|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$29,128.06 |
$29,128.06 |
$29,128.06 |
$12,003.00
|
|
System sealant biosentry tract
|
$5,599.69 |
$5,599.69 |
$5,599.69 |
$889.35
|
|
T3 (triiodothyronine) free
|
$16.12 |
$16.12 |
$16.12 |
$100.32
|
|
T3 (triiodothyronine) total
|
$9.76 |
$9.76 |
$9.76 |
$93.52
|
|
T4 (thyroxine) free
|
$14.98 |
$14.98 |
$14.98 |
$89.60
|
|
T4 (thyroxine) total
|
$12.71 |
$12.71 |
$12.71 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$14.53 |
$14.53 |
$14.53 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$72.42 |
$72.42 |
$72.42 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$332.91 |
$332.91 |
$332.91 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$1,217.50 |
$1,217.50 |
$1,217.50 |
$3,746.70
|
|
Target gsa panel organ neop
|
$249.37 |
$249.37 |
$249.37 |
$1,701.91
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$55.50 |
$55.50 |
$55.50 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$34.41 |
$34.41 |
$34.41 |
$179.95
|
|
Tc-99m bicisate
|
$1,836.84 |
$1,836.84 |
$1,836.84 |
$2,070.00
|
|
Tc-99m exame autol wbc diag per dose
|
$3,487.23 |
$3,487.23 |
$3,487.23 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$981.02 |
$981.02 |
$981.02 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$332.25 |
$332.25 |
$332.25 |
$306.00
|
|
Tc-99m maa
|
$124.12 |
$124.12 |
$124.12 |
$312.06
|
|
Tc-99m mebrofenin
|
$223.30 |
$223.30 |
$223.30 |
$157.65
|
|
Tc-99m medronate
|
$192.03 |
$192.03 |
$192.03 |
$111.01
|
|
Tc-99m mertiatide
|
$334.96 |
$334.96 |
$334.96 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$296.47 |
$296.47 |
$296.47 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$314.90 |
$314.90 |
$314.90 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$7.05 |
$7.05 |
$7.05 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$44.99 |
$44.99 |
$44.99 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$150.62 |
$150.62 |
$150.62 |
$287.20
|
|
Tc-99m sulfur colloid
|
$221.14 |
$221.14 |
$221.14 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$149.05 |
$149.05 |
$149.05 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$1,300.53 |
$1,300.53 |
$1,300.53 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$26.09 |
$26.09 |
$26.09 |
$184.00
|
|
T cells absolute cd 4 count
|
$20.54 |
$20.54 |
$20.54 |
$111.20
|
|
T cells total count
|
$21.09 |
$21.09 |
$21.09 |
$130.20
|
|
Team conf without pat by hc pro
|
$36.14 |
$36.14 |
$36.14 |
$112.86
|
|
Team conf w/pat by hc prof
|
$41.21 |
$41.21 |
$41.21 |
$107.10
|
|
Tee w or without fol w/cont,cong
|
$409.86 |
$409.86 |
$409.86 |
$2,101.65
|
|
Tert gene targeted seq alys
|
$77.28 |
$77.28 |
$77.28 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$442.54 |
$442.54 |
$442.54 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$92.64 |
$92.64 |
$92.64 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$474.98 |
$474.98 |
$474.98 |
$953.40
|
|
Theophylline therapeutic drug level
|
$9.76 |
$9.76 |
$9.76 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$17.80 |
$17.80 |
$17.80 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$18.35 |
$18.35 |
$18.35 |
$98.58
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$73.98 |
$73.98 |
$73.98 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,568.12 |
$1,568.12 |
$1,568.12 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,663.89 |
$1,663.89 |
$1,663.89 |
$1,703.45
|
|
Thrombectmy crnry perq mechanical
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$12,315.26 |
$12,315.26 |
$12,315.26 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$16,806.46 |
$16,806.46 |
$16,806.46 |
$21,413.60
|
|
Thrombin time
|
$5.71 |
$5.71 |
$5.71 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$10.51 |
