|
Throat x-ray & fluoroscopy
|
$188.40 |
$188.40 |
$188.40 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$6,847.20 |
$6,847.20 |
$6,847.20 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$12,394.80 |
$12,394.80 |
$12,394.80 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$24,300.00 |
$24,300.00 |
$24,300.00 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$24,300.00 |
$24,300.00 |
$24,300.00 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$6,882.60 |
$6,882.60 |
$6,882.60 |
$6,422.91
|
|
Thrombin time
|
$29.40 |
$29.40 |
$29.40 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$32.40 |
$32.40 |
$32.40 |
$61.52
|
|
Thyroglobulin antibody
|
$88.80 |
$88.80 |
$88.80 |
$82.73
|
|
Thyroid imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$696.75
|
|
Thyroid met imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$838.25
|
|
Thyroid met imaging/studies
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$767.93
|
|
Thyroid mets imag whole body
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,524.99
|
|
Thyroid met uptake
|
$407.40 |
$407.40 |
$407.40 |
$407.40
|
|
Thyroid (TSH) Test
|
$85.80 |
$85.80 |
$85.80 |
$112.67
|
|
Thyroid Ultrasound
|
$394.20 |
$394.20 |
$394.20 |
$588.50
|
|
Thyroid uptake measurement
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,186.20 |
$1,186.20 |
$1,186.20 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$75.00 |
$75.00 |
$75.00 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$66,098.40 |
$66,098.40 |
$66,098.40 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$21,287.40 |
$21,287.40 |
$21,287.40 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$14,982.00 |
$14,982.00 |
$14,982.00 |
$10,165.00
|
|
Tigecycline injection
|
$93.60 |
$93.60 |
$93.60 |
$235.29
|
|
Tilt table study
|
$920.40 |
$920.40 |
$920.40 |
$1,561.82
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$4,113.60 |
$4,113.60 |
$4,113.60 |
$13,339.20
|
|
Tissue culture placenta
|
$543.00 |
$543.00 |
$543.00 |
$440.50
|
|
Tissue culture skin/biopsy
|
$1,007.40 |
$1,007.40 |
$1,007.40 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$238.80 |
$238.80 |
$238.80 |
$47.40
|
|
Tissue transglutaminase iga
|
$58.80 |
$58.80 |
$58.80 |
$44.80
|
|
Tixagev and cilgav inj
|
$309.60 |
$309.60 |
$309.60 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$45.60 |
$45.60 |
$45.60 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$49.80 |
$49.80 |
$49.80 |
$152.36
|
|
Tobramycin non-comp unit
|
$1.80 |
$1.80 |
$1.80 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$115.80 |
$115.80 |
$115.80 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$783.00 |
$783.00 |
$783.00 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$188.40 |
$188.40 |
$188.40 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$65.40 |
$65.40 |
$65.40 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$65.40 |
$65.40 |
$65.40 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$141.00 |
$141.00 |
$141.00 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$889.20 |
$889.20 |
$889.20 |
$15,383.12
|
|
Toxoplasma antibody igg
|
$80.40 |
$80.40 |
$80.40 |
$91.65
|
|
Toxoplasma antibody igm
|
$80.40 |
$80.40 |
$80.40 |
$88.00
|
|
Tpmt gene com vrnts
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$2,068.20 |
$2,068.20 |
$2,068.20 |
$6,684.23
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$70.80 |
$70.80 |
$70.80 |
$103.20
|
|
Transabdom amnioinfus w/us
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$678.70
|
|
Transcath biopsy
|
$6,966.60 |
$6,966.60 |
$6,966.60 |
$4,285.93
|
|
Transcath closure of asd
|
$29,803.20 |
$29,803.20 |
$29,803.20 |
$17,088.00
|
|
Transcatheter bx s&i
|
$6,169.80 |
$6,169.80 |
$6,169.80 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$4,354.20 |
$4,354.20 |
$4,354.20 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$10,503.00 |
