|
Tissue exam koh skin/hair/nails
|
$18.85 |
$18.85 |
$31.85 |
$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
|
|
Tlso rigid lined custom fab
|
$1,290.89 |
$1,290.89 |
$1,290.89 |
$2,831.21
|
|
Tlso trnk sj-t9 pre cst
|
$265.36 |
$265.36 |
$265.36 |
$523.94
|
|
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
|
$4.88 |
$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
|
$25.26 |
$4,072.67 |
$4,072.67 |
$5,258.52
|
|
Toe joint transfer
|
$12,935.00 |
$12,935.00 |
$12,935.00 |
$7,413.38
|
|
Toe X-ray (both feet)
|
$395.20 |
$395.20 |
$429.00 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$228.15 |
$228.15 |
$228.15 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$91.00 |
$91.00 |
$247.00 |
$74.10
|
|
Tone decay hearing test
|
$102.05 |
$102.05 |
$102.05 |
$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
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,592.74
|
|
Tongue jaw & neck surgery
|
$11,518.00 |
$11,518.00 |
$11,518.00 |
$3,763.81
|
|
Tongue mouth jaw surgery
|
$7,763.60 |
$7,763.60 |
$7,763.60 |
$5,428.00
|
|
Tongue mouth neck surgery
|
$8,733.40 |
$8,733.40 |
$8,733.40 |
$3,012.36
|
|
Tongue removal neck surgery
|
$9,861.80 |
$9,861.80 |
$9,861.80 |
$3,456.80
|
|
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
|
$87.29 |
$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
|
$3,001.70 |
$3,001.70 |
$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 contact ak/knee disart s
|
$372.08 |
$372.08 |
$372.08 |
$733.60
|
|
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 balo cntnc dev rmvl ea
|
$3,519.10 |
$3,519.10 |
$3,519.10 |
$5,419.00
|
|
Tprnl plmt biodegrdabl matrl
|
$15,200.25 |
$15,200.25 |
$15,200.25 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$11,510.75 |
$11,510.75 |
$11,510.75 |
$6,684.23
|
|
Trabeculoplasty laser surg
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$1,180.80
|
|
Trach care kit for new trach
|
$28.41 |
$28.41 |
$28.41 |
$13.62
|
|
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
|
|
Tracheo-esophagoplasty cong
|
$13,891.80 |
$13,891.80 |
$13,891.80 |
$7,181.60
|
|
Tracheoplasty intrathoracic
|
$6,104.80 |
$6,104.80 |
$6,104.80 |
$1,977.86
|
|
Tracheostoma revision; simple, without flap rotation
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$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
|
$115.05 |
$115.05 |
$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 |
$1,362.40 |
$678.70
|
|
Transab esoph hiat hern repair 43332
|
$5,101.20 |
$5,101.20 |
$5,101.20 |
$2,835.20
|
|
Transab esoph hiat hern rpr
|
$5,579.60 |
$5,579.60 |
$5,579.60 |
$3,096.80
|
|
Transcath biopsy
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$4,285.93
|
|
Transcath closure of asd
|
$22,006.40 |
$22,006.40 |
$22,006.40 |
$17,352.58
|
|
Transcath closure of vsd
|
$27,456.00 |
$27,456.00 |
$27,456.00 |
$17,458.00
|
|
Transcatheter bx s&i
|
$2,385.50 |
$2,385.50 |
$2,601.30 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$5,118.10 |
$5,118.10 |
$5,118.10 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$11,054.55 |
$11,054.55 |
$11,054.55 |
$13,384.80
|
|
Transcath occlusion cns
|
$8,907.60 |
$8,907.60 |
$8,907.60 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$33,956.00 |
$33,956.00 |
$33,956.00 |
$10,452.00
|
|
Trans cath replace aortic valve 33366
|
$19,361.55 |
$19,361.55 |
$19,361.55 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,822.00
|
|
Transcochlear approach/skull
|
$10,251.80 |
$10,251.80 |
$10,251.80 |
$3,030.78
|
|
Transcondylar approach/skull
|
$10,613.20 |
$10,613.20 |
$10,613.20 |
$4,572.23
|
|
Transcrv abltj utrn fibrd rf
|
$22,110.40 |
$22,110.40 |
$22,110.40 |
$8,750.72
|
|
Transcutaneous hgb 88738
|
$22.75 |
$22.75 |
$22.75 |
$13.20
|
|
Transect pulmonary artery
|
$6,297.20 |
$6,297.20 |
$6,297.20 |
$1,996.23
|
|
Transfer of abdominal muscle
|
$2,951.00 |
$2,951.00 |
$2,951.00 |
$5,886.74
|
|
Transferrin
|
$57.20 |
$57.20 |
$57.20 |
$82.00
|
|
Transfer skin pedicle flap
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$3,189.12
|
|
Transfer tendon to pelvis
|
$2,665.65 |
$2,665.65 |
$2,665.65 |
$3,839.54
|
|
Transorl lwr esophgl myotomy
|
$3,455.40 |
$3,455.40 |
$3,455.40 |
$6,594.64
|
|
Transperi needle place pros
|
$15,200.25 |
$15,200.25 |
$15,200.25 |
$6,203.00
|
|
Transpetrosal approach/skull
|
$9,497.80 |
$9,497.80 |
$9,497.80 |
$4,349.65
|
|
Transpl allograft pancreas
|
$9,828.00 |
$9,828.00 |
$9,828.00 |
$3,793.11
|
|
Transplantation heart/lung
|
$23,862.80 |
$23,862.80 |
$23,862.80 |
$6,991.34
|
|
Transplantation of heart
|
$23,270.00 |
$23,270.00 |
$23,270.00 |
$6,872.98
|
|
Transplantation of liver
|
$25,740.00 |
$25,740.00 |
$25,740.00 |
$7,622.83
|
|
Transplant femur ridge
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$1,938.60
|
|
Transplant forearm tendon
|
$2,574.00 |
$2,574.00 |
$2,574.00 |
$3,624.06
|
|
Transplant forearm tendon
|
$2,808.65 |
$2,808.65 |
$2,808.65 |
$3,839.54
|
|
Transplant/graft hand tendon
|
$2,204.80 |
$2,204.80 |
$2,204.80 |
$3,594.44
|
|
Transplant/graft palm tendon
|
$2,563.60 |
$2,563.60 |
$2,563.60 |
$3,839.54
|
|
Transplant hand tendon
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$3,839.54
|
|
Transplant of thigh tendon
|
$2,119.00 |
$2,119.00 |
$2,119.00 |
$7,507.19
|
|
Transplant palm tendon
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$3,839.54
|
|
Transplants of thigh tendons
|
$3,291.60 |
$3,291.60 |
$3,291.60 |
$7,913.97
|
