|
T4 (thyroxine) free
|
$46.55 |
$46.55 |
$46.55 |
$85.20
|
|
T4 (thyroxine) total
|
$32.30 |
$32.30 |
$32.30 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.68 |
$3.68 |
$3.68 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$2.32 |
$2.32 |
$2.32 |
$122.40
|
|
Tah w/mmk 58152
|
$795.34 |
$795.34 |
$795.34 |
$2,428.80
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$3.90 |
$3.90 |
$3.90 |
$14.62
|
|
Tap block uni by cont infusion 64487
|
$38.00 |
$38.00 |
$38.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$465.50 |
$465.50 |
$465.50 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$468.35 |
$468.35 |
$468.35 |
$3,746.70
|
|
Target gsa panel organ neop
|
$444.60 |
$444.60 |
$444.60 |
$1,655.52
|
|
Tbs dxa cal w/i&r fx risk
|
$31.54 |
$31.54 |
$31.54 |
$127.12
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$163.02 |
$163.02 |
$163.02 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$76.95 |
$76.95 |
$76.95 |
$177.65
|
|
Tc-99m diag per dose
|
$119.70 |
$119.70 |
$119.70 |
$470.40
|
|
Tc-99m labeled rbc
|
$229.14 |
$229.14 |
$229.14 |
$302.40
|
|
Tc-99m maa
|
$181.26 |
$181.26 |
$181.26 |
$292.80
|
|
Tc-99m mebrofenin
|
$92.72 |
$92.72 |
$92.72 |
$157.65
|
|
Tc-99m medronate
|
$88.35 |
$88.35 |
$88.35 |
$111.01
|
|
Tc-99m mertiatide
|
$291.65 |
$291.65 |
$291.65 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$99.75 |
$99.75 |
$99.75 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$109.06 |
$109.06 |
$109.06 |
$190.80
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$91.77 |
$91.77 |
$91.77 |
$136.40
|
|
Tc-99m sulfur colloid
|
$75.81 |
$75.81 |
$75.81 |
$240.50
|
|
Tca peel dermal 15789
|
$363.47 |
$363.47 |
$363.47 |
$1,324.80
|
|
T cells absolute cd4/cd8 including ratio
|
$7.89 |
$7.89 |
$7.89 |
$176.40
|
|
T cells absolute cd 4 count
|
$4.52 |
$4.52 |
$4.52 |
$111.20
|
|
T cells total count
|
$6.41 |
$6.41 |
$6.41 |
$126.90
|
|
Tcranial magn stim tx deli
|
$109.44 |
$109.44 |
$109.44 |
$389.22
|
|
Tcranial magn stim tx plan
|
$154.28 |
$154.28 |
$154.28 |
$437.22
|
|
Tcran magn stim redetemine
|
$125.97 |
$125.97 |
$125.97 |
$457.60
|
|
Teaec w/wo patch graft iliofemoral
|
$619.02 |
$619.02 |
$619.02 |
$5,163.60
|
|
Telehealth original site facility fee
|
$12.73 |
$12.73 |
$12.73 |
$51.00
|
|
Telethx isodose plan cplx
|
$116.85 |
$116.85 |
$116.85 |
$1,526.85
|
|
Telethx isodose plan simple
|
$56.24 |
$56.24 |
$56.24 |
$873.62
|
|
Tendon lngth upr a/e ea tdn
|
$391.59 |
$391.59 |
$391.59 |
$3,545.97
|
|
Tendon transfer with graft
|
$621.49 |
$621.49 |
$621.49 |
$3,786.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$5,804.58 |
$5,804.58 |
$5,804.58 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$407.17 |
$407.17 |
$407.17 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$412.30 |
$412.30 |
$412.30 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$351.12 |
$351.12 |
$351.12 |
$1,893.86
|
|
Tenotomy hip flexor open
|
$480.51 |
$480.51 |
$480.51 |
$2,618.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$254.41 |
$254.41 |
$254.41 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$8.43 |
$8.43 |
$8.43 |
$39.33
|
|
Test for chlorohydrocarbons
|
$22.23 |
$22.23 |
$22.23 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$25.27 |
$25.27 |
$25.27 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$269.23 |
$269.23 |
$269.23 |
$949.70
|
|
Tetanus ig im
|
$623.72 |
$623.72 |
$623.72 |
$250.88
|
|
Theophylline therapeutic drug level
|
$65.55 |
$65.55 |
$65.55 |
$108.00
|
|
Therapeutic pulpotomy
|
$53.01 |
$53.01 |
$53.01 |
$744.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$17.67 |
$17.67 |
$17.67 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$15.58 |
