|
Temozolomide 100 mg intravenous solution
|
$10.40 |
$10.40 |
$10.40 |
$1,867.28
|
|
Temperature gradient studies
|
$185.15 |
$185.15 |
$185.15 |
$242.25
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$32.21 |
$32.21 |
$32.21 |
$3,723.60
|
|
Tendon lengthening
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,986.00
|
|
Tendon lngth upr a/e ea tdn
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,591.33
|
|
Tendon shortening
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,786.00
|
|
Tendon transfer with graft
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$157.72 |
$157.72 |
$157.72 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$2,811.20
|
|
Tenolysis triceps
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,350.00
|
|
Tenoplasty elbow to sho 1
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Tenosynovectomy radic 26145
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,211.05
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,211.05
|
|
Tert gene targeted seq alys
|
$185.20 |
$185.20 |
$185.20 |
$335.00
|
|
Test for chlorohydrocarbons
|
$6.01 |
$6.01 |
$6.01 |
$61.60
|
|
Test for porphobilinogen
|
$5.82 |
$5.82 |
$5.82 |
$29.25
|
|
Test for urine cystines
|
$9.55 |
$9.55 |
$9.55 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$475.51 |
$475.51 |
$475.51 |
$842.56
|
|
Testosterone response panel
|
$51.64 |
$51.64 |
$51.64 |
$129.60
|
|
Testosterone undecanoate 1mg
|
$1.95 |
$1.95 |
$1.95 |
$3,528.08
|
|
Test pathogen(s) for platelets reference
|
$70.29 |
$70.29 |
$70.29 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$368.50 |
$368.50 |
$368.50 |
$949.70
|
|
Test urine for lactose
|
$11.25 |
$11.25 |
$11.25 |
$23.20
|
|
Test urine for porphyrins
|
$13.36 |
$13.36 |
$13.36 |
$49.98
|
|
Test urine urobilinogen
|
$4.47 |
$4.47 |
$4.47 |
$9.75
|
|
Tetanus immune globulin inj
|
$581.78 |
$581.78 |
$581.78 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$18.11 |
$18.11 |
$18.11 |
$8,737.05
|
|
Tgfbi gene common variants
|
$137.00 |
$137.00 |
$137.00 |
$150.70
|
|
Tgsap hl neo 5-50 rna alys
|
$759.53 |
$759.53 |
$759.53 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$2,919.60 |
$2,919.60 |
$2,919.60 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$597.91 |
$597.91 |
$597.91 |
$1,009.32
|
|
Thaw cryoprsvrd reprod tiss
|
$202.78 |
$202.78 |
$202.78 |
$234.27
|
|
Thawing cryopresrved embryo
|
$202.78 |
$202.78 |
$202.78 |
$326.15
|
|
Thawing cryopresrved oocyte
|
$202.78 |
$202.78 |
$202.78 |
$402.80
|
|
Thawing cryopresrved sperm
|
$63.23 |
$63.23 |
$63.23 |
$117.61
|
|
Thaw preserved stem cells
|
$517.34 |
$517.34 |
$517.34 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$14.14 |
$14.14 |
$14.14 |
$108.00
|
|
Therapeutic procd strg endur
|
$28.98 |
$28.98 |
$28.98 |
$85.68
|
|
Therapeutic pulpotomy
|
$1,967.49 |
$1,967.49 |
$1,967.49 |
$744.80
|
|
Therapy activation ipnss
|
$108.62 |
$108.62 |
$108.62 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$39.84 |
$39.84 |
$39.84 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$32.81 |
$32.81 |
$32.81 |
$98.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$35.57 |
$35.57 |
$35.57 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$30.09 |
$30.09 |
$30.09 |
$50.00
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$235.13 |
$235.13 |
$235.13 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Ther nma rdctj intus/obstrcj
|
$210.66 |
$210.66 |
$210.66 |
