|
Thrombectomy/inf pq dialysis circuit w/pta
|
$3,165.21 |
$3,165.21 |
$3,165.21 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$4,797.50 |
$4,797.50 |
$4,797.50 |
$21,413.60
|
|
Thrombin time
|
$7.98 |
$7.98 |
$7.98 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$39.33 |
$39.33 |
$39.33 |
$61.52
|
|
Thyroglobulin antibody
|
$32.30 |
$32.30 |
$32.30 |
$82.00
|
|
Thyroid imaging
|
$293.55 |
$293.55 |
$293.55 |
$695.02
|
|
Thyroid mets imag whole body
|
$358.72 |
$358.72 |
$358.72 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$62.13 |
$62.13 |
$62.13 |
$111.00
|
|
Thyroid Ultrasound
|
$210.52 |
$210.52 |
$210.52 |
$588.50
|
|
Thyroid uptake measurement
|
$253.27 |
$253.27 |
$253.27 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$76.95 |
$76.95 |
$76.95 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$13,765.88 |
$13,765.88 |
$13,765.88 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$10,781.93 |
$10,781.93 |
$10,781.93 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$7,452.56 |
$7,452.56 |
$7,452.56 |
$9,769.65
|
|
Tigecycline injection
|
$276.96 |
$276.96 |
$276.96 |
$234.00
|
|
Tilt table study
|
$196.08 |
$196.08 |
$196.08 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$199.50 |
$199.50 |
$199.50 |
$458.85
|
|
Tissue culture skin/biopsy
|
$122.17 |
$122.17 |
$122.17 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$17.48 |
$17.48 |
$17.48 |
$47.20
|
|
Tissue transglutaminase iga
|
$7.22 |
$7.22 |
$7.22 |
$44.16
|
|
Tixagev and cilgav inj
|
$96.71 |
$96.71 |
$96.71 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$65.51 |
$65.51 |
$65.51 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$203.01 |
$203.01 |
$203.01 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$44.46 |
$44.46 |
$44.46 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$19.95 |
$19.95 |
$19.95 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$19.95 |
$19.95 |
$19.95 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$246.05 |
$246.05 |
$246.05 |
$325.00
|
|
Toxoplasma antibody igg
|
$54.34 |
$54.34 |
$54.34 |
$89.40
|
|
Toxoplasma antibody igm
|
$54.34 |
$54.34 |
$54.34 |
$87.00
|
|
Tp53 gene full gene sequence
|
$411.54 |
$411.54 |
$411.54 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$203.30 |
$203.30 |
$203.30 |
$790.68
|
|
Tpmt gene com vrnts
|
$80.94 |
$80.94 |
$80.94 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$241.49 |
$241.49 |
$241.49 |
$1,420.44
|
|
Transcath biopsy
|
$1,184.46 |
$1,184.46 |
$1,184.46 |
$4,285.93
|
|
Transcatheter bx s&i
|
$481.46 |
$481.46 |
$481.46 |
$1,915.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,041.01 |
$1,041.01 |
$1,041.01 |
$4,775.16
|
|
Transferrin
|
$27.55 |
$27.55 |
$27.55 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$181.64 |
$181.64 |
$181.64 |
$983.00
|
|
Trauma partial team response w/critical care services level 4
|
$928.72 |
$928.72 |
$928.72 |
$4,523.04
|
|
Trb@ gene rearrange dirprobe
|
$31.73 |
$31.73 |
$31.73 |
$73.46
|
|
Treat ankle dislocation
|
$827.83 |
$827.83 |
$827.83 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$147.82 |
$147.82 |
$147.82 |
$705.60
|
|
Treat elbow dislocation
|
$827.07 |
$827.07 |
$827.07 |
$2,223.20
|
|
Treat elbow fracture
|
$819.28 |
$819.28 |
$819.28 |
$1,919.13
|
|
Treat finger fracture each
|
$363.47 |
$363.47 |
$363.47 |
$1,536.00
|
|
Treat foot dislocation
|
$47.50 |
$47.50 |
$47.50 |
$396.30
|
|
Treat foot dislocation
|
$147.82 |
$147.82 |
$147.82 |
$527.28
|
|
Treat foot dislocation
|
$78.85 |
$78.85 |
$78.85 |
$445.80
|
|
Treat fracture of radius
|
$363.47 |
$363.47 |
$363.47 |
$1,790.00
|
|
Treat fracture of radius
|
$818.71 |
$818.71 |
$818.71 |
$1,849.00
|
|
Treat fracture of ulna
