|
Thoracotomy with cardiac massage
|
$2,984.28 |
$5,512.53 |
$5,657.00 |
|
|
Thorax spine fusion
|
$800.80 |
$17,913.59 |
$17,913.59 |
|
|
Thorax stereo rad targetw/tx
|
$127.16 |
$127.16 |
$127.16 |
|
|
Thorcscpy w/biop pleura
|
$155.32 |
$6,904.15 |
$13,835.76 |
|
|
Thrcspy w/diag bp lng inf uni
|
$187.66 |
$12,320.22 |
$14,128.97 |
|
|
Thrcspy w/diag bp lng nod uni
|
$230.78 |
$12,320.22 |
$14,128.97 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$475.51 |
$475.51 |
$4,811.00 |
|
|
Throat x-ray & fluoroscopy
|
$9.24 |
$104.19 |
$104.19 |
|
|
Thrombectmy crnry perq mechanical
|
$106.26 |
$8,877.15 |
$10,925.73 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,529.20 |
$6,746.95 |
$13,578.76 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,197.00 |
$13,419.98 |
$26,537.16 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$19,656.21 |
$21,249.26 |
$42,018.60 |
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$682.88 |
$5,398.13 |
$6,643.85 |
|
|
Thrombin time
|
$5.77 |
$20.87 |
$177.00 |
|
|
Thrombin time titer
|
$4.40 |
$6.85 |
$6.85 |
|
|
Thromboendarterectomy common femoral
|
$492.58 |
$11,729.85 |
$14,436.74 |
|
|
Thromboendarterectomy including patch graft if preformed;
|
$549.56 |
$6,396.89 |
$11,980.07 |
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$778.80 |
$10,019.51 |
$12,331.70 |
|
|
Thromboendarterectomy sfa
|
$674.96 |
$11,729.85 |
$14,436.74 |
|
|
Thrombomodulin
|
$11.44 |
$17.27 |
$17.27 |
|
|
Thromboplastin inhibition
|
$6.16 |
$9.63 |
$290.00 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$4.40 |
$6.47 |
$471.00 |
|
|
Thromboxane urine
|
$23.32 |
$35.11 |
$126.67 |
|
|
Thumb fusion with graft
|
$509.30 |
$8,453.60 |
$14,590.10 |
|
|
Thumb fusion with graft
|
$510.62 |
$8,453.60 |
$14,590.10 |
|
|
Thumb tendon transfer
|
$391.82 |
$3,839.54 |
$3,839.54 |
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$835.12 |
$835.12 |
$835.12 |
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$649.22 |
$7,000.36 |
$7,000.36 |
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$690.36 |
$690.36 |
$690.36 |
|
|
Thyroglobulin antibody
|
$15.91 |
$57.57 |
$399.00 |
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$840.40 |
$840.40 |
$840.40 |
|
|
Thyroid imaging
|
$420.00 |
$475.51 |
$2,265.00 |
|
|
Thyroid met imaging
|
$19.58 |
$475.51 |
$2,847.00 |
|
|
Thyroid met imaging/studies
|
$20.24 |
$475.51 |
$475.51 |
|
|
Thyroid mets imag whole body
|
$23.98 |
$636.97 |
$5,086.00 |
|
|
Thyroid met uptake
|
$16.28 |
$16.28 |
$1,233.00 |
|
|
Thyroid (TSH) Test
|
$16.80 |
$41.40 |
$359.00 |
|
|
Thyroid Ultrasound
|
$125.84 |
$181.80 |
$1,948.00 |
|
|
Thyroid uptake measurement
|
$5.50 |
$475.51 |
$2,265.00 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,073.34 |
$2,073.34 |
$6,920.34 |
|
|
Thyrotropin releasing hormone
|
$33.44 |
$50.41 |
$50.41 |
|
|
Thyroxine binding globulin (tbg)
|
$9.68 |
$14.78 |
$179.82 |
|
|
Tibial arthroscopy/surgery
|
$486.64 |
$8,453.60 |
$8,453.60 |
|
|
Tibial arthroscopy/surgery
|
$617.98 |
$15,226.08 |
$15,226.08 |
|
|
Tib/per revasc stent & ather 37231
|
$20,150.88 |
$21,249.26 |
$42,018.60 |
|
|
Tib/per revasc stnt & ather
|
$31,514.34 |
$31,514.34 |
$31,514.34 |
|
|
Tib/per revasc w/ather add-on 37233
|
$16,571.05 |
$16,571.05 |
$31,514.34 |
|
|
Tic-brn enceph vac 0.5ml im
|
$2,026.01 |
$2,026.01 |
$2,026.01 |
|
|
Tigecycline injection
