |
$528.93 |
$669.83 |
|
|
Throat x-ray & fluoroscopy
|
$96.23 |
$97.46 |
$103.69 |
|
|
Thrombectmy crnry perq mechanical
|
$202.01 |
$1,653.66 |
$2,050.15 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,786.00 |
$6,231.08 |
$6,839.00 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$3,786.00 |
$6,311.00 |
$13,355.34 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$3,786.00 |
$6,311.00 |
$21,146.91 |
|
|
Thrombin time
|
$5.77 |
$6.35 |
$26.50 |
|
|
Thrombin time titer
|
$6.85 |
$7.54 |
$7.54 |
|
|
Thromboendarterectomy including patch graft if preformed;
|
$3,786.00 |
$5,907.78 |
$6,839.00 |
|
|
Thrombomodulin
|
$17.27 |
$19.00 |
$19.00 |
|
|
Thromboplastin inhibition
|
$9.63 |
$10.59 |
$10.59 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$6.47 |
$7.12 |
$7.12 |
|
|
Thromboxane urine
|
$35.11 |
$38.62 |
$38.62 |
|
|
Thumb fusion with graft
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Thumb fusion with graft
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Thumb tendon transfer
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Thyroglobulin antibody
|
$15.91 |
$17.50 |
$82.00 |
|
|
Thyroid imaging
|
$121.77 |
$444.77 |
$473.22 |
|
|
Thyroid met imaging
|
$250.62 |
$444.77 |
$473.22 |
|
|
Thyroid met imaging/studies
|
$219.94 |
$444.77 |
$579.32 |
|
|
Thyroid mets imag whole body
|
$282.25 |
$595.79 |
$662.30 |
|
|
Thyroid met uptake
|
$74.57 |
$116.76 |
$160.18 |
|
|
Thyroid (TSH) Test
|
$16.80 |
$18.48 |
$106.40 |
|
|
Thyroid Ultrasound
|
$116.22 |
$209.09 |
$270.50 |
|
|
Thyroid uptake measurement
|
$167.42 |
$325.99 |
$473.22 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,073.34 |
$2,113.24 |
$2,113.24 |
|
|
Thyrotropin releasing hormone
|
$50.41 |
$55.45 |
$55.45 |
|
|
Thyroxine binding globulin (tbg)
|
$14.78 |
$16.26 |
$59.50 |
|
|
Tibial arthroscopy/surgery
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Tibial arthroscopy/surgery
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Tib/per revasc stent & ather 37231
|
$3,786.00 |
$6,311.00 |
$21,146.91 |
|
|
Tib/per revasc stnt & ather
|
$4,350.00 |
$4,881.00 |
$6,311.00 |
|
|
Tib/per revasc w/ather add-on 37233
|
$4,350.00 |
$4,881.00 |
$6,311.00 |
|
|
Tilt table study
|
$571.38 |
$624.87 |
$934.05 |
|
|
Tisagenlecleucel car-pos t
|
$529,192.86 |
$578,324.58 |
$578,324.58 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$181.60 |
$188.65 |
$188.65 |
|
|
Tissue culture placenta
|
$150.30 |
$165.33 |
$165.33 |
|
|
Tissue culture skin/biopsy
|
$140.73 |
$154.80 |
$154.80 |
|
|
Tissue culture tumor
|
$147.52 |
$162.27 |
$162.27 |
|
|
Tissue exam koh skin/hair/nails
|
$4.27 |
$4.70 |
$4.70 |
|
|
Tissue transglutaminase iga
|
$11.53 |
$12.68 |
$12.68 |
|
|
Tlh uterus 250 g or less
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Tlh uterus over 250 g
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Tlh w/t/o 250 g or less
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Tlh w/t/o uterus over 250 g
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Tlso trnk sj-t9 pre cst
|
$118.83 |
$139.43 |
$196.49 |
|
|
Tnot opn elbw to sho ea tdn
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tobramycin peak therapeutic drug level
|
$16.13 |
$17.74 |
$62.00 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5.79 |
$5.79 |
$5.96 |
|
|
Toe X-ray (both feet)
|
$87.00 |
$97.46 |
$198.00 |
|
|
Tomosynthesis breast diagnostic left
|
$53.92 |
$68.88 |
$121.22 |
|
|
Tomosynthesis breast screen bilateral
|
$43.08 |
$65.52 |
$66.08 |
|
|
Tone decay hearing test
|
$33.75 |
$43.44 |
$46.22 |
|
|
Tongue base vol reduction
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Tongue biopsy; posterior one-third 41105
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Tongue suspension
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Tongue to lip surgery
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Tonsillectomy (age 12+)
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Tonsillectomy (child under 12)
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$38.87 |
$39.50 |
$39.50 |
|
|
Total Hip Replacement
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Total Knee Replacement
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Total tau
|
$85.32 |
$85.32 |
$85.32 |
|
|
Tot disc arthrp 1ntrspc crv
|
$3,786.00 |
$6,311.00 |
$21,657.23 |
|
|
Tot estradiol response panel
|
$55.89 |
$61.48 |
$61.48 |
|
|
Toxoplasma antibody igg
|
$14.39 |
$15.83 |
$71.00 |
|
|
Toxoplasma antibody igm
|
$14.41 |
$15.85 |
$15.85 |
|
|
Tp53 gene full gene sequence
|
$641.85 |
$706.04 |
$706.04 |
|
|
Tp53 gene known famil vrnt
|
$308.00 |
$338.80 |
$338.80 |
|
|
Tp53 gene trgt sequence alys
|
$329.51 |
$362.46 |
$362.46 |
|
|
Tpmt gene com vrnts
|
$174.81 |
$192.29 |
$192.29 |
|
|
Tprnl balo cntnc dev adjmt
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Tprnl balo cntnc dev bi
|
$3,786.00 |
$6,311.00 |
$15,300.65 |
|
|
Tprnl balo cntnc dev rmvl ea
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Tprnl balo cntnc dev uni
|
$3,786.00 |
$6,311.00 |
$10,890.00 |
|
|
Tprnl plmt biodegrdabl matrl
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|