|
$120.08 |
$120.08 |
$120.08 |
$726.05
|
|
Treat hip dislocation
|
$884.45 |
$884.45 |
$884.45 |
$2,192.80
|
|
Treat humerus fracture
|
$363.47 |
$363.47 |
$363.47 |
$1,771.43
|
|
Treat knee dislocation
|
$410.40 |
$410.40 |
$410.40 |
$2,220.89
|
|
Treat knee fracture 27530
|
$72.58 |
$72.58 |
$72.58 |
$550.00
|
|
Treat knuckle dislocation
|
$363.47 |
$363.47 |
$363.47 |
$1,523.90
|
|
Treat lower leg dislocation
|
$47.12 |
$47.12 |
$47.12 |
$530.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$908.96 |
$908.96 |
$908.96 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$69.73 |
$69.73 |
$69.73 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$69.73 |
$69.73 |
$69.73 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$47.69 |
$47.69 |
$47.69 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$59.66 |
$59.66 |
$59.66 |
$520.80
|
|
Treatment of retinal lesion
|
$699.58 |
$699.58 |
$699.58 |
$5,405.82
|
|
Treatment of thigh fracture
|
$59.66 |
$59.66 |
$59.66 |
$548.90
|
|
Treatment of thigh fracture
|
$363.47 |
$363.47 |
$363.47 |
$1,772.97
|
|
Treatment radiation delivery level 2
|
$95.57 |
$95.57 |
$95.57 |
$767.65
|
|
Treat spinal cord lesion
|
$701.10 |
$701.10 |
$701.10 |
$1,337.00
|
|
Treat thigh fracture
|
$829.92 |
$829.92 |
$829.92 |
$2,032.10
|
|
Treat ulnar fracture
|
$363.47 |
$363.47 |
$363.47 |
$1,662.00
|
|
Treat vaginal bleeding
|
$102.60 |
$102.60 |
$102.60 |
$379.60
|
|
Treat wrist bone fracture
|
$363.47 |
$363.47 |
$363.47 |
$1,548.40
|
|
Treat wrist dislocation
|
$59.66 |
$59.66 |
$59.66 |
$656.25
|
|
Treponema pallidum antibody
|
$36.67 |
$36.67 |
$36.67 |
$70.40
|
|
Treprostinil injection
|
$10,071.46 |
$10,071.46 |
$10,071.46 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$120.27 |
$120.27 |
$120.27 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$163.48 |
$163.48 |
$163.48 |
$43.21
|
|
Trichinella antibody
|
$34.96 |
$34.96 |
$34.96 |
$70.20
|
|
Trichomonas assay w/optic
|
$8.74 |
$8.74 |
$8.74 |
$55.50
|
|
#tricyclicantidprssnt
|
$43.13 |
$43.13 |
$43.13 |
$50.86
|
|
Triglycerides
|
$7.22 |
$7.22 |
$7.22 |
$58.05
|
|
Trim nail(s)
|
$22.99 |
$22.99 |
$22.99 |
$79.00
|
|
Trim nondyst nails
|
$32.68 |
$32.68 |
$32.68 |
$113.40
|
|
Trnscath plc stent crv crtd without prtct
|
$4,842.53 |
$4,842.53 |
$4,842.53 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$2,972.93 |
$2,972.93 |
$2,972.93 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$4,627.07 |
$4,627.07 |
$4,627.07 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,874.58 |
$6,874.58 |
$6,874.58 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,874.58 |
$6,874.58 |
$6,874.58 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$10,073.61 |
$10,073.61 |
$10,073.61 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,037.37 |
$2,037.37 |
$2,037.37 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,162.61 |
$1,162.61 |
$1,162.61 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,549.42 |
$2,549.42 |
$2,549.42 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$789.26 |
$789.26 |
$789.26 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,162.61 |
$1,162.61 |
$1,162.61 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,020.68 |
$1,020.68 |
$1,020.68 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$523.83 |
$523.83 |
$523.83 |
$2,406.77
|
|
Trnspl rej kdn mrna qpcr 139
|
$1,846.80 |
$1,846.80 |
$1,846.80 |
$3,232.32
|
|
Troponin quantitative
|
$70.30 |
$70.30 |
$70.30 |
$127.20
|
|
Trurl dstrj prst8 tiss rf wv
|
$1,649.58 |
$1,649.58 |
$1,649.58 |
$4,228.00
|
|
Tte w or without contr, cont ecg
|
$716.11 |
$716.11 |
$716.11 |
$2,012.40
|
|
Tte w or without fol w/con,stres
|
$716.11 |
$716.11 |
$716.11 |
$1,632.80
|
