|
Thoracoscopy w/wedge resect
|
$1,325.96 |
$1,325.96 |
$1,325.96 |
$3,770.00
|
|
Thoracoscopy w w resect addl 32667
|
$236.70 |
$236.70 |
$236.70 |
$383.20
|
|
Thoracoscopy w w resect diag 32668
|
$236.70 |
$236.70 |
$236.70 |
$383.20
|
|
Thoracostomy w/flap drng 32036
|
$1,211.69 |
$1,211.69 |
$1,211.69 |
$3,198.00
|
|
Thoracotomy opn free adhesions 32124
|
$1,406.84 |
$1,406.84 |
$1,406.84 |
$2,256.80
|
|
Thoracotomy w/expl
|
$1,233.21 |
$1,233.21 |
$1,233.21 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,219.11 |
$1,219.11 |
$1,219.11 |
$2,926.56
|
|
Thorax spine fusion
|
$1,982.63 |
$1,982.63 |
$1,982.63 |
$4,941.95
|
|
Thorcscpy w/biop pleura
|
$389.55 |
$389.55 |
$389.55 |
$6,376.26
|
|
Thrcspy w/diag bp lng inf uni
|
$467.46 |
$467.46 |
$467.46 |
$5,339.00
|
|
Thrcspy w/diag bp lng nod uni
|
$574.31 |
$574.31 |
$574.31 |
$5,339.00
|
|
Thrombectmy crnry perq mechanical
|
$12,084.22 |
$12,084.22 |
$12,084.22 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$8,795.67 |
$8,795.67 |
$8,795.67 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$17,767.19 |
$17,767.19 |
$17,767.19 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,595.29 |
$25,595.29 |
$25,595.29 |
$24,605.30
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$21,147.00 |
$21,147.00 |
$21,147.00 |
$5,520.00
|
|
Thrombin time
|
$67.53 |
$67.53 |
$67.53 |
$48.75
|
|
Thromboendarterectomy common femoral
|
$9,893.83 |
$9,893.83 |
$9,893.83 |
$7,431.06
|
|
Thromboendarterectomy including patch graft if preformed;
|
$1,354.15 |
$1,354.15 |
$1,354.15 |
$5,983.35
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$1,990.05 |
$1,990.05 |
$1,990.05 |
$6,262.40
|
|
Thromboendarterectomy sfa
|
$23,050.98 |
$23,050.98 |
$23,050.98 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$31.44 |
$31.44 |
$31.44 |
$56.93
|
|
Thyroglobulin antibody
|
$192.18 |
$192.18 |
$192.18 |
$84.00
|
|
Thyroid imaging
|
$697.48 |
$697.48 |
$697.48 |
$670.80
|
|
Thyroid mets imag whole body
|
$2,018.24 |
$2,018.24 |
$2,018.24 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$307.93 |
$307.93 |
$307.93 |
$120.00
|
|
Thyroid Ultrasound
|
$923.79 |
$923.79 |
$923.79 |
$589.96
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$7,244.15 |
$7,244.15 |
$7,244.15 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$43.87 |
$43.87 |
$43.87 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$26,654.87 |
$26,654.87 |
$26,654.87 |
$21,900.00
|
|
Tib/per revasc w/ather add-on 37233
|
$14,057.94 |
$14,057.94 |
$14,057.94 |
$10,406.14
|
|
Tigecycline injection
|
$170.66 |
$170.66 |
$170.66 |
$277.31
|
|
Tilt table study
|
$1,507.01 |
$1,507.01 |
$1,507.01 |
$1,495.00
|
|
Tissue culture placenta
|
$1,156.04 |
$1,156.04 |
$1,156.04 |
$520.91
|
|
Tissue culture skin/biopsy
|
$1,310.38 |
$1,310.38 |
$1,310.38 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$41.56 |
$41.56 |
$41.56 |
$47.40
|
|
Tissue transglutaminase iga
|
$35.62 |
$35.62 |
$35.62 |
$48.57
|
|
Tmvr w/prosthetic ring 33426
|
$3,609.83 |
$3,609.83 |
$3,609.83 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$3,694.42 |
$3,694.42 |
$3,694.42 |
$5,969.60
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$324.26 |
$324.26 |
$324.26 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$99.43 |
$99.43 |
$99.43 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$70.49 |
$70.49 |
$70.49 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$316.84 |
$316.84 |
$316.84 |
$404.20
|
|
Total hip arthroplasty
|
$2,599.97 |
$2,599.97 |
$2,599.97 |
$8,249.60
|
|
Total Hip Replacement
|
$2,010.82 |
$2,010.82 |
$2,010.82 |
$6,675.20
|
|
Total Knee Replacement
|
$1,984.11 |
$1,984.11 |
$1,984.11 |
$6,668.80
|
|
Toxoplasma antibody igg
|
$118.72 |
$118.72 |
$118.72 |
$84.35
|
|
Toxoplasma antibody igm
|
$120.95 |
$120.95 |
$120.95 |
$83.20
|
|
Tracheobrnchsc thru est trachs incisn
|
$178.08 |
$178.08 |
$178.08 |
$1,459.48
|
|
Transcath biopsy
|
$4,506.91 |
