|
Thromboendarterectomy common femoral
|
$17,015.70 |
$17,015.70 |
$17,015.70 |
$3,987.20
|
|
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
|
|
Thyroglobulin antibody
|
$71.50 |
$71.50 |
$71.50 |
$82.73
|
|
Thyroid imaging
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$696.75
|
|
Thyroid mets imag whole body
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,524.99
|
|
Thyroid met uptake
|
$573.95 |
$573.95 |
$573.95 |
$407.40
|
|
Thyroid (TSH) Test
|
$75.40 |
$75.40 |
$75.40 |
$112.67
|
|
Thyroid Ultrasound
|
$477.10 |
$477.10 |
$477.10 |
$588.50
|
|
Thyroid uptake measurement
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$591.25
|
|
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
|
|
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
|
$1,983.15 |
$1,983.15 |
$1,983.15 |
$1,561.82
|
|
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
|
|
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 |
$440.50
|
|
Tissue culture skin/biopsy
|
$631.15 |
$631.15 |
$631.15 |
$484.00
|
|
Tissue culture tumor
|
$661.70 |
$661.70 |
$661.70 |
$479.50
|
|
Tissue exam koh skin/hair/nails
|
$18.85 |
$18.85 |
$18.85 |
$47.40
|
|
Tissue transglutaminase iga
|
$52.00 |
$52.00 |
$52.00 |
$44.80
|
|
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 |
$119.40
|
|
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)
|
$395.20 |
$395.20 |
$395.20 |
$258.65
|
|
Tomosynthesis breast screen bilateral
|
$91.00 |
$91.00 |
$91.00 |
$74.10
|
|
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
|
|
Total hysterectomy
|
$3,001.70 |
$3,001.70 |
$3,001.70 |
$3,001.70
|
|
Total tau
|
$78.65 |
$78.65 |
$78.65 |
$312.50
|
|
Toxoplasma antibody igg
|
$64.35 |
$64.35 |
$64.35 |
$91.65
|
|
Toxoplasma antibody igm
|
$64.35 |
$64.35 |
$64.35 |
$88.00
|
|
Tp53 gene full gene sequence
|
$2,878.85 |
$2,878.85 |
$2,878.85 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,478.10 |
$1,478.10 |
$1,478.10 |
$804.00
|
|
Tpmt gene com vrnts
|
$783.90 |
$783.90 |
$783.90 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$11,510.75 |
$11,510.75 |
$11,510.75 |
$6,684.23
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,420.44
|
|
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 |
$115.05 |
$103.20
|
|
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
|
|
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 |
$17,088.00
|
|
Transcatheter bx s&i
|
$2,385.50 |
$2,385.50 |
$2,385.50 |
$1,950.85
|
|
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 |
$13,093.20
|
|
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 |
$10,270.00
|
|
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
|
|
Transcrv abltj utrn fibrd rf
|
$22,110.40 |
$22,110.40 |
$22,110.40 |
$8,750.72
|
|
Transferrin
|
$57.20 |
$57.20 |
$57.20 |
$82.00
|
|
Transperi needle place pros
|
$15,200.25 |
$15,200.25 |
$15,200.25 |
$6,015.75
|
|
Transplt allo hct/donor
|
$85,293.00 |
$85,293.00 |
$85,293.00 |
$29,206.10
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$477.10 |
$477.10 |
$477.10 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$477.10 |
$477.10 |
$477.10 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$4,862.26 |
$4,862.26 |
$4,862.26 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$11,881.53 |
$11,881.53 |
$11,881.53 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$10,580.18 |
$10,580.18 |
$10,580.18 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$3,440.45 |
$3,440.45 |
$3,440.45 |
$4,471.50
|
|
Tray bonemarrw oncontrol 102mm
|
$167.70 |
$167.70 |
$167.70 |
$940.80
|
|
Treat clavicle dislocation 23545
|
$716.95 |
$716.95 |
$716.95 |
$692.80
|
|
Treat elbow fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,027.40
|
|
Treat finger fracture each
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,592.00
|
|
Treat foot dislocation
|
$716.95 |
$716.95 |
$716.95 |
$405.60
|
|
Treat foot dislocation
|
$716.95 |
$716.95 |
$716.95 |
$527.28
|
|
Treat foot dislocation
|
$716.95 |
$716.95 |
$716.95 |
$445.80
|
|
Treat fracture of radius
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,821.60
|
|
Treat fracture of radius
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,849.00
|
|
Treat fracture of ulna
|
$716.95 |
$716.95 |
$716.95 |
$726.05
|
|
Treat hip dislocation
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,211.05
|
|
Treat hip socket fracture
|
$345.15 |
$345.15 |
$345.15 |
$1,344.00
|
|
Treat humerus fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,790.00
|
|
Treat humerus fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,790.00
|
|
Treat knee fracture 27530
|
$716.95 |
$716.95 |
$716.95 |
$550.73
|
|
Treat knee fracture(s)
|
$716.95 |
$716.95 |
$716.95 |
$643.26
|
|
Treat knuckle dislocation
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,693.20
|
|
Treatment incomplete abortion completed surgically any trimester
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$385.45 |
$385.45 |
$385.45 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$105.30 |
$105.30 |
$105.30 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$4,230.80
|
|
Treatment mouth roof lesion
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$4,256.70
|
|
Treatment of ankle fracture 27786
|
$716.95 |
$716.95 |
$716.95 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$716.95 |
$716.95 |
$716.95 |
$515.45
|
|
Treatment of foot infection
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,839.54
|
|
Treatment of gum lesion
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$3,164.85
|
|
Treatment of heel fracture 28400
|
$716.95 |
$716.95 |
$716.95 |
$473.00
|
|
Treatment of miscarriage
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$4,146.69
|
|
Treatment of thigh fracture
|
$716.95 |
$716.95 |
$716.95 |
$487.50
|
|
Treatment of thigh fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,749.06
|
|
Treatment of thigh fracture
|
$716.95 |
$716.95 |
$716.95 |
$548.90
|
|
Treatment of thigh fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$716.95 |
$716.95 |
$716.95 |
$371.40
|
|
Treatment radiation delivery level 2
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$830.70
|
|
Treat midfoot fracture each
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,884.74
|
|
Treat sternum fracture
|
$716.95 |
$716.95 |
$716.95 |
$423.00
|
|
Treat thigh fracture
|
$716.95 |
$716.95 |
$716.95 |
$661.00
|
