|
Susceptibility enzyme detection per enzyme
|
$27.90 |
$27.90 |
$27.90 |
$35.70
|
|
Susceptibility mic per plate
|
$117.90 |
$117.90 |
$117.90 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$14.63 |
$14.63 |
$14.63 |
$59.28
|
|
Suspension of testis
|
$308.40 |
$308.40 |
$308.40 |
$4,061.71
|
|
Suspension of uterus 58400
|
$65.10 |
$65.10 |
$65.10 |
$1,136.00
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,051.50 |
$1,051.50 |
$1,051.50 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$1,380.30 |
$1,380.30 |
$1,380.30 |
$3,036.66
|
|
Svc venogram s&i
|
$60.90 |
$60.90 |
$60.90 |
$1,934.62
|
|
Sympathectomy digital artery
|
$803.70 |
$803.70 |
$803.70 |
$2,310.83
|
|
Sympathectomy supfc palmar
|
$829.80 |
$829.80 |
$829.80 |
$3,880.00
|
|
Synvisc or synvisc-one
|
$330.90 |
$330.90 |
$330.90 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$2.94 |
$2.94 |
$2.94 |
$41.60
|
|
T3 (triiodothyronine) free
|
$91.80 |
$91.80 |
$91.80 |
$99.20
|
|
T3 (triiodothyronine) total
|
$77.70 |
$77.70 |
$77.70 |
$93.52
|
|
T4 (thyroxine) free
|
$87.30 |
$87.30 |
$87.30 |
$85.20
|
|
T4 (thyroxine) total
|
$67.80 |
$67.80 |
$67.80 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$3.66 |
$3.66 |
$3.66 |
$122.40
|
|
Tah w/mmk 58152
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$2,428.80
|
|
Tap block uni by cont infusion 64487
|
$60.00 |
$60.00 |
$60.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$735.00 |
$735.00 |
$735.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$739.50 |
$739.50 |
$739.50 |
$3,746.70
|
|
Target gsa panel organ neop
|
$930.00 |
$930.00 |
$930.00 |
$1,655.52
|
|
Tbs dxa cal w/i&r fx risk
|
$49.80 |
$49.80 |
$49.80 |
$127.12
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$257.40 |
$257.40 |
$257.40 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$16.28 |
$16.28 |
$16.28 |
$177.65
|
|
Tca peel dermal 15789
|
$573.90 |
$573.90 |
$573.90 |
$1,324.80
|
|
T cells absolute cd4/cd8 including ratio
|
$12.47 |
$12.47 |
$12.47 |
$176.40
|
|
T cells absolute cd 4 count
|
$7.14 |
$7.14 |
$7.14 |
$111.20
|
|
T cells total count
|
$10.13 |
$10.13 |
$10.13 |
$126.90
|
|
Tcranial magn stim tx deli
|
$172.80 |
$172.80 |
$172.80 |
$389.22
|
|
Tcranial magn stim tx plan
|
$243.60 |
$243.60 |
$243.60 |
$437.22
|
|
Tcran magn stim redetemine
|
$198.90 |
$198.90 |
$198.90 |
$457.60
|
|
Teaec w/wo patch graft iliofemoral
|
$977.40 |
$977.40 |
$977.40 |
$5,163.60
|
|
Telehealth original site facility fee
|
$21.30 |
$21.30 |
$21.30 |
$51.00
|
|
Telethx isodose plan cplx
|
$184.50 |
$184.50 |
$184.50 |
$1,526.85
|
|
Telethx isodose plan simple
|
$88.80 |
$88.80 |
$88.80 |
$873.62
|
|
Tendon lngth upr a/e ea tdn
|
$618.30 |
$618.30 |
$618.30 |
$3,545.97
|
|
Tendon transfer with graft
|
$981.30 |
$981.30 |
$981.30 |
$3,786.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$11,350.65 |
$11,350.65 |
$11,350.65 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$642.90 |
$642.90 |
$642.90 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$651.00 |
$651.00 |
$651.00 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$554.40 |
$554.40 |
$554.40 |
$1,893.86
|
|
Tenotomy hip flexor open
|
$758.70 |
$758.70 |
$758.70 |
$2,618.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$401.70 |
$401.70 |
$401.70 |
$2,139.67
|
|
Testicular imaging w/vasc flow
|
$39.90 |
$39.90 |
$39.90 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$365.40 |
$365.40 |
$365.40 |
$949.70
|
|
Theophylline therapeutic drug level
|
$140.10 |
$140.10 |
$140.10 |
$108.00
|
|
Therapeutic pulpotomy
|
$83.70 |
$83.70 |
$83.70 |
$744.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$40.20 |
$40.20 |
$40.20 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$35.10 |
$35.10 |
$35.10 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$126.60 |
