|
T cells total count
|
$187.50 |
$187.50 |
$187.50 |
$130.20
|
|
Tcranial magn stim tx deli
|
$425.00 |
$425.00 |
$425.00 |
$389.22
|
|
Tcranial magn stim tx plan
|
$595.00 |
$595.00 |
$595.00 |
$437.22
|
|
Tcran magn stim redetemine
|
$595.00 |
$595.00 |
$595.00 |
$457.60
|
|
Team conf without pat by hc pro
|
$130.00 |
$130.00 |
$130.00 |
$112.86
|
|
Team conf without pat by phys
|
$145.00 |
$145.00 |
$145.00 |
$140.25
|
|
Team conf w/pat by hc prof
|
$130.00 |
$130.00 |
$130.00 |
$107.10
|
|
Telehealth original site facility fee
|
$37.50 |
$37.50 |
$37.50 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,655.00 |
$1,655.00 |
$1,655.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$970.00 |
$970.00 |
$970.00 |
$880.61
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$313.55 |
$313.55 |
$313.55 |
$14,951.87
|
|
Tert gene targeted seq alys
|
$327.50 |
$327.50 |
$327.50 |
$335.00
|
|
Test for chlorohydrocarbons
|
$95.00 |
$95.00 |
$95.00 |
$65.00
|
|
Test pathogen(s) for platelets reference
|
$60.00 |
$60.00 |
$60.00 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$575.00 |
$575.00 |
$575.00 |
$953.40
|
|
Tgsap so/hl 51/< rna alys
|
$3,505.00 |
$3,505.00 |
$3,505.00 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$90.00 |
$90.00 |
$90.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$60.00 |
$60.00 |
$60.00 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$192.50 |
$192.50 |
$192.50 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$55.00 |
$55.00 |
$55.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$47.50 |
$47.50 |
$47.50 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$500.00 |
$500.00 |
$500.00 |
$538.88
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$30.03 |
$30.03 |
$30.03 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$345.00 |
$345.00 |
$345.00 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$1,724.25
|
|
Thoracotomy with cardiac massage
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$1,703.45
|
|
Thrombectmy crnry perq mechanical
|
$4,515.00 |
$4,515.00 |
$4,515.00 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,070.00 |
$4,070.00 |
$4,070.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$10,730.00 |
$10,730.00 |
$10,730.00 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,105.00 |
$18,105.00 |
$18,105.00 |
$21,413.60
|
|
Thrombin time
|
$40.00 |
$40.00 |
$40.00 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$6,120.00 |
$6,120.00 |
$6,120.00 |
$3,987.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$47.50 |
$47.50 |
$47.50 |
$62.01
|
|
Thyroglobulin antibody
|
$72.50 |
$72.50 |
$72.50 |
$82.50
|
|
Thyroid imaging
|
$795.00 |
$795.00 |
$795.00 |
$695.60
|
|
Thyroid mets imag whole body
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$110.00 |
$110.00 |
$110.00 |
$112.70
|
|
Thyroid Ultrasound
|
$695.00 |
$695.00 |
$695.00 |
$588.50
|
|
Thyroid uptake measurement
|
$720.00 |
$720.00 |
$720.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,490.50 |
$4,490.50 |
$4,490.50 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$90.00 |
$90.00 |
$90.00 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$19,700.00 |
$19,700.00 |
$19,700.00 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$14,385.00 |
$14,385.00 |
$14,385.00 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$7,040.00 |
$7,040.00 |
$7,040.00 |
$10,131.15
|
|
Tigecycline injection
|
$1.60 |
$1.60 |
$1.60 |
$235.29
|
|
Tilt table study
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,561.82
|
|
Tissue culture placenta
|
$470.00 |
$470.00 |
$470.00 |
$453.00
|
|
Tissue culture skin/biopsy
|
$775.00 |
$775.00 |
$775.00 |
$488.74
|
|
Tissue culture tumor
|
$740.00 |
$740.00 |
$740.00 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$22.50 |
$22.50 |
$22.50 |
$47.40
|
|
Tissue transglutaminase iga
|
$75.00 |
$75.00 |
$75.00 |
$44.80
|
|
Tobramycin peak therapeutic drug level
|
$92.50 |
$92.50 |
$92.50 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$15.78 |
$15.78 |
$15.78 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$265.00 |
$265.00 |
$265.00 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$152.50 |
$152.50 |
$152.50 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$152.50 |
$152.50 |
$152.50 |
$74.10
|
|
Total tau
|
$312.50 |
$312.50 |
$312.50 |
$312.50
|
|
Toxoplasma antibody igg
|
$97.50 |
$97.50 |
$97.50 |
$91.65
|
|
Toxoplasma antibody igm
|
$90.00 |
$90.00 |
$90.00 |
$87.75
|
|
Tp53 gene trgt sequence alys
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$804.00
|
|
Tpmt gene com vrnts
|
$307.50 |
$307.50 |
$307.50 |
$371.80
|
|
Transcath biopsy
|
$3,215.00 |
$3,215.00 |
$3,215.00 |
$4,285.93
|
|
Transcath closure of asd
|
$21,415.00 |
$21,415.00 |
$21,415.00 |
$17,041.80
|
|
Transcatheter bx s&i
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$7,720.00 |
$7,720.00 |
$7,720.00 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$7,065.00 |
$7,065.00 |
$7,065.00 |
$13,384.80
|
|
Transcath occlusion cns
|
$3,425.00 |
$3,425.00 |
$3,425.00 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$10,270.00 |
$10,270.00 |
$10,270.00 |
$10,270.00
|
|
Transferrin
|
$70.00 |
$70.00 |
$70.00 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$660.00 |
$660.00 |
$660.00 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$595.00 |
$595.00 |
$595.00 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$5,455.00 |
$5,455.00 |
$5,455.00 |
$4,523.04
|
|
Treat elbow fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,026.50
|
|
Treat finger fracture each
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,592.00
|
|
Treat fracture of radius
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,790.00
|
|
Treat hip socket fracture
|
$1,535.00 |
$1,535.00 |
$1,535.00 |
$1,392.00
|
|
Treat humerus fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,790.00
|
|
Treat humerus fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,790.00
|
|
Treat knuckle dislocation
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$4,332.00
|
|
Treatment incomplete abortion completed surgically any trimester
|
$2,765.00 |
$2,765.00 |
$2,765.00 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$185.00 |
$185.00 |
$185.00 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$90.00 |
$90.00 |
$90.00 |
$147.48
|
|
Treatment of thigh fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$270.00 |
$270.00 |
$270.00 |
$371.40
|
|
Treatment radiation delivery level 2
|
$735.00 |
$735.00 |
$735.00 |
$830.70
|
|
Treat thigh fracture
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$2,032.10
|
|
Treat wrist bone fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,703.20
|
|
Treat wrist dislocation
|
$270.00 |
$270.00 |
$270.00 |
$656.25
|
|
Treponema pallidum antibody
|
$80.00 |
$80.00 |
$80.00 |
$72.05
|
|
Trg gene rearrangement anal
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$455.70
|
|
Trichomonas assay w/optic
|
$70.00 |
$70.00 |
$70.00 |
$57.40
|
|
Triglycerides
|
$45.00 |
$45.00 |
$45.00 |
$58.50
|
|
Trim nondyst nails
|
$105.00 |
$105.00 |
$105.00 |
$113.88
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$8,300.00 |
$8,300.00 |
$8,300.00 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,795.00 |
$6,795.00 |
$6,795.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,845.00 |
$6,845.00 |
$6,845.00 |
$8,776.32
|
