|
Tgsap so neo 5-50 rna alys
|
$2,929.80 |
$2,929.80 |
$2,929.80 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$179.40 |
$179.40 |
$179.40 |
$108.00
|
|
Therapeutic procd strg endur
|
$97.20 |
$97.20 |
$97.20 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$54.00 |
$54.00 |
$54.00 |
$57.31
|
|
Ther fx nasal inf turbinate
|
$19,132.68 |
$19,132.68 |
$19,132.68 |
$3,786.00
|
|
Ther/proph/diag inj ia
|
$457.20 |
$457.20 |
$457.20 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$45.00 |
$45.00 |
$45.00 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$1,923.51 |
$1,923.51 |
$1,923.51 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$2,565.50 |
$2,565.50 |
$2,565.50 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$1,355.76 |
$1,355.76 |
$1,355.76 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$1,769.08 |
$1,769.08 |
$1,769.08 |
$657.72
|
|
Thorac cont lat support upri
|
$827.20 |
$827.20 |
$827.20 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$901.69 |
$901.69 |
$901.69 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,404.00 |
$1,404.00 |
$4,109.76 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$1,012.92 |
$1,012.92 |
$1,012.92 |
$387.41
|
|
Thoracic pad
|
$612.26 |
$612.26 |
$612.26 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$1,701.00 |
$1,701.00 |
$1,701.00 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$6,499.23 |
$6,499.23 |
$6,499.23 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$6,251.40 |
$6,251.40 |
$6,251.40 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$21,225.00 |
$21,225.00 |
$21,225.00 |
$14,277.20
|
|
Thrombin time
|
$86.40 |
$86.40 |
$86.40 |
$53.76
|
|
Th/wght bear nar m-l brim cu
|
$3,620.68 |
$3,620.68 |
$3,620.68 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$6,443.56 |
$6,443.56 |
$6,443.56 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$3,038.63 |
$3,038.63 |
$3,038.63 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$4,559.42 |
$4,559.42 |
$4,559.42 |
$1,695.23
|
|
Thyroid mets imag whole body
|
$1,715.40 |
$1,715.40 |
$1,715.40 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$172.20 |
$172.20 |
$172.20 |
$111.00
|
|
Thyroid Ultrasound
|
$788.40 |
$788.40 |
$788.40 |
$588.50
|
|
Thyroid uptake measurement
|
$598.80 |
$598.80 |
$598.80 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,570.84 |
$1,570.84 |
$1,795.25 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$141.60 |
$141.60 |
$141.60 |
$64.35
|
|
Tilt table study
|
$1,817.40 |
$1,817.40 |
$1,817.40 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$1,986.09 |
$1,986.09 |
$2,222.70 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$36,855.98 |
$36,855.98 |
$42,184.56 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$18,186.14 |
$18,186.14 |
$18,186.14 |
$4,834.73
|
|
Tissue culture placenta
|
$472.80 |
$472.80 |
$472.80 |
$457.00
|
|
Tissue culture skin/biopsy
|
$647.40 |
$647.40 |
$647.40 |
$484.00
|
|
Tissue culture tumor
|
$603.00 |
$603.00 |
$603.00 |
$483.36
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$79,744.75 |
$79,744.75 |
$79,744.75 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$34.80 |
$34.80 |
$34.80 |
$44.16
|
|
Tlh uterus 250 g or less
|
$31,113.84 |
$31,113.84 |
$31,113.84 |
$11,533.76
|
|
Tlh w/t/o 250 g or less
|
$28,745.43 |
$28,745.43 |
$28,745.43 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$32,796.58 |
$32,796.58 |
$32,796.58 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$5,041.90 |
$5,041.90 |
$5,041.90 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$5,161.97 |
$5,161.97 |
$5,161.97 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$6,420.86 |
$6,420.86 |
$6,420.86 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$2,827.21 |
$2,827.21 |
$2,827.21 |
$1,051.18
|
|
Tlso corset front
|
$604.12 |
$604.12 |
$604.12 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$1,960.63 |
$1,960.63 |
$1,960.63 |
$931.57
