|
Team conf w/pat by hc prof
|
$82.50 |
$82.50 |
$235.64 |
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$450.39 |
$516.34 |
$39,522.98 |
|
|
Tee w or without fol w/cont,cong
|
$786.50 |
$786.50 |
$2,929.28 |
|
|
Telavancin injection
|
$8.83 |
$8.83 |
$9.17 |
|
|
Telehealth original site facility fee
|
$27.50 |
$27.50 |
$197.34 |
|
|
Telethx isodose plan cplx
|
$388.85 |
$2,625.00 |
$5,785.00 |
|
|
Telethx isodose plan simple
|
$276.65 |
$1,449.02 |
$1,780.00 |
|
|
Temozolomide
|
$2.07 |
$2.07 |
$32.46 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$52.47 |
$52.47 |
$116.59 |
|
|
Tendon lngth upr a/e ea tdn
|
$3,232.00 |
$3,232.00 |
$3,232.00 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$199.26 |
$322.00 |
$564.01 |
|
|
Tenodesis biceps tdn at elbw
|
$5,772.00 |
$5,772.00 |
$5,772.00 |
|
|
Tenolysis triceps
|
$4,387.20 |
$4,387.20 |
$4,387.20 |
|
|
Tenoplasty elbow to sho 1
|
$5,385.60 |
$5,385.60 |
$5,385.60 |
|
|
Tenosynovectomy radic 26145
|
$2,362.40 |
$2,362.40 |
$2,362.40 |
|
|
Tenotomy hip flexor open
|
$5,366.40 |
$5,657.85 |
$5,657.85 |
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$304.22 |
$304.22 |
$304.22 |
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$294.68 |
$1,202.13 |
$4,328.44 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$12.35 |
$24.81 |
$95.96 |
|
|
Tert gene targeted seq alys
|
$335.00 |
$335.00 |
$1,178.76 |
|
|
Test for chlorohydrocarbons
|
$25.97 |
$25.97 |
$36.07 |
|
|
Test for porphobilinogen
|
$15.37 |
$15.37 |
$15.37 |
|
|
Test for urine cystines
|
$11.40 |
$15.37 |
$27.03 |
|
|
Testicular imaging w/vasc flow
|
$345.56 |
$1,080.00 |
$1,936.00 |
|
|
Testosterone pellet 75 mg
|
$147.20 |
$147.20 |
$147.20 |
|
|
Testosterone undecanoate 1mg
|
$1.59 |
$1.59 |
$2.28 |
|
|
Test pathogen(s) for platelets reference
|
$60.00 |
$60.00 |
$147.02 |
|
|
Test stress cardiovascular tracing only
|
$437.76 |
$995.00 |
$1,591.59 |
|
|
Test urine for porphyrins
|
$31.27 |
$31.27 |
$31.27 |
|
|
Test urine urobilinogen
|
$11.66 |
$20.46 |
$20.46 |
|
|
Tetanus ig im
|
$120.00 |
$120.00 |
$489.63 |
|
|
Tetanus immune globulin inj
|
$546.43 |
$969.52 |
$1,619.54 |
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$33.21 |
$70.68 |
$9,411.21 |
|
|
Tgsap so/hl 51/< rna alys
|
$3,505.00 |
$3,505.00 |
$8,339.20 |
|
|
Tgsap so neo 5-50 rna alys
|
$2,178.00 |
$2,178.00 |
$2,178.00 |
|
|
Thaw preserved stem cells
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
|
|
Theophylline therapeutic drug level
|
$34.77 |
$92.50 |
$226.60 |
|
|
Therapeutic procd strg endur
|
$49.50 |
$65.00 |
$136.21 |
|
|
Therapy activation ipnss
|
$371.20 |
$371.20 |
$371.20 |
|
|
Therapy activity per session >= 45 minutes
|
$81.95 |
$138.00 |
$177.50 |
|
|
Therapy Activity Training (each 15 minutes)
|
$61.60 |
$87.50 |
$185.60 |
|
|
Therapy Exercise Session (each 15 minutes)
|
$68.75 |
$87.50 |
$171.85 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$46.20 |
$57.50 |
$100.65 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$34.40 |
$50.00 |
$79.86 |
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$268.18 |
$268.18 |
$381.60 |
|
|
Ther fx nasal inf turbinate
|
$600.00 |
$600.00 |
$600.00 |
|
|
Ther nma rdctj intus/obstrcj
|
$322.50 |
$322.50 |
$1,331.00 |
|
|
Ther/proph/diag inj ia
|
$87.50 |
$87.50 |
$236.50 |
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.27 |
$18.25 |
$57.91 |
|
|
Thiethylperazine maleate inj
|
$3.71 |
$3.71 |
$3.71 |
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$102.30 |
$322.74 |
$695.00 |
|
|
Thigh/wght bear lacer molded
|
$356.69 |
$356.69 |
