|
Tc-99m tilmanocept diag
|
$566.28 |
$566.28 |
$566.28 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$21.01 |
$21.01 |
$21.01 |
$184.00
|
|
T cells absolute cd 4 count
|
$12.07 |
$12.07 |
$12.07 |
$111.20
|
|
T cells total count
|
$16.99 |
$16.99 |
$16.99 |
$130.20
|
|
Team conf without pat by hc pro
|
$29.14 |
$29.14 |
$29.14 |
$112.86
|
|
Team conf w/pat by hc prof
|
$38.73 |
$38.73 |
$38.73 |
$107.10
|
|
Tee w or without fol w/cont,cong
|
$637.16 |
$637.16 |
$637.16 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$712.55 |
$712.55 |
$712.55 |
$1,692.44
|
|
Telethx isodose plan cplx
|
$502.44 |
$502.44 |
$502.44 |
$1,526.85
|
|
Telethx isodose plan simple
|
$326.46 |
$326.46 |
$326.46 |
$880.61
|
|
Tert gene targeted seq alys
|
$193.78 |
$193.78 |
$193.78 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$361.38 |
$361.38 |
$361.38 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$285.58 |
$285.58 |
$285.58 |
$953.40
|
|
Theophylline therapeutic drug level
|
$6.79 |
$6.79 |
$6.79 |
$108.00
|
|
Therapeutic procd strg endur
|
$38.32 |
$38.32 |
$38.32 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$24.31 |
$24.31 |
$24.31 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$21.59 |
$21.59 |
$21.59 |
$98.58
|
|
Ther nma rdctj intus/obstrcj
|
$343.55 |
$343.55 |
$343.55 |
$538.88
|
|
Ther/proph/diag inj ia
|
$98.89 |
$98.89 |
$98.89 |
$247.33
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$94.72 |
$94.72 |
$94.72 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,041.96 |
$1,041.96 |
$1,041.96 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,021.40 |
$1,021.40 |
$1,021.40 |
$1,703.45
|
|
Throat x-ray & fluoroscopy
|
$135.17 |
$135.17 |
$135.17 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$2,244.69 |
$2,244.69 |
$2,244.69 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,167.01 |
$5,167.01 |
$5,167.01 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$7,750.20 |
$7,750.20 |
$7,750.20 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$12,478.00 |
$12,478.00 |
$12,478.00 |
$21,413.60
|
|
Thrombin time
|
$10.30 |
$10.30 |
$10.30 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$18.95 |
$18.95 |
$18.95 |
$62.01
|
|
Thyroglobulin antibody
|
$14.30 |
$14.30 |
$14.30 |
$82.50
|
|
Thyroid met imaging
|
$365.05 |
$365.05 |
$365.05 |
$838.25
|
|
Thyroid mets imag whole body
|
$633.57 |
$633.57 |
$633.57 |
$1,524.99
|
|
Thyroid met uptake
|
$131.81 |
$131.81 |
$131.81 |
$407.40
|
|
Thyroid (TSH) Test
|
$51.82 |
$51.82 |
$51.82 |
$112.70
|
|
Thyroid Ultrasound
|
$244.67 |
$244.67 |
$244.67 |
$588.50
|
|
Thyroxine binding globulin (tbg)
|
$7.11 |
$7.11 |
$7.11 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$11,119.42 |
$11,119.42 |
$11,119.42 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$7,347.34 |
$7,347.34 |
$7,347.34 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$5,957.03 |
$5,957.03 |
$5,957.03 |
$10,131.15
|
|
Tilt table study
|
$787.93 |
$787.93 |
$787.93 |
$1,561.82
|
|
Tissue culture placenta
|
$142.10 |
$142.10 |
$142.10 |
$453.00
|
|
Tissue culture skin/biopsy
|
$133.08 |
$133.08 |
$133.08 |
$488.74
|
|
Tissue culture tumor
|
$139.36 |
$139.36 |
$139.36 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$54.40 |
$54.40 |
$54.40 |
$47.40
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$8.99 |
$8.99 |
$8.99 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$8.79 |
$8.79 |
$8.79 |
$44.80
|
|
Tobramycin peak therapeutic drug level
|
$7.74 |
$7.74 |
$7.74 |
$120.60
|
|
Toe X-ray (both feet)
|
$64.26 |
$64.26 |
$64.26 |
$258.65
|
|
Total tau
|
$71.26 |
$71.26 |
$71.26 |
$312.50
|
|
Toxoplasma antibody igg
|
$9.39 |
$9.39 |
$9.39 |
$91.65
|
|
Toxoplasma antibody igm
|
$8.94 |
$8.94 |
$8.94 |
$87.75
|
|
Tp53 gene full gene sequence
|
$417.94 |
