|
Ther nma rdctj intus/obstrcj
|
$825.00 |
$825.00 |
$825.00 |
$529.08
|
|
Ther/proph/diag inj ia
|
$183.00 |
$183.00 |
$183.00 |
$240.35
|
|
Ther radiology tx plng cplx
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$332.00
|
|
Ther radiology tx plng intrm
|
$849.00 |
$849.00 |
$849.00 |
$224.00
|
|
Ther radiology tx plng smpl
|
$431.40 |
$431.40 |
$431.40 |
$148.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$5,657.40 |
$5,657.40 |
$5,657.40 |
$1,687.50
|
|
Thoracotomy with cardiac massage
|
$894.60 |
$894.60 |
$894.60 |
$2,138.76
|
|
Throat x-ray & fluoroscopy
|
$322.80 |
$322.80 |
$322.80 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$4,351.80 |
$4,351.80 |
$4,351.80 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$10,979.40 |
$10,979.40 |
$10,979.40 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$23,668.80 |
$23,668.80 |
$23,668.80 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$28,684.20 |
$28,684.20 |
$28,684.20 |
$21,413.60
|
|
Thrombin time
|
$82.80 |
$82.80 |
$82.80 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$1,309.20 |
$1,309.20 |
$1,309.20 |
$3,980.60
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$207.60 |
$207.60 |
$207.60 |
$61.52
|
|
Thyroglobulin antibody
|
$200.40 |
$200.40 |
$200.40 |
$82.00
|
|
Thyroid imaging
|
$724.80 |
$724.80 |
$724.80 |
$695.02
|
|
Thyroid met imaging
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,790.40 |
$1,790.40 |
$1,790.40 |
$1,524.99
|
|
Thyroid met uptake
|
$211.80 |
$211.80 |
$211.80 |
$398.40
|
|
Thyroid (TSH) Test
|
$193.20 |
$193.20 |
$193.20 |
$111.00
|
|
Thyroid Ultrasound
|
$745.20 |
$745.20 |
$745.20 |
$588.50
|
|
Thyroid uptake measurement
|
$552.60 |
$552.60 |
$552.60 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,582.80 |
$4,582.80 |
$4,582.80 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$49.20 |
$49.20 |
$49.20 |
$64.35
|
|
Tilt table study
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$1,507.01
|
|
Tissue culture placenta
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$457.00
|
|
Tissue culture skin/biopsy
|
$1,677.00 |
$1,677.00 |
$1,677.00 |
$484.00
|
|
Tissue culture tumor
|
$3,461.40 |
$3,461.40 |
$3,461.40 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$112.20 |
$112.20 |
$112.20 |
$47.20
|
|
Tixagev and cilgav inj
|
$94.20 |
$94.20 |
$94.20 |
$224.55
|
|
Tobramycin peak therapeutic drug level
|
$229.80 |
$229.80 |
$229.80 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$42.60 |
$42.60 |
$42.60 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$37.20 |
$37.20 |
$37.20 |
$72.68
|
|
Total tau
|
$333.00 |
$333.00 |
$333.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$155.40 |
$155.40 |
$155.40 |
$89.40
|
|
Toxoplasma antibody igm
|
$142.20 |
$142.20 |
$142.20 |
$87.00
|
|
Tp53 gene full gene sequence
|
$694.20 |
$694.20 |
$694.20 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$790.68
|
|
Tpmt gene com vrnts
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$1,477.20 |
$1,477.20 |
$1,477.20 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$875.40 |
$875.40 |
$875.40 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,131.80 |
$2,131.80 |
$2,131.80 |
$1,420.44
|
|
Tracheostoma revision; simple, without flap rotation
|
$5,517.60 |
$5,517.60 |
$5,517.60 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$249.00 |
$249.00 |
$249.00 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$486.00 |
$486.00 |
$486.00 |
$678.70
|
|
Transcath biopsy
|
$7,406.40 |
$7,406.40 |
$7,406.40 |
$4,285.93
|
|
Transcath closure of asd
|
$27,549.00 |
$27,549.00 |
$27,549.00 |
$16,741.40
|
|
Transcath closure of vsd
|
$27,549.00 |
$27,549.00 |
$27,549.00 |
$17,115.04
|
|
Transcatheter bx s&i
|
$2,283.00 |
$2,283.00 |
$2,283.00 |
$1,915.00
|
|
Transcath occlusion cns
|
$11,815.20 |
$11,815.20 |
$11,815.20 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$18,620.40 |