$10,503.00 |
$10,503.00 |
$13,093.20
|
|
Transcath occlusion cns
|
$7,059.00 |
$7,059.00 |
$7,059.00 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$15,019.80 |
$15,019.80 |
$15,019.80 |
$10,270.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$10,522.80 |
$10,522.80 |
$10,522.80 |
$4,822.00
|
|
Transferrin
|
$64.80 |
$64.80 |
$64.80 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$394.20 |
$394.20 |
$394.20 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$394.20 |
$394.20 |
$394.20 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$934.80 |
$934.80 |
$934.80 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$2,284.80 |
$2,284.80 |
$2,284.80 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$2,034.60 |
$2,034.60 |
$2,034.60 |
$5,846.40
|
|
Treat big toe fracture
|
$6,649.80 |
$6,649.80 |
$6,649.80 |
$4,454.10
|
|
Treat clavicle dislocation 23545
|
$1,961.40 |
$1,961.40 |
$1,961.40 |
$692.80
|
|
Treat elbow fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$2,027.40
|
|
Treat finger fracture each
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,592.00
|
|
Treat foot bone lesion
|
$5,833.80 |
$5,833.80 |
$5,833.80 |
$3,839.54
|
|
Treat foot dislocation
|
$759.00 |
$759.00 |
$759.00 |
$405.60
|
|
Treat foot dislocation
|
$625.80 |
$625.80 |
$625.80 |
$527.28
|
|
Treat fracture of radius
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,821.60
|
|
Treat fracture of radius
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$965.40 |
$965.40 |
$965.40 |
$726.05
|
|
Treat humerus fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,790.00
|
|
Treat humerus fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,790.00
|
|
Treat knee fracture 27530
|
$759.00 |
$759.00 |
$759.00 |
$550.73
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,405.40 |
$5,405.40 |
$5,405.40 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$273.00 |
$273.00 |
$273.00 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$424.80 |
$424.80 |
$424.80 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$5,405.40 |
$5,405.40 |
$5,405.40 |
$4,230.80
|
|
Treatment of ankle fracture 27786
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$528.00
|
|
Treatment of fibula fracture 27780
|
$769.80 |
$769.80 |
$769.80 |
$515.45
|
|
Treatment of foot infection
|
$3,199.20 |
$3,199.20 |
$3,199.20 |
$2,928.60
|
|
Treatment of heel fracture 28400
|
$759.00 |
$759.00 |
$759.00 |
$473.00
|
|
Treatment of penis lesion
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$3,515.40
|
|
Treatment of thigh fracture
|
$621.60 |
$621.60 |
$621.60 |
$487.50
|
|
Treatment of thigh fracture
|
$759.00 |
$759.00 |
$759.00 |
$548.90
|
|
Treatment of thigh fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$371.40 |
$371.40 |
$371.40 |
$371.40
|
|
Treatment radiation delivery level 2
|
$834.00 |
$834.00 |
$834.00 |
$830.70
|
|
Treat midfoot fracture each
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$1,884.74
|
|
Treat sternum fracture
|
$759.00 |
$759.00 |
$759.00 |
$423.00
|
|
Treat thigh fracture
|
$759.00 |
$759.00 |
$759.00 |
$661.00
|
|
Treat thigh fracture
|
$846.60 |
$846.60 |
$846.60 |
$618.80
|
|
Treat thumb fracture
|
$4,728.00 |
$4,728.00 |
$4,728.00 |
$3,839.54
|
|
Treat ulnar fracture
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,678.55
|
|
Treat vaginal bleeding
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$379.60
|
|
Treat wrist bone fracture
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,679.04
|
|
Treat wrist dislocation
|
$921.60 |
$921.60 |
$921.60 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$73,346.25
|
|
Treponema pallidum antibody
|
$74.40 |
$74.40 |
$74.40 |
$72.05
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$10.80 |
$10.80 |
$10.80 |
$43.00
|
|
Trichinella antibody
|
$70.20 |
$70.20 |
$70.20 |
$70.65
|
