|
Test socket below knee
|
$330.40 |
$330.40 |
$330.40 |
$535.15
|
|
Test socket hemipelvectomy
|
$546.00 |
$546.00 |
$546.00 |
$546.00
|
|
Test socket hip disarticulat
|
$616.00 |
$616.00 |
$616.00 |
$616.00
|
|
Test socket knee disarticula
|
$428.40 |
$428.40 |
$428.40 |
$428.40
|
|
Test socket shldr disart/tho
|
$523.60 |
$523.60 |
$523.60 |
$523.60
|
|
Test socket symes
|
$324.80 |
$324.80 |
$324.80 |
$324.80
|
|
Test sock wrist disart/bel e
|
$350.00 |
$350.00 |
$350.00 |
$350.00
|
|
Test stress cardiovascular tracing only
|
$1,551.20 |
$1,551.20 |
$1,551.20 |
$949.70
|
|
Test urine for lactose
|
$56.00 |
$56.00 |
$56.00 |
$23.20
|
|
Test urine for porphyrins
|
$89.04 |
$89.04 |
$89.04 |
$49.98
|
|
Test urine urobilinogen
|
$33.60 |
$33.60 |
$33.60 |
$9.75
|
|
Tetanus ig im
|
$250.88 |
$250.88 |
$250.88 |
$250.88
|
|
Tetanus immune globulin inj
|
$1,148.37 |
$1,148.37 |
$1,148.37 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$8,171.26 |
$8,171.26 |
$8,171.26 |
$8,737.05
|
|
Tgfbi gene common variants
|
$313.60 |
$313.60 |
$313.60 |
$189.06
|
|
Tgsap hl neo 5-50 rna alys
|
$879.20 |
$879.20 |
$879.20 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$3,371.20 |
$3,371.20 |
$3,371.20 |
$4,347.00
|
|
Tgsap so neo 5-50 rna alys
|
$688.80 |
$688.80 |
$688.80 |
$1,019.60
|
|
Thaw cryoprsvrd reprod tiss
|
$632.80 |
$632.80 |
$632.80 |
$234.27
|
|
Thawing cryopresrved embryo
|
$632.80 |
$632.80 |
$632.80 |
$326.15
|
|
Thawing cryopresrved oocyte
|
$632.80 |
$632.80 |
$632.80 |
$402.80
|
|
Thawing cryopresrved sperm
|
$296.80 |
$296.80 |
$296.80 |
$117.61
|
|
Thaw preserved stem cells
|
$3,925.60 |
$3,925.60 |
$3,925.60 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$172.48 |
$172.48 |
$172.48 |
$108.00
|
|
Therapeutic procd strg endur
|
$85.68 |
$85.68 |
$85.68 |
$85.68
|
|
Therapeutic pulpotomy
|
$744.80 |
$744.80 |
$744.80 |
$744.80
|
|
Therapy activation ipnss
|
$226.24 |
$226.24 |
$226.24 |
$226.24
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$99.68 |
$99.68 |
$99.68 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$50.00
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$700.00 |
$700.00 |
$700.00 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$8,506.40 |
$8,506.40 |
$8,506.40 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$529.08
|
|
Ther/proph/diag inj ia
|
$672.00 |
$672.00 |
$672.00 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$25.54 |
$25.54 |
$25.54 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$406.00 |
$406.00 |
$406.00 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$596.40 |
$596.40 |
$596.40 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$333.20 |
$333.20 |
$333.20 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$445.20 |
$445.20 |
$445.20 |
$657.72
|
|
Thorabd diaphr hern repair
|
$6,837.60 |
$6,837.60 |
$6,837.60 |
$3,542.40
|
|
Thorabd diaphr hern repair
|
$6,837.60 |
$6,837.60 |
$6,837.60 |
$6,837.60
|
|
Thorac cont lat support upri
|
$201.60 |
$201.60 |
$201.60 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$215.60 |
$215.60 |
$215.60 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,346.40 |
$2,346.40 |
$2,346.40 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$263.20 |
$263.20 |
$263.20 |
$387.41
|
|
Thoracic intern lock elbow
|
$5,829.60 |
$5,829.60 |
$5,829.60 |
$5,829.60
|
|
Thoracic pad
|
$137.20 |
$137.20 |
$137.20 |
$234.19
|
|
Thoracoscopy bilobectomy 32670
|
$5,874.40 |
$5,874.40 |
$5,874.40 |
$5,407.50
|
|
Thoracoscopy diagnostic 32601
|
$12,516.00 |
$12,516.00 |
$12,516.00 |
$6,442.80
|
|
Thoracoscopy for lvrs
|
$5,700.80 |
$5,700.80 |
$5,700.80 |
$5,700.80
|
|
Thoracoscopy lymph node exc
|
$4,849.60 |
$4,849.60 |
$4,849.60 |
$1,071.20
|
|
