|
St analysis behavior qualitative voice/resonance
|
$358.20 |
$358.20 |
$358.20 |
$297.60
|
|
Staph a dna amp probe
|
$187.80 |
$187.80 |
$187.80 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$280.20 |
$280.20 |
$280.20 |
$286.00
|
|
St evaluate speech sound production
|
$293.40 |
$293.40 |
$293.40 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$406.20 |
$406.20 |
$406.20 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$410.40 |
$410.40 |
$410.40 |
$399.60
|
|
St evaluation swallow function
|
$309.60 |
$309.60 |
$309.60 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$412.80 |
$412.80 |
$412.80 |
$223.45
|
|
Stress test pulmonary
|
$367.80 |
$367.80 |
$367.80 |
$322.85
|
|
Stress tte complete
|
$2,935.20 |
$2,935.20 |
$2,935.20 |
$1,870.50
|
|
Str markers spec anal addl
|
$442.80 |
$442.80 |
$442.80 |
$479.17
|
|
Str markers specimen anal
|
$994.80 |
$994.80 |
$994.80 |
$751.50
|
|
St treatment speech individual
|
$256.80 |
$256.80 |
$256.80 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$216.00 |
$216.00 |
$216.00 |
$240.31
|
|
Sugars single quant
|
$287.40 |
$287.40 |
$287.40 |
$64.28
|
|
Support clav 29.6-40.5in med
|
$169.20 |
$169.20 |
$169.20 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$117.00 |
$117.00 |
$117.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$265.80 |
$265.80 |
$265.80 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$338.40 |
$338.40 |
$338.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$414.00 |
$414.00 |
$414.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$511.80 |
$511.80 |
$511.80 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,111.80 |
$1,111.80 |
$1,111.80 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$101.40 |
$101.40 |
$101.40 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$52.20 |
$52.20 |
$52.20 |
$35.70
|
|
Susceptibility mic per plate
|
$70.80 |
$70.80 |
$70.80 |
$106.00
|
|
Sweat collection by iontophoresis
|
$127.80 |
$127.80 |
$127.80 |
$125.40
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$71.40 |
$71.40 |
$71.40 |
$41.60
|
|
T3 (triiodothyronine) free
|
$205.20 |
$205.20 |
$205.20 |
$99.20
|
|
T3 (triiodothyronine) total
|
$165.60 |
$165.60 |
$165.60 |
$93.52
|
|
T4 (thyroxine) free
|
$117.00 |
$117.00 |
$117.00 |
$85.20
|
|
T4 (thyroxine) total
|
$117.60 |
$117.60 |
$117.60 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$467.40 |
$467.40 |
$467.40 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$4,830.60 |
$4,830.60 |
$4,830.60 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,592.80 |
$3,592.80 |
$3,592.80 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,950.80 |
$2,950.80 |
$2,950.80 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$279.00 |
$279.00 |
$279.00 |
$177.65
|
|
T cells absolute cd4/cd8 including ratio
|
$318.60 |
$318.60 |
$318.60 |
$176.40
|
|
T cells total count
|
$189.00 |
$189.00 |
$189.00 |
$126.90
|
|
Telehealth original site facility fee
|
$52.80 |
$52.80 |
$52.80 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,371.60 |
$1,371.60 |
$1,371.60 |
$1,526.85
|
|
Telethx isodose plan simple
|
$876.00 |
$876.00 |
$876.00 |
$873.62
|
|
Tert gene targeted seq alys
|
$2,531.40 |
$2,531.40 |
$2,531.40 |
$335.00
|
|
Test stress cardiovascular tracing only
|
$764.40 |
$764.40 |
$764.40 |
$949.70
|
|
Tgsap so/hl 51/< rna alys
|
$7,031.40 |
$7,031.40 |
$7,031.40 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$169.20 |
$169.20 |
$169.20 |
$108.00
|
|
Therapeutic procd strg endur
|
$82.20 |
$82.20 |
$82.20 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$71.40 |
$71.40 |
$71.40 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$70.20 |
$70.20 |
$70.20 |
$50.00
|
|
Ther/proph/diag inj ia
|
$186.00 |
$186.00 |
$186.00 |
$240.35
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,678.00 |
