|
Thorcscpy w/biop pleura
|
$551.76 |
$551.76 |
$551.76 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$660.00 |
$660.00 |
$660.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$808.50 |
$808.50 |
$808.50 |
$6,120.30
|
|
Thrombectmy crnry perq mechanical
|
$265.98 |
$265.98 |
$265.98 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$790.68 |
$790.68 |
$790.68 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$954.36 |
$954.36 |
$954.36 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$1,096.26 |
$1,096.26 |
$1,096.26 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$2,368.74 |
$2,368.74 |
$2,368.74 |
$5,520.00
|
|
Thrombin time
|
$6.36 |
$6.36 |
$6.36 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$1,710.72 |
$1,710.72 |
$1,710.72 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$1,917.30 |
$1,917.30 |
$1,917.30 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$2,696.10 |
$2,696.10 |
$2,696.10 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$2,337.06 |
$2,337.06 |
$2,337.06 |
$4,185.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$3.80 |
$3.80 |
$3.80 |
$61.52
|
|
Thumb fusion with graft
|
$1,937.76 |
$1,937.76 |
$1,937.76 |
$7,913.97
|
|
Thyroglobulin antibody
|
$98.34 |
$98.34 |
$98.34 |
$82.00
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$3,021.48 |
$3,021.48 |
$3,021.48 |
$2,616.00
|
|
Thyroid imaging
|
$481.80 |
$481.80 |
$481.80 |
$695.02
|
|
Thyroid met imaging
|
$82.50 |
$82.50 |
$82.50 |
$838.25
|
|
Thyroid mets imag whole body
|
$393.36 |
$393.36 |
$393.36 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$146.52 |
$146.52 |
$146.52 |
$111.00
|
|
Thyroid Ultrasound
|
$702.90 |
$702.90 |
$702.90 |
$588.50
|
|
Thyroid uptake measurement
|
$553.08 |
$553.08 |
$553.08 |
$591.25
|
|
Tibial arthroscopy/surgery
|
$1,802.46 |
$1,802.46 |
$1,802.46 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$2,273.04 |
$2,273.04 |
$2,273.04 |
$10,629.07
|
|
Tissue culture tumor
|
$115.50 |
$115.50 |
$115.50 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$11.22 |
$11.22 |
$11.22 |
$47.20
|
|
Tissue transglutaminase iga
|
$7.92 |
$7.92 |
$7.92 |
$44.16
|
|
Tlh uterus 250 g or less
|
$1,822.92 |
$1,822.92 |
$1,822.92 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$2,339.04 |
$2,339.04 |
$2,339.04 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$2,048.64 |
$2,048.64 |
$2,048.64 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$2,734.38 |
$2,734.38 |
$2,734.38 |
$12,320.22
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,522.33 |
$4,522.33 |
$4,522.33 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$178.86 |
$178.86 |
$178.86 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$179.52 |
$179.52 |
$179.52 |
$72.68
|
|
Tongue and neck surgery
|
$4,924.26 |
$4,924.26 |
$4,924.26 |
$2,745.01
|
|
Tongue base vol reduction
|
$887.04 |
$887.04 |
$887.04 |
$3,986.00
|
|
Tongue biopsy; posterior one-third 41105
|
$442.20 |
$442.20 |
$442.20 |
$3,544.29
|
|
Tonsillectomy (age 12+)
|
$598.62 |
$598.62 |
$598.62 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$630.96 |
$630.96 |
$630.96 |
$5,339.00
|
|
Total hip arthroplasty
|
$3,767.94 |
$3,767.94 |
$3,767.94 |
$7,347.60
|
|
Total Hip Replacement
|
$2,904.66 |
$2,904.66 |
$2,904.66 |
$9,161.60
|
|
Total hysterectomy
|
$2,289.54 |
$2,289.54 |
$2,289.54 |
$3,001.70
|
|
Total Knee Replacement
|
$2,901.36 |
$2,901.36 |
$2,901.36 |
$14,543.50
|
|
Total ob care failed vbac 59618
|
$5,929.44 |
$5,929.44 |
$5,929.44 |
$4,564.80
|
|
Total tau
|
$198.00 |
$198.00 |
$198.00 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$3,597.00 |
$3,597.00 |
$3,597.00 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$3,933.60 |
$3,933.60 |
$3,933.60 |
$4,365.60
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$1,092.30 |
$1,092.30 |
$1,092.30 |
