|
Thromboendarterectomy common femoral
|
$514.97 |
$514.97 |
$7,613.86 |
|
|
Thromboendarterectomy including patch graft if preformed;
|
$574.54 |
$574.54 |
$15,201.08 |
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$814.20 |
$814.20 |
$11,521.06 |
|
|
Thromboendarterectomy sfa
|
$705.64 |
$705.64 |
$9,356.56 |
|
|
Thrombomodulin
|
$11.96 |
$11.96 |
$13.52 |
|
|
Thromboplastin inhibition
|
$47.40 |
$118.80 |
$1,675.80 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$19.80 |
$42.35 |
$561.00 |
|
|
Thromboxane urine
|
$24.38 |
$130.80 |
$228.60 |
|
|
Thumb fusion with graft
|
$532.45 |
$532.45 |
$601.90 |
|
|
Thumb fusion with graft
|
$533.83 |
$603.46 |
$4,858.00 |
|
|
Thumb tendon transfer
|
$409.63 |
$409.63 |
$463.06 |
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$873.08 |
$873.08 |
$986.96 |
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$678.73 |
$678.73 |
$767.26 |
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$721.74 |
$721.74 |
$815.88 |
|
|
Thyroglobulin antibody
|
$60.00 |
$104.72 |
$505.20 |
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$878.60 |
$878.60 |
$993.20 |
|
|
Thyroid imaging
|
$397.80 |
$1,028.72 |
$1,510.40 |
|
|
Thyroid met imaging
|
$20.47 |
$1,228.80 |
$1,228.80 |
|
|
Thyroid met imaging/studies
|
$21.16 |
$1,228.80 |
$1,228.80 |
|
|
Thyroid mets imag whole body
|
$696.00 |
$1,574.40 |
$5,323.20 |
|
|
Thyroid met uptake
|
$213.60 |
$407.40 |
$2,370.00 |
|
|
Thyroid (TSH) Test
|
$40.00 |
$91.20 |
$542.40 |
|
|
Thyroid Ultrasound
|
$279.50 |
$598.20 |
$1,263.00 |
|
|
Thyroid uptake measurement
|
$367.80 |
$1,076.00 |
$1,713.60 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,186.20 |
$4,949.60 |
$19,696.80 |
|
|
Thyrotropin releasing hormone
|
$34.96 |
$34.96 |
$39.52 |
|
|
Thyroxine binding globulin (tbg)
|
$61.60 |
$93.24 |
$357.00 |
|
|
Tibial arthroscopy/surgery
|
$508.76 |
$575.12 |
$1,560.00 |
|
|
Tibial arthroscopy/surgery
|
$646.07 |
$646.07 |
$730.34 |
|
|
Tib/per revasc stent & ather 37231
|
$50,165.40 |
$66,098.40 |
$121,914.60 |
|
|
Tib/per revasc stnt & ather
|
$21,287.40 |
$21,287.40 |
$42,124.80 |
|
|
Tib/per revasc w/ather add-on 37233
|
$11,790.00 |
$14,982.00 |
$39,406.29 |
|
|
Tigecycline injection
|
$3.60 |
$34.65 |
$769.20 |
|
|
Tilt table study
|
$57.96 |
$1,418.40 |
$4,359.60 |
|
|
Tirofiban 12.5 mg/50 ml
|
$43.80 |
$43.80 |
$43.80 |
|
|
Tisagenlecleucel car-pos t
|
$5,370,000.00 |
$5,370,000.00 |
$5,370,000.00 |
|
|
Tis cgen car anomal 1st shnt
|
$678.04 |
$678.04 |
$766.48 |
|
|
Tis cgen car anomal ea addl
|
$270.94 |
$270.94 |
$306.28 |
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$96.83 |
$96.83 |
$109.46 |
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$105.34 |
$105.34 |
$119.08 |
|
|
Tis cltr skn agrft t/a/l add
|
$70.15 |
$70.15 |
$79.30 |
|
|
Tis cltr skn agrft t/a/l ea
|
$92.92 |
$92.92 |
$105.04 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$306.00 |
$4,113.60 |
$18,427.80 |
|
|
Tiss ex molecul study add-on
|
$14.95 |
$14.95 |
$16.90 |
|
|
Tissue culture placenta
|
$422.54 |
$543.00 |
$1,551.00 |
|
|
Tissue culture skin/biopsy
|
$395.90 |
$1,007.40 |
$2,340.60 |
|
|
Tissue culture tumor
|
$101.66 |
$957.60 |
$2,394.40 |
|
|
Tissue exam koh skin/hair/nails
|
$17.60 |
$37.80 |
$238.80 |
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$0.77 |
$3,150.60 |
$5,080.80 |
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$14,742.60 |