$10.51 |
$10.51 |
$62.01
|
|
Thyroglobulin antibody
|
$17.76 |
$17.76 |
$17.76 |
$82.50
|
|
Thyroid imaging
|
$623.48 |
$623.48 |
$623.48 |
$695.60
|
|
Thyroid mets imag whole body
|
$1,228.98 |
$1,228.98 |
$1,228.98 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$12.26 |
$12.26 |
$12.26 |
$112.70
|
|
Thyroid Ultrasound
|
$311.17 |
$311.17 |
$311.17 |
$588.50
|
|
Thyroid uptake measurement
|
$361.34 |
$361.34 |
$361.34 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$10.21 |
$10.21 |
$10.21 |
$64.51
|
|
Tib/per revasc w/ather add-on 37233
|
$3,931.33 |
$3,931.33 |
$3,931.33 |
$10,131.15
|
|
Tilt table study
|
$357.88 |
$357.88 |
$357.88 |
$1,561.82
|
|
Tissue culture skin/biopsy
|
$206.85 |
$206.85 |
$206.85 |
$488.74
|
|
Tissue culture tumor
|
$216.63 |
$216.63 |
$216.63 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$31.17 |
$31.17 |
$31.17 |
$47.40
|
|
Tissue transglutaminase iga
|
$10.91 |
$10.91 |
$10.91 |
$44.80
|
|
Tobramycin peak therapeutic drug level
|
$11.12 |
$11.12 |
$11.12 |
$120.60
|
|
Toe X-ray (both feet)
|
$82.32 |
$82.32 |
$82.32 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$32.42 |
$32.42 |
$32.42 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$47.56 |
$47.56 |
$47.56 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$0.02 |
$0.02 |
$0.02 |
$316.84
|
|
Total tau
|
$102.38 |
$102.38 |
$102.38 |
$312.50
|
|
Toxoplasma antibody igg
|
$11.65 |
$11.65 |
$11.65 |
$91.65
|
|
Toxoplasma antibody igm
|
$11.10 |
$11.10 |
$11.10 |
$87.75
|
|
Tp53 gene trgt sequence alys
|
$137.47 |
$137.47 |
$137.47 |
$804.00
|
|
Tpmt gene com vrnts
|
$72.98 |
$72.98 |
$72.98 |
$371.80
|
|
Transcatheter bx s&i
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$1,950.85
|
|
Transcath rmvl perm ldss pmkr rv
|
$16,080.32 |
$16,080.32 |
$16,080.32 |
$4,822.00
|
|
Transcrv abltj utrn fibrd rf
|
$4,364.34 |
$4,364.34 |
$4,364.34 |
$8,750.72
|
|
Transferrin
|
$8.85 |
$8.85 |
$8.85 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$321.73 |
$321.73 |
$321.73 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$311.87 |
$311.87 |
$311.87 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$1,766.84 |
$1,766.84 |
$1,766.84 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$138.40 |
$138.40 |
$138.40 |
$940.80
|
|
Treat spinal cord lesion
|
$656.80 |
$656.80 |
$656.80 |
$1,337.00
|
|
Treponema pallidum antibody
|
$13.69 |
$13.69 |
$13.69 |
$72.05
|
|
Trg gene rearrangement anal
|
$84.10 |
$84.10 |
$84.10 |
$455.70
|
|
Trichinella antibody
|
$12.77 |
$12.77 |
$12.77 |
$70.65
|
|
#tricyclicantidprssnt
|
$19.75 |
$19.75 |
$19.75 |
$50.54
|
|
Triglycerides
|
$4.09 |
$4.09 |
$4.09 |
$58.50
|
|
Trnscath plc stent crv crtd w/prtct
|
$6,625.50 |
$6,625.50 |
$6,625.50 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,099.57 |
$4,099.57 |
$4,099.57 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,860.44 |
$2,860.44 |
$2,860.44 |
$8,776.32
|
|
Trnscath plc vas stent w/s&i ini vein
|
$7,722.79 |
$7,722.79 |
$7,722.79 |
$14,461.50
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,239.86 |
$3,239.86 |
$3,239.86 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$8,384.71 |
$8,384.71 |
$8,384.71 |
$5,139.20
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,108.24 |
$4,108.24 |
$4,108.24 |
$4,354.35
|
|
Trnscath tx thromblytc vein ini day
|
$5,507.73 |
$5,507.73 |
$5,507.73 |
$3,866.70
|
|
Troponin quantitative
|
$8.63 |
$8.63 |
$8.63 |
$127.60
|
|
Tte w or without contr, cont ecg
|
$739.33 |
$739.33 |
$739.33 |
$2,067.00
|
|
Tte w or without fol w/con,stres
|
$486.68 |
$486.68 |
$486.68 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$534.60 |
$534.60 |
$534.60 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$409.86 |
$409.86 |
$409.86 |
$1,178.00
|
