|
Thoracotomy w/expl
|
$583.85 |
$583.85 |
$583.85 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$960.88 |
$960.88 |
$960.88 |
$2,138.76
|
|
Throat x-ray & fluoroscopy
|
$147.74 |
$147.74 |
$147.74 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$2,517.32 |
$2,517.32 |
$2,517.32 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$10,681.55 |
$10,681.55 |
$10,681.55 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$10,842.17 |
$10,842.17 |
$10,842.17 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$26,342.45 |
$26,342.45 |
$26,342.45 |
$21,413.60
|
|
Thrombin time
|
$49.75 |
$49.75 |
$49.75 |
$53.76
|
|
Thromboplastin inhibition
|
$44.27 |
$44.27 |
$44.27 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$20.43 |
$20.43 |
$20.43 |
$61.52
|
|
Thromboxane urine
|
$54.61 |
$54.61 |
$54.61 |
$95.00
|
|
Thyroglobulin antibody
|
$56.26 |
$56.26 |
$56.26 |
$82.00
|
|
Thyroid imaging
|
$686.67 |
$686.67 |
$686.67 |
$695.02
|
|
Thyroid met imaging
|
$767.95 |
$767.95 |
$767.95 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,297.94 |
$1,297.94 |
$1,297.94 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$84.99 |
$84.99 |
$84.99 |
$111.00
|
|
Thyroid Ultrasound
|
$432.17 |
$432.17 |
$432.17 |
$588.50
|
|
Thyroid uptake measurement
|
$368.32 |
$368.32 |
$368.32 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,049.91 |
$4,049.91 |
$4,049.91 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$68.17 |
$68.17 |
$68.17 |
$64.35
|
|
Tigecycline injection
|
$344.99 |
$344.99 |
$344.99 |
$234.00
|
|
Tilt table study
|
$868.10 |
$868.10 |
$868.10 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$951.24 |
$951.24 |
$951.24 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$61,751.81 |
$61,751.81 |
$61,751.81 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$7,738.29 |
$7,738.29 |
$7,738.29 |
$4,834.73
|
|
Tissue culture placenta
|
$414.97 |
$414.97 |
$414.97 |
$457.00
|
|
Tissue culture skin/biopsy
|
$461.12 |
$461.12 |
$461.12 |
$484.00
|
|
Tissue culture tumor
|
$420.44 |
$420.44 |
$420.44 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$24.05 |
$24.05 |
$24.05 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$17,672.01 |
$17,672.01 |
$17,672.01 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$13.45 |
$13.45 |
$13.45 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$179.51 |
$179.51 |
$179.51 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$1,359.75 |
$1,359.75 |
$1,359.75 |
$152.36
|
|
Tobramycin non-comp unit
|
$128.49 |
$128.49 |
$128.49 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$64.46 |
$64.46 |
$64.46 |
$120.60
|
|
Tocilizumab for covid-19
|
$4,128.71 |
$4,128.71 |
$4,128.71 |
$21.08
|
|
Tomosynthesis breast diagnostic left
|
$113.75 |
$113.75 |
$113.75 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$100.86 |
$100.86 |
$100.86 |
$72.68
|
|
Tongue biopsy; posterior one-third 41105
|
$1,443.32 |
$1,443.32 |
$1,443.32 |
$3,544.29
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$672.23 |
$672.23 |
$672.23 |
$325.00
|
|
Toxoplasma antibody igg
|
$54.33 |
$54.33 |
$54.33 |
$89.40
|
|
Toxoplasma antibody igm
|
$273.76 |
$273.76 |
$273.76 |
$87.00
|
|
Tp53 gene full gene sequence
|
$249.48 |
$249.48 |
$249.48 |
$709.80
|
|
Tpmt gene com vrnts
|
$175.27 |
$175.27 |
$175.27 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$16,828.68 |
$16,828.68 |
$16,828.68 |
$6,827.00
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$85.52 |
$85.52 |
$85.52 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$289.47 |
$289.47 |
$289.47 |
$678.70
|
|
Transcath biopsy
|
$2,001.72 |
$2,001.72 |
$2,001.72 |
$4,285.93
|
|
Transcath closure of asd
|
$8,545.43 |
$8,545.43 |
$8,545.43 |
$16,741.40
|
|
Transcath closure of vsd
|
$7,340.35 |
$7,340.35 |
$7,340.35 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,592.86 |
$1,592.86 |
