|
Thromboendarterectomy including patch graft; iliac 35351
|
$20,668.84 |
$20,668.84 |
$20,668.84 |
|
|
Thromboendarterectomy sfa
|
$11,514.40 |
$11,514.40 |
$11,514.40 |
|
|
Thrombomodulin
|
$124.02 |
$124.02 |
$124.02 |
|
|
Thromboplastin inhibition
|
$12.54 |
$49.50 |
$147.87 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$14.25 |
$50.00 |
$93.50 |
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$3,918.40 |
$3,918.40 |
$3,918.40 |
|
|
Thyroglobulin antibody
|
$10.45 |
$90.00 |
$195.14 |
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$5,172.80 |
$5,172.80 |
$5,172.80 |
|
|
Thyroid imaging
|
$448.59 |
$715.00 |
$1,936.00 |
|
|
Thyroid met imaging
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
|
|
Thyroid mets imag whole body
|
$859.56 |
$1,760.00 |
$2,540.82 |
|
|
Thyroid met uptake
|
$365.64 |
$495.00 |
$949.23 |
|
|
Thyroid (TSH) Test
|
$55.12 |
$105.00 |
$317.17 |
|
|
Thyroid Ultrasound
|
$322.50 |
$538.48 |
$1,415.87 |
|
|
Thyroid uptake measurement
|
$295.90 |
$567.10 |
$1,222.00 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,821.60 |
$3,405.49 |
$6,446.07 |
|
|
Thyroxine binding globulin (tbg)
|
$20.35 |
$82.40 |
$99.00 |
|
|
Tibial arthroscopy/surgery
|
$5,561.60 |
$5,561.60 |
$5,561.60 |
|
|
Tib/per revasc stent & ather 37231
|
$7,195.00 |
$17,895.00 |
$65,014.77 |
|
|
Tib/per revasc stnt & ather
|
$4,535.00 |
$8,332.50 |
$28,181.16 |
|
|
Tib/per revasc w/ather add-on 37233
|
$3,083.01 |
$7,960.00 |
$25,764.57 |
|
|
Tigecycline injection
|
$3.36 |
$4.07 |
$8.04 |
|
|
Tilt table study
|
$905.00 |
$1,745.04 |
$3,492.17 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$349.04 |
$394.01 |
$449.98 |
|
|
Tissue amnio epifix inj 100mg
|
$47.50 |
$47.50 |
$47.50 |
|
|
Tissue culture placenta
|
$163.24 |
$370.00 |
$1,978.49 |
|
|
Tissue culture skin/biopsy
|
$40.70 |
$575.00 |
$752.40 |
|
|
Tissue culture tumor
|
$240.35 |
$372.50 |
$836.00 |
|
|
Tissue exam koh skin/hair/nails
|
$6.89 |
$30.00 |
$225.50 |
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$47.69 |
$47.69 |
$47.69 |
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$444.99 |
$444.99 |
$444.99 |
|
|
Tissue transglutaminase iga
|
$10.07 |
$64.35 |
$290.88 |
|
|
Tixagev and cilgav inj
|
$80.52 |
$80.52 |
$378.40 |
|
|
Tl-201 thallium diag per mci
|
$41.25 |
$82.50 |
$344.32 |
|
|
Tmvr w/prosthetic ring 33426
|
$18,506.40 |
$18,506.40 |
$18,506.40 |
|
|
Tmvr w/rad reconst w or without ring 33427
|
$18,506.40 |
$18,506.40 |
$18,506.40 |
|
|
Tnot opn elbw to sho ea tdn
|
$3,735.20 |
$3,735.20 |
$3,735.20 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$4.34 |
$20.91 |
$41.51 |
|
|
Tobramycin non-comp unit
|
$6.56 |
$6.56 |
$6.56 |
|
|
Tobramycin peak therapeutic drug level
|
$38.76 |
$115.00 |
$190.07 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10.64 |
$14.42 |
$1,702.87 |
|
|
Toe X-ray (both feet)
|
$50.73 |
$265.00 |
$601.04 |
|
|
Tomosynthesis breast diagnostic left
|
$62.50 |
$62.50 |
$249.60 |
|
|
Tomosynthesis breast screen bilateral
|
$19.25 |
$62.50 |
$247.50 |
|
|
Tone decay hearing test
|
$49.82 |
$49.82 |
$103.20 |
|
|
Tongue and neck surgery
|
$8,785.60 |
$8,785.60 |
$8,785.60 |
|
|
Tongue base vol reduction
|
$3,452.00 |
$3,452.00 |
$3,452.00 |
|
|
Tongue biopsy; posterior one-third 41105
|
$146.81 |
$146.81 |
$1,570.40 |
|
|
Tongue jaw & neck surgery
|
$12,115.20 |
$12,115.20 |
$12,115.20 |
|
|
Tongue mouth jaw surgery
|
$9,088.00 |