|
$9.60 |
$171.48 |
$171.48 |
|
|
Tilt table study
|
$55.44 |
$627.89 |
$5,731.00 |
|
|
Tirofiban 12.5 mg/50 ml
|
$9.12 |
$9.12 |
$9.12 |
|
|
Tisagenlecleucel car-pos t
|
$529,192.86 |
$529,192.86 |
$2,118,914.00 |
|
|
Tis cgen car anomal 1st shnt
|
$648.56 |
$648.56 |
$648.56 |
|
|
Tis cgen car anomal ea addl
|
$259.16 |
$259.16 |
$259.16 |
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$92.62 |
$92.62 |
$92.62 |
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$100.76 |
$100.76 |
$100.76 |
|
|
Tis cltr skn agrft t/a/l add
|
$67.10 |
$67.10 |
$67.10 |
|
|
Tis cltr skn agrft t/a/l ea
|
$88.88 |
$88.88 |
$88.88 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$181.60 |
$181.60 |
$24,930.50 |
|
|
Tiss ex molecul study add-on
|
$14.30 |
$14.30 |
$16.00 |
|
|
Tissue culture placenta
|
$99.00 |
$150.30 |
$712.00 |
|
|
Tissue culture skin/biopsy
|
$92.84 |
$140.73 |
$626.80 |
|
|
Tissue culture tumor
|
$97.24 |
$147.52 |
$810.00 |
|
|
Tissue exam koh skin/hair/nails
|
$4.27 |
$4.27 |
$156.00 |
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Tissue transglutaminase iga
|
$11.53 |
$16.00 |
$60.84 |
|
|
Tixagev and cilgav inj
|
$99.22 |
$178.10 |
$1,827.00 |
|
|
Tl-201 thallium diag per mci
|
$44.04 |
$54.21 |
$8,055.78 |
|
|
Tlh uterus 250 g or less
|
$499.62 |
$12,320.22 |
$12,320.22 |
|
|
Tlh uterus over 250 g
|
$643.72 |
$12,320.22 |
$12,320.22 |
|
|
Tlh w/t/o 250 g or less
|
$561.22 |
$12,320.22 |
$12,320.22 |
|
|
Tlh w/t/o uterus over 250 g
|
$752.84 |
$12,320.22 |
$12,320.22 |
|
|
Tlso 2 shl symphys-stern cst
|
$2,136.99 |
$2,136.99 |
$2,630.14 |
|
|
Tlso 3mod sacro-scap pre
|
$2,338.05 |
$2,338.05 |
$2,877.60 |
|
|
Tlso rigid lined custom fab
|
$3,437.06 |
$3,437.06 |
$4,230.22 |
|
|
Tlso rigid plastic cust fab
|
$3,414.61 |
$3,414.61 |
$4,202.59 |
|
|
Tlso rigid plastic custom fa
|
$3,084.14 |
$3,084.14 |
$3,795.86 |
|
|
Tmvr w/prosthetic ring 33426
|
$1,448.04 |
$1,448.04 |
$1,448.04 |
|
|
Tmvr w/rad reconst w or without ring 33427
|
$1,480.60 |
$1,480.60 |
$1,480.60 |
|
|
Tnot opn elbw to sho ea tdn
|
$295.68 |
$3,839.54 |
$3,839.54 |
|
|
Tobramycin comp unit
|
$820.00 |
$820.00 |
$820.00 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$1.52 |
$2.91 |
$210.53 |
|
|
Tobramycin non-comp unit
|
$27.66 |
$27.66 |
$27.66 |
|
|
Tobramycin peak therapeutic drug level
|
$10.56 |
$16.13 |
$245.00 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5.96 |
$5.96 |
$5,158.20 |
|
|
Toe joint transfer
|
$2,092.20 |
$7,413.38 |
$7,413.38 |
|
|
Toe X-ray (both feet)
|
$104.19 |
$108.60 |
$711.00 |
|
|
Tomosynthesis breast diagnostic left
|
$17.60 |
$49.31 |
$123.00 |
|
|
Tomosynthesis breast screen bilateral
|
$45.00 |
$59.01 |
$1,499.00 |
|
|
Tone decay hearing test
|
$46.45 |
$46.45 |
$46.45 |
|
|
Tongue and neck surgery
|
$1,317.14 |
$1,317.14 |
$1,317.14 |
|
|
Tongue base vol reduction
|
$229.46 |
$3,837.72 |
$3,837.72 |
|
|
Tongue biopsy; posterior one-third 41105
|
$68.20 |
$3,837.72 |
$10,262.00 |
|
|
Tongue jaw & neck surgery
|
$1,814.56 |
$1,814.56 |
$1,814.56 |
|
|
Tongue mouth jaw surgery
|
$1,334.96 |
$1,334.96 |
$1,334.96 |
|
|
Tongue mouth neck surgery
|
$1,455.52 |
$1,455.52 |
$1,455.52 |
|
|
Tongue removal neck surgery
|
$1,668.04 |
$1,668.04 |
$1,668.04 |
|
|
Tongue suspension
|
$405.02 |
$7,000.36 |
$7,000.36 |
|
|
Tongue to lip surgery
|
$275.22 |
$3,837.72 |
$3,837.72 |
|