$417.94 |
$417.94 |
$706.04
|
|
Tpmt gene com vrnts
|
$182.93 |
$182.93 |
$182.93 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$2,965.71 |
$2,965.71 |
$2,965.71 |
$7,144.80
|
|
Transcath biopsy
|
$896.59 |
$896.59 |
$896.59 |
$4,285.93
|
|
Transcath closure of asd
|
$5,767.30 |
$5,767.30 |
$5,767.30 |
$17,041.80
|
|
Transcatheter bx s&i
|
$482.30 |
$482.30 |
$482.30 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$3,049.51 |
$3,049.51 |
$3,049.51 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$9,259.71 |
$9,259.71 |
$9,259.71 |
$13,384.80
|
|
Transcath occlusion cns
|
$1,327.17 |
$1,327.17 |
$1,327.17 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$1,277.58 |
$1,277.58 |
$1,277.58 |
$10,270.00
|
|
Transferrin
|
$23.54 |
$23.54 |
$23.54 |
$82.00
|
|
Transperi needle place pros
|
$2,185.26 |
$2,185.26 |
$2,185.26 |
$6,203.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$282.35 |
$282.35 |
$282.35 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$237.64 |
$237.64 |
$237.64 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$2,401.50 |
$2,401.50 |
$2,401.50 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$99.79 |
$99.79 |
$99.79 |
$940.80
|
|
Treatment radiation delivery level 2
|
$230.74 |
$230.74 |
$230.74 |
$830.70
|
|
Treat spinal cord lesion
|
$412.10 |
$412.10 |
$412.10 |
$1,142.50
|
|
Treat spinal cord lesion
|
$415.49 |
$415.49 |
$415.49 |
$1,337.00
|
|
Treponema pallidum antibody
|
$11.03 |
$11.03 |
$11.03 |
$72.05
|
|
Trg gene rearrangement anal
|
$210.71 |
$210.71 |
$210.71 |
$455.70
|
|
Trichinella antibody
|
$10.28 |
$10.28 |
$10.28 |
$70.65
|
|
#tricyclicantidprssnt
|
$14.54 |
$14.54 |
$14.54 |
$50.54
|
|
Triglycerides
|
$24.96 |
$24.96 |
$24.96 |
$58.50
|
|
Trnscath plc stent crv crtd without prtct
|
$2,127.66 |
$2,127.66 |
$2,127.66 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,338.72 |
$3,338.72 |
$3,338.72 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$2,716.25 |
$2,716.25 |
$2,716.25 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,263.49 |
$2,263.49 |
$2,263.49 |
$8,776.32
|
|
Trnscath plc vas stent w/s&i ini vein
|
$3,395.39 |
$3,395.39 |
$3,395.39 |
$14,461.50
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,699.54 |
$1,699.54 |
$1,699.54 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,108.26 |
$2,108.26 |
$2,108.26 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$829.14 |
$829.14 |
$829.14 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$715.79 |
$715.79 |
$715.79 |
$4,354.35
|
|
Trnscath tx thromblytc vein ini day
|
$1,212.90 |
$1,212.90 |
$1,212.90 |
$3,866.70
|
|
Troponin quantitative
|
$52.30 |
$52.30 |
$52.30 |
$127.60
|
|
Tte w or without contr, cont ecg
|
$625.62 |
$625.62 |
$625.62 |
$2,067.00
|
|
Tte w or without fol w/con,stres
|
$505.52 |
$505.52 |
$505.52 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$521.80 |
$521.80 |
$521.80 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$277.07 |
$277.07 |
$277.07 |
$1,178.00
|
|
Tx atrial fib pulm vein isol
|
$35,194.96 |
$35,194.96 |
$35,194.96 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$5,470.89 |
$5,470.89 |
$5,470.89 |
$6,986.85
|
|
Ugt1a1 gene analy common variants
|
$244.78 |
$244.78 |
$244.78 |
$438.75
|
|
Ultrasound breast complete
|
$260.82 |
$260.82 |
$260.82 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$200.79 |
$200.79 |
$200.79 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$161.46 |
$161.46 |
$161.46 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$76.59 |
$76.59 |
$76.59 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$162.70 |
$162.70 |
$162.70 |
$313.95
|
|
Ultrasound encephalogram
|
$307.19 |
$307.19 |
$307.19 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$231.01 |
$231.01 |
$231.01 |
$578.40
|