$3,678.00 |
$3,678.00 |
$1,687.50
|
|
Thoracotomy with cardiac massage
|
$874.20 |
$874.20 |
$874.20 |
$2,138.76
|
|
Thrombin time
|
$152.40 |
$152.40 |
$152.40 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$174.60 |
$174.60 |
$174.60 |
$61.52
|
|
Thyroglobulin antibody
|
$118.20 |
$118.20 |
$118.20 |
$82.00
|
|
Thyroid imaging
|
$765.00 |
$765.00 |
$765.00 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,904.40 |
$1,904.40 |
$1,904.40 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$144.00 |
$144.00 |
$144.00 |
$111.00
|
|
Thyroid Ultrasound
|
$742.80 |
$742.80 |
$742.80 |
$588.50
|
|
Thyroid uptake measurement
|
$526.20 |
$526.20 |
$526.20 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$129.60 |
$129.60 |
$129.60 |
$64.35
|
|
Tilt table study
|
$1,642.80 |
$1,642.80 |
$1,642.80 |
$1,507.01
|
|
Tissue culture placenta
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$457.00
|
|
Tissue culture skin/biopsy
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$484.00
|
|
Tissue culture tumor
|
$3,423.60 |
$3,423.60 |
$3,423.60 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$107.40 |
$107.40 |
$107.40 |
$47.20
|
|
Tixagev and cilgav inj
|
$99.60 |
$99.60 |
$99.60 |
$224.55
|
|
Tobramycin peak therapeutic drug level
|
$225.60 |
$225.60 |
$225.60 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$148.20 |
$148.20 |
$148.20 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$85.20 |
$85.20 |
$85.20 |
$72.68
|
|
Total tau
|
$333.00 |
$333.00 |
$333.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$166.20 |
$166.20 |
$166.20 |
$89.40
|
|
Toxoplasma antibody igm
|
$144.00 |
$144.00 |
$144.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$672.00 |
$672.00 |
$672.00 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$790.68
|
|
Tpmt gene com vrnts
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$371.80
|
|
Tracheostoma revision; simple, without flap rotation
|
$4,279.20 |
$4,279.20 |
$4,279.20 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$137.40 |
$137.40 |
$137.40 |
$101.25
|
|
Transcath biopsy
|
$3,656.40 |
$3,656.40 |
$3,656.40 |
$4,285.93
|
|
Transcath occlusion cns
|
$12,219.00 |
$12,219.00 |
$12,219.00 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$7,551.00 |
$7,551.00 |
$7,551.00 |
$10,031.28
|
|
Transferrin
|
$176.40 |
$176.40 |
$176.40 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,791.60 |
$1,791.60 |
$1,791.60 |
$983.00
|
|
Treat elbow dislocation
|
$1,974.60 |
$1,974.60 |
$1,974.60 |
$2,223.20
|
|
Treat elbow fracture
|
$982.20 |
$982.20 |
$982.20 |
$1,919.13
|
|
Treat finger fracture each
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,536.00
|
|
Treat foot dislocation
|
$683.40 |
$683.40 |
$683.40 |
$396.30
|
|
Treat fracture of radius
|
$1,887.00 |
$1,887.00 |
$1,887.00 |
$1,790.00
|
|
Treat hip dislocation
|
$1,926.60 |
$1,926.60 |
$1,926.60 |
$2,192.80
|
|
Treat humerus fracture
|
$1,887.00 |
$1,887.00 |
$1,887.00 |
$1,771.43
|
|
Treat humerus fracture
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,771.43
|
|
Treat knee dislocation
|
$2,629.80 |
$2,629.80 |
$2,629.80 |
$2,220.89
|
|
Treat knee fracture 27530
|
$559.80 |
$559.80 |
$559.80 |
$550.00
|
|
Treat knee fracture(s)
|
$466.80 |
$466.80 |
$466.80 |
$642.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$139.80 |
$139.80 |
$139.80 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$58.20 |
$58.20 |
$58.20 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$102.00 |
$102.00 |
$102.00 |
$203.35
|
|
Treatment of fibula fracture 27780
|
$298.80 |
$298.80 |
$298.80 |
$491.50
|
|
Treatment of thigh fracture
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$304.80 |
$304.80 |
$304.80 |
$369.70
|
|
Treatment radiation delivery level 2
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$767.65
|