$1,230.40
|
|
Toxoplasma antibody igg
|
$138.60 |
$138.60 |
$138.60 |
$89.40
|
|
Tp53 gene full gene sequence
|
$640.20 |
$640.20 |
$640.20 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$217.80 |
$217.80 |
$217.80 |
$790.68
|
|
Tpmt gene com vrnts
|
$122.10 |
$122.10 |
$122.10 |
$371.80
|
|
Tprnl balo cntnc dev adjmt
|
$58.08 |
$58.08 |
$58.08 |
$551.20
|
|
Tprnl balo cntnc dev bi
|
$77.22 |
$77.22 |
$77.22 |
$15,403.70
|
|
Tprnl plmt biodegrdabl matrl
|
$370.92 |
$370.92 |
$370.92 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$6,827.00
|
|
Trabeculoplasty laser surg
|
$470.58 |
$470.58 |
$470.58 |
$1,180.80
|
|
Trachelectomy (cervicectomy) 57530
|
$859.32 |
$859.32 |
$859.32 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$397.32 |
$397.32 |
$397.32 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$90.42 |
$90.42 |
$90.42 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$19.80 |
$19.80 |
$19.80 |
$56.38
|
|
Transab esoph hiat hern repair 43332
|
$2,506.68 |
$2,506.68 |
$2,506.68 |
$2,835.20
|
|
Transab esoph hiat hern rpr
|
$2,756.16 |
$2,756.16 |
$2,756.16 |
$3,096.80
|
|
Transcath biopsy
|
$469.26 |
$469.26 |
$469.26 |
$4,285.93
|
|
Transcatheter bx s&i
|
$95.70 |
$95.70 |
$95.70 |
$1,915.00
|
|
Transcath mv repair init prosthesis
|
$3,840.54 |
$3,840.54 |
$3,840.54 |
$12,418.00
|
|
Transcath occlusion non-cns
|
$1,955.58 |
$1,955.58 |
$1,955.58 |
$10,031.28
|
|
Transcutaneous hgb 88738
|
$13.20 |
$13.20 |
$13.20 |
$13.80
|
|
Transfer of abdominal muscle
|
$1,918.62 |
$1,918.62 |
$1,918.62 |
$6,311.00
|
|
Transfer of iliopsoas muscle
|
$2,226.18 |
$2,226.18 |
$2,226.18 |
$6,839.00
|
|
Transferrin
|
$80.52 |
$80.52 |
$80.52 |
$82.00
|
|
Transfer skin pedicle flap
|
$943.14 |
$943.14 |
$943.14 |
$3,209.30
|
|
Transfusion blood/blood component(s)
|
$874.50 |
$874.50 |
$874.50 |
$983.00
|
|
Transperi needle place pros
|
$1,791.24 |
$1,791.24 |
$1,791.24 |
$6,015.75
|
|
Transplant femur ridge
|
$2,057.88 |
$2,057.88 |
$2,057.88 |
$2,057.88
|
|
Transplant forearm tendon
|
$1,672.44 |
$1,672.44 |
$1,672.44 |
$3,591.33
|
|
Transplant forearm tendon
|
$1,669.80 |
$1,669.80 |
$1,669.80 |
$3,821.05
|
|
Transplant/graft hand tendon
|
$2,037.42 |
$2,037.42 |
$2,037.42 |
$3,591.33
|
|
Transplant/graft palm tendon
|
$2,239.38 |
$2,239.38 |
$2,239.38 |
$3,821.05
|
|
Transplant hand tendon
|
$1,673.76 |
$1,673.76 |
$1,673.76 |
$3,821.05
|
|
Transplant of thigh tendon
|
$1,442.10 |
$1,442.10 |
$1,442.10 |
$7,807.24
|
|
Transplant palm tendon
|
$1,960.86 |
$1,960.86 |
$1,960.86 |
$3,821.05
|
|
Transplt allo hct/donor
|
$554.40 |
$554.40 |
$554.40 |
$29,206.10
|
|
Transplt autol hct/donor
|
$408.54 |
$408.54 |
$408.54 |
$3,786.00
|
|
Tray bonemarrw oncontrol 102mm
|
$1,866.48 |
$1,866.48 |
$1,866.48 |
$940.80
|
|
Treat ankle dislocation
|
$1,155.66 |
$1,155.66 |
$1,155.66 |
$2,358.40
|
|
Treat ankle dislocation
|
$1,671.12 |
$1,671.12 |
$1,671.12 |
$7,913.97
|
|
Treat ankle dislocation
|
$1,829.52 |
$1,829.52 |
$1,829.52 |
$5,886.74
|
|
Treat ankle fracture
|
$2,398.44 |
$2,398.44 |
$2,398.44 |
$5,488.00
|
|
Treat big toe fracture
|
$1,156.98 |
$1,156.98 |
$1,156.98 |
$4,307.52
|
|
Treat cheek bone fracturemalar 21360
|
$1,220.34 |
$1,220.34 |
$1,220.34 |
$6,489.73
|
|
Treat each add spine fx
|
$603.24 |
$603.24 |
$603.24 |
$675.20
|
|
Treat ectopic pregnancy
|
$1,735.14 |
$1,735.14 |
$1,735.14 |
$4,350.00
|
|
Treat ectopic pregnancy
|
$1,694.22 |
$1,694.22 |
$1,694.22 |
$6,707.99
|
|
Treat ectopic pregnancy
|
$925.32 |
$925.32 |
$925.32 |
$420.60
|
|
Treat elbow dislocation
|
$1,130.58 |
$1,130.58 |
$1,130.58 |
$2,223.20
|
|
Treat elbow dislocation
|
$1,652.64 |
$1,652.64 |
$1,652.64 |
$7,292.92
|
|
Treat elbow fracture
|
$2,478.30 |
$2,478.30 |
$2,478.30 |
$11,488.80
|
|
Treat elbow fracture
|
$1,389.96 |
$1,389.96 |
$1,389.96 |
$1,919.13
|
