|
Tcran magn stim redetemine
|
$386.88 |
$386.88 |
$386.88 |
$457.60
|
|
Telehealth original site facility fee
|
$71.37 |
$71.37 |
$71.37 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,526.85 |
$1,526.85 |
$1,526.85 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,368.51 |
$1,368.51 |
$1,368.51 |
$880.61
|
|
Tert gene targeted seq alys
|
$304.59 |
$304.59 |
$304.59 |
$335.00
|
|
Test for chlorohydrocarbons
|
$866.97 |
$866.97 |
$866.97 |
$65.00
|
|
Test for porphobilinogen
|
$77.22 |
$77.22 |
$77.22 |
$33.57
|
|
Test for urine cystines
|
$139.62 |
$139.62 |
$139.62 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$296.40 |
$296.40 |
$296.40 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$59.67 |
$59.67 |
$59.67 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$1,275.30 |
$1,275.30 |
$1,275.30 |
$953.40
|
|
Test urine for porphyrins
|
$66.30 |
$66.30 |
$66.30 |
$49.98
|
|
Test urine urobilinogen
|
$9.75 |
$9.75 |
$9.75 |
$9.75
|
|
Tgfbi gene common variants
|
$225.42 |
$225.42 |
$225.42 |
$189.06
|
|
Tgsap so/hl 51/< rna alys
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$4,347.00
|
|
Tgsap so neo 5-50 rna alys
|
$816.27 |
$816.27 |
$816.27 |
$1,009.32
|
|
Thaw preserved stem cells
|
$652.08 |
$652.08 |
$652.08 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$123.24 |
$123.24 |
$123.24 |
$108.00
|
|
Therapeutic procd strg endur
|
$53.82 |
$53.82 |
$53.82 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$78.39 |
$78.39 |
$78.39 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$88.14 |
$88.14 |
$88.14 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$36.27 |
$36.27 |
$36.27 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$36.27 |
$36.27 |
$36.27 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$282.36 |
$282.36 |
$282.36 |
$314.50
|
|
Ther nma rdctj intus/obstrcj
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$538.88
|
|
Ther/proph/diag inj ia
|
$669.24 |
$669.24 |
$669.24 |
$247.33
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$189.15 |
$189.15 |
$189.15 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,939.04 |
$2,939.04 |
$2,939.04 |
$1,724.25
|
|
Thoracoscopy surgical 32650
|
$418.47 |
$418.47 |
$418.47 |
$2,815.80
|
|
Thoracotomy with cardiac massage
|
$2,138.76 |
$2,138.76 |
$2,138.76 |
$2,138.76
|
|
Thorcscpy w/biop pleura
|
$8,823.75 |
$8,823.75 |
$8,823.75 |
$6,904.15
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,099.02 |
$1,099.02 |
$1,099.02 |
$1,703.45
|
|
Throat x-ray & fluoroscopy
|
$113.10 |
$113.10 |
$113.10 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$3,028.74 |
$3,028.74 |
$3,028.74 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,510.70 |
$5,510.70 |
$5,510.70 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,789.23 |
$13,789.23 |
$13,789.23 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$15,559.05 |
$15,559.05 |
$15,559.05 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$6,422.91 |
$6,422.91 |
$6,422.91 |
$6,422.91
|
|
Thrombin time
|
$76.05 |
$76.05 |
$76.05 |
$54.18
|
|
Thromboplastin inhibition
|
$250.77 |
$250.77 |
$250.77 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$94.38 |
$94.38 |
$94.38 |
$62.01
|
|
Thyroglobulin antibody
|
$77.61 |
$77.61 |
$77.61 |
$82.50
|
|
Thyroid imaging
|
$464.49 |
$464.49 |
$464.49 |
$695.60
|
|
Thyroid met imaging
|
$498.03 |
$498.03 |
$498.03 |
$838.25
|
|
Thyroid met imaging/studies
|
$607.23 |
$607.23 |
$607.23 |
$763.73
|
|
Thyroid mets imag whole body
|
$1,024.14 |
$1,024.14 |
$1,024.14 |
$1,524.99
|
|
Thyroid met uptake
|
$317.85 |
$317.85 |
$317.85 |
$407.40
|
|
Thyroid (TSH) Test
|
$170.82 |
$170.82 |
$170.82 |
$112.70
|
|
Thyroid Ultrasound
|
$556.14 |
$556.14 |
$556.14 |
$588.50
|
|
Thyroid uptake measurement
|
$476.19 |
$476.19 |
$476.19 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$143.13 |
$143.13 |
