|
Thoracoscopy w w resect diag 32668
|
$780.00 |
$780.00 |
$780.00 |
$304.20
|
|
Thoracostomy w/flap drng 32036
|
$3,198.00 |
$3,198.00 |
$3,198.00 |
$3,198.00
|
|
Thoracostomy w/rib resection 32035
|
$2,935.40 |
$2,935.40 |
$2,935.40 |
$2,935.40
|
|
Thoracotomy opn free adhesions 32124
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$2,256.80
|
|
Thoracotomy w/expl
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$3,406.00 |
$3,406.00 |
$3,406.00 |
$2,138.76
|
|
Thorax spine fusion
|
$4,941.95 |
$4,941.95 |
$4,941.95 |
$3,044.00
|
|
Thorcscpy w/biop pleura
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,067.65 |
$2,067.65 |
$2,067.65 |
$1,708.85
|
|
Thrombectmy crnry perq mechanical
|
$2,483.65 |
$2,483.65 |
$2,483.65 |
$3,720.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$21,309.60 |
$21,309.60 |
$21,309.60 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$34,570.25 |
$34,570.25 |
$34,570.25 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$5,501.60 |
$5,501.60 |
$5,501.60 |
$6,422.91
|
|
Thrombin time
|
$26.00 |
$26.00 |
$26.00 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$17,015.70 |
$17,015.70 |
$17,015.70 |
$3,987.20
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$6,398.60 |
$6,398.60 |
$6,398.60 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$17,024.15 |
$17,024.15 |
$17,024.15 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$29.25 |
$29.25 |
$29.25 |
$61.52
|
|
Thumb fusion with graft
|
$2,207.40 |
$2,207.40 |
$2,207.40 |
$7,807.24
|
|
Thumb tendon transfer
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$3,839.54
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$6,104.80 |
$6,104.80 |
$6,104.80 |
$3,328.80
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$4,461.60 |
$4,461.60 |
$4,461.60 |
$6,465.11
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$4,986.80 |
$4,986.80 |
$4,986.80 |
$2,736.00
|
|
Thyroglobulin antibody
|
$71.50 |
$71.50 |
$71.50 |
$83.25
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$6,032.00 |
$6,032.00 |
$6,032.00 |
$2,616.00
|
|
Thyroid imaging
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$695.02
|
|
Thyroid mets imag whole body
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,524.99
|
|
Thyroid met uptake
|
$729.95 |
$729.95 |
$729.95 |
$407.40
|
|
Thyroid (TSH) Test
|
$75.40 |
$75.40 |
$75.40 |
$111.75
|
|
Thyroid Ultrasound
|
$637.00 |
$637.00 |
$637.00 |
$588.50
|
|
Thyroid uptake measurement
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$589.22
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,298.95 |
$4,298.95 |
$4,298.95 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$66.30 |
$66.30 |
$66.30 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$2,797.60 |
$2,797.60 |
$2,797.60 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$10,629.07
|
|
Tic-brn enceph vac 0.25ml im
|
$197.60 |
$197.60 |
$197.60 |
$520.31
|
|
Tic-brn enceph vac 0.5ml im
|
$197.60 |
$197.60 |
$197.60 |
$560.33
|
|
Tigecycline injection
|
$234.00 |
$234.00 |
$234.00 |
$235.29
|
|
Tilt table study
|
$2,523.95 |
$2,523.95 |
$2,523.95 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$9.15 |
$9.15 |
$9.15 |
$458.85
|
|
Tisagenlecleucel car-pos t
|
$1,888,860.51 |
$1,888,860.51 |
$1,888,860.51 |
$1,780,600.03
|
|
Tis cgen car anomal 1st shnt
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$6,546.38
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$23,090.50 |
$23,090.50 |
$23,090.50 |
$13,339.20
|
|
Tissue culture placenta
|
$674.05 |
$674.05 |
$674.05 |
$453.00
|
|
Tissue culture skin/biopsy
|
$631.15 |
$631.15 |
$631.15 |
$498.40
|
|
Tissue culture tumor
|
$661.70 |
$661.70 |
$661.70 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$18.85 |
