|
Tetanus immune globulin inj
|
$529,625.35 |
$529,625.35 |
$529,625.35 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$121.22 |
$121.22 |
$121.22 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$123.21 |
$123.21 |
$123.21 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$129.21 |
$129.21 |
$129.21 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$2,004.66 |
$2,004.66 |
$2,004.66 |
$534.32
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,367.30 |
$3,367.30 |
$3,367.30 |
$1,804.00
|
|
Thrombin time
|
$12.55 |
$12.55 |
$12.55 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$57.95 |
$57.95 |
$57.95 |
$56.93
|
|
Thyroglobulin antibody
|
$26.50 |
$26.50 |
$26.50 |
$84.00
|
|
Thyroid met imaging
|
$3,511.16 |
$3,511.16 |
$3,511.16 |
$549.70
|
|
Thyroid mets imag whole body
|
$5,138.19 |
$5,138.19 |
$5,138.19 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$139.20 |
$139.20 |
$139.20 |
$120.00
|
|
Thyroid Ultrasound
|
$1,779.56 |
$1,779.56 |
$1,779.56 |
$589.96
|
|
Thyrotropin releasing hormone
|
$482.19 |
$482.19 |
$482.19 |
$55.45
|
|
Thyroxine binding globulin (tbg)
|
$9.52 |
$9.52 |
$9.52 |
$63.60
|
|
Tibial arthroscopy/surgery
|
$1,431.24 |
$1,431.24 |
$1,431.24 |
$5,855.00
|
|
Tissue transglutaminase iga
|
$8.00 |
$8.00 |
$8.00 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$150.52 |
$150.52 |
$150.52 |
$77.22
|
|
Tlh uterus 250 g or less
|
$1,400.60 |
$1,400.60 |
$1,400.60 |
$8,134.69
|
|
Tlh uterus over 250 g
|
$1,776.23 |
$1,776.23 |
$1,776.23 |
$6,311.00
|
|
Tlh w/t/o 250 g or less
|
$1,575.76 |
$1,575.76 |
$1,575.76 |
$10,799.26
|
|
Tlh w/t/o uterus over 250 g
|
$2,117.88 |
$2,117.88 |
$2,117.88 |
$10,700.71
|
|
Tobramycin peak therapeutic drug level
|
$121.22 |
$121.22 |
$121.22 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$58.61 |
$58.61 |
$58.61 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$82.59 |
$82.59 |
$82.59 |
$73.45
|
|
Total hip arthroplasty
|
$2,907.76 |
$2,907.76 |
$2,907.76 |
$8,249.60
|
|
Total Hip Replacement
|
$2,500.17 |
$2,500.17 |
$2,500.17 |
$6,675.20
|
|
Total Knee Replacement
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$6,668.80
|
|
Toxoplasma antibody igg
|
$58.55 |
$58.55 |
$58.55 |
$84.35
|
|
Toxoplasma antibody igm
|
$6.66 |
$6.66 |
$6.66 |
$83.20
|
|
Tpmt gene com vrnts
|
$66.60 |
$66.60 |
$66.60 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$212.46 |
$212.46 |
$212.46 |
$104.50
|
|
Transferrin
|
$194.48 |
$194.48 |
$194.48 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,328.01 |
$1,328.01 |
$1,328.01 |
$988.24
|
|
Transplant forearm tendon
|
$1,575.76 |
$1,575.76 |
$1,575.76 |
$3,762.00
|
|
Transplant forearm tendon
|
$1,292.71 |
$1,292.71 |
$1,292.71 |
$3,839.54
|
|
Transplant/graft hand tendon
|
$1,379.29 |
$1,379.29 |
$1,379.29 |
$3,591.33
|
|
Transplant/graft palm tendon
|
$1,683.65 |
$1,683.65 |
$1,683.65 |
$3,594.44
|
|
Transplant hand tendon
|
$1,363.31 |
$1,363.31 |
$1,363.31 |
$3,821.05
|
|
Treat ankle dislocation
|
$1,028.31 |
$1,028.31 |
$1,028.31 |
$2,207.20
|
|
Treat ankle fracture
|
$1,894.77 |
$1,894.77 |
$1,894.77 |
$6,004.47
|
|
Treat elbow fracture
|
$1,920.08 |
$1,920.08 |
$1,920.08 |
$10,629.07
|
|
Treat finger fracture each
|
$888.45 |
$888.45 |
$888.45 |
$4,108.00
|
|
Treat foot bone lesion
|
$1,026.31 |
$1,026.31 |
$1,026.31 |
$3,839.54
|
|
Treat fracture of radius
|
$801.87 |
$801.87 |
$801.87 |
$2,030.33
|
|
Treat fracture of radius
|
$1,031.64 |
$1,031.64 |
$1,031.64 |
$2,316.75
|
|
Treat fracture of ulna
|
$772.56 |
$772.56 |
$772.56 |
$766.72
|
|
Treat hand bone lesion
|
$889.78 |
$889.78 |
$889.78 |
$1,893.86
|
|
Treat heel fracture
|
$1,591.74 |
$1,591.74 |
$1,591.74 |
$7,907.11
|
|
Treat hip dislocation
|
$1,360.64 |
$1,360.64 |
$1,360.64 |
$2,561.90
|
|
Treat hip dislocation
|
$605.40 |
$605.40 |
$605.40 |