$126.60 |
$126.60 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$167.10 |
$167.10 |
$167.10 |
$529.08
|
|
Ther/proph/diag inj ia
|
$14.70 |
$14.70 |
$14.70 |
$240.35
|
|
Ther radiology tx plng cplx
|
$201.90 |
$201.90 |
$201.90 |
$332.00
|
|
Ther radiology tx plng intrm
|
$130.20 |
$130.20 |
$130.20 |
$224.00
|
|
Ther radiology tx plng smpl
|
$84.60 |
$84.60 |
$84.60 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$26.88 |
$26.88 |
$26.88 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,847.40 |
$1,847.40 |
$1,847.40 |
$1,687.50
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$204.60 |
$204.60 |
$204.60 |
$499.80
|
|
Thoracoscopy diagnostic 32601
|
$300.60 |
$300.60 |
$300.60 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$204.90 |
$204.90 |
$204.90 |
$1,071.20
|
|
Thoracoscopy remove cortex
|
$1,077.30 |
$1,077.30 |
$1,077.30 |
$5,332.80
|
|
Thoracoscopy remov fb/fibrin 32653
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$2,587.20
|
|
Thoracoscopy surgical 32650
|
$666.90 |
$666.90 |
$666.90 |
$2,815.80
|
|
Thoracoscopy w/bx med space
|
$447.90 |
$447.90 |
$447.90 |
$6,463.42
|
|
Thoracoscopy w/pleurectomy 32656
|
$127.50 |
$127.50 |
$127.50 |
$3,447.60
|
|
Thoracoscopy w/wedge resect
|
$860.40 |
$860.40 |
$860.40 |
$4,232.00
|
|
Thoracoscopy w w resect diag 32668
|
$149.40 |
$149.40 |
$149.40 |
$304.20
|
|
Thorax spine fusion
|
$1,310.10 |
$1,310.10 |
$1,310.10 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$203.40 |
$203.40 |
$203.40 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$250.80 |
$250.80 |
$250.80 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$300.00 |
$300.00 |
$300.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$367.50 |
$367.50 |
$367.50 |
$6,120.30
|
|
Thrombectmy crnry perq mechanical
|
$120.90 |
$120.90 |
$120.90 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$359.40 |
$359.40 |
$359.40 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$433.80 |
$433.80 |
$433.80 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$498.30 |
$498.30 |
$498.30 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$1,076.70 |
$1,076.70 |
$1,076.70 |
$5,520.00
|
|
Thrombin time
|
$2.89 |
$2.89 |
$2.89 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$777.60 |
$777.60 |
$777.60 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$871.50 |
$871.50 |
$871.50 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$1,225.50 |
$1,225.50 |
$1,225.50 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$1,062.30 |
$1,062.30 |
$1,062.30 |
$4,185.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$1.73 |
$1.73 |
$1.73 |
$61.52
|
|
Thumb fusion with graft
|
$880.80 |
$880.80 |
$880.80 |
$7,913.97
|
|
Thyroglobulin antibody
|
$61.80 |
$61.80 |
$61.80 |
$82.00
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$1,373.40 |
$1,373.40 |
$1,373.40 |
$2,616.00
|
|
Thyroid imaging
|
$20.10 |
$20.10 |
$20.10 |
$695.02
|
|
Thyroid met imaging
|
$37.50 |
$37.50 |
$37.50 |
$838.25
|
|
Thyroid mets imag whole body
|
$45.60 |
$45.60 |
$45.60 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$99.90 |
$99.90 |
$99.90 |
$111.00
|
|
Thyroid Ultrasound
|
$383.40 |
$383.40 |
$383.40 |
$588.50
|
|
Thyroid uptake measurement
|
$10.20 |
$10.20 |
$10.20 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$3.94 |
$3.94 |
$3.94 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$819.30 |
$819.30 |
$819.30 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$10,629.07
|
|
Tissue culture skin/biopsy
|
$71.60 |
$71.60 |
$71.60 |
$484.00
|
|
Tissue culture tumor
|
$52.50 |
$52.50 |
$52.50 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$29.70 |
$29.70 |
$29.70 |
$47.20
|
|
Tissue transglutaminase iga
|
$3.60 |
$3.60 |
$3.60 |
$44.16
|
