|
Tendon transfer with graft
|
$228.97 |
$228.97 |
$228.97 |
$3,786.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,631.82 |
$7,631.82 |
$7,631.82 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$150.01 |
$150.01 |
$150.01 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$151.90 |
$151.90 |
$151.90 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$129.36 |
$129.36 |
$129.36 |
$1,893.86
|
|
Tenotomy hip flexor open
|
$177.03 |
$177.03 |
$177.03 |
$2,618.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$93.73 |
$93.73 |
$93.73 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$9.82 |
$9.82 |
$9.82 |
$39.33
|
|
Test for chlorohydrocarbons
|
$8.19 |
$8.19 |
$8.19 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$9.31 |
$9.31 |
$9.31 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$210.28 |
$210.28 |
$210.28 |
$949.70
|
|
Tetanus ig im
|
$177.03 |
$177.03 |
$177.03 |
$250.88
|
|
Theophylline therapeutic drug level
|
$42.91 |
$42.91 |
$42.91 |
$108.00
|
|
Therapeutic procd strg endur
|
$12.53 |
$12.53 |
$12.53 |
$85.68
|
|
Therapeutic pulpotomy
|
$19.53 |
$19.53 |
$19.53 |
$744.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$6.72 |
$6.72 |
$6.72 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$5.88 |
$5.88 |
$5.88 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$29.54 |
$29.54 |
$29.54 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$27.79 |
$27.79 |
$27.79 |
$529.08
|
|
Ther/proph/diag inj ia
|
$3.43 |
$3.43 |
$3.43 |
$240.35
|
|
Ther radiology tx plng cplx
|
$47.11 |
$47.11 |
$47.11 |
$332.00
|
|
Ther radiology tx plng intrm
|
$30.38 |
$30.38 |
$30.38 |
$224.00
|
|
Ther radiology tx plng smpl
|
$19.74 |
$19.74 |
$19.74 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$17.94 |
$17.94 |
$17.94 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$380.38 |
$380.38 |
$380.38 |
$1,687.50
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$47.74 |
$47.74 |
$47.74 |
$499.80
|
|
Thoracoscopy diagnostic 32601
|
$70.14 |
$70.14 |
$70.14 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$47.81 |
$47.81 |
$47.81 |
$1,071.20
|
|
Thoracoscopy remove cortex
|
$251.37 |
$251.37 |
$251.37 |
$5,332.80
|
|
Thoracoscopy remov fb/fibrin 32653
|
$244.16 |
$244.16 |
$244.16 |
$2,587.20
|
|
Thoracoscopy surgical 32650
|
$155.61 |
$155.61 |
$155.61 |
$2,815.80
|
|
Thoracoscopy/tot pulm decortication32652
|
$358.40 |
$358.40 |
$358.40 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$104.51 |
$104.51 |
$104.51 |
$6,463.42
|
|
Thoracoscopy w/pleurectomy 32656
|
$29.75 |
$29.75 |
$29.75 |
$3,447.60
|
|
Thoracoscopy w/wedge resect
|
$200.76 |
$200.76 |
$200.76 |
$4,232.00
|
|
Thoracoscopy w w resect diag 32668
|
$34.86 |
$34.86 |
$34.86 |
$304.20
|
|
Thorax spine fusion
|
$305.69 |
$305.69 |
$305.69 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$47.46 |
$47.46 |
$47.46 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$58.52 |
$58.52 |
$58.52 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$70.00 |
$70.00 |
$70.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$85.75 |
$85.75 |
$85.75 |
$6,120.30
|
|
Thrombectmy crnry perq mechanical
|
$1,085.07 |
$1,085.07 |
$1,085.07 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$1,848.91 |
$1,848.91 |
$1,848.91 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$3,043.04 |
$3,043.04 |
$3,043.04 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$5,244.05 |
$5,244.05 |
$5,244.05 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$251.23 |
$251.23 |
$251.23 |
$5,520.00
|
|
Thrombin time
|
$5.65 |
$5.65 |
$5.65 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$181.44 |
$181.44 |
$181.44 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$203.35 |
$203.35 |
