|
Tbs i&r fx rsk qhp
|
$66.30 |
$66.30 |
$66.30 |
$61.04
|
|
Tbs techl calculation only
|
$395.20 |
$395.20 |
$395.20 |
$153.60
|
|
Tbs techl prep&transmis data
|
$395.20 |
$395.20 |
$395.20 |
$119.66
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$278.20 |
$278.20 |
$278.20 |
$181.80
|
|
Tc-99m apcitide diag
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$1,181.70
|
|
Tc-99m bicisate
|
$2,447.90 |
$2,447.90 |
$2,447.90 |
$1,984.80
|
|
Tc-99m depreotide
|
$885.95 |
$885.95 |
$885.95 |
$1,486.80
|
|
Tc-99m disofenin
|
$131.30 |
$131.30 |
$131.30 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$2,486.31
|
|
Tc-99m exametazime diag
|
$2,033.20 |
$2,033.20 |
$2,033.20 |
$2,135.70
|
|
Tc-99m fanolesomab diag
|
$993.85 |
$993.85 |
$993.85 |
$2,115.12
|
|
Tc-99m labeled rbc
|
$227.50 |
$227.50 |
$227.50 |
$306.00
|
|
Tc-99m maa
|
$709.80 |
$709.80 |
$709.80 |
$306.60
|
|
Tc-99m mebrofenin
|
$40.30 |
$40.30 |
$40.30 |
$157.50
|
|
Tc-99m medronate
|
$36.40 |
$36.40 |
$40.30 |
$111.01
|
|
Tc-99m mertiatide
|
$369.20 |
$369.20 |
$369.20 |
$756.00
|
|
Tc-99m oxidronate
|
$53.30 |
$53.30 |
$53.30 |
$108.04
|
|
Tc-99m pentetate dtpa
|
$156.00 |
$276.90 |
$276.90 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$156.00 |
$156.00 |
$156.00 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$22.10 |
$22.10 |
$22.10 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$76.70 |
$76.70 |
$76.70 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$42.90 |
$42.90 |
$42.90 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$187.20 |
$187.20 |
$187.20 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$130.00 |
$130.00 |
$130.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$40.30 |
$40.30 |
$42.25 |
$192.08
|
|
Tc-99m tilmanocept diag
|
$773.50 |
$773.50 |
$773.50 |
$958.31
|
|
Tca peel dermal 15789
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$397.15 |
$397.15 |
$696.15 |
$475.80
|
|
Tcd emboli detect without inj
|
$397.15 |
$397.15 |
$696.15 |
$475.28
|
|
T-cell depletion of harvest
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$210.60 |
$210.60 |
$210.60 |
$185.28
|
|
T cells absolute cd 4 count
|
$120.25 |
$120.25 |
$120.25 |
$111.20
|
|
T cells total count
|
$169.00 |
$169.00 |
$169.00 |
$132.63
|
|
Tcranial magn stim tx deli
|
$607.10 |
$607.10 |
$607.10 |
$389.22
|
|
Tcranial magn stim tx plan
|
$607.10 |
$607.10 |
$607.10 |
$437.22
|
|
Tcran magn stim redetemine
|
$607.10 |
$607.10 |
$607.10 |
$457.60
|
|
Tdh sdrl/ventr pnxr
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$1,087.20
|
|
Teaec w/wo patch graft iliofemoral
|
$4,327.70 |
$4,327.70 |
$5,163.60 |
$6,120.00
|
|
Team conf without pat by hc pro
|
$187.20 |
$187.20 |
$187.20 |
$110.62
|
|
Team conf without pat by phys
|
$286.00 |
$286.00 |
$286.00 |
$139.05
|
|
Team conf w/pat by hc prof
|
$213.20 |
$213.20 |
$213.20 |
$105.70
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$130,977.60 |
$130,977.60 |
$130,977.60 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$2,952.95 |
$2,952.95 |
$2,952.95 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$2,952.95 |
$2,952.95 |
$2,952.95 |
$1,692.44
|
|
Telehealth original site facility fee
|
$27.95 |
$27.95 |
$27.95 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,641.90 |
$1,641.90 |
$2,471.30 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,641.90 |
$1,641.90 |
$2,042.30 |
$889.80
|
|
Temozolomide
|
$673.36 |
$673.36 |
$673.36 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$3,129.70 |
$3,129.70 |
$3,129.70 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$328.86 |
$4,914.80 |
$4,914.80 |
$3,723.60
|
|
Tendon lengthening
