|
T cells absolute cd4/cd8 including ratio
|
$8.31 |
$8.31 |
$8.31 |
$176.40
|
|
T cells absolute cd 4 count
|
$4.76 |
$4.76 |
$4.76 |
$111.20
|
|
T cells total count
|
$6.75 |
$6.75 |
$6.75 |
$126.90
|
|
Tcranial magn stim tx deli
|
$115.20 |
$115.20 |
$115.20 |
$389.22
|
|
Tcranial magn stim tx plan
|
$162.40 |
$162.40 |
$162.40 |
$437.22
|
|
Tcran magn stim redetemine
|
$132.60 |
$132.60 |
$132.60 |
$457.60
|
|
Teaec w/wo patch graft iliofemoral
|
$651.60 |
$651.60 |
$651.60 |
$5,163.60
|
|
Telehealth original site facility fee
|
$13.40 |
$13.40 |
$13.40 |
$51.00
|
|
Telethx isodose plan cplx
|
$123.00 |
$123.00 |
$123.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$59.20 |
$59.20 |
$59.20 |
$873.62
|
|
Tendon lngth upr a/e ea tdn
|
$412.20 |
$412.20 |
$412.20 |
$3,545.97
|
|
Tendon transfer with graft
|
$654.20 |
$654.20 |
$654.20 |
$3,786.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,567.10 |
$7,567.10 |
$7,567.10 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$428.60 |
$428.60 |
$428.60 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$434.00 |
$434.00 |
$434.00 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$369.60 |
$369.60 |
$369.60 |
$1,893.86
|
|
Tenotomy hip flexor open
|
$505.80 |
$505.80 |
$505.80 |
$2,618.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$700.80 |
$700.80 |
$700.80 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$19.26 |
$19.26 |
$19.26 |
$39.33
|
|
Test for chlorohydrocarbons
|
$24.40 |
$24.40 |
$24.40 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$484.60 |
$484.60 |
$484.60 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$181.00 |
$181.00 |
$181.00 |
$949.70
|
|
Tetanus immune globulin inj
|
$727.77 |
$727.77 |
$727.77 |
$1,285.36
|
|
Tgsap hl neo 5-50 rna alys
|
$599.00 |
$599.00 |
$599.00 |
$879.20
|
|
Theophylline therapeutic drug level
|
$64.60 |
$64.60 |
$64.60 |
$108.00
|
|
Therapeutic pulpotomy
|
$55.80 |
$55.80 |
$55.80 |
$744.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$40.00 |
$40.00 |
$40.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$34.40 |
$34.40 |
$34.40 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$84.40 |
$84.40 |
$84.40 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$79.40 |
$79.40 |
$79.40 |
$529.08
|
|
Ther/proph/diag inj ia
|
$9.80 |
$9.80 |
$9.80 |
$240.35
|
|
Ther radiology tx plng cplx
|
$134.60 |
$134.60 |
$134.60 |
$332.00
|
|
Ther radiology tx plng intrm
|
$86.80 |
$86.80 |
$86.80 |
$224.00
|
|
Ther radiology tx plng smpl
|
$56.40 |
$56.40 |
$56.40 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$19.30 |
$19.30 |
$19.30 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$929.00 |
$929.00 |
$929.00 |
$1,687.50
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$136.40 |
$136.40 |
$136.40 |
$499.80
|
|
Thoracoscopy diagnostic 32601
|
$200.40 |
$200.40 |
$200.40 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$136.60 |
$136.60 |
$136.60 |
$1,071.20
|
|
Thoracoscopy remove cortex
|
$718.20 |
$718.20 |
$718.20 |
$5,332.80
|
|
Thoracoscopy remov fb/fibrin 32653
|
$697.60 |
$697.60 |
$697.60 |
$2,587.20
|
|
Thoracoscopy surgical 32650
|
$444.60 |
$444.60 |
$444.60 |
$2,815.80
|
|
Thoracoscopy w/bx med space
|
$298.60 |
$298.60 |
$298.60 |
$6,463.42
|
|
Thoracoscopy w/pleurectomy 32656
|
$85.00 |
$85.00 |
$85.00 |
$3,447.60
|
|
Thoracoscopy w/wedge resect
|
$573.60 |
$573.60 |
$573.60 |
$4,232.00
|
|
Thoracoscopy w w resect diag 32668
|
$99.60 |
$99.60 |
$99.60 |
$304.20
|
|
Thorax spine fusion
|
$873.40 |
$873.40 |
$873.40 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$135.60 |
$135.60 |
$135.60 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$167.20 |
$167.20 |
