|
Team conf without pat by phys
|
$102.40 |
$102.40 |
$102.40 |
$139.05
|
|
Team conf w/pat by hc prof
|
$78.40 |
$78.40 |
$78.40 |
$105.70
|
|
Telehealth original site facility fee
|
$61.60 |
$61.60 |
$61.60 |
$51.00
|
|
Telethx isodose plan cplx
|
$529.60 |
$529.60 |
$529.60 |
$1,526.85
|
|
Telethx isodose plan simple
|
$272.00 |
$272.00 |
$272.00 |
$889.80
|
|
Temperature gradient studies
|
$19.20 |
$19.20 |
$19.20 |
$242.25
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$77.60 |
$77.60 |
$77.60 |
$3,723.60
|
|
Tendon lengthening
|
$1,493.60 |
$1,493.60 |
$1,493.60 |
$3,986.00
|
|
Tendon lngth upr a/e ea tdn
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$3,591.33
|
|
Tendon shortening
|
$1,460.80 |
$1,460.80 |
$1,460.80 |
$3,786.00
|
|
Tendon transfer with graft
|
$2,200.80 |
$2,200.80 |
$2,200.80 |
$3,839.54
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$270.19 |
$270.19 |
$270.19 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$3,020.80 |
$3,020.80 |
$3,020.80 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$1,436.00 |
$1,436.00 |
$1,436.00 |
$2,811.20
|
|
Tenolysis triceps
|
$3,012.80 |
$3,012.80 |
$3,012.80 |
$4,350.00
|
|
Tenoplasty elbow to sho 1
|
$1,919.20 |
$1,919.20 |
$1,919.20 |
$7,807.24
|
|
Tenosynovectomy radic 26145
|
$1,266.40 |
$1,266.40 |
$1,266.40 |
$2,211.05
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$2,243.20 |
$2,243.20 |
$2,243.20 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,821.69 |
$1,821.69 |
$1,821.69 |
$2,211.05
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$11.20 |
$11.20 |
$11.20 |
$39.33
|
|
Teriparatide injection
|
$65.60 |
$65.60 |
$65.60 |
$7,498.09
|
|
Test for chlorohydrocarbons
|
$32.15 |
$32.15 |
$32.15 |
$61.60
|
|
Test for porphobilinogen
|
$33.57 |
$33.57 |
$33.57 |
$29.25
|
|
Test for urine cystines
|
$23.20 |
$23.20 |
$23.20 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$459.20 |
$459.20 |
$459.20 |
$842.56
|
|
Testosterone pellet 75 mg
|
$102.40 |
$102.40 |
$102.40 |
$102.40
|
|
Testosterone response panel
|
$129.60 |
$129.60 |
$129.60 |
$129.60
|
|
Testosterone undecanoate 1mg
|
$2.40 |
$2.40 |
$2.40 |
$3,528.08
|
|
Test pathogen(s) for platelets reference
|
$70.00 |
$70.00 |
$70.00 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$715.81 |
$715.81 |
$715.81 |
$949.70
|
|
Test urine for lactose
|
$23.20 |
$23.20 |
$23.20 |
$23.20
|
|
Test urine for porphyrins
|
$27.20 |
$27.20 |
$27.20 |
$49.98
|
|
Test urine urobilinogen
|
$9.60 |
$9.60 |
$9.60 |
$9.75
|
|
Tetanus ig im
|
$624.00 |
$624.00 |
$624.00 |
$250.88
|
|
Tetanus immune globulin inj
|
$1,108.68 |
$1,108.68 |
$1,108.68 |
$1,285.36
|
|
Tgsap hl neo 5-50 rna alys
|
$729.16 |
$729.16 |
$729.16 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$2,802.82 |
$2,802.82 |
$2,802.82 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$792.10 |
$792.10 |
$792.10 |
$1,009.32
|
|
Thaw cryoprsvrd reprod tiss
|
$419.20 |
$419.20 |
$419.20 |
$234.27
|
|
Thawing cryopresrved embryo
|
$419.20 |
$419.20 |
$419.20 |
$326.15
|
|
Thawing cryopresrved oocyte
|
$419.20 |
$419.20 |
$419.20 |
$402.80
|
|
Thawing cryopresrved sperm
|
$419.20 |
$419.20 |
$419.20 |
$117.61
|
|
Theophylline therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$108.00
