|
Ther radiology tx plng cplx
|
$290.77 |
$290.77 |
$290.77 |
$332.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$35.82 |
$35.82 |
$35.82 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$302.07 |
$302.07 |
$302.07 |
$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)
|
$1,298.50 |
$1,298.50 |
$1,298.50 |
$1,748.50
|
|
Thoracoscopy diagnostic 32601
|
$4,736.84 |
$4,736.84 |
$4,736.84 |
$6,442.80
|
|
Thoracoscopy surgical 32650
|
$3,779.65 |
$3,779.65 |
$3,779.65 |
$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
|
$2,313.88 |
$2,313.88 |
$2,313.88 |
$2,138.76
|
|
Thorcscpy w/biop pleura
|
$8,192.86 |
$8,192.86 |
$8,192.86 |
$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
|
$407.07 |
$407.07 |
$407.07 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$49,386.66 |
$49,386.66 |
$49,386.66 |
$3,720.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$11,079.41 |
$11,079.41 |
$11,079.41 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$21,396.97 |
$21,396.97 |
$21,396.97 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$31,699.98 |
$31,699.98 |
$31,699.98 |
$21,413.60
|
|
Thrombin time
|
$74.14 |
$74.14 |
$74.14 |
$53.76
|
|
Thrombin time titer
|
$9.13 |
$9.13 |
$9.13 |
$17.60
|
|
Thromboendarterectomy common femoral
|
$2,870.68 |
$2,870.68 |
$2,870.68 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$5,994.11 |
$5,994.11 |
$5,994.11 |
$5,994.11
|
|
Thrombomodulin
|
$20.72 |
$20.72 |
$20.72 |
$23.83
|
|
Thromboplastin inhibition
|
$92.00 |
$92.00 |
$92.00 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$57.17 |
$57.17 |
$57.17 |
$61.52
|
|
Thumb fusion with graft
|
$7,089.25 |
$7,089.25 |
$7,089.25 |
$7,807.24
|
|
Thumb tendon transfer
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$4,682.81 |
$4,682.81 |
$4,682.81 |
$6,465.11
|
|
Thyroglobulin antibody
|
$131.80 |
$131.80 |
$131.80 |
$83.25
|
|
Thyroid imaging
|
$577.80 |
$577.80 |
$577.80 |
$695.02
|
|
Thyroid met imaging
|
$1,366.16 |
$1,366.16 |
$1,366.16 |
$838.25
|
|
Thyroid met imaging/studies
|
$731.35 |
$731.35 |
$731.35 |
$767.93
|
|
Thyroid mets imag whole body
|
$1,524.99 |
$1,524.99 |
$1,524.99 |
$1,524.99
|
|
Thyroid met uptake
|
$398.40 |
$398.40 |
$398.40 |
$407.40
|
|
Thyroid (TSH) Test
|
$144.32 |
$144.32 |
$144.32 |
$111.75
|
|
Thyroid Ultrasound
|
$630.55 |
$630.55 |
$630.55 |
$588.50
|
|
Thyroid uptake measurement
|
$526.55 |
$526.55 |
$526.55 |
$589.22
|
|
Thyroxine binding globulin (tbg)
|
$115.08 |
$115.08 |
$115.08 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$4,485.13 |
$4,485.13 |
$4,485.13 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$7,223.44 |
$7,223.44 |
$7,223.44 |
$10,629.07
|
|
Tib/per revasc stent & ather 37231
|
$31,077.17 |
$31,077.17 |
$31,077.17 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$8,704.49 |
$8,704.49 |
$8,704.49 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$17,058.99 |
$17,058.99 |
$17,058.99 |
$10,165.00
|
|
Tilt table study
|
$2,325.10 |
$2,325.10 |
$2,325.10 |
$1,507.01
|
|
Tis cgen car anomal 1st shnt
|
$7,684.33 |
$7,684.33 |
$7,684.33 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$6,546.38 |
$6,546.38 |
$6,546.38 |
$6,546.38
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$12,851.40 |
$12,851.40 |
$12,851.40 |
$13,339.20
|
|
Tiss ex molecul study add-on
|
$45.53 |
$45.53 |
$45.53 |
$45.53
|
|
Tissue amnio epifix inj 100mg
|
$35.06 |
$35.06 |
$35.06 |
$4,201.20
|
|
Tissue culture placenta
|
$520.91 |
$520.91 |
$520.91 |
$453.00
|
|
Tissue culture skin/biopsy
|
$645.58 |
$645.58 |
$645.58 |
$498.40
|
|
Tissue culture tumor
|
$652.70 |
$652.70 |