$3,152.05
|
|
Treat humerus fracture
|
$1,575.76 |
$1,575.76 |
$1,575.76 |
$6,311.00
|
|
Treat humerus fracture
|
$1,539.80 |
$1,539.80 |
$1,539.80 |
$11,850.08
|
|
Treat humerus fracture
|
$1,029.64 |
$1,029.64 |
$1,029.64 |
$1,950.60
|
|
Treat humerus fracture
|
$1,703.63 |
$1,703.63 |
$1,703.63 |
$12,653.00
|
|
Treat humerus fracture
|
$1,282.72 |
$1,282.72 |
$1,282.72 |
$14,061.89
|
|
Treat humerus fracture
|
$1,200.80 |
$1,200.80 |
$1,200.80 |
$9,346.40
|
|
Treat kneecap dislocation
|
$1,602.40 |
$1,602.40 |
$1,602.40 |
$5,886.74
|
|
Treat kneecap fracture
|
$1,334.00 |
$1,334.00 |
$1,334.00 |
$5,741.00
|
|
Treat knee fracture
|
$2,218.45 |
$2,218.45 |
$2,218.45 |
$4,424.00
|
|
Treat knee fracture
|
$2,184.48 |
$2,184.48 |
$2,184.48 |
$5,848.00
|
|
Treat knee fracture
|
$1,476.53 |
$1,476.53 |
$1,476.53 |
$3,985.60
|
|
Treat knee fracture 27530
|
$845.16 |
$845.16 |
$845.16 |
$580.20
|
|
Treat knuckle dislocation
|
$1,008.33 |
$1,008.33 |
$1,008.33 |
$3,839.54
|
|
Treat lower leg bone lesion
|
$1,112.22 |
$1,112.22 |
$1,112.22 |
$3,839.54
|
|
Treat lower leg fracture
|
$1,524.48 |
$1,524.48 |
$1,524.48 |
$5,886.74
|
|
Treat lower leg fracture
|
$1,971.36 |
$1,971.36 |
$1,971.36 |
$12,905.86
|
|
Treat lower leg fracture
|
$2,861.81 |
$2,861.81 |
$2,861.81 |
$12,653.00
|
|
Treat lower leg joint
|
$1,195.47 |
$1,195.47 |
$1,195.47 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$1,426.58 |
$1,426.58 |
$1,426.58 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$1,813.52 |
$1,813.52 |
$1,813.52 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,274.73 |
$1,274.73 |
$1,274.73 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$630.71 |
$630.71 |
$630.71 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$235.77 |
$235.77 |
$235.77 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$145.19 |
$145.19 |
$145.19 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$259.74 |
$259.74 |
$259.74 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$638.70 |
$638.70 |
$638.70 |
$3,820.53
|
|
Treatment of ankle fracture
|
$1,140.86 |
$1,140.86 |
$1,140.86 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,344.66 |
$1,344.66 |
$1,344.66 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,482.52 |
$1,482.52 |
$1,482.52 |
$7,348.32
|
|
Treatment of ankle fracture
|
$1,661.01 |
$1,661.01 |
$1,661.01 |
$7,807.24
|
|
Treatment of ankle fracture 27786
|
$490.18 |
$490.18 |
$490.18 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$412.92 |
$412.92 |
$412.92 |
$558.75
|
|
Treatment of foot infection
|
$584.75 |
$584.75 |
$584.75 |
$1,893.86
|
|
Treatment of foot infection
|
$1,039.63 |
$1,039.63 |
$1,039.63 |
$3,594.44
|
|
Treatment of heel fracture 28400
|
$522.15 |
$522.15 |
$522.15 |
$494.00
|
|
Treatment of thigh fracture
|
$941.73 |
$941.73 |
$941.73 |
$467.25
|
|
Treatment of thigh fracture
|
$1,409.93 |
$1,409.93 |
$1,409.93 |
$1,893.86
|
|
Treatment of thigh fracture
|
$2,322.35 |
$2,322.35 |
$2,322.35 |
$6,582.40
|
|
Treatment of thigh fracture
|
$953.05 |
$953.05 |
$953.05 |
$659.00
|
|
Treatment of thigh fracture
|
$1,176.16 |
$1,176.16 |
$1,176.16 |
$6,651.45
|
|
Treatment of thigh fracture
|
$1,748.25 |
$1,748.25 |
$1,748.25 |
$4,920.00
|
|
Treatment of tibia fracture
|
$994.34 |
$994.34 |
$994.34 |
$6,183.84
|
|
Treatment of tibia fracture
|
$2,470.86 |
$2,470.86 |
$2,470.86 |
$5,110.00
|
|
Treatment of tibia fracture
|
$1,732.94 |
$1,732.94 |
$1,732.94 |
$6,347.40
|
|
Treatment of toe fracture 28510
|
$237.10 |
$237.10 |
$237.10 |
$371.40
|
|
Treatment of urethra lesion
|
$338.33 |
$338.33 |
$338.33 |
$2,424.12
|
|
Treat metacarpal fracture
|
$827.84 |
$827.84 |
$827.84 |
$3,958.50
|
|
Treat metacarpal fracture
|
$999.67 |
$999.67 |
$999.67 |
$4,627.00
|
|
Treat metatarsal fracture
|
$736.60 |
$736.60 |
$736.60 |
$3,839.54
|