|
|
Tlso full corset
|
$987.90 |
$987.90 |
$987.90 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$2,144.90 |
$2,144.90 |
$2,144.90 |
$801.11
|
|
Tlso r fram soft pre ots
|
$2,144.90 |
$2,144.90 |
$2,144.90 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$2,688.01 |
$2,688.01 |
$2,688.01 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$2,688.01 |
$2,688.01 |
$2,688.01 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$3,719.62 |
$3,719.62 |
$3,719.62 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$8,148.18 |
$8,148.18 |
$8,148.18 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$5,674.98 |
$5,674.98 |
$5,674.98 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$8,538.99 |
$8,538.99 |
$8,538.99 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$1,599.16 |
$1,599.16 |
$1,599.16 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$2,671.02 |
$2,671.02 |
$2,671.02 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$598.32 |
$598.32 |
$669.60 |
$152.36
|
|
Tobramycin non-comp unit
|
$69.80 |
$69.80 |
$87.07 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$198.60 |
$198.60 |
$198.60 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$11,154.44 |
$11,154.44 |
$12,747.94 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$47.40 |
$47.40 |
$47.40 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$47.40 |
$47.40 |
$47.40 |
$72.68
|
|
Tonsillectomy (age 12+)
|
$10,435.55 |
$10,435.55 |
$10,518.88 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$7,932.46 |
$7,932.46 |
$13,399.31 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$690.03 |
$690.03 |
$789.79 |
$325.00
|
|
Torsion ank & half solid sti
|
$695.59 |
$695.59 |
$695.59 |
$291.13
|
|
Torsion straight knee joint
|
$606.50 |
$606.50 |
$606.50 |
$253.84
|
|
Total Hip Replacement
|
$54,599.40 |
$54,599.40 |
$61,600.23 |
$9,161.60
|
|
Total hysterectomy
|
$27,795.52 |
$27,795.52 |
$27,795.52 |
$3,001.70
|
|
Total Knee Replacement
|
$48,513.27 |
$48,513.27 |
$56,983.52 |
$14,543.50
|
|
Total tau
|
$544.20 |
$544.20 |
$544.20 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$46,429.16 |
$46,429.16 |
$46,429.16 |
$20,154.40
|
|
Toxoplasma antibody igg
|
$129.00 |
$129.00 |
$129.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$136.80 |
$136.80 |
$136.80 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$988.20 |
$988.20 |
$988.20 |
$790.68
|
|
Tpmt gene com vrnts
|
$524.40 |
$524.40 |
$524.40 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$18,372.92 |
$18,372.92 |
$21,029.24 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,441.80 |
$1,441.80 |
$1,441.80 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$45.00 |
$45.00 |
$45.00 |
$56.38
|
|
Transcath biopsy
|
$4,656.60 |
$4,656.60 |
$4,656.60 |
$4,285.93
|
|
Transcath closure of asd
|
$17,041.80 |
$17,041.80 |
$17,041.80 |
$16,741.40
|
|
Transcatheter bx s&i
|
$2,824.20 |
$2,824.20 |
$2,824.20 |
$1,915.00
|
|
Transcath occlusion cns
|
$8,224.20 |
$8,224.20 |
$8,224.20 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$23,087.40 |
$23,087.40 |
$23,087.40 |
$10,031.28
|
|
Transcrv abltj utrn fibrd rf
|
$36,325.19 |
$36,325.19 |
$36,325.19 |
$8,750.72
|
|
Transferrin
|
$115.20 |
$115.20 |
$115.20 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$2,037.60 |
$2,037.60 |
$2,037.60 |
$983.00
|
|
Transplant forearm tendon
|
$43,947.14 |
$43,947.14 |
$43,947.14 |
$3,591.33
|
|
Transplt autol hct/donor
|
$6,262.80 |
$6,262.80 |
$6,262.80 |
$3,786.00
|
|
Trans shoe caliper plate new
|
$568.00 |
$568.00 |
$568.00 |
$217.22
|
|
Trans shoe calip plate exist
|
$431.38 |
$431.38 |
$431.38 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$431.38 |
$431.38 |
$431.38 |
$141.41
|
|
Trans shoe solid stirrup new
|
$568.00 |
$568.00 |
$568.00 |
$217.22
|
|
Trapezius sling
|
$634.21 |
$634.21 |
$634.21 |
$242.54
|
|
Trastuzumab 150 mg intravenous solution
|
$7,815.20 |
$7,815.20 |
$8,945.12 |
$3,141.85
|