$4,506.91 |
$4,506.91 |
$4,298.05
|
|
Transcath closure of asd
|
$30,393.81 |
$30,393.81 |
$30,393.81 |
$18,772.00
|
|
Transcath closure of vsd
|
$28,173.00 |
$28,173.00 |
$28,173.00 |
$18,837.00
|
|
Transcatheter bx s&i
|
$3,190.60 |
$3,190.60 |
$3,190.60 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$24,996.50 |
$24,996.50 |
$24,996.50 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$23,746.97 |
$23,746.97 |
$23,746.97 |
$17,106.18
|
|
Trans cath replace aortic valve 33366
|
$2,376.63 |
$2,376.63 |
$2,376.63 |
$17,848.35
|
|
Transcutaneous hgb 88738
|
$18.55 |
$18.55 |
$18.55 |
$11.40
|
|
Transferrin
|
$37.88 |
$37.88 |
$37.88 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,337.09 |
$1,337.09 |
$1,337.09 |
$988.24
|
|
Transthor diaphrag hern repair 43334
|
$1,892.85 |
$1,892.85 |
$1,892.85 |
$3,052.00
|
|
Transthor diaphrag hern rpr
|
$2,030.12 |
$2,030.12 |
$2,030.12 |
$6,232.20
|
|
Transvrs a-arch grf hypthrm
|
$4,926.14 |
$4,926.14 |
$4,926.14 |
$7,971.20
|
|
Trastuzumab 150 mg intravenous solution
|
$6,975.55 |
$6,975.55 |
$6,975.55 |
$3,900.04
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$9,180.03 |
$9,180.03 |
$9,180.03 |
$4,500.03
|
|
Treat ankle dislocation
|
$779.10 |
$779.10 |
$779.10 |
$2,207.20
|
|
Treat ankle dislocation
|
$1,236.18 |
$1,236.18 |
$1,236.18 |
$5,886.74
|
|
Treat chest lining
|
$1,236.92 |
$1,236.92 |
$1,236.92 |
$3,888.00
|
|
Treat elbow fracture
|
$1,687.31 |
$1,687.31 |
$1,687.31 |
$10,629.07
|
|
Treat elbow fracture
|
$5,062.67 |
$5,062.67 |
$5,062.67 |
$2,125.60
|
|
Treat elbow fracture
|
$1,098.16 |
$1,098.16 |
$1,098.16 |
$8,453.60
|
|
Treat finger fracture each
|
$746.46 |
$746.46 |
$746.46 |
$4,108.00
|
|
Treat foot bone lesion
|
$5,233.33 |
$5,233.33 |
$5,233.33 |
$3,839.54
|
|
Treat fracture of ulna
|
$684.13 |
$684.13 |
$684.13 |
$766.72
|
|
Treat heel fracture
|
$1,759.29 |
$1,759.29 |
$1,759.29 |
$7,907.11
|
|
Treat hip dislocation
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$2,561.90
|
|
Treat hip dislocation
|
$2,385.53 |
$2,385.53 |
$2,385.53 |
$4,499.12
|
|
Treat humerus fracture
|
$1,371.96 |
$1,371.96 |
$1,371.96 |
$6,311.00
|
|
Treat humerus fracture
|
$1,337.09 |
$1,337.09 |
$1,337.09 |
$11,850.08
|
|
Treat humerus fracture
|
$851.82 |
$851.82 |
$851.82 |
$1,950.60
|
|
Treat humerus fracture
|
$1,355.64 |
$1,355.64 |
$1,355.64 |
$12,653.00
|
|
Treat humerus fracture
|
$1,616.82 |
$1,616.82 |
$1,616.82 |
$10,742.40
|
|
Treat humerus fracture
|
$1,301.47 |
$1,301.47 |
$1,301.47 |
$9,346.40
|
|
Treat kneecap dislocation
|
$770.20 |
$770.20 |
$770.20 |
$1,351.35
|
|
Treat kneecap fracture
|
$1,179.04 |
$1,179.04 |
$1,179.04 |
$5,741.00
|
|
Treat knee dislocation
|
$1,273.28 |
$1,273.28 |
$1,273.28 |
$7,413.38
|
|
Treat knee fracture
|
$1,406.09 |
$1,406.09 |
$1,406.09 |
$4,424.00
|
|
Treat knee fracture
|
$1,852.78 |
$1,852.78 |
$1,852.78 |
$5,848.00
|
|
Treat knee fracture
|
$1,268.82 |
$1,268.82 |
$1,268.82 |
$3,985.60
|
|
Treat knee fracture 27530
|
$459.30 |
$459.30 |
$459.30 |
$580.20
|
|
Treat lower leg fracture
|
$1,754.09 |
$1,754.09 |
$1,754.09 |
$12,905.86
|
|
Treat lower leg fracture
|
$2,081.31 |
$2,081.31 |
$2,081.31 |
$12,653.00
|
|
Treat lower leg joint
|
$1,103.36 |
$1,103.36 |
$1,103.36 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$1,291.83 |
$1,291.83 |
$1,291.83 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$1,637.60 |
$1,637.60 |
$1,637.60 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,156.04 |
$1,156.04 |
$1,156.04 |
$8,370.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$421.46 |
$421.46 |
$421.46 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$276.77 |
$276.77 |
$276.77 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$336.13 |
$336.13 |
$336.13 |
$210.00
|
|
Treatment of ankle fracture
|
$1,006.90 |
$1,006.90 |
$1,006.90 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,190.91 |
$1,190.91 |
$1,190.91 |
$7,907.11
|
