|
Tavr perq femoral
|
$22,749.50 |
$28,085.50 |
$33,983.50 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,679.52 |
$1,679.52 |
$1,919.45 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$131.50 |
$169.50 |
$564.00 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$84.50 |
$169.50 |
$564.00 |
|
|
Tc-99m bicisate
|
$627.60 |
$627.60 |
$627.60 |
|
|
Tc-99m exame autol wbc diag per dose
|
$5,141.90 |
$5,141.90 |
$5,141.90 |
|
|
Tc-99m labeled rbc
|
$354.60 |
$354.60 |
$354.60 |
|
|
Tc-99m maa
|
$131.40 |
$131.40 |
$131.40 |
|
|
Tc-99m mebrofenin
|
$258.60 |
$258.60 |
$258.60 |
|
|
Tc-99m medronate
|
$69.60 |
$69.60 |
$69.60 |
|
|
Tc-99m mertiatide
|
$648.00 |
$648.00 |
$648.00 |
|
|
Tc-99m oxidronate
|
$73.80 |
$73.80 |
$73.80 |
|
|
Tc-99m pentetate dtpa
|
$81.00 |
$81.00 |
$81.00 |
|
|
Tc-99m pertechnetate per mci
|
$51.60 |
$51.60 |
$51.60 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$156.00 |
$156.00 |
$156.00 |
|
|
Tc-99m sestamibi p study dose
|
$396.00 |
$396.00 |
$396.00 |
|
|
Tc-99m succimer (dmsa)
|
$1,438.61 |
$1,438.61 |
$1,438.61 |
|
|
Tc-99m sulfur colloid
|
$186.00 |
$186.00 |
$186.00 |
|
|
Tc-99m tilmanocept diag
|
$744.00 |
$744.00 |
$744.00 |
|
|
Tca peel dermal 15789
|
$608.00 |
$840.50 |
$840.50 |
|
|
Tcd emboli detect w/inj
|
$128.00 |
$212.50 |
$557.05 |
|
|
Tcd emboli detect without inj
|
$197.00 |
$327.00 |
$327.00 |
|
|
Tcd vasoreactivity study
|
$208.50 |
$257.00 |
$257.00 |
|
|
T cells absolute cd4/cd8 including ratio
|
$188.50 |
$247.00 |
$451.00 |
|
|
T cells absolute cd 4 count
|
$199.20 |
$292.50 |
$571.00 |
|
|
T cells total count
|
$28.00 |
$335.00 |
$635.00 |
|
|
Tcranial magn stim tx deli
|
$255.50 |
$379.00 |
$379.00 |
|
|
Tcranial magn stim tx plan
|
$255.50 |
$379.00 |
$379.00 |
|
|
Tcran magn stim redetemine
|
$255.50 |
$379.00 |
$379.00 |
|
|
Team conf w/pat by hc prof
|
$382.85 |
$382.85 |
$382.85 |
|
|
Telehealth original site facility fee
|
$32.50 |
$51.00 |
$92.00 |
|
|
Telethx isodose plan cplx
|
$324.00 |
$848.50 |
$4,374.00 |
|
|
Telethx isodose plan simple
|
$324.00 |
$1,051.70 |
$2,905.00 |
|
|
Temozolomide
|
$280.67 |
$280.67 |
$280.67 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$9,961.60 |
$9,961.60 |
$11,401.82 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$34,848.49 |
$34,848.49 |
$39,826.85 |
|
|
Tenodesis biceps tdn at elbw
|
$19,547.57 |
$19,547.57 |
$19,547.57 |
|
|
Tenosynovectomy radic 26145
|
$39,725.01 |
$39,725.01 |
$39,725.01 |
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$14,606.18 |
$14,606.18 |
$14,606.18 |
|
|
Tension based scoliosis orth
|
$18,094.09 |
$18,094.09 |
$18,094.09 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$45.00 |
$45.00 |
$45.00 |
|
|
Test for chlorohydrocarbons
|
$417.30 |
$417.30 |
$417.30 |
|
|
Test for urine cystines
|
$12.50 |
$17.50 |
$28.80 |
|
|
Testicular imaging w/vasc flow
|
$725.50 |
$1,504.00 |
$3,308.00 |
|
|
Test pathogen(s) for platelets reference
|
$54.00 |
$54.00 |
$54.00 |
|
|
Test socket below knee
|
$1,459.15 |
$1,459.15 |
$1,459.15 |
|
|
Test stress cardiovascular tracing only
|
$419.50 |
$834.50 |
$1,942.50 |
|
|
Tetanus immune globulin inj
|
$1,746.00 |
$1,746.00 |
$3,116.02 |
|
|
Tgsap so/hl 51/< rna alys
|
$3,836.00 |
$3,879.00 |
$6,144.50 |
|
|
Tgsap so neo 5-50 rna alys
|
$2,929.80 |
$2,929.80 |
$2,929.80 |
|
|
Thaw preserved stem cells
|
$1,755.50 |
$2,427.00 |
$2,427.00 |
|
|
Theophylline therapeutic drug level
