|
Thi/glut/ischia wgt bearing
|
$852.02 |
$852.02 |
$852.02 |
$657.72
|
|
Thorac cont lat support upri
|
$398.39 |
$398.39 |
$398.39 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$434.27 |
$434.27 |
$434.27 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$487.84 |
$487.84 |
$487.84 |
$387.41
|
|
Thoracic pad
|
$294.88 |
$294.88 |
$294.88 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$1,610.40 |
$1,610.40 |
$1,610.40 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$3,130.14 |
$3,130.14 |
$3,130.14 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$11,356.20 |
$11,356.20 |
$11,356.20 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$56,530.19 |
$56,530.19 |
$56,530.19 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$31,375.80 |
$31,375.80 |
$31,375.80 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$10,984.80 |
$10,984.80 |
$10,984.80 |
$5,520.00
|
|
Thrombin time
|
$95.40 |
$95.40 |
$95.40 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$10,984.80 |
$10,984.80 |
$10,984.80 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$10,984.80 |
$10,984.80 |
$10,984.80 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$10,984.80 |
$10,984.80 |
$10,984.80 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$13,308.00 |
$13,308.00 |
$13,308.00 |
$4,185.30
|
|
Thromboplastin inhibition
|
$161.40 |
$161.40 |
$161.40 |
$53.30
|
|
Th/wght bear nar m-l brim cu
|
$1,743.78 |
$1,743.78 |
$1,743.78 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$3,103.33 |
$3,103.33 |
$3,103.33 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,463.45 |
$1,463.45 |
$1,463.45 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$2,195.89 |
$2,195.89 |
$2,195.89 |
$1,695.23
|
|
Thyroglobulin antibody
|
$248.40 |
$248.40 |
$248.40 |
$82.00
|
|
Thyroid imaging
|
$1,882.20 |
$1,882.20 |
$1,882.20 |
$695.02
|
|
Thyroid met imaging
|
$670.20 |
$670.20 |
$670.20 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$243.00 |
$243.00 |
$243.00 |
$111.00
|
|
Thyroid Ultrasound
|
$1,447.80 |
$1,447.80 |
$1,447.80 |
$588.50
|
|
Thyroid uptake measurement
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,298.80 |
$3,298.80 |
$3,298.80 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$148.20 |
$148.20 |
$148.20 |
$64.35
|
|
Tilt table study
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$4,345.02 |
$4,345.02 |
$4,345.02 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$63,054.84 |
$63,054.84 |
$63,054.84 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$8,758.76 |
$8,758.76 |
$8,758.76 |
$4,834.73
|
|
Tissue culture placenta
|
$583.20 |
$583.20 |
$583.20 |
$457.00
|
|
Tissue culture skin/biopsy
|
$857.40 |
$857.40 |
$857.40 |
$484.00
|
|
Tissue culture tumor
|
$583.20 |
$583.20 |
$583.20 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$98.40 |
$98.40 |
$98.40 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$38,406.44 |
$38,406.44 |
$38,406.44 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$30.00 |
$30.00 |
$30.00 |
$44.16
|
|
Tlh uterus 250 g or less
|
$79,968.95 |
$79,968.95 |
$79,968.95 |
$11,533.76
|
|
Tlh w/t/o 250 g or less
|
$84,864.59 |
$84,864.59 |
$84,864.59 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$78,052.74 |
$78,052.74 |
$78,052.74 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$2,428.27 |
$2,428.27 |
$2,428.27 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$2,091.02 |
$2,091.02 |
$2,091.02 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,486.09 |
$2,486.09 |
$2,486.09 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$3,092.39 |
$3,092.39 |
$3,092.39 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,361.63 |
$1,361.63 |
$1,361.63 |
$1,051.18
|
|
Tlso corset front
|
$290.95 |
$290.95 |
$290.95 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$944.27 |
