|
Thyroid (TSH) Test
|
$110.00 |
$110.00 |
$110.00 |
$112.67
|
|
Thyroid Ultrasound
|
$550.00 |
$550.00 |
$550.00 |
$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
|
$22,930.00 |
$22,930.00 |
$22,930.00 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$14,220.00 |
$14,220.00 |
$14,220.00 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$7,035.00 |
$7,035.00 |
$7,035.00 |
$10,165.00
|
|
Tigecycline injection
|
$1.73 |
$1.73 |
$1.73 |
$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 |
$440.50
|
|
Tissue culture skin/biopsy
|
$775.00 |
$775.00 |
$775.00 |
$484.00
|
|
Tissue culture tumor
|
$740.00 |
$740.00 |
$740.00 |
$479.50
|
|
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 in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$9.45 |
$9.45 |
$9.45 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$92.50 |
$92.50 |
$92.50 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$17.22 |
$17.22 |
$17.22 |
$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 |
$88.00
|
|
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
|
|
Tprnl plmt biodegrdabl matrl
|
$6,800.00 |
$6,800.00 |
$6,800.00 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$580.00 |
$580.00 |
$580.00 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$105.00 |
$105.00 |
$105.00 |
$103.20
|
|
Transcath biopsy
|
$2,755.00 |
$2,755.00 |
$2,755.00 |
$4,285.93
|
|
Transcath closure of asd
|
$9,310.00 |
$9,310.00 |
$9,310.00 |
$17,088.00
|
|
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 |
$13,093.20
|
|
Transcath occlusion cns
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$7,045.00 |
$7,045.00 |
$7,045.00 |
$10,270.00
|
|
Transferrin
|
$70.00 |
$70.00 |
$70.00 |
$82.00
|
|
Transperi needle place pros
|
$6,800.00 |
$6,800.00 |
$6,800.00 |
$6,015.75
|
|
Transplj hematopoietic boost
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$2,667.20
|
|
Transplt allo hct/donor
|
$3,860.00 |
$3,860.00 |
$3,860.00 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$2,751.65
|
|
Transplt autol hct/donor
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$550.00 |
$550.00 |
$550.00 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$472.50 |
$472.50 |
$472.50 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$252.68 |
$252.68 |
$252.68 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$214.90 |
$214.90 |
$214.90 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$3,155.00 |
$3,155.00 |
$3,155.00 |
$4,471.50
|
|
Treat elbow fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,027.40
|
|
Treat finger fracture each
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,592.00
|
|
Treat foot dislocation
|
$270.00 |
$270.00 |
$270.00 |
$527.28
|
|
Treat foot dislocation
|
$270.00 |
$270.00 |
$270.00 |
$445.80
|
|
Treat fracture of radius
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,821.60
|
|
Treat fracture of radius
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$270.00 |
$270.00 |
$270.00 |
$726.05
|
|
Treat hip dislocation
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,211.05
|
|
Treat hip socket fracture
|
$1,535.00 |
$1,535.00 |
$1,535.00 |
$1,344.00
|
|
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 knee fracture(s)
|
$270.00 |
$270.00 |
$270.00 |
$643.26
|
|
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 |
$228.00
|
|
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 radiation delivery level 2
|
$735.00 |
$735.00 |
$735.00 |
$830.70
|
|
Treat midfoot fracture each
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,884.74
|
|
Treat spinal cord lesion
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$1,142.50
|
|
Treat spinal cord lesion
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,337.00
|
|
Treat ulnar fracture
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,678.55
|
|
Treat vaginal bleeding
|
$447.50 |
$447.50 |
$447.50 |
$379.60
|
|
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
|
$12.48 |
$12.48 |
$12.48 |
$43.00
|
|
Trichomonas assay w/optic
|
$70.00 |
$70.00 |
$70.00 |
$57.40
|
|
Triglycerides
|
$45.00 |
$45.00 |
$45.00 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$195.58 |
$195.58 |
$195.58 |
$117.49
|
|
Trim nondyst nails
|
$77.50 |
$77.50 |
$77.50 |
$114.48
|
|
Trnscath plc stent crv crtd without prtct
|
$4,855.00 |
$4,855.00 |
$4,855.00 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$4,700.00 |
$4,700.00 |
$4,700.00 |
$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
|
$4,115.00 |
$4,115.00 |
$4,115.00 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$9,285.00 |
$9,285.00 |
$9,285.00 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,970.00 |
$3,970.00 |
$3,970.00 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,795.00 |
$1,795.00 |
$1,795.00 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,845.00 |
$1,845.00 |
$1,845.00 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$2,986.34
|
|
Troponin quantitative
|
$92.50 |
$92.50 |
$92.50 |
$127.20
|
|
Tx atrial fib pulm vein isol
|
$27,250.00 |
$27,250.00 |
$27,250.00 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$270.00 |
$270.00 |
$270.00 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$3,977.49
|
|
Tx l/r atrial fib addl
|
$6,005.00 |
$6,005.00 |
$6,005.00 |
$6,986.85
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$4,499.12
|
|
Tympanometry & reflex thresh
|
$180.00 |
$180.00 |
$180.00 |
$173.18
|
|
Tyms gene com variants
|
$175.00 |
$175.00 |
$175.00 |
$192.29
|
|
Ua w/micro/comp poc
|
$25.00 |
$25.00 |
$25.00 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$235.00 |
$235.00 |
$235.00 |
$438.75
|
|
Ultrasound bone density measure
|
$255.00 |
$255.00 |
$255.00 |
$143.75
|