$18,620.40 |
$18,620.40 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,272.20 |
$5,272.20 |
$5,272.20 |
$4,775.16
|
|
Transferrin
|
$121.80 |
$121.80 |
$121.80 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$764.40 |
$764.40 |
$764.40 |
$983.00
|
|
Transperi needle place pros
|
$7,761.00 |
$7,761.00 |
$7,761.00 |
$6,015.75
|
|
Treat ankle dislocation
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$2,358.40
|
|
Treat elbow fracture
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,919.13
|
|
Treat finger fracture each
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,536.00
|
|
Treat foot dislocation
|
$236.40 |
$236.40 |
$236.40 |
$396.30
|
|
Treat foot dislocation
|
$3,769.80 |
$3,769.80 |
$3,769.80 |
$446.60
|
|
Treat fracture of radius
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$1,790.00
|
|
Treat hip dislocation
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,192.80
|
|
Treat humerus fracture
|
$1,421.40 |
$1,421.40 |
$1,421.40 |
$1,771.43
|
|
Treat humerus fracture
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,771.43
|
|
Treat knee dislocation
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,220.89
|
|
Treat knee fracture 27530
|
$596.40 |
$596.40 |
$596.40 |
$550.00
|
|
Treat lower leg dislocation
|
$384.00 |
$384.00 |
$384.00 |
$530.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,889.00 |
$5,889.00 |
$5,889.00 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$231.00 |
$231.00 |
$231.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$231.00 |
$231.00 |
$231.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$102.00 |
$102.00 |
$102.00 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$571.80 |
$571.80 |
$571.80 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$302.40 |
$302.40 |
$302.40 |
$491.50
|
|
Treatment of heel fracture 28400
|
$222.60 |
$222.60 |
$222.60 |
$473.00
|
|
Treatment of thigh fracture
|
$442.80 |
$442.80 |
$442.80 |
$548.90
|
|
Treatment of thigh fracture
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$165.60 |
$165.60 |
$165.60 |
$369.70
|
|
Treatment radiation delivery level 2
|
$2,778.60 |
$2,778.60 |
$2,778.60 |
$767.65
|
|
Treat sternum fracture
|
$151.20 |
$151.20 |
$151.20 |
$423.00
|
|
Treat thigh fracture
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,893.86
|
|
Treat thigh fx growth plate
|
$222.60 |
$222.60 |
$222.60 |
$475.68
|
|
Treat ulnar fracture
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,662.00
|
|
Treat vaginal bleeding
|
$816.00 |
$816.00 |
$816.00 |
$379.60
|
|
Treat wrist dislocation
|
$330.00 |
$330.00 |
$330.00 |
$656.25
|
|
Treponema pallidum antibody
|
$135.60 |
$135.60 |
$135.60 |
$70.40
|
|
Trg gene rearrangement anal
|
$799.80 |
$799.80 |
$799.80 |
$455.70
|
|
Triglycerides
|
$78.00 |
$78.00 |
$78.00 |
$58.05
|
|
Trim nondyst nails
|
$108.00 |
$108.00 |
$108.00 |
$113.40
|
|
Trnscath plc stent crv crtd without prtct
|
$6,254.40 |
$6,254.40 |
$6,254.40 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$6,254.40 |
$6,254.40 |
$6,254.40 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$2,322.60 |
$2,322.60 |
$2,322.60 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$5,185.20 |
$5,185.20 |
$5,185.20 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$5,499.60 |
$5,499.60 |
$5,499.60 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$14,365.20 |
$14,365.20 |
$14,365.20 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,823.80 |
$6,823.80 |
$6,823.80 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$9,928.20 |
$9,928.20 |
$9,928.20 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,386.00 |
$4,386.00 |
$4,386.00 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,073.00 |
$2,073.00 |
$2,073.00 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$4,527.60 |
$4,527.60 |
$4,527.60 |
$3,866.70
|