$356.69 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,150.00 |
$1,288.20 |
$4,391.72 |
|
|
Thoracic aortic graft 33875
|
$17,044.00 |
$17,044.00 |
$17,044.00 |
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$1,691.20 |
$1,691.20 |
$1,691.20 |
|
|
Thoracoscop w/esoph musc exc
|
$7,800.80 |
$7,800.80 |
$7,800.80 |
|
|
Thoracoscopy bilobectomy 32670
|
$5,704.00 |
$5,704.00 |
$5,704.00 |
|
|
Thoracoscopy diagnostic 32601
|
$2,128.80 |
$2,128.80 |
$2,128.80 |
|
|
Thoracoscopy for lvrs
|
$5,411.20 |
$5,411.20 |
$5,411.20 |
|
|
Thoracoscopy lymph node exc
|
$767.20 |
$767.20 |
$767.20 |
|
|
Thoracoscopy pneumonectomy
|
$6,321.60 |
$6,321.60 |
$6,321.60 |
|
|
Thoracoscopy remove cortex
|
$9,046.40 |
$9,046.40 |
$9,046.40 |
|
|
Thoracoscopy remove segment
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
|
|
Thoracoscopy remov fb/fibrin 32653
|
$6,031.20 |
$6,031.20 |
$6,031.20 |
|
|
Thoracoscopy resect bullae 32655
|
$10,108.00 |
$10,108.00 |
$10,108.00 |
|
|
Thoracoscopy surgical 32650
|
$8,724.80 |
$8,724.80 |
$8,724.80 |
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$9,575.20 |
$9,575.20 |
$9,575.20 |
|
|
Thoracoscopy/thoracic sympathectomy32664
|
$11,912.80 |
$11,912.80 |
$11,912.80 |
|
|
Thoracoscopy/tot pulm decortication32652
|
$9,364.80 |
$9,364.80 |
$9,364.80 |
|
|
Thoracoscopy w/bx med space
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
|
|
Thoracoscopy wbx sac
|
$3,192.80 |
$3,192.80 |
$3,192.80 |
|
|
Thoracoscopy w/lobectomy
|
$9,219.20 |
$9,219.20 |
$9,219.20 |
|
|
Thoracoscopy w/mediast exc
|
$8,154.40 |
$8,154.40 |
$8,154.40 |
|
|
Thoracoscopy w/pericard exc
|
$8,513.60 |
$8,513.60 |
$8,513.60 |
|
|
Thoracoscopy w/pleurectomy 32656
|
$9,575.20 |
$9,575.20 |
$9,575.20 |
|
|
Thoracoscopy w/sac drng 32659
|
$7,447.20 |
$7,447.20 |
$7,447.20 |
|
|
Thoracoscopy w/sac fb remove
|
$7,588.00 |
$7,588.00 |
$7,588.00 |
|
|
Thoracoscopy w/thymus resect
|
$4,290.40 |
$4,290.40 |
$4,290.40 |
|
|
Thoracoscopy w/wedge resect
|
$4,668.00 |
$4,668.00 |
$4,668.00 |
|
|
Thoracoscopy w w resect addl 32667
|
$558.40 |
$558.40 |
$558.40 |
|
|
Thoracoscopy w w resect diag 32668
|
$565.60 |
$565.60 |
$565.60 |
|
|
Thoracostomy w/flap drng 32036
|
$2,718.40 |
$2,718.40 |
$2,718.40 |
|
|
Thoracotomy w/expl
|
$4,965.60 |
$4,965.60 |
$4,965.60 |
|
|
Thoracotomy with cardiac massage
|
$1,296.35 |
$2,088.24 |
$2,926.56 |
|
|
Thorax spine fusion
|
$7,552.00 |
$7,552.00 |
$7,552.00 |
|
|
Thorcscpy w/biop pleura
|
$936.80 |
$936.80 |
$936.80 |
|
|
Thor rib belt custom fabrica
|
$50.40 |
$128.04 |
$128.04 |
|
|
Thrcspy w/diag bp lng inf uni
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
|
|
Thrcspy w/diag bp lng nod uni
|
$918.49 |
$918.49 |
$1,883.20 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$809.40 |
$1,475.00 |
$2,441.18 |
|
|
Throat x-ray & fluoroscopy
|
$616.44 |
$616.44 |
$616.44 |
|
|
Thrombectmy crnry perq mechanical
|
$438.90 |
$1,294.70 |
$7,717.23 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,251.60 |
$4,672.25 |
$18,413.13 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$6,477.35 |
$13,955.00 |
$31,012.17 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$7,375.50 |
$21,290.00 |
$37,606.30 |
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$10,778.40 |
$10,778.40 |
$10,778.40 |
|
|
Thrombin time
|
$24.91 |
$50.00 |
$89.10 |
|
|
Thrombin time titer
|
$18.55 |
$18.55 |
$18.55 |
|
|
Thromboendarterectomy common femoral
|
$2,717.00 |
$2,717.00 |
$10,173.90 |
|
|
Thromboendarterectomy including patch graft if preformed;
|
$10,965.60 |
$10,965.60 |
$10,965.60 |
|