$944.27 |
$944.27 |
$931.57
|
|
Tlso full corset
|
$475.79 |
$475.79 |
$475.79 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$1,033.02 |
$1,033.02 |
$1,033.02 |
$801.11
|
|
Tlso r fram soft pre ots
|
$1,033.02 |
$1,033.02 |
$1,033.02 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,294.59 |
$1,294.59 |
$1,294.59 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,294.59 |
$1,294.59 |
$1,294.59 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,791.43 |
$1,791.43 |
$1,791.43 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,924.31 |
$3,924.31 |
$3,924.31 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,733.17 |
$2,733.17 |
$2,733.17 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$4,112.53 |
$4,112.53 |
$4,112.53 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$770.18 |
$770.18 |
$770.18 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,286.41 |
$1,286.41 |
$1,286.41 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$1,454.40 |
$1,454.40 |
$1,454.40 |
$152.36
|
|
Tobramycin non-comp unit
|
$106.02 |
$106.02 |
$106.02 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$275.40 |
$275.40 |
$275.40 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$42,705.60 |
$42,705.60 |
$42,705.60 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$29.40 |
$29.40 |
$29.40 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$60.60 |
$60.60 |
$60.60 |
$72.68
|
|
Tonsillectomy (age 12+)
|
$27,507.43 |
$27,507.43 |
$27,507.43 |
$4,424.11
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$418.92 |
$418.92 |
$418.92 |
$325.00
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$81,131.94 |
$81,131.94 |
$81,131.94 |
$15,383.12
|
|
Torsion ank & half solid sti
|
$335.01 |
$335.01 |
$335.01 |
$291.13
|
|
Torsion straight knee joint
|
$292.10 |
$292.10 |
$292.10 |
$253.84
|
|
Total Hip Replacement
|
$122,772.11 |
$122,772.11 |
$122,772.11 |
$9,161.60
|
|
Total Knee Replacement
|
$81,636.52 |
$81,636.52 |
$81,636.52 |
$14,543.50
|
|
Total tau
|
$339.00 |
$339.00 |
$339.00 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$76,835.19 |
$76,835.19 |
$76,835.19 |
$20,154.40
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$91,543.70 |
$91,543.70 |
$91,543.70 |
$1,230.40
|
|
Toxoplasma antibody igg
|
$210.60 |
$210.60 |
$210.60 |
$89.40
|
|
Toxoplasma antibody igm
|
$210.60 |
$210.60 |
$210.60 |
$87.00
|
|
Tpmt gene com vrnts
|
$323.40 |
$323.40 |
$323.40 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$18,040.40 |
$18,040.40 |
$18,040.40 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$31,433.22 |
$31,433.22 |
$31,433.22 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$3,425.40 |
$3,425.40 |
$3,425.40 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$381.78 |
$381.78 |
$381.78 |
$56.38
|
|
Transcath biopsy
|
$8,924.40 |
$8,924.40 |
$8,924.40 |
$4,285.93
|
|
Transcath closure of asd
|
$22,162.20 |
$22,162.20 |
$22,162.20 |
$16,741.40
|
|
Transcath closure of vsd
|
$14,806.20 |
$14,806.20 |
$14,806.20 |
$17,115.04
|
|
Transcatheter bx s&i
|
$2,025.60 |
$2,025.60 |
$2,025.60 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$5,318.40 |
$5,318.40 |
$5,318.40 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$9,231.60 |
$9,231.60 |
$9,231.60 |
$12,418.00
|
|
Transcath occlusion cns
|
$6,404.40 |
$6,404.40 |
$6,404.40 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$12,822.60 |
$12,822.60 |
$12,822.60 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,857.20 |
$5,857.20 |
$5,857.20 |
$4,775.16
|
|
Transcutaneous carboxyhb
|
$50.40 |
$50.40 |
$50.40 |
$33.57
|
|
Transcutaneous hgb 88738
|
$50.40 |
$50.40 |
$50.40 |
$13.80
|
|
Transcutaneous methb
|
$50.40 |
$50.40 |
$50.40 |
$19.20
|
|
Transferrin
|
$195.60 |
$195.60 |
$195.60 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$983.00
|