$9,088.00 |
$9,088.00 |
|
|
Tongue mouth neck surgery
|
$10,300.00 |
$10,300.00 |
$10,300.00 |
|
|
Tongue removal neck surgery
|
$10,300.00 |
$10,300.00 |
$10,300.00 |
|
|
Tongue to lip surgery
|
$1,637.60 |
$1,637.60 |
$1,637.60 |
|
|
Tonsillectomy (age 12+)
|
$1,308.80 |
$1,308.80 |
$1,308.80 |
|
|
Tonsillectomy (child under 12)
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1.52 |
$3.83 |
$134.57 |
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$74.80 |
$85.30 |
$97.55 |
|
|
Total hip arthroplasty
|
$11,639.40 |
$11,639.40 |
$11,872.80 |
|
|
Total Hip Replacement
|
$2,561.01 |
$9,613.60 |
$9,829.65 |
|
|
Total hysterectomy
|
$12,765.50 |
$12,765.50 |
$21,071.82 |
|
|
Total Knee Replacement
|
$4,798.83 |
$6,891.87 |
$20,313.60 |
|
|
Total ob care failed vbac 59618
|
$8,393.60 |
$8,393.60 |
$8,393.60 |
|
|
Total tau
|
$48.36 |
$312.50 |
$468.60 |
|
|
Tot disc arthrp 1ntrspc crv
|
$7,959.20 |
$7,959.20 |
$7,959.20 |
|
|
Tot disc arthrp 1ntrspc lmbr
|
$8,954.40 |
$8,954.40 |
$8,954.40 |
|
|
Toxoplasma antibody igg
|
$9.35 |
$62.50 |
$169.67 |
|
|
Toxoplasma antibody igm
|
$9.35 |
$62.50 |
$148.88 |
|
|
Tp53 gene full gene sequence
|
$1,083.72 |
$1,906.64 |
$2,650.45 |
|
|
Tp53 gene trgt sequence alys
|
$790.68 |
$1,095.00 |
$1,210.00 |
|
|
Tpmt gene com vrnts
|
$202.50 |
$202.50 |
$1,428.88 |
|
|
Tprnl plmt biodegrdabl matrl
|
$1,695.00 |
$1,695.00 |
$8,208.11 |
|
|
Trabectedin 1 mg intravenous solution
|
$527.70 |
$657.58 |
$908.53 |
|
|
Tracheobrnchsc thru est trachs incisn
|
$120.84 |
$120.84 |
$1,047.20 |
|
|
Tracheostoma revision; simple, without flap rotation
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$76.85 |
$85.00 |
$297.76 |
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$0.17 |
$0.17 |
$0.49 |
|
|
Transabdom amnioinfus w/us
|
$1,175.30 |
$1,175.30 |
$1,175.30 |
|
|
Transab esoph hiat hern repair 43332
|
$2,368.35 |
$2,368.35 |
$2,368.35 |
|
|
Transcath biopsy
|
$786.50 |
$2,995.00 |
$7,436.96 |
|
|
Transcath closure of asd
|
$10,687.60 |
$19,715.47 |
$38,148.03 |
|
|
Transcath closure of vsd
|
$7,395.20 |
$16,398.73 |
$16,398.73 |
|
|
Transcatheter bx s&i
|
$443.30 |
$1,785.00 |
$4,312.06 |
|
|
Transcath mv repair addl prosthesis
|
$270.05 |
$3,113.00 |
$15,183.44 |
|
|
Transcath mv repair init prosthesis
|
$1,309.00 |
$10,756.90 |
$30,366.88 |
|
|
Transcath occlusion cns
|
$968.00 |
$2,290.00 |
$30,209.43 |
|
|
Transcath occlusion non-cns
|
$2,770.00 |
$9,685.00 |
$36,369.66 |
|
|
Trans cath replace aortic valve 33366
|
$13,648.81 |
$18,714.30 |
$97,915.38 |
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,380.40 |
$5,018.64 |
$8,512.65 |
|
|
Transcrv abltj utrn fibrd rf
|
$6,340.00 |
$6,340.00 |
$7,974.40 |
|
|
Transcutaneous hgb 88738
|
$7.98 |
$10.60 |
$11.40 |
|
|
Transfer of abdominal muscle
|
$6,094.40 |
$6,094.40 |
$6,094.40 |
|
|
Transfer of iliopsoas muscle
|
$7,132.00 |
$7,132.00 |
$7,132.00 |
|
|
Transfer of iliopsoas muscle
|
$6,628.80 |
$6,628.80 |
$6,628.80 |
|
|
Transfer of spinal muscle
|
$6,385.60 |
$6,385.60 |
$6,385.60 |
|
|
Transferrin
|
$13.20 |
$92.50 |
$225.36 |
|
|
Transfer tendon to pelvis
|
$5,129.60 |
$5,129.60 |
$5,129.60 |
|
|
Transparent film >16<=48 in
|
$1.78 |
$2.10 |
$3.45 |
|
|
Transperi needle place pros
|
$2,760.00 |
$5,796.08 |
$9,121.71 |
|
|
Transplant femur ridge
|
$6,613.60 |
$6,613.60 |
$6,613.60 |
|
|
Transplant forearm tendon
|
$4,941.60 |
$4,941.60 |
$4,941.60 |
|