$31,442.40 |
$35,328.60 |
|
|
Tissue transglutaminase iga
|
$38.20 |
$76.23 |
$780.60 |
|
|
Tixagev and cilgav inj
|
$103.73 |
$1,020.00 |
$1,360.00 |
|
|
Tl-201 thallium diag per mci
|
$23.50 |
$133.80 |
$1,032.00 |
|
|
Tlh uterus 250 g or less
|
$522.33 |
$590.46 |
$8,018.00 |
|
|
Tlh uterus over 250 g
|
$672.98 |
$672.98 |
$760.76 |
|
|
Tlh w/t/o 250 g or less
|
$586.73 |
$663.26 |
$7,615.50 |
|
|
Tlh w/t/o uterus over 250 g
|
$787.06 |
$889.72 |
$5,529.50 |
|
|
Tmvr w/prosthetic ring 33426
|
$1,513.86 |
$1,513.86 |
$1,711.32 |
|
|
Tmvr w/rad reconst w or without ring 33427
|
$1,547.90 |
$1,547.90 |
$1,749.80 |
|
|
Tnot opn elbw to sho ea tdn
|
$309.12 |
$309.12 |
$349.44 |
|
|
Tobramycin comp unit
|
$644.00 |
$662.40 |
$1,426.80 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$17.00 |
$96.00 |
$1,439.40 |
|
|
Tobramycin non-comp unit
|
$1.80 |
$1.80 |
$542.40 |
|
|
Tobramycin peak therapeutic drug level
|
$63.60 |
$115.80 |
$799.80 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$17.70 |
$5,467.80 |
$9,652.20 |
|
|
Tocilizumab for covid-19
|
$1,068.97 |
$1,068.97 |
$1,208.40 |
|
|
Toe joint transfer
|
$2,187.30 |
$2,187.30 |
$2,472.60 |
|
|
Toe X-ray (both feet)
|
$88.00 |
$280.00 |
$686.40 |
|
|
Tomosynthesis breast diagnostic left
|
$18.40 |
$123.00 |
$198.00 |
|
|
Tomosynthesis breast screen bilateral
|
$20.80 |
$65.40 |
$157.60 |
|
|
Tone decay hearing test
|
$93.60 |
$93.60 |
$93.60 |
|
|
Tongue and neck surgery
|
$1,377.01 |
$1,377.01 |
$1,556.62 |
|
|
Tongue base vol reduction
|
$239.89 |
$271.18 |
$2,172.33 |
|
|
Tongue biopsy; posterior one-third 41105
|
$71.30 |
$80.60 |
$205.20 |
|
|
Tongue jaw & neck surgery
|
$1,897.04 |
$1,897.04 |
$2,144.48 |
|
|
Tongue mouth jaw surgery
|
$1,395.64 |
$1,395.64 |
$1,577.68 |
|
|
Tongue mouth neck surgery
|
$1,521.68 |
$1,720.16 |
$4,382.40 |
|
|
Tongue removal neck surgery
|
$1,743.86 |
$1,743.86 |
$1,971.32 |
|
|
Tongue suspension
|
$423.43 |
$423.43 |
$478.66 |
|
|
Tongue to lip surgery
|
$287.73 |
$287.73 |
$325.26 |
|
|
Tonsillectomy (age 12+)
|
$166.52 |
$188.24 |
$2,425.00 |
|
|
Tonsillectomy (child under 12)
|
$175.03 |
$197.86 |
$1,889.50 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$10.20 |
$141.00 |
$4,942.80 |
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$70.20 |
$70.80 |
$889.20 |
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$874.00 |
$874.00 |
$988.00 |
|
|
Total hip arthroplasty
|
$1,080.54 |
$1,080.54 |
$1,221.48 |
|
|
Total Hip Replacement
|
$831.91 |
$3,477.00 |
$19,440.80 |
|
|
Total hysterectomy
|
$658.72 |
$744.64 |
$3,842.50 |
|
|
Total Knee Replacement
|
$830.99 |
$939.38 |
$16,672.00 |
|
|
Total lung lavage
|
$214.59 |
$214.59 |
$242.58 |
|
|
Total ob care failed vbac 59618
|
$1,747.54 |
$1,747.54 |
$1,975.48 |
|
|
Total tau
|
$56.40 |
$194.40 |
$1,120.80 |
|
|
Tot disc arthrp 1ntrspc crv
|
$1,053.86 |
$1,053.86 |
$1,191.32 |
|
|
Tot disc arthrp 1ntrspc lmbr
|
$1,129.99 |
$1,129.99 |
$1,277.38 |
|
|
Tot disc arthrp 2ntrspc lmbr
|
$265.42 |
$265.42 |
$300.04 |
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$326.37 |
$326.37 |
$368.94 |
|
|
Tot esophagectomy without thoracotomy 43107
|
$1,897.73 |
$1,897.73 |
$2,145.26 |
|
|
Tot estradiol response panel
|
$38.64 |
$38.64 |
$43.68 |
|
|
Toxoplasma antibody igg
|
$40.50 |
$91.76 |
$1,085.40 |
|
|
Toxoplasma antibody igm
|
$36.50 |
$93.00 |
$1,774.20 |
|