$203.35 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$285.95 |
$285.95 |
$285.95 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$247.87 |
$247.87 |
$247.87 |
$4,185.30
|
|
Thromboplastin inhibition
|
$9.10 |
$9.10 |
$9.10 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$63.28 |
$63.28 |
$63.28 |
$61.52
|
|
Thumb fusion with graft
|
$205.52 |
$205.52 |
$205.52 |
$7,913.97
|
|
Thyroglobulin antibody
|
$14.91 |
$14.91 |
$14.91 |
$82.00
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$320.46 |
$320.46 |
$320.46 |
$2,616.00
|
|
Thyroid imaging
|
$4.69 |
$4.69 |
$4.69 |
$695.02
|
|
Thyroid met imaging
|
$8.75 |
$8.75 |
$8.75 |
$838.25
|
|
Thyroid mets imag whole body
|
$10.64 |
$10.64 |
$10.64 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$44.87 |
$44.87 |
$44.87 |
$111.00
|
|
Thyroid Ultrasound
|
$231.21 |
$231.21 |
$231.21 |
$588.50
|
|
Thyroid uptake measurement
|
$249.20 |
$249.20 |
$249.20 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$1.03 |
$1.03 |
$1.03 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$191.17 |
$191.17 |
$191.17 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$241.08 |
$241.08 |
$241.08 |
$10,629.07
|
|
Tissue culture placenta
|
$12.29 |
$12.29 |
$12.29 |
$457.00
|
|
Tissue culture skin/biopsy
|
$16.71 |
$16.71 |
$16.71 |
$484.00
|
|
Tissue culture tumor
|
$10.33 |
$10.33 |
$10.33 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$12.81 |
$12.81 |
$12.81 |
$47.20
|
|
Tissue transglutaminase iga
|
$0.84 |
$0.84 |
$0.84 |
$44.16
|
|
Tlh uterus 250 g or less
|
$193.34 |
$193.34 |
$193.34 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$248.08 |
$248.08 |
$248.08 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$217.28 |
$217.28 |
$217.28 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$290.01 |
$290.01 |
$290.01 |
$12,320.22
|
|
Tmvr w/prosthetic ring 33426
|
$490.56 |
$490.56 |
$490.56 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$516.46 |
$516.46 |
$516.46 |
$5,969.60
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$5.23 |
$5.23 |
$5.23 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$49.49 |
$49.49 |
$49.49 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$4.90 |
$4.90 |
$4.90 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$7.84 |
$7.84 |
$7.84 |
$72.68
|
|
Tongue and neck surgery
|
$522.27 |
$522.27 |
$522.27 |
$2,745.01
|
|
Tongue base vol reduction
|
$94.08 |
$94.08 |
$94.08 |
$3,986.00
|
|
Tongue biopsy; posterior one-third 41105
|
$46.90 |
$46.90 |
$46.90 |
$3,544.29
|
|
Tonsillectomy (age 12+)
|
$63.49 |
$63.49 |
$63.49 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$66.92 |
$66.92 |
$66.92 |
$5,339.00
|
|
Total hip arthroplasty
|
$399.63 |
$399.63 |
$399.63 |
$7,347.60
|
|
Total Hip Replacement
|
$308.07 |
$308.07 |
$308.07 |
$9,161.60
|
|
Total hysterectomy
|
$242.83 |
$242.83 |
$242.83 |
$3,001.70
|
|
Total Knee Replacement
|
$307.72 |
$307.72 |
$307.72 |
$14,543.50
|
|
Total ob care failed vbac 59618
|
$628.88 |
$628.88 |
$628.88 |
$4,564.80
|
|
Total tau
|
$21.00 |
$21.00 |
$21.00 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$381.50 |
$381.50 |
$381.50 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$417.20 |
$417.20 |
$417.20 |
$4,365.60
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$115.85 |
$115.85 |
$115.85 |
$1,230.40
|
|
Toxoplasma antibody igg
|
$14.70 |
$14.70 |
$14.70 |
$89.40
|
|
Toxoplasma antibody igm
|
$1.01 |
$1.01 |
$1.01 |
$87.00
|
|
Tp53 gene full gene sequence
|
$67.90 |
$67.90 |
$67.90 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$23.10 |
$23.10 |
$23.10 |
$790.68
|
|
Tpmt gene com vrnts
|
$12.95 |
$12.95 |
$12.95 |
$371.80
|
|
Tprnl balo cntnc dev adjmt
|
$6.16 |
$6.16 |
$6.16 |
$551.20
|