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$3,986.00
|
|
Tendon lngth upr a/e ea tdn
|
$1,981.20 |
$1,981.20 |
$1,981.20 |
$3,591.33
|
|
Tendon shortening
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$3,786.00
|
|
Tendon transfer with graft
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$3,839.54
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$19,998.07 |
$19,998.07 |
$19,998.07 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$2,100.80 |
$2,100.80 |
$2,100.80 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$2,811.20
|
|
Tenolysis triceps
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$4,350.00
|
|
Tenoplasty elbow to sho 1
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$7,807.24
|
|
Tenosynovectomy radic 26145
|
$1,687.40 |
$1,687.40 |
$1,687.40 |
$2,211.05
|
|
Tenotomy hip flexor open
|
$2,618.20 |
$2,618.20 |
$2,618.20 |
$3,342.87
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,211.05
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$46.10 |
$46.10 |
$46.10 |
$39.33
|
|
Term dev auto grasp feature
|
$3,525.02 |
$3,525.02 |
$3,525.02 |
$4,513.60
|
|
Term dev mech hand vol close
|
$1,109.52 |
$1,109.52 |
$1,109.52 |
$1,817.20
|
|
Term dev mech hook vol close
|
$1,136.21 |
$1,136.21 |
$1,136.21 |
$1,853.60
|
|
Term dev mech hook vol open
|
$321.20 |
$321.20 |
$321.20 |
$487.20
|
|
Test for chlorohydrocarbons
|
$26.65 |
$26.65 |
$26.65 |
$61.60
|
|
Test for porphobilinogen
|
$26.00 |
$26.00 |
$26.00 |
$29.25
|
|
Test for urine cystines
|
$42.90 |
$42.90 |
$42.90 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$1,987.05 |
$1,987.05 |
$1,987.05 |
$842.56
|
|
Testosterone pellet 75 mg
|
$137.80 |
$137.80 |
$137.80 |
$102.40
|
|
Testosterone undecanoate 1mg
|
$1,694.94 |
$1,694.94 |
$1,694.94 |
$3,528.08
|
|
Test pathogen(s) for platelets reference
|
$266.50 |
$266.50 |
$266.50 |
$70.00
|
|
Test socket above knee
|
$306.07 |
$306.07 |
$306.07 |
$467.60
|
|
Test socket below knee
|
$313.30 |
$313.30 |
$313.30 |
$535.15
|
|
Test socket symes
|
$256.14 |
$256.14 |
$256.14 |
$324.80
|
|
Test sock wrist disart/bel e
|
$235.78 |
$235.78 |
$235.78 |
$350.00
|
|
Test stress cardiovascular tracing only
|
$1,164.15 |
$1,164.15 |
$1,164.15 |
$949.70
|
|
Test urine for porphyrins
|
$59.80 |
$59.80 |
$59.80 |
$49.98
|
|
Tetanus immune globulin inj
|
$1,534.24 |
$1,534.24 |
$1,534.24 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$5,727.70 |
$5,727.70 |
$5,727.70 |
$8,737.05
|
|
Thawing cryopresrved embryo
|
$942.50 |
$942.50 |
$942.50 |
$326.15
|
|
Thawing cryopresrved oocyte
|
$227.50 |
$227.50 |
$227.50 |
$402.80
|
|
Thawing cryopresrved sperm
|
$162.50 |
$162.50 |
$162.50 |
$117.61
|
|
Thaw preserved stem cells
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$63.70 |
$63.70 |
$63.70 |
$108.00
|
|
Therapeutic procd strg endur
|
$63.70 |
$63.70 |
$63.70 |
$85.68
|
|
Therapeutic pulpotomy
|
$211.25 |
$211.25 |
$211.25 |
$744.80
|
|
Therapy activation ipnss
|
$411.45 |
$411.45 |
$411.45 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$178.10 |
$178.10 |
$178.10 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$167.70 |
$167.70 |
$167.70 |
$98.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$137.80 |
$137.80 |
$137.80 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$117.00 |
$117.00 |
$117.00 |
$50.00
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$387.40 |
$387.40 |
$387.40 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,837.72
|
|
Ther nma rdctj intus/obstrcj
|
$1,323.40 |
$1,323.40 |
$1,323.40 |
$534.32
|
|
Ther/proph/diag inj ia
|
$945.10 |
$945.10 |
$945.10 |
$247.33
|
|
Ther radiology tx plng cplx
|
$737.75 |
$737.75 |
$898.30 |
$332.00
|