$652.70 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$56.37 |
$56.37 |
$56.37 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$304.84 |
$304.84 |
$304.84 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$19,288.03 |
$19,288.03 |
$19,288.03 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$1,403.42 |
$1,403.42 |
$1,403.42 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$119.60 |
$119.60 |
$119.60 |
$45.60
|
|
Tixagev and cilgav inj
|
$180.60 |
$180.60 |
$180.60 |
$241.92
|
|
Tlh uterus 250 g or less
|
$8,134.69 |
$8,134.69 |
$8,134.69 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$9,363.13 |
$9,363.13 |
$9,363.13 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$10,799.26 |
$10,799.26 |
$10,799.26 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$10,700.71 |
$10,700.71 |
$10,700.71 |
$12,320.22
|
|
Tlso 2 piece rigid shell
|
$722.40 |
$722.40 |
$722.40 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$944.40 |
$944.40 |
$944.40 |
$1,808.59
|
|
Tlso rigid plastic cust fab
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$2,347.16
|
|
Tnot opn elbw to sho ea tdn
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$228.45 |
$228.45 |
$228.45 |
$152.36
|
|
Tobramycin non-comp unit
|
$143.38 |
$143.38 |
$143.38 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$181.99 |
$181.99 |
$181.99 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,390.24 |
$2,390.24 |
$2,390.24 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$271.84 |
$271.84 |
$271.84 |
$259.50
|
|
Tomosynthesis breast screen bilateral
|
$117.47 |
$117.47 |
$117.47 |
$74.10
|
|
Tone decay hearing test
|
$90.37 |
$90.37 |
$90.37 |
$90.37
|
|
Tongue base vol reduction
|
$2,495.61 |
$2,495.61 |
$2,495.61 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$3,085.83 |
$3,085.83 |
$3,085.83 |
$3,592.74
|
|
Tongue suspension
|
$3,999.24 |
$3,999.24 |
$3,999.24 |
$4,082.40
|
|
Tongue to lip surgery
|
$2,365.55 |
$2,365.55 |
$2,365.55 |
$3,837.72
|
|
Tonsillectomy (age 12+)
|
$2,735.53 |
$2,735.53 |
$2,735.53 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$4,182.80 |
$4,182.80 |
$4,182.80 |
$6,056.50
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$664.50 |
$664.50 |
$664.50 |
$316.84
|
|
Total ob care failed vbac 59618
|
$4,159.52 |
$4,159.52 |
$4,159.52 |
$4,792.80
|
|
Total tau
|
$600.00 |
$600.00 |
$600.00 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$10,646.17 |
$10,646.17 |
$10,646.17 |
$20,154.40
|
|
Toxoplasma antibody igg
|
$315.00 |
$315.00 |
$315.00 |
$90.00
|
|
Toxoplasma antibody igm
|
$240.00 |
$240.00 |
$240.00 |
$89.05
|
|
Tp53 gene full gene sequence
|
$660.00 |
$660.00 |
$660.00 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,828.50 |
$1,828.50 |
$1,828.50 |
$790.68
|
|
Tpmt gene com vrnts
|
$474.00 |
$474.00 |
$474.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$5,980.69 |
$5,980.69 |
$5,980.69 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$1,720.58 |
$1,720.58 |
$1,720.58 |
$1,180.80
|
|
Trachelectomy (cervicectomy) 57530
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,224.15 |
$2,224.15 |
$2,224.15 |
$1,437.45
|
|
Tracheostoma revision; simple, without flap rotation
|
$5,208.28 |
$5,208.28 |
$5,208.28 |
$3,837.72
|
|
Tracheostoma stent/stud/bttn
|
$175.89 |
$175.89 |
$175.89 |
$333.29
|
|
Trach/laryn tube plug/stop
|
$158.30 |
$158.30 |
$158.30 |
$9.18
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$104.33 |
$104.33 |
$104.33 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$460.32 |
$460.32 |
$460.32 |
$678.70
|
|
Transcath biopsy
|
$4,426.92 |
$4,426.92 |
$4,426.92 |
$4,285.93
|
