|
Therapeutic procd strg endur
|
$137.00 |
$137.00 |
$137.00 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$114.00 |
$114.00 |
$114.00 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$128.00 |
$128.00 |
$128.00 |
$102.30
|
|
Therapy Exercise Session (each 15 minutes)
|
$124.00 |
$124.00 |
$124.00 |
$98.70
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$39.50 |
$39.50 |
$39.50 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$32.00 |
$32.00 |
$32.00 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$314.50 |
$314.50 |
$314.50 |
$314.50
|
|
Ther nma rdctj intus/obstrcj
|
$732.50 |
$732.50 |
$732.50 |
$538.88
|
|
Ther/proph/diag inj ia
|
$117.50 |
$117.50 |
$117.50 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$15.15 |
$15.15 |
$15.15 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$211.00 |
$211.00 |
$211.00 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,323.00 |
$2,323.00 |
$2,323.00 |
$1,738.26
|
|
Thoracotomy w/expl
|
$7,484.50 |
$7,484.50 |
$7,484.50 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$10,203.00 |
$10,203.00 |
$10,203.00 |
$2,138.76
|
|
Thorcscpy w/biop pleura
|
$4,897.00 |
$4,897.00 |
$4,897.00 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$4,897.00 |
$4,897.00 |
$4,897.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$4,897.00 |
$4,897.00 |
$4,897.00 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,725.50 |
$1,725.50 |
$1,725.50 |
$1,703.45
|
|
Throat x-ray & fluoroscopy
|
$308.00 |
$308.00 |
$308.00 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$3,903.25
|
|
Thrombectomy/inf pq dialysis circuit
|
$11,942.50 |
$11,942.50 |
$11,942.50 |
$8,095.35
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$17,706.00 |
$17,706.00 |
$17,706.00 |
$14,625.70
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$36,582.50 |
$36,582.50 |
$36,582.50 |
$21,413.60
|
|
Thrombin time
|
$53.50 |
$53.50 |
$53.50 |
$53.76
|
|
Thrombin time titer
|
$61.50 |
$61.50 |
$61.50 |
$17.60
|
|
Thromboendarterectomy common femoral
|
$3,456.00 |
$3,456.00 |
$3,456.00 |
$3,987.20
|
|
Thromboendarterectomy sfa
|
$7,566.00 |
$7,566.00 |
$7,566.00 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$57.50 |
$57.50 |
$57.50 |
$61.52
|
|
Thromboxane urine
|
$95.00 |
$95.00 |
$95.00 |
$119.40
|
|
Thyroglobulin antibody
|
$112.00 |
$112.00 |
$112.00 |
$83.25
|
|
Thyroid imaging
|
$550.50 |
$550.50 |
$550.50 |
$696.75
|
|
Thyroid met imaging
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$1,524.99
|
|
Thyroid met uptake
|
$163.00 |
$163.00 |
$163.00 |
$407.40
|
|
Thyroid (TSH) Test
|
$161.50 |
$161.50 |
$161.50 |
$111.75
|
|
Thyroid Ultrasound
|
$640.50 |
$640.50 |
$640.50 |
$588.50
|
|
Thyroid uptake measurement
|
$420.00 |
$420.00 |
$420.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,814.47 |
$2,814.47 |
$2,814.47 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$128.50 |
$128.50 |
$128.50 |
$64.51
|
|
Tigecycline injection
|
$1.58 |
$1.58 |
$1.58 |
$235.29
|
|
Tilt table study
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$1,569.40
|
|
Tirofiban 12.5 mg/50 ml
|
$4.81 |
$4.81 |
$4.81 |
$458.85
|
|
Tis cgen car anomal 1st shnt
|
$2,996.50 |
$2,996.50 |
$2,996.50 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$1,176.50 |
$1,176.50 |
$1,176.50 |
$6,546.38
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$249.78 |
$249.78 |
$249.78 |
$13,339.20
|
|
Tissue culture placenta
|
$949.00 |
$949.00 |
$949.00 |
$453.00
|
|
Tissue culture skin/biopsy
|
$906.00 |
$906.00 |
$906.00 |
$488.74
|
|
Tissue culture tumor
|
$950.50 |
$950.50 |
$950.50 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$30.00 |
$30.00 |
$30.00 |
$47.20
|
|
Tissue transglutaminase iga
|
$167.50 |
$167.50 |
$167.50 |
$45.60
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$22.49 |
$22.49 |
$22.49 |
$152.36
|
|
Tobramycin non-comp unit
