|
Thoracotomy with cardiac massage
|
$1,469.40 |
$1,469.40 |
$1,469.40 |
$2,138.76
|
|
Thrombectmy crnry perq mechanical
|
$2,811.60 |
$2,811.60 |
$2,811.60 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$33,382.80 |
$33,382.80 |
$33,382.80 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$47,290.80 |
$47,290.80 |
$47,290.80 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$52,693.80 |
$52,693.80 |
$52,693.80 |
$21,413.60
|
|
Thrombin time
|
$86.40 |
$86.40 |
$86.40 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$186.00 |
$186.00 |
$186.00 |
$61.52
|
|
Thyroglobulin antibody
|
$161.40 |
$161.40 |
$161.40 |
$82.00
|
|
Thyroid imaging
|
$884.40 |
$884.40 |
$884.40 |
$695.02
|
|
Thyroid mets imag whole body
|
$2,098.80 |
$2,098.80 |
$2,098.80 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$213.60 |
$213.60 |
$213.60 |
$111.00
|
|
Thyroid Ultrasound
|
$1,229.40 |
$1,229.40 |
$1,229.40 |
$588.50
|
|
Thyroid uptake measurement
|
$493.20 |
$493.20 |
$493.20 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$132.60 |
$132.60 |
$132.60 |
$64.35
|
|
Tilt table study
|
$1,827.60 |
$1,827.60 |
$1,827.60 |
$1,507.01
|
|
Tissue culture placenta
|
$1,452.60 |
$1,452.60 |
$1,452.60 |
$457.00
|
|
Tissue culture skin/biopsy
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$484.00
|
|
Tissue culture tumor
|
$3,849.00 |
$3,849.00 |
$3,849.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$88.80 |
$88.80 |
$88.80 |
$47.20
|
|
Tixagev and cilgav inj
|
$92.40 |
$92.40 |
$92.40 |
$224.55
|
|
Tobramycin peak therapeutic drug level
|
$142.20 |
$142.20 |
$142.20 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$147.00 |
$147.00 |
$147.00 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$93.00 |
$93.00 |
$93.00 |
$72.68
|
|
Total tau
|
$333.00 |
$333.00 |
$333.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$117.60 |
$117.60 |
$117.60 |
$89.40
|
|
Toxoplasma antibody igm
|
$93.00 |
$93.00 |
$93.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$703.20 |
$703.20 |
$703.20 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$790.68
|
|
Tpmt gene com vrnts
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$371.80
|
|
Tracheostoma revision; simple, without flap rotation
|
$4,761.60 |
$4,761.60 |
$4,761.60 |
$3,837.72
|
|
Transabdom amnioinfus w/us
|
$627.00 |
$627.00 |
$627.00 |
$678.70
|
|
Transcath biopsy
|
$3,405.60 |
$3,405.60 |
$3,405.60 |
$4,285.93
|
|
Transcath closure of asd
|
$27,148.80 |
$27,148.80 |
$27,148.80 |
$16,741.40
|
|
Transcatheter bx s&i
|
$3,870.60 |
$3,870.60 |
$3,870.60 |
$1,915.00
|
|
Transcath occlusion cns
|
$10,896.00 |
$10,896.00 |
$10,896.00 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$7,144.80 |
$7,144.80 |
$7,144.80 |
$10,031.28
|
|
Transferrin
|
$190.20 |
$190.20 |
$190.20 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$983.00
|
|
Transperi needle place pros
|
$9,282.00 |
$9,282.00 |
$9,282.00 |
$6,015.75
|
|
Treat ankle dislocation
|
$1,666.80 |
$1,666.80 |
$1,666.80 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$6,781.20 |
$6,781.20 |
$6,781.20 |
$705.60
|
|
Treat elbow dislocation
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$2,223.20
|
|
Treat elbow fracture
|
$1,890.60 |
$1,890.60 |
$1,890.60 |
$1,919.13
|
|
Treat finger fracture each
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$1,536.00
|
|
Treat foot dislocation
|
$376.80 |
$376.80 |
$376.80 |
$396.30
|
|
Treat foot dislocation
|
$5,203.80 |
$5,203.80 |
$5,203.80 |
$527.28
|
|
Treat foot dislocation
|
$5,203.80 |
$5,203.80 |
$5,203.80 |
$445.80
|
|
Treat fracture of radius
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$1,790.00
|
|