$143.13 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$19,405.62 |
$19,405.62 |
$19,405.62 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$11,121.63 |
$11,121.63 |
$11,121.63 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$6,321.12 |
$6,321.12 |
$6,321.12 |
$10,131.15
|
|
Tilt table study
|
$1,488.24 |
$1,488.24 |
$1,488.24 |
$1,561.82
|
|
Tisagenlecleucel car-pos t
|
$1,055,251.95 |
$1,055,251.95 |
$1,055,251.95 |
$1,780,600.03
|
|
Tis cgen car anomal 1st shnt
|
$23,272.08 |
$23,272.08 |
$23,272.08 |
$9,216.90
|
|
Tis cgen car anomal ea addl
|
$5,818.02 |
$5,818.02 |
$5,818.02 |
$6,546.38
|
|
Tissue culture placenta
|
$537.03 |
$537.03 |
$537.03 |
$453.00
|
|
Tissue culture skin/biopsy
|
$558.87 |
$558.87 |
$558.87 |
$488.74
|
|
Tissue culture tumor
|
$529.23 |
$529.23 |
$529.23 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$81.12 |
$81.12 |
$81.12 |
$47.40
|
|
Tissue transglutaminase iga
|
$26.91 |
$26.91 |
$26.91 |
$44.80
|
|
Tixagev and cilgav inj
|
$553.02 |
$553.02 |
$553.02 |
$244.50
|
|
Tl-201 thallium diag per mci
|
$77.22 |
$77.22 |
$77.22 |
$80.10
|
|
Tlso trnk sj-t9 pre cst
|
$523.94 |
$523.94 |
$523.94 |
$523.94
|
|
Tobramycin peak therapeutic drug level
|
$143.91 |
$143.91 |
$143.91 |
$120.60
|
|
Toe X-ray (both feet)
|
$109.98 |
$109.98 |
$109.98 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$65.91 |
$65.91 |
$65.91 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$62.79 |
$62.79 |
$62.79 |
$74.10
|
|
Tone decay hearing test
|
$152.49 |
$152.49 |
$152.49 |
$90.37
|
|
Toxoplasma antibody igg
|
$108.03 |
$108.03 |
$108.03 |
$91.65
|
|
Toxoplasma antibody igm
|
$123.24 |
$123.24 |
$123.24 |
$87.75
|
|
Tp53 gene trgt sequence alys
|
$1,335.36 |
$1,335.36 |
$1,335.36 |
$804.00
|
|
Tpmt gene com vrnts
|
$312.00 |
$312.00 |
$312.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$11,804.91 |
$11,804.91 |
$11,804.91 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$773.37 |
$773.37 |
$773.37 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,097.85 |
$1,097.85 |
$1,097.85 |
$1,437.45
|
|
Tracheostoma revision; simple, without flap rotation
|
$6,581.64 |
$6,581.64 |
$6,581.64 |
$3,946.50
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$83.07 |
$83.07 |
$83.07 |
$102.27
|
|
Transcath biopsy
|
$3,110.64 |
$3,110.64 |
$3,110.64 |
$4,285.93
|
|
Transcath closure of asd
|
$13,110.63 |
$13,110.63 |
$13,110.63 |
$17,041.80
|
|
Transcath closure of vsd
|
$13,110.63 |
$13,110.63 |
$13,110.63 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,973.01 |
$1,973.01 |
$1,973.01 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$5,818.02 |
$5,818.02 |
$5,818.02 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$23,272.08 |
$23,272.08 |
$23,272.08 |
$13,384.80
|
|
Transcath occlusion cns
|
$14,022.84 |
$14,022.84 |
$14,022.84 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$9,749.61 |
$9,749.61 |
$9,749.61 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$13,308.36 |
$13,308.36 |
$13,308.36 |
$14,799.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,775.16 |
$4,775.16 |
$4,775.16 |
$4,822.00
|
|
Transcutaneous hgb 88738
|
$34.71 |
$34.71 |
$34.71 |
$13.80
|
|
Transferrin
|
$159.12 |
$159.12 |
$159.12 |
$82.00
|
|
Transperi needle place pros
|
$10,976.16 |
$10,976.16 |
$10,976.16 |
$6,203.00
|
|
Transplt allo hct/donor
|
$51,470.64 |
$51,470.64 |
$51,470.64 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$1,227.72 |
$1,227.72 |
$1,227.72 |
$2,751.65
|
|
Transplt autol hct/donor
|
$6,185.40 |
$6,185.40 |
$6,185.40 |
$4,060.62
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$385.32 |
$385.32 |
$385.32 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$321.75 |
$321.75 |
$321.75 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$15,823.86 |
$15,823.86 |
$15,823.86 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$805.69 |
$805.69 |
$805.69 |
$940.80
|