Thoracoscopy pneumonectomy
|
$6,238.40 |
$6,238.40 |
$6,238.40 |
$6,238.40
|
|
Thoracoscopy remove cortex
|
$5,532.80 |
$5,532.80 |
$5,532.80 |
$5,332.80
|
|
Thoracoscopy remove segment
|
$5,331.20 |
$5,331.20 |
$5,331.20 |
$5,331.20
|
|
Thoracoscopy surgical 32650
|
$3,421.60 |
$3,421.60 |
$3,421.60 |
$2,815.80
|
|
Thoracoscopy w/bx med space
|
$12,516.00 |
$12,516.00 |
$12,516.00 |
$6,463.42
|
|
Thoracoscopy wbx sac
|
$12,516.00 |
$12,516.00 |
$12,516.00 |
$7,586.80
|
|
Thoracoscopy w/thymus resect
|
$5,028.80 |
$5,028.80 |
$5,028.80 |
$5,028.80
|
|
Thoracoscopy w/wedge resect
|
$4,849.60 |
$4,849.60 |
$4,849.60 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$4,849.60 |
$4,849.60 |
$4,849.60 |
$780.00
|
|
Thoracoscopy w w resect diag 32668
|
$4,328.80 |
$4,328.80 |
$4,328.80 |
$304.20
|
|
Thorax stereo rad targetw/tx
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$12,516.00 |
$12,516.00 |
$12,516.00 |
$6,904.15
|
|
Thor rib belt custom fabrica
|
$131.60 |
$131.60 |
$131.60 |
$225.50
|
|
Thrcspy w/diag bp lng inf uni
|
$6,792.80 |
$6,792.80 |
$6,792.80 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$14,296.80 |
$14,296.80 |
$14,296.80 |
$6,120.30
|
|
Throat x-ray & fluoroscopy
|
$817.60 |
$817.60 |
$817.60 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$8,584.80 |
$8,584.80 |
$8,584.80 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$15,484.00 |
$15,484.00 |
$15,484.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$23,184.00 |
$23,184.00 |
$23,184.00 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$19,958.40 |
$19,958.40 |
$19,958.40 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$9,699.20 |
$9,699.20 |
$9,699.20 |
$5,520.00
|
|
Thrombin time
|
$53.76 |
$53.76 |
$53.76 |
$53.76
|
|
Thrombin time titer
|
$70.00 |
$70.00 |
$70.00 |
$17.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$12,572.00 |
$12,572.00 |
$12,572.00 |
$5,994.11
|
|
Thrombomodulin
|
$105.84 |
$105.84 |
$105.84 |
$35.20
|
|
Thromboplastin inhibition
|
$126.56 |
$126.56 |
$126.56 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$59.92 |
$59.92 |
$59.92 |
$61.52
|
|
Thromboxane urine
|
$170.80 |
$170.80 |
$170.80 |
$95.00
|
|
Thumb fusion with graft
|
$9,632.00 |
$9,632.00 |
$9,632.00 |
$7,913.97
|
|
Thumb fusion with graft
|
$9,816.80 |
$9,816.80 |
$9,816.80 |
$7,907.11
|
|
Thumb tendon transfer
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$3,839.54
|
|
Th/wght bear nar m-l brim cu
|
$896.00 |
$896.00 |
$896.00 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$649.60 |
$649.60 |
$649.60 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,022.00 |
$1,022.00 |
$1,022.00 |
$1,695.23
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,465.11
|
|
Thyroglobulin antibody
|
$36.40 |
$36.40 |
$36.40 |
$82.00
|
|
Thyroid imaging
|
$1,349.60 |
$1,349.60 |
$1,349.60 |
$695.02
|
|
Thyroid met imaging
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$838.25
|
|
Thyroid met imaging/studies
|
$2,727.20 |
$2,727.20 |
$2,727.20 |
$763.73
|
|
Thyroid mets imag whole body
|
$2,413.60 |
$2,413.60 |
$2,413.60 |
$1,524.99
|
|
Thyroid met uptake
|
$442.40 |
$442.40 |
$442.40 |
$398.40
|
|
Thyroid (TSH) Test
|
$155.12 |
$155.12 |
$155.12 |
$111.00
|
|
Thyroid Ultrasound
|
$907.20 |
$907.20 |
$907.20 |
$588.50
|
|
Thyroid uptake measurement
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,535.86 |
$3,535.86 |
$3,535.86 |
$4,112.43
|
|
Thyrotropin releasing hormone
|
$498.40 |
$498.40 |
$498.40 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$42.00 |
$42.00 |
$42.00 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$5,801.60 |
$5,801.60 |
$5,801.60 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$16,861.60 |
$16,861.60 |
$16,861.60 |
$10,629.07
|
