|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,140.00 |
$18,140.00 |
$18,140.00 |
$21,413.60
|
|
Thrombin time
|
$40.00 |
$40.00 |
$40.00 |
$54.18
|
|
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 met uptake
|
$380.00 |
$380.00 |
$380.00 |
$407.40
|
|
Thyroid (TSH) Test
|
$110.00 |
$110.00 |
$110.00 |
$112.70
|
|
Thyroid Ultrasound
|
$710.00 |
$710.00 |
$710.00 |
$588.50
|
|
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
|
$16,680.00 |
$16,680.00 |
$16,680.00 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$5,885.00 |
$5,885.00 |
$5,885.00 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$9,820.00 |
$9,820.00 |
$9,820.00 |
$10,131.15
|
|
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
|
|
Tracheobrnchsc thru est trachs incisn
|
$580.00 |
$580.00 |
$580.00 |
$1,437.45
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$105.00 |
$105.00 |
$105.00 |
$102.27
|
|
Transcath biopsy
|
$2,245.00 |
$2,245.00 |
$2,245.00 |
$4,285.93
|
|
Transcath closure of asd
|
$9,310.00 |
$9,310.00 |
$9,310.00 |
$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
|
$2,325.00 |
$2,325.00 |
$2,325.00 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$5,870.00 |
$5,870.00 |
$5,870.00 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$14,800.00 |
$14,800.00 |
$14,800.00 |
$14,799.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,385.00 |
$4,385.00 |
$4,385.00 |
$4,822.00
|
|
Transferrin
|
$70.00 |
$70.00 |
$70.00 |
$82.00
|
|
Transperi needle place pros
|
$3,090.00 |
$3,090.00 |
$3,090.00 |
$6,203.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$355.00 |
$355.00 |
$355.00 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$215.00 |
$215.00 |
$215.00 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$3,155.00 |
$3,155.00 |
$3,155.00 |
$4,523.04
|
|
Treat elbow fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,026.50
|
|
Treat foot dislocation
|
$270.00 |
$270.00 |
$270.00 |
$445.80
|
|
Treat fracture of radius
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,790.00
|
|
Treat fracture of ulna
|
$270.00 |
$270.00 |
$270.00 |
$731.04
|
|
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 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 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
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$64.60 |
$64.60 |
$64.60 |
$43.09
|
|
Trichomonas assay w/optic
|
$70.00 |
$70.00 |
$70.00 |
$57.40
|
|
Triglycerides
|
$45.00 |
$45.00 |
$45.00 |
$58.50
|
|
Trimethobenzamide hcl inj
|
$195.27 |
$195.27 |
$195.27 |
$117.49
|
|
Trim nondyst nails
|
$65.00 |
$65.00 |
$65.00 |
$113.88
|
|
Trnscath plc stent crv crtd w/prtct
|
$8,195.00 |
$8,195.00 |
$8,195.00 |
$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
|
$13,720.00 |
$13,720.00 |
$13,720.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,720.00 |
$13,720.00 |
$13,720.00 |
$8,776.32
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,720.00 |
$13,720.00 |
$13,720.00 |
$14,461.50
|
|
Trnscath retrv pq vasc fb w/guide
|
$5,195.00 |
$5,195.00 |
$5,195.00 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,955.00 |
$4,955.00 |
$4,955.00 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,460.00 |
$6,460.00 |
$6,460.00 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$6,820.00 |
$6,820.00 |
$6,820.00 |
$4,354.35
|
|
Trnscath tx thromblytc vein ini day
|
$4,955.00 |
$4,955.00 |
$4,955.00 |
$3,866.70
|
|
Troponin quantitative
|
$115.00 |
$115.00 |
$115.00 |
$127.60
|
|
Tx atrial fib pulm vein isol
|
$29,655.00 |
$29,655.00 |
$29,655.00 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$270.00 |
$270.00 |
$270.00 |
$586.40
|
|
Tx l/r atrial fib addl
|
$12,395.00 |
$12,395.00 |
$12,395.00 |
$6,986.85
|
|
Tyms gene com variants
|
$175.00 |
$175.00 |
$175.00 |
$192.29
|
|
Ugt1a1 gene analy common variants
|
$235.00 |
$235.00 |
$235.00 |
$438.75
|
|
Ultrasound breast complete
|
$530.00 |
$530.00 |
$530.00 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$420.00 |
$420.00 |
$420.00 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$355.00 |
$355.00 |
$355.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$150.00 |
$150.00 |
$150.00 |
$296.80
|
|
Ultrasound encephalogram
|
$520.00 |
$520.00 |
$520.00 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$515.00 |
$515.00 |
$515.00 |
$578.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$520.00 |
$520.00 |
$520.00 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$585.00 |
$585.00 |
$585.00 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$332.50 |
$332.50 |
$332.50 |
$388.08
|
|
Ultrasound guide intraoperative
|
$350.00 |
$350.00 |
$350.00 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$440.00 |
$440.00 |
$440.00 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$327.50 |
$327.50 |
$327.50 |
$311.25
|
|
Ultrasound joint complete left
|
$675.00 |
$675.00 |
$675.00 |
$557.99
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$402.50 |
$402.50 |
$402.50 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$402.50 |
$402.50 |
$402.50 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$352.50 |
$352.50 |
$352.50 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$865.00 |
$865.00 |
$865.00 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$460.00 |
$460.00 |
$460.00 |
$425.60
|
|
Ultrasound spinal canal and contents
|
$415.00 |
$415.00 |
$415.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$650.00 |
$650.00 |
$650.00 |
$419.50
|
|
Unlistd noninvas vasc dx std
|
$67.50 |
$67.50 |
$67.50 |
$564.60
|