$15.58 |
$15.58 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$80.18 |
$80.18 |
$80.18 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$244.34 |
$244.34 |
$244.34 |
$529.08
|
|
Ther/proph/diag inj ia
|
$9.31 |
$9.31 |
$9.31 |
$240.35
|
|
Ther radiology tx plng cplx
|
$127.87 |
$127.87 |
$127.87 |
$332.00
|
|
Ther radiology tx plng intrm
|
$82.46 |
$82.46 |
$82.46 |
$224.00
|
|
Ther radiology tx plng smpl
|
$53.58 |
$53.58 |
$53.58 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$18.81 |
$18.81 |
$18.81 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$698.06 |
$698.06 |
$698.06 |
$1,687.50
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$129.58 |
$129.58 |
$129.58 |
$499.80
|
|
Thoracoscopy diagnostic 32601
|
$190.38 |
$190.38 |
$190.38 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$129.77 |
$129.77 |
$129.77 |
$1,071.20
|
|
Thoracoscopy remove cortex
|
$682.29 |
$682.29 |
$682.29 |
$5,332.80
|
|
Thoracoscopy remov fb/fibrin 32653
|
$662.72 |
$662.72 |
$662.72 |
$2,587.20
|
|
Thoracoscopy surgical 32650
|
$422.37 |
$422.37 |
$422.37 |
$2,815.80
|
|
Thoracoscopy w/bx med space
|
$283.67 |
$283.67 |
$283.67 |
$6,463.42
|
|
Thoracoscopy w/pleurectomy 32656
|
$80.75 |
$80.75 |
$80.75 |
$3,447.60
|
|
Thoracoscopy w/wedge resect
|
$544.92 |
$544.92 |
$544.92 |
$4,232.00
|
|
Thoracoscopy w w resect diag 32668
|
$94.62 |
$94.62 |
$94.62 |
$304.20
|
|
Thorax spine fusion
|
$829.73 |
$829.73 |
$829.73 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$128.82 |
$128.82 |
$128.82 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$158.84 |
$158.84 |
$158.84 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$190.00 |
$190.00 |
$190.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$232.75 |
$232.75 |
$232.75 |
$6,120.30
|
|
Throat x-ray & fluoroscopy
|
$214.70 |
$214.70 |
$214.70 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$76.57 |
$76.57 |
$76.57 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$227.62 |
$227.62 |
$227.62 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$274.74 |
$274.74 |
$274.74 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$315.59 |
$315.59 |
$315.59 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$681.91 |
$681.91 |
$681.91 |
$5,520.00
|
|
Thrombin time
|
$1.83 |
$1.83 |
$1.83 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$492.48 |
$492.48 |
$492.48 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$551.95 |
$551.95 |
$551.95 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$776.15 |
$776.15 |
$776.15 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$672.79 |
$672.79 |
$672.79 |
$4,185.30
|
|
Thromboplastin inhibition
|
$24.70 |
$24.70 |
$24.70 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$1.09 |
$1.09 |
$1.09 |
$61.52
|
|
Thumb fusion with graft
|
$557.84 |
$557.84 |
$557.84 |
$7,913.97
|
|
Thyroglobulin antibody
|
$35.15 |
$35.15 |
$35.15 |
$82.00
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$869.82 |
$869.82 |
$869.82 |
$2,616.00
|
|
Thyroid imaging
|
$12.73 |
$12.73 |
$12.73 |
$695.02
|
|
Thyroid met imaging
|
$23.75 |
$23.75 |
$23.75 |
$838.25
|
|
Thyroid mets imag whole body
|
$28.88 |
$28.88 |
$28.88 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$52.06 |
$52.06 |
$52.06 |
$111.00
|
|
Thyroid Ultrasound
|
$258.78 |
$258.78 |
$258.78 |
$588.50
|
|
Thyroid uptake measurement
|
$6.46 |
$6.46 |
$6.46 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$2.50 |
$2.50 |
$2.50 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$518.89 |
$518.89 |
$518.89 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$654.36 |
$654.36 |
$654.36 |
$10,629.07
|
|
Tissue culture placenta
|
$33.35 |
$33.35 |
$33.35 |
$457.00
|