$167.20 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$200.00 |
$200.00 |
$200.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$245.00 |
$245.00 |
$245.00 |
$6,120.30
|
|
Thrombectmy crnry perq mechanical
|
$80.60 |
$80.60 |
$80.60 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$239.60 |
$239.60 |
$239.60 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$289.20 |
$289.20 |
$289.20 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$332.20 |
$332.20 |
$332.20 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$717.80 |
$717.80 |
$717.80 |
$5,520.00
|
|
Thrombin time
|
$1.93 |
$1.93 |
$1.93 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$518.40 |
$518.40 |
$518.40 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$581.00 |
$581.00 |
$581.00 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$817.00 |
$817.00 |
$817.00 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$708.20 |
$708.20 |
$708.20 |
$4,185.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$1.15 |
$1.15 |
$1.15 |
$61.52
|
|
Thumb fusion with graft
|
$587.20 |
$587.20 |
$587.20 |
$7,913.97
|
|
Thyroglobulin antibody
|
$38.60 |
$38.60 |
$38.60 |
$82.00
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$915.60 |
$915.60 |
$915.60 |
$2,616.00
|
|
Thyroid imaging
|
$418.20 |
$418.20 |
$418.20 |
$695.02
|
|
Thyroid met imaging
|
$25.00 |
$25.00 |
$25.00 |
$838.25
|
|
Thyroid mets imag whole body
|
$735.20 |
$735.20 |
$735.20 |
$1,524.99
|
|
Thyroid met uptake
|
$114.80 |
$114.80 |
$114.80 |
$398.40
|
|
Thyroid (TSH) Test
|
$77.00 |
$77.00 |
$77.00 |
$111.00
|
|
Thyroid Ultrasound
|
$256.80 |
$256.80 |
$256.80 |
$588.50
|
|
Thyroid uptake measurement
|
$305.80 |
$305.80 |
$305.80 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$2.63 |
$2.63 |
$2.63 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$546.20 |
$546.20 |
$546.20 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$688.80 |
$688.80 |
$688.80 |
$10,629.07
|
|
Tissue culture skin/biopsy
|
$47.73 |
$47.73 |
$47.73 |
$484.00
|
|
Tissue culture tumor
|
$35.00 |
$35.00 |
$35.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$11.80 |
$11.80 |
$11.80 |
$47.20
|
|
Tissue transglutaminase iga
|
$2.40 |
$2.40 |
$2.40 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$212.20 |
$212.20 |
$212.20 |
$78.40
|
|
Tlh uterus 250 g or less
|
$552.40 |
$552.40 |
$552.40 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$708.80 |
$708.80 |
$708.80 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$620.80 |
$620.80 |
$620.80 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$828.60 |
$828.60 |
$828.60 |
$12,320.22
|
|
Tobramycin peak therapeutic drug level
|
$63.40 |
$63.40 |
$63.40 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$67.00 |
$67.00 |
$67.00 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$67.20 |
$67.20 |
$67.20 |
$72.68
|
|
Tongue and neck surgery
|
$1,492.20 |
$1,492.20 |
$1,492.20 |
$2,745.01
|
|
Tongue base vol reduction
|
$268.80 |
$268.80 |
$268.80 |
$3,986.00
|
|
Tongue biopsy; posterior one-third 41105
|
$971.00 |
$971.00 |
$971.00 |
$3,544.29
|
|
Tonsillectomy (age 12+)
|
$181.40 |
$181.40 |
$181.40 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$191.20 |
$191.20 |
$191.20 |
$5,339.00
|
|
Total hip arthroplasty
|
$1,141.80 |
$1,141.80 |
$1,141.80 |
$7,347.60
|
|
Total Hip Replacement
|
$880.20 |
$880.20 |
$880.20 |
$9,161.60
|
|
Total hysterectomy
|
$693.80 |
$693.80 |
$693.80 |
$3,001.70
|
|
Total Knee Replacement
|
$879.20 |
$879.20 |
$879.20 |
$14,543.50
|
|
Total ob care failed vbac 59618
|
$1,796.80 |
$1,796.80 |
$1,796.80 |
$4,564.80
|
|
Total tau
|
$60.00 |
$60.00 |
$60.00 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$1,192.00 |
$1,192.00 |
$1,192.00 |
$4,365.60
|
