|
Thyroid mets imag whole body
|
$1,294.15 |
$1,294.15 |
$2,195.00 |
|
|
Thyroid (TSH) Test
|
$112.00 |
$186.98 |
$186.98 |
|
|
Thyroid Ultrasound
|
$537.50 |
$544.80 |
$1,054.00 |
|
|
Thyroid uptake measurement
|
$270.50 |
$671.33 |
$863.00 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,044.25 |
$4,044.25 |
$4,044.25 |
|
|
Thyroxine binding globulin (tbg)
|
$51.00 |
$126.43 |
$126.43 |
|
|
Tib/per revasc stent & ather 37231
|
$20,812.90 |
$20,812.90 |
$27,718.50 |
|
|
Tib/per revasc stnt & ather
|
$11,213.50 |
$14,729.18 |
$14,729.18 |
|
|
Tib/per revasc w/ather add-on 37233
|
$5,098.30 |
$5,098.30 |
$9,751.00 |
|
|
Tigecycline injection
|
$373.08 |
$373.08 |
$373.08 |
|
|
Tilt table study
|
$723.00 |
$3,063.13 |
$3,063.13 |
|
|
Tirofiban 12.5 mg/50 ml
|
$563.13 |
$563.13 |
$563.13 |
|
|
Tisagenlecleucel car-pos t
|
$1,780,600.03 |
$1,780,600.03 |
$1,780,600.03 |
|
|
Tis cgen car anomal 1st shnt
|
$31,879.33 |
$31,879.33 |
$31,879.33 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$14,271.00 |
$14,271.00 |
$14,271.00 |
|
|
Tissue culture placenta
|
$226.50 |
$668.98 |
$668.98 |
|
|
Tissue culture skin/biopsy
|
$176.00 |
$718.73 |
$718.73 |
|
|
Tissue culture tumor
|
$598.00 |
$736.50 |
$736.50 |
|
|
Tissue exam koh skin/hair/nails
|
$37.00 |
$48.95 |
$89.50 |
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$537.50 |
$537.50 |
$537.50 |
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$81.00 |
$81.00 |
$81.00 |
|
|
Tissue transglutaminase iga
|
$49.00 |
$116.60 |
$143.00 |
|
|
Tixagev and cilgav inj
|
$75.25 |
$603.65 |
$603.65 |
|
|
Tl-201 thallium diag per mci
|
$30.33 |
$30.33 |
$91.00 |
|
|
Tlso 3mod sacro-scap pre
|
$987.91 |
$987.91 |
$987.91 |
|
|
Tlso rigid lined custom fab
|
$1,252.35 |
$1,252.35 |
$1,252.35 |
|
|
Tlso rigid lined pre one pie
|
$800.06 |
$800.06 |
$800.06 |
|
|
Tlso rigid plastic cust fab
|
$1,344.46 |
$1,344.46 |
$1,344.46 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$44.13 |
$205.50 |
$205.50 |
|
|
Tobramycin non-comp unit
|
$304.43 |
$304.43 |
$304.43 |
|
|
Tobramycin peak therapeutic drug level
|
$84.00 |
$140.48 |
$140.48 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,492.51 |
$5,324.15 |
$5,324.15 |
|
|
Toe X-ray (both feet)
|
$180.73 |
$180.73 |
$629.00 |
|
|
Tomosynthesis breast diagnostic left
|
$23.50 |
$23.50 |
$23.50 |
|
|
Tomosynthesis breast screen bilateral
|
$18.50 |
$40.18 |
$105.00 |
|
|
Tongue biopsy; posterior one-third 41105
|
$1,680.18 |
$1,680.18 |
$19,751.00 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$76.53 |
$2,176.33 |
$2,176.33 |
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$18,599.40 |
$18,599.40 |
$18,599.40 |
|
|
Torsion straight knee joint
|
$96.26 |
$96.26 |
$96.26 |
|
|
Total tau
|
$605.00 |
$605.00 |
$605.00 |
|
|
Toxoplasma antibody igg
|
$66.00 |
$100.80 |
$361.00 |
|
|
Toxoplasma antibody igm
|
$15.50 |
$109.73 |
$114.00 |
|
|
Tp53 gene full gene sequence
|
$1,397.08 |
$1,397.08 |
$1,397.08 |
|
|
Tp53 gene trgt sequence alys
|
$472.98 |
$472.98 |
$715.50 |
|
|
Tpmt gene com vrnts
|
$324.50 |
$750.13 |
$1,834.00 |
|
|
Tprnl plmt biodegrdabl matrl
|
$13,219.53 |
$13,219.53 |
$13,219.53 |
|
|
Trabectedin 1 mg intravenous solution
|
$7,403.70 |
$7,403.70 |
$7,403.70 |
|
|
Trabeculoplasty laser surg
|
$962.50 |
$962.50 |
$962.50 |
|
|
Tracheobrnchsc thru est trachs incisn
|
$593.00 |
$1,459.48 |
$1,459.48 |
|
|
Train for caregiver add 15
|
$81.65 |