Treat fracture of ulna
|
$886.80 |
$886.80 |
$886.80 |
$726.05
|
|
Treat hip dislocation
|
$1,855.20 |
$1,855.20 |
$1,855.20 |
$2,192.80
|
|
Treat humerus fracture
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$1,771.43
|
|
Treat humerus fracture
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$1,771.43
|
|
Treat knee dislocation
|
$3,888.60 |
$3,888.60 |
$3,888.60 |
$2,220.89
|
|
Treat knee fracture(s)
|
$11,706.60 |
$11,706.60 |
$11,706.60 |
$642.00
|
|
Treat lower leg dislocation
|
$490.80 |
$490.80 |
$490.80 |
$530.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$11,748.00 |
$11,748.00 |
$11,748.00 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$6,148.80 |
$6,148.80 |
$6,148.80 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$100.80 |
$100.80 |
$100.80 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$76.80 |
$76.80 |
$76.80 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$102.00 |
$102.00 |
$102.00 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$486.00 |
$486.00 |
$486.00 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$828.00 |
$828.00 |
$828.00 |
$491.50
|
|
Treatment of thigh fracture
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$164.40 |
$164.40 |
$164.40 |
$369.70
|
|
Treatment radiation delivery level 2
|
$4,218.00 |
$4,218.00 |
$4,218.00 |
$767.65
|
|
Treat sternum fracture
|
$155.40 |
$155.40 |
$155.40 |
$423.00
|
|
Treat thigh fracture
|
$2,322.00 |
$2,322.00 |
$2,322.00 |
$1,893.86
|
|
Treat ulnar fracture
|
$1,224.60 |
$1,224.60 |
$1,224.60 |
$1,662.00
|
|
Treat wrist dislocation
|
$639.60 |
$639.60 |
$639.60 |
$656.25
|
|
Treponema pallidum antibody
|
$174.00 |
$174.00 |
$174.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$838.20 |
$838.20 |
$838.20 |
$455.70
|
|
Trichomonas assay w/optic
|
$148.20 |
$148.20 |
$148.20 |
$55.50
|
|
Triglycerides
|
$133.80 |
$133.80 |
$133.80 |
$58.05
|
|
Trim nondyst nails
|
$97.80 |
$97.80 |
$97.80 |
$113.40
|
|
Trnscath plc stnt ante carotid art
|
$5,565.60 |
$5,565.60 |
$5,565.60 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,733.80 |
$6,733.80 |
$6,733.80 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,733.80 |
$6,733.80 |
$6,733.80 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$15,774.00 |
$15,774.00 |
$15,774.00 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$8,223.60 |
$8,223.60 |
$8,223.60 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,489.80 |
$4,489.80 |
$4,489.80 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$3,866.70
|
|
Troponin quantitative
|
$225.00 |
$225.00 |
$225.00 |
$127.20
|
|
Tx atrial fib pulm vein isol
|
$28,199.40 |
$28,199.40 |
$28,199.40 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$553.20 |
$553.20 |
$553.20 |
$581.07
|
|
Tx closed tib shaft fx without manip
|
$469.20 |
$469.20 |
$469.20 |
$535.60
|
|
Tx l/r atrial fib addl
|
$12,783.60 |
$12,783.60 |
$12,783.60 |
$6,769.00
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$2,044.20 |
$2,044.20 |
$2,044.20 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$4,499.12
|
|
Ua w/micro/comp poc
|
$102.00 |
$102.00 |
$102.00 |
$23.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$730.20 |
$730.20 |
$730.20 |
$394.20
|
|
Ultrasound breast complete
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$679.80 |
$679.80 |
$679.80 |
$449.35
|
|
Ultrasound chest
|
$505.20 |
$505.20 |
$505.20 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$585.60 |
$585.60 |
$585.60 |
$338.00
|
|
Ultrasound elastography parenchyma
|
$366.60 |
$366.60 |
$366.60 |
$307.00
|
|
Ultrasound encephalogram
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$753.00 |
$753.00 |
$753.00 |
$573.54
|