$534.32
|
|
Ther/proph/diag inj ia
|
$249.32 |
$249.32 |
$249.32 |
$247.33
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$104.19 |
$104.19 |
$104.19 |
$311.15
|
|
Thiotepa injection
|
$209.02 |
$209.02 |
$209.02 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$731.62 |
$731.62 |
$731.62 |
$1,748.50
|
|
Thoracoscopy diagnostic 32601
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,442.80
|
|
Thoracoscopy w/bx med space
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,463.42
|
|
Thoracoscopy wbx sac
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$7,586.80
|
|
Thorcscpy w/biop pleura
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$475.51 |
$475.51 |
$475.51 |
$1,708.85
|
|
Throat x-ray & fluoroscopy
|
$104.19 |
$104.19 |
$104.19 |
$259.60
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,746.95 |
$6,746.95 |
$6,746.95 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,419.98 |
$13,419.98 |
$13,419.98 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$21,249.26 |
$21,249.26 |
$21,249.26 |
$21,413.60
|
|
Thrombin time
|
$5.77 |
$5.77 |
$5.77 |
$53.76
|
|
Thrombin time titer
|
$6.85 |
$6.85 |
$6.85 |
$17.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$6,396.89 |
$6,396.89 |
$6,396.89 |
$5,994.11
|
|
Thrombomodulin
|
$17.27 |
$17.27 |
$17.27 |
$23.83
|
|
Thromboplastin inhibition
|
$9.63 |
$9.63 |
$9.63 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$6.47 |
$6.47 |
$6.47 |
$61.52
|
|
Thromboxane urine
|
$35.11 |
$35.11 |
$35.11 |
$119.40
|
|
Thumb fusion with graft
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Thumb fusion with graft
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Thumb tendon transfer
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,465.11
|
|
Thyroglobulin antibody
|
$15.91 |
$15.91 |
$15.91 |
$83.25
|
|
Thyroid imaging
|
$475.51 |
$475.51 |
$475.51 |
$695.02
|
|
Thyroid met imaging
|
$475.51 |
$475.51 |
$475.51 |
$838.25
|
|
Thyroid met imaging/studies
|
$475.51 |
$475.51 |
$475.51 |
$767.93
|
|
Thyroid mets imag whole body
|
$636.97 |
$636.97 |
$636.97 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$16.80 |
$16.80 |
$16.80 |
$111.75
|
|
Thyroid Ultrasound
|
$125.84 |
$125.84 |
$125.84 |
$588.50
|
|
Thyroid uptake measurement
|
$475.51 |
$475.51 |
$475.51 |
$589.22
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,073.34 |
$2,073.34 |
$2,073.34 |
$4,152.21
|
|
Thyrotropin releasing hormone
|
$50.41 |
$50.41 |
$50.41 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$14.78 |
$14.78 |
$14.78 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$10,629.07
|
|
Tib/per revasc stent & ather 37231
|
$21,249.26 |
$21,249.26 |
$21,249.26 |
$21,249.26
|
|
Tilt table study
|
$627.89 |
$627.89 |
$627.89 |
$1,507.01
|
|
Tisagenlecleucel car-pos t
|
$529,192.86 |
$529,192.86 |
$529,192.86 |
$1,780,600.03
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$181.60 |
$181.60 |
$181.60 |
$13,339.20
|
|
Tissue culture placenta
|
$150.30 |
$150.30 |
$150.30 |
$453.00
|
|
Tissue culture skin/biopsy
|
$140.73 |
$140.73 |
$140.73 |
$498.40
|
|
Tissue culture tumor
|
$147.52 |
$147.52 |
$147.52 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$4.27 |
$4.27 |
$4.27 |
$47.20
|
|
Tissue transglutaminase iga
|
$11.53 |
$11.53 |
$11.53 |
$45.60
|
|
Tixagev and cilgav inj
|
$178.10 |
$178.10 |
$178.10 |
$241.92
|
|
Tlh uterus 250 g or less
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$9,363.13
|