$81.65 |
$81.65 |
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$44.00 |
$120.18 |
$120.18 |
|
|
Transabdom amnioinfus w/us
|
$256.50 |
$893.28 |
$893.28 |
|
|
Transcath biopsy
|
$1,438.18 |
$1,438.18 |
$3,002.50 |
|
|
Transcath closure of asd
|
$13,576.35 |
$13,576.35 |
$14,936.00 |
|
|
Transcath closure of vsd
|
$9,595.25 |
$9,595.25 |
$14,936.00 |
|
|
Transcatheter bx s&i
|
$1,671.50 |
$1,795.70 |
$1,795.70 |
|
|
Transcath mv repair addl prosthesis
|
$2,591.73 |
$2,591.73 |
$2,591.73 |
|
|
Transcath mv repair init prosthesis
|
$10,001.80 |
$10,001.80 |
$10,001.80 |
|
|
Transcath occlusion cns
|
$3,131.00 |
$3,340.78 |
$3,340.78 |
|
|
Transcath occlusion non-cns
|
$3,060.70 |
$3,060.70 |
$7,396.00 |
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,835.55 |
$5,835.55 |
$11,548.50 |
|
|
Transcutaneous carboxyhb
|
$68.58 |
$68.58 |
$68.58 |
|
|
Transferrin
|
$72.00 |
$88.88 |
$103.00 |
|
|
Transparent film >16<=48 in
|
$1.08 |
$1.08 |
$1.08 |
|
|
Transperi needle place pros
|
$6,595.85 |
$6,595.85 |
$6,595.85 |
|
|
Transplj hematopoietic boost
|
$2,667.20 |
$2,667.20 |
$2,667.20 |
|
|
Transplt allo hct/donor
|
$4,477.68 |
$4,477.68 |
$4,477.68 |
|
|
Transplt allo lymphocytes
|
$1,815.90 |
$1,815.90 |
$1,815.90 |
|
|
Transplt autol hct/donor
|
$2,467.50 |
$3,250.73 |
$3,250.73 |
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$491.58 |
$491.58 |
$1,277.01 |
|
|
Transvaginal Pregnancy Ultrasound
|
$385.58 |
$385.58 |
$1,171.00 |
|
|
Trastuzumab 150 mg intravenous solution
|
$3,141.85 |
$3,141.85 |
$3,141.85 |
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$7,191.23 |
$7,191.23 |
$7,191.23 |
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$4,500.03 |
$4,500.03 |
$4,500.03 |
|
|
Trauma partial team response w/critical care services level 4
|
$7,438.38 |
$7,438.38 |
$7,438.38 |
|
|
Tray bonemarrw oncontrol 102mm
|
$109.71 |
$467.50 |
$467.50 |
|
|
Treat ankle dislocation
|
$1,805.10 |
$1,805.10 |
$1,909.00 |
|
|
Treat ankle dislocation
|
$3,945.00 |
$3,945.00 |
$3,945.00 |
|
|
Treat clavicle dislocation 23545
|
$806.50 |
$806.50 |
$806.50 |
|
|
Treat ectopic pregnancy
|
$6,000.90 |
$6,000.90 |
$6,000.90 |
|
|
Treat elbow dislocation
|
$1,472.00 |
$1,712.90 |
$1,712.90 |
|
|
Treat elbow fracture
|
$342.65 |
$342.65 |
$1,597.50 |
|
|
Treat finger fracture each
|
$273.58 |
$273.58 |
$729.00 |
|
|
Treat foot dislocation
|
$188.50 |
$393.63 |
$393.63 |
|
|
Treat foot dislocation
|
$3,341.50 |
$3,341.50 |
$3,341.50 |
|
|
Treat foot dislocation
|
$206.18 |
$206.18 |
$285.00 |
|
|
Treat foot dislocation
|
$336.50 |
$412.15 |
$412.15 |
|
|
Treat fracture of radius
|
$313.65 |
$313.65 |
$1,348.50 |
|
|
Treat fracture of radius
|
$729.00 |
$3,276.43 |
$3,276.43 |
|
|
Treat fracture of ulna
|
$398.53 |
$398.53 |
$1,045.00 |
|
|
Treat hand bone lesion
|
$3,598.00 |
$3,598.00 |
$3,598.00 |
|
|
Treat hip dislocation
|
$1,667.50 |
$1,723.03 |
$1,723.03 |
|
|
Treat hip dislocation
|
$1,861.50 |
$1,861.50 |
$1,861.50 |
|
|
Treat hip socket fracture
|
$756.53 |
$756.53 |
$1,889.00 |
|
|
Treat humerus fracture
|
$283.90 |
$283.90 |
$2,724.44 |
|
|
Treat humerus fracture
|
$180.65 |
$180.65 |
$729.00 |
|
|
Treat kneecap dislocation
|
$1,963.03 |
$1,963.03 |
$1,963.03 |
|
|
Treat knee dislocation
|
$1,165.05 |
$1,165.05 |
$1,307.00 |
|
|
Treat knee fracture 27530
|
$330.50 |
$550.73 |
$550.73 |
|
|
Treat knee fracture(s)
|
$348.50 |
$348.50 |
$348.50 |
|