|
$66.00 |
$107.50 |
$458.00 |
|
|
Therapeutic procd strg endur
|
$65.50 |
$90.50 |
$104.50 |
|
|
Therapy activity per session >= 45 minutes
|
$129.00 |
$191.50 |
$191.50 |
|
|
Therapy Activity Training (each 15 minutes)
|
$59.50 |
$88.00 |
$185.50 |
|
|
Therapy Exercise Session (each 15 minutes)
|
$51.50 |
$111.15 |
$249.50 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.50 |
$39.00 |
$157.00 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$13.50 |
$16.50 |
$116.00 |
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$117.00 |
$173.50 |
$173.50 |
|
|
Ther fx nasal inf turbinate
|
$19,132.68 |
$19,132.68 |
$19,132.68 |
|
|
Ther nma rdctj intus/obstrcj
|
$717.00 |
$1,188.50 |
$2,897.00 |
|
|
Ther/proph/diag inj ia
|
$54.50 |
$66.00 |
$457.20 |
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$45.00 |
$54.08 |
$258.00 |
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$99.00 |
$267.00 |
$652.50 |
|
|
Thigh/wght bear high roll cu
|
$1,923.51 |
$1,923.51 |
$1,923.51 |
|
|
Thigh/wght bear lacer molded
|
$743.00 |
$743.00 |
$2,565.50 |
|
|
Thigh/wght bear lacer non-mo
|
$1,355.76 |
$1,355.76 |
$1,355.76 |
|
|
Thi/glut/ischia wgt bearing
|
$1,769.08 |
$1,769.08 |
$1,769.08 |
|
|
Thorac cont lat support upri
|
$827.20 |
$827.20 |
$827.20 |
|
|
Thorac cont paraspinal uprig
|
$901.69 |
$901.69 |
$901.69 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$970.00 |
$1,568.50 |
$4,109.76 |
|
|
Thoracic aortic graft 33875
|
$2,424.00 |
$2,993.00 |
$2,993.00 |
|
|
Thoracic control thoracic ba
|
$1,012.92 |
$1,012.92 |
$1,012.92 |
|
|
Thoracic pad
|
$612.26 |
$612.26 |
$612.26 |
|
|
Thoracoscopy surgical 32650
|
$655.50 |
$1,088.00 |
$1,088.00 |
|
|
Thoracotomy with cardiac massage
|
$1,146.00 |
$1,556.00 |
$1,701.00 |
|
|
Thor rib belt custom fabrica
|
$225.50 |
$225.50 |
$6,499.23 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$618.00 |
$1,967.40 |
$5,636.50 |
|
|
Throat x-ray & fluoroscopy
|
$175.50 |
$291.00 |
$291.00 |
|
|
Thrombectmy crnry perq mechanical
|
$2,492.50 |
$3,941.00 |
$10,884.00 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,105.50 |
$8,716.00 |
$10,615.00 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,351.50 |
$16,483.50 |
$22,781.00 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$20,236.50 |
$24,983.50 |
$38,142.00 |
|
|
Thrombin time
|
$86.40 |
$126.50 |
$275.00 |
|
|
Thromboendarterectomy common femoral
|
$3,009.50 |
$3,715.50 |
$3,715.50 |
|
|
Thromboplastin inhibition
|
$124.00 |
$124.00 |
$124.00 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$70.00 |
$111.00 |
$1,372.00 |
|
|
Th/wght bear nar m-l brim cu
|
$3,620.68 |
$3,620.68 |
$3,620.68 |
|
|
Th/wght bear nar m-l brim mo
|
$6,443.56 |
$6,443.56 |
$6,443.56 |
|
|
Th/wght bear quad-lat brim c
|
$3,038.63 |
$3,038.63 |
$3,038.63 |
|
|
Th/wght bear quad-lat brim m
|
$4,559.42 |
$4,559.42 |
$4,559.42 |
|
|
Thyroglobulin antibody
|
$83.50 |
$91.50 |
$317.50 |
|
|
Thyroid imaging
|
$429.50 |
$837.50 |
$1,003.50 |
|
|
Thyroid mets imag whole body
|
$649.50 |
$1,460.00 |
$4,666.00 |
|
|
Thyroid met uptake
|
$99.00 |
$130.00 |
$130.00 |
|
|
Thyroid (TSH) Test
|
$84.00 |
$172.20 |
$594.00 |
|
|
Thyroid Ultrasound
|
$220.00 |
$788.40 |
$2,171.00 |
|
|
Thyroid uptake measurement
|
$288.00 |
$598.80 |
$1,150.00 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,570.84 |
$1,795.25 |
$8,088.00 |
|
|
Thyroxine binding globulin (tbg)
|
$91.50 |
$126.50 |
$298.00 |
|
