|
System recell skin grafting/harvesting
|
$14,020.88 |
$14,020.88 |
$14,020.88 |
$11,183.00
|
|
System sealant biosentry tract
|
$1,023.33 |
$1,023.33 |
$1,023.33 |
$889.35
|
|
T3 (triiodothyronine) free
|
$152.02 |
$152.02 |
$152.02 |
$100.00
|
|
T3 (triiodothyronine) total
|
$125.51 |
$125.51 |
$125.51 |
$93.52
|
|
T4 (thyroxine) free
|
$144.14 |
$144.14 |
$144.14 |
$87.30
|
|
T4 (thyroxine) total
|
$102.22 |
$102.22 |
$102.22 |
$68.40
|
|
Tacrol envarsus ex rel oral
|
$32.80 |
$32.80 |
$32.80 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$43.10 |
$43.10 |
$43.10 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$668.52 |
$668.52 |
$668.52 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$204.72 |
$204.72 |
$204.72 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,456.76 |
$2,456.76 |
$2,456.76 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$327.92 |
$327.92 |
$327.92 |
$288.60
|
|
Tap block bilat cont infusion 64489
|
$3,767.00 |
$3,767.00 |
$3,767.00 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$1,321.38 |
$1,321.38 |
$1,321.38 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$8,967.00 |
$8,967.00 |
$8,967.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$7,208.55 |
$7,208.55 |
$7,208.55 |
$3,762.00
|
|
Target gsa panel organ neop
|
$5,238.75 |
$5,238.75 |
$5,238.75 |
$1,749.44
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$27,030.00 |
$27,030.00 |
$27,030.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$8,068.54 |
$8,068.54 |
$8,068.54 |
$6,003.27
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$953.29 |
$953.29 |
$953.29 |
$931.50
|
|
Tavr perq femoral
|
$25,400.50 |
$25,400.50 |
$25,400.50 |
$15,454.40
|
|
Tbs techl calculation only
|
$99.13 |
$99.13 |
$99.13 |
$153.60
|
|
Tbs techl prep&transmis data
|
$99.13 |
$99.13 |
$99.13 |
$119.66
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$506.22 |
$506.22 |
$506.22 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$251.99 |
$251.99 |
$251.99 |
$181.80
|
|
Tc-99m sestamibi p study dose
|
$109.62 |
$109.62 |
$109.62 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$205.55 |
$205.55 |
$205.55 |
$240.50
|
|
Tca peel dermal 15789
|
$811.45 |
$811.45 |
$811.45 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$394.51 |
$394.51 |
$394.51 |
$475.80
|
|
Tcd emboli detect without inj
|
$381.02 |
$381.02 |
$381.02 |
$475.28
|
|
Tcd vasoreactivity study
|
$494.08 |
$494.08 |
$494.08 |
$566.88
|
|
T cells absolute cd4/cd8 including ratio
|
$210.41 |
$210.41 |
$210.41 |
$185.28
|
|
T cells absolute cd 4 count
|
$258.20 |
$258.20 |
$258.20 |
$111.20
|
|
T cells total count
|
$363.75 |
$363.75 |
$363.75 |
$132.63
|
|
Tcranial magn stim tx deli
|
$455.49 |
$455.49 |
$455.49 |
$389.22
|
|
Tcranial magn stim tx plan
|
$437.22 |
$437.22 |
$437.22 |
$437.22
|
|
Tcran magn stim redetemine
|
$417.06 |
$417.06 |
$417.06 |
$457.60
|
|
Team conf without pat by hc pro
|
$132.15 |
$132.15 |
$132.15 |
$110.62
|
|
Team conf w/pat by hc prof
|
$203.18 |
$203.18 |
$203.18 |
$104.59
|
|
Telehealth original site facility fee
|
$570.17 |
$570.17 |
$570.17 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,391.17 |
$1,391.17 |
$1,391.17 |
$1,526.85
|
|
Telethx isodose plan simple
|
$813.43 |
$813.43 |
$813.43 |
$889.80
|
|
Temozolomide
|
$64.37 |
$64.37 |
$64.37 |
$540.06
|
|
Temple bne implnt w/stimulat
|
$16,139.55 |
$16,139.55 |
$16,139.55 |
$10,725.79
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$9,031.44 |
$9,031.44 |
$9,031.44 |
$3,723.60
|
|
Tendon lngth upr a/e ea tdn
|
$3,671.74 |
$3,671.74 |
$3,671.74 |
$3,591.33
|
|
Tendon shortening
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,786.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$14,951.87 |
$14,951.87 |
$14,951.87 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$2,811.20
|
|
Tenoplasty elbow to sho 1