$1,592.86 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$2,577.65 |
$2,577.65 |
$2,577.65 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$10,483.04 |
$10,483.04 |
$10,483.04 |
$12,418.00
|
|
Transcath occlusion cns
|
$3,126.01 |
$3,126.01 |
$3,126.01 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$4,845.31 |
$4,845.31 |
$4,845.31 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,553.49 |
$1,553.49 |
$1,553.49 |
$4,775.16
|
|
Transferrin
|
$92.25 |
$92.25 |
$92.25 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,134.35 |
$1,134.35 |
$1,134.35 |
$983.00
|
|
Transperi needle place pros
|
$4,444.22 |
$4,444.22 |
$4,444.22 |
$6,015.75
|
|
Transplt autol hct/donor
|
$2,105.25 |
$2,105.25 |
$2,105.25 |
$3,786.00
|
|
Trastuzumab 150 mg intravenous solution
|
$3,515.20 |
$3,515.20 |
$3,515.20 |
$3,141.85
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$7,153.51 |
$7,153.51 |
$7,153.51 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$6,275.76 |
$6,275.76 |
$6,275.76 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,128.77 |
$1,128.77 |
$1,128.77 |
$940.80
|
|
Treat elbow fracture
|
$782.47 |
$782.47 |
$782.47 |
$1,919.13
|
|
Treat finger fracture each
|
$897.45 |
$897.45 |
$897.45 |
$1,536.00
|
|
Treat fracture of radius
|
$747.94 |
$747.94 |
$747.94 |
$1,849.00
|
|
Treat hand dislocation
|
$807.01 |
$807.01 |
$807.01 |
$1,749.06
|
|
Treat knuckle dislocation
|
$747.87 |
$747.87 |
$747.87 |
$1,523.90
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,345.32 |
$1,345.32 |
$1,345.32 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$165.27 |
$165.27 |
$165.27 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$118.05 |
$118.05 |
$118.05 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$160.72 |
$160.72 |
$160.72 |
$203.35
|
|
Treatment of toe fracture 28510
|
$296.00 |
$296.00 |
$296.00 |
$369.70
|
|
Treatment radiation delivery level 2
|
$551.83 |
$551.83 |
$551.83 |
$767.65
|
|
Treat sternum fracture
|
$135.71 |
$135.71 |
$135.71 |
$423.00
|
|
Treat toe dislocation
|
$807.01 |
$807.01 |
$807.01 |
$756.39
|
|
Treat vaginal bleeding
|
$290.00 |
$290.00 |
$290.00 |
$379.60
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$85,960.83 |
$85,960.83 |
$85,960.83 |
$73,346.25
|
|
Treponema pallidum antibody
|
$63.30 |
$63.30 |
$63.30 |
$70.40
|
|
Treprostinil injection
|
$6,772.23 |
$6,772.23 |
$6,772.23 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$374.67 |
$374.67 |
$374.67 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$62.06 |
$62.06 |
$62.06 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$33.50 |
$33.50 |
$33.50 |
$223.56
|
|
Triglycerides
|
$43.62 |
$43.62 |
$43.62 |
$58.05
|
|
Trim nondyst nails
|
$60.56 |
$60.56 |
$60.56 |
$113.40
|
|
Trnscath plc stnt ante carotid art
|
$4,628.81 |
$4,628.81 |
$4,628.81 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$13,007.96 |
$13,007.96 |
$13,007.96 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$11,242.60 |
$11,242.60 |
$11,242.60 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$11,472.04 |
$11,472.04 |
$11,472.04 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,075.09 |
$3,075.09 |
$3,075.09 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,644.23 |
$2,644.23 |
$2,644.23 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,305.28 |
$3,305.28 |
$3,305.28 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,427.88 |
$1,427.88 |
$1,427.88 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,507.21 |
$1,507.21 |
$1,507.21 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$2,296.71 |
$2,296.71 |
$2,296.71 |
$4,713.66
|
|
Troponin quantitative
|
$118.07 |
$118.07 |
$118.07 |
$127.20
|
|
Tr retinal les preterm inf
|
$818.13 |
$818.13 |
$818.13 |
$1,794.00
|
|
Tte w or without contr, cont ecg
|
$891.97 |
$891.97 |
$891.97 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$750.74 |
$750.74 |
$750.74 |
$1,632.80
|