$18.85 |
$18.85 |
$47.20
|
|
Tissue transglutaminase iga
|
$52.00 |
$52.00 |
$52.00 |
$45.60
|
|
Tlh uterus 250 g or less
|
$3,473.60 |
$3,473.60 |
$3,473.60 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$5,064.80 |
$5,064.80 |
$5,064.80 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$5,405.40 |
$5,405.40 |
$5,405.40 |
$12,320.22
|
|
Tmvr w/prosthetic ring 33426
|
$11,252.80 |
$11,252.80 |
$11,252.80 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$11,655.80 |
$11,655.80 |
$11,655.80 |
$5,969.60
|
|
Tnot opn elbw to sho ea tdn
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$460.69 |
$460.69 |
$460.69 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$72.15 |
$72.15 |
$72.15 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,072.67 |
$4,072.67 |
$4,072.67 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$429.00 |
$429.00 |
$429.00 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$228.15 |
$228.15 |
$228.15 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$247.00 |
$247.00 |
$247.00 |
$74.10
|
|
Tone decay hearing test
|
$63.70 |
$63.70 |
$63.70 |
$90.37
|
|
Tongue and neck surgery
|
$7,836.40 |
$7,836.40 |
$7,836.40 |
$2,745.01
|
|
Tongue base vol reduction
|
$910.00 |
$910.00 |
$910.00 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$382.20 |
$382.20 |
$382.20 |
$3,592.74
|
|
Tonsillectomy (age 12+)
|
$897.00 |
$897.00 |
$897.00 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$912.60 |
$912.60 |
$912.60 |
$6,056.50
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$931.45 |
$931.45 |
$931.45 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$5,073.77 |
$5,073.77 |
$5,073.77 |
$15,383.12
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$6,006.00 |
$6,006.00 |
$6,006.00 |
$3,364.80
|
|
Total hip arthroplasty
|
$7,347.60 |
$7,347.60 |
$7,347.60 |
$7,347.60
|
|
Total Hip Replacement
|
$5,605.60 |
$5,605.60 |
$5,605.60 |
$9,161.60
|
|
Total hysterectomy
|
$4,500.60 |
$4,500.60 |
$4,500.60 |
$3,001.70
|
|
Total Knee Replacement
|
$5,096.00 |
$5,096.00 |
$5,096.00 |
$14,061.89
|
|
Total lung lavage
|
$1,900.60 |
$1,900.60 |
$1,900.60 |
$1,758.40
|
|
Total ob care failed vbac 59618
|
$10,808.20 |
$10,808.20 |
$10,808.20 |
$4,792.80
|
|
Total tau
|
$78.65 |
$78.65 |
$78.65 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$6,878.30 |
$6,878.30 |
$6,878.30 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$7,053.80 |
$7,053.80 |
$7,053.80 |
$4,365.60
|
|
Tot disc arthrp 2ntrspc lmbr
|
$1,788.80 |
$1,788.80 |
$1,788.80 |
$470.40
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,230.40
|
|
Tot esophagectomy without thoracotomy 43107
|
$13,533.00 |
$13,533.00 |
$13,533.00 |
$7,284.80
|
|
Toxoplasma antibody igg
|
$64.35 |
$64.35 |
$64.35 |
$90.00
|
|
Toxoplasma antibody igm
|
$64.35 |
$64.35 |
$64.35 |
$89.05
|
|
Tp53 gene full gene sequence
|
$2,878.85 |
$2,878.85 |
$2,878.85 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,478.10 |
$1,478.10 |
$1,478.10 |
$790.68
|
|
Tpmt gene com vrnts
|
$783.90 |
$783.90 |
$783.90 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$787.80 |
$787.80 |
$787.80 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$11,510.75 |
$11,510.75 |
$11,510.75 |
$6,684.23
|
|
Trachelectomy (cervicectomy) 57530
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,437.45
|
|
Tracheostoma revision; simple, without flap rotation
|
$1,224.60 |
$1,224.60 |
$1,224.60 |
$3,837.72
|
|
Tracheostoma stent/stud/bttn
|
$333.29 |
$333.29 |
$333.29 |
$333.29
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$257.40 |
$257.40 |
$257.40 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$1.40 |
$1.40 |
$1.40 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$791.05 |
$791.05 |
$791.05 |
$678.70
|