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,807.24
|
|
Tenosynovectomy radic 26145
|
$2,254.85 |
$2,254.85 |
$2,254.85 |
$2,211.05
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$3,091.89 |
$3,091.89 |
$3,091.89 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,089.96 |
$2,089.96 |
$2,089.96 |
$2,211.05
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$73.32 |
$73.32 |
$73.32 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$335.00
|
|
Test for chlorohydrocarbons
|
$71.04 |
$71.04 |
$71.04 |
$61.60
|
|
Test for urine cystines
|
$80.85 |
$80.85 |
$80.85 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$1,200.74 |
$1,200.74 |
$1,200.74 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$56.35 |
$56.35 |
$56.35 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$1,281.95 |
$1,281.95 |
$1,281.95 |
$949.70
|
|
Test urine urobilinogen
|
$5.36 |
$5.36 |
$5.36 |
$9.75
|
|
Tetanus immune globulin inj
|
$1,172.11 |
$1,172.11 |
$1,172.11 |
$1,285.36
|
|
Tgsap hl neo 5-50 rna alys
|
$2,444.90 |
$2,444.90 |
$2,444.90 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$5,025.00 |
$5,025.00 |
$5,025.00 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$5,536.50 |
$5,536.50 |
$5,536.50 |
$1,009.32
|
|
Thawing cryopresrved embryo
|
$326.15 |
$326.15 |
$326.15 |
$326.15
|
|
Thawing cryopresrved oocyte
|
$890.12 |
$890.12 |
$890.12 |
$402.80
|
|
Thawing cryopresrved sperm
|
$117.61 |
$117.61 |
$117.61 |
$117.61
|
|
Thaw preserved stem cells
|
$900.90 |
$900.90 |
$900.90 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$135.80 |
$135.80 |
$135.80 |
$108.00
|
|
Therapeutic procd strg endur
|
$119.55 |
$119.55 |
$119.55 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$147.08 |
$147.08 |
$147.08 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$143.44 |
$143.44 |
$143.44 |
$98.15
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$50.27 |
$50.27 |
$50.27 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$54.73 |
$54.73 |
$54.73 |
$50.00
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$425.40 |
$425.40 |
$425.40 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$2,828.86 |
$2,828.86 |
$2,828.86 |
$3,837.72
|
|
Ther nma rdctj intus/obstrcj
|
$538.88 |
$538.88 |
$538.88 |
$534.32
|
|
Ther/proph/diag inj ia
|
$235.55 |
$235.55 |
$235.55 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$35.82 |
$35.82 |
$35.82 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$287.82 |
$287.82 |
$287.82 |
$311.15
|
|
Thigh/wght bear lacer molded
|
$393.60 |
$393.60 |
$393.60 |
$873.03
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,110.97 |
$1,110.97 |
$1,110.97 |
$1,748.50
|
|
Thoracoscopy diagnostic 32601
|
$4,713.11 |
$4,713.11 |
$4,713.11 |
$6,442.80
|
|
Thoracoscopy surgical 32650
|
$3,968.64 |
$3,968.64 |
$3,968.64 |
$2,251.60
|
|
Thoracoscopy w/bx med space
|
$5,508.80 |
$5,508.80 |
$5,508.80 |
$6,463.42
|
|
Thoracoscopy wbx sac
|
$4,713.11 |
$4,713.11 |
$4,713.11 |
$7,586.80
|
|
Thoracotomy w/expl
|
$1,298.96 |
$1,298.96 |
$1,298.96 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,818.59 |
$1,818.59 |
$1,818.59 |
$2,138.76
|
|
Thorcscpy w/biop pleura
|
$6,350.41 |
$6,350.41 |
$6,350.41 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$5,508.80 |
$5,508.80 |
$5,508.80 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$5,508.80 |
$5,508.80 |
$5,508.80 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,798.90 |
$1,798.90 |
$1,798.90 |
$1,708.85
|
|
Throat x-ray & fluoroscopy
|
$427.43 |
$427.43 |
$427.43 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$43,803.82 |
$43,803.82 |
$43,803.82 |
$3,720.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,175.49 |
$9,175.49 |
$9,175.49 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$19,636.34 |
$19,636.34 |
$19,636.34 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$26,173.74 |
$26,173.74 |
$26,173.74 |
$21,413.60
|