|
$198.95 |
$198.95 |
$198.95 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$216.50 |
$216.50 |
$216.50 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$8.96 |
$8.96 |
$8.96 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$264.00 |
$264.00 |
$264.00 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$86.50 |
$86.50 |
$86.50 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$91.50 |
$91.50 |
$91.50 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$2.14 |
$2.14 |
$2.14 |
$316.84
|
|
Total lung lavage
|
$2,036.00 |
$2,036.00 |
$2,036.00 |
$1,758.40
|
|
Total tau
|
$312.00 |
$312.00 |
$312.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$126.50 |
$126.50 |
$126.50 |
$91.76
|
|
Toxoplasma antibody igm
|
$126.50 |
$126.50 |
$126.50 |
$89.05
|
|
Tp53 gene full gene sequence
|
$963.00 |
$963.00 |
$963.00 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$783.50 |
$783.50 |
$783.50 |
$804.00
|
|
Tpmt gene com vrnts
|
$492.00 |
$492.00 |
$492.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$5,905.50 |
$5,905.50 |
$5,905.50 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,630.00 |
$1,630.00 |
$1,630.00 |
$1,437.45
|
|
Tracheostoma revision; simple, without flap rotation
|
$9,913.00 |
$9,913.00 |
$9,913.00 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$143.00 |
$143.00 |
$143.00 |
$103.40
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$6.50 |
$6.50 |
$6.50 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$668.50 |
$668.50 |
$668.50 |
$678.70
|
|
Transcath biopsy
|
$3,144.50 |
$3,144.50 |
$3,144.50 |
$4,285.93
|
|
Transcath closure of asd
|
$18,837.00 |
$18,837.00 |
$18,837.00 |
$17,352.58
|
|
Transcath closure of vsd
|
$18,837.00 |
$18,837.00 |
$18,837.00 |
$17,458.00
|
|
Transcatheter bx s&i
|
$1,108.50 |
$1,108.50 |
$1,108.50 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$1,816.50 |
$1,816.50 |
$1,816.50 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$7,742.50 |
$7,742.50 |
$7,742.50 |
$13,384.80
|
|
Transcath occlusion cns
|
$29,810.50 |
$29,810.50 |
$29,810.50 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$18,773.00 |
$18,773.00 |
$18,773.00 |
$10,416.60
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,060.50 |
$4,060.50 |
$4,060.50 |
$4,822.00
|
|
Transcrv abltj utrn fibrd rf
|
$18,633.50 |
$18,633.50 |
$18,633.50 |
$8,750.72
|
|
Transferrin
|
$114.00 |
$114.00 |
$114.00 |
$82.00
|
|
Transperi needle place pros
|
$6,203.00 |
$6,203.00 |
$6,203.00 |
$6,203.00
|
|
Transplj hematopoietic boost
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$2,667.20
|
|
Transplt allo hct/donor
|
$100,001.50 |
$100,001.50 |
$100,001.50 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$2,042.00 |
$2,042.00 |
$2,042.00 |
$2,751.65
|
|
Transplt autol hct/donor
|
$2,583.50 |
$2,583.50 |
$2,583.50 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$575.50 |
$575.50 |
$575.50 |
$563.55
|
|
Transvaginal Pregnancy Ultrasound
|
$523.50 |
$523.50 |
$523.50 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$144.67 |
$144.67 |
$144.67 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$117.96 |
$117.96 |
$117.96 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$66.31 |
$66.31 |
$66.31 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$8,095.50 |
$8,095.50 |
$8,095.50 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$940.80
|
|
Trb@ gene rearrange dirprobe
|
$168.50 |
$168.50 |
$168.50 |
$73.46
|
|
Treat ankle dislocation
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$2,358.40
|
|
Treat elbow dislocation
|
$6,313.00 |
$6,313.00 |
$6,313.00 |
$2,322.40
|
|
Treat elbow fracture
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$2,055.00
|
|
Treat finger fracture each
|
$3,960.50 |
$3,960.50 |
$3,960.50 |
$1,592.00
|
|
Treat foot dislocation
|
$379.50 |
$379.50 |
$379.50 |
$445.80
|