|
|
Therapeutic procd strg endur
|
$48.65 |
$48.65 |
$48.65 |
$85.68
|
|
Therapy activation ipnss
|
$228.80 |
$228.80 |
$228.80 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$107.08 |
$107.08 |
$107.08 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$89.96 |
$89.96 |
$89.96 |
$98.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$83.20 |
$83.20 |
$83.20 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$72.00 |
$72.00 |
$72.00 |
$50.00
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$283.20 |
$283.20 |
$283.20 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$291.20 |
$291.20 |
$291.20 |
$3,837.72
|
|
Ther nma rdctj intus/obstrcj
|
$524.80 |
$524.80 |
$524.80 |
$534.32
|
|
Ther/proph/diag inj ia
|
$278.20 |
$278.20 |
$278.20 |
$247.33
|
|
Ther radiology tx plng cplx
|
$332.00 |
$332.00 |
$332.00 |
$332.00
|
|
Ther radiology tx plng intrm
|
$224.00 |
$224.00 |
$224.00 |
$224.00
|
|
Ther radiology tx plng smpl
|
$148.80 |
$148.80 |
$148.80 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$70.19 |
$70.19 |
$70.19 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$327.63 |
$327.63 |
$327.63 |
$311.15
|
|
Thorabd diaphr hern repair
|
$3,542.40 |
$3,542.40 |
$3,542.40 |
$3,542.40
|
|
Thorabd diaphr hern repair
|
$3,777.60 |
$3,777.60 |
$3,777.60 |
$6,837.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,532.80 |
$1,532.80 |
$1,532.80 |
$1,748.50
|
|
Thoracic aortic graft 33875
|
$6,691.20 |
$6,691.20 |
$6,691.20 |
$5,329.20
|
|
Thoracic duct procedure
|
$1,406.40 |
$1,406.40 |
$1,406.40 |
$1,406.40
|
|
Thoracic duct procedure
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$1,958.40
|
|
Thoracic duct procedure
|
$1,656.80 |
$1,656.80 |
$1,656.80 |
$1,656.80
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$524.80 |
$524.80 |
$524.80 |
$499.80
|
|
Thoracoabdominal graft 33877
|
$8,824.00 |
$8,824.00 |
$8,824.00 |
$8,824.00
|
|
Thoracoscop w/esoph musc exc
|
$2,999.20 |
$2,999.20 |
$2,999.20 |
$2,999.20
|
|
Thoracoscopy bilobectomy 32670
|
$3,910.40 |
$3,910.40 |
$3,910.40 |
$3,910.40
|
|
Thoracoscopy diagnostic 32601
|
$752.80 |
$752.80 |
$752.80 |
$6,442.80
|
|
Thoracoscopy for lvrs
|
$3,711.20 |
$3,711.20 |
$3,711.20 |
$5,411.20
|
|
Thoracoscopy lymph node exc
|
$525.60 |
$525.60 |
$525.60 |
$1,071.20
|
|
Thoracoscopy pneumonectomy
|
$4,325.60 |
$4,325.60 |
$4,325.60 |
$6,238.40
|
|
Thoracoscopy remove cortex
|
$5,332.80 |
$5,332.80 |
$5,332.80 |
$5,332.80
|
|
Thoracoscopy remove segment
|
$3,271.20 |
$3,271.20 |
$3,271.20 |
$5,331.20
|
|
Thoracoscopy remov fb/fibrin 32653
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$2,091.00
|
|
Thoracoscopy resect bullae 32655
|
$4,651.20 |
$4,651.20 |
$4,651.20 |
$4,204.20
|
|
Thoracoscopy surgical 32650
|
$3,244.80 |
$3,244.80 |
$3,244.80 |
$2,251.60
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$5,707.20 |
$5,707.20 |
$5,707.20 |
$5,335.20
|
|
Thoracoscopy/thoracic sympathectomy32664
|
$4,124.80 |
$4,124.80 |
$4,124.80 |
$4,083.95
|
|
Thoracoscopy/tot pulm decortication32652
|
$8,091.20 |
$8,091.20 |
$8,091.20 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$6,463.42
|
|
Thoracoscopy wbx sac
|
$1,169.60 |
$1,169.60 |
$1,169.60 |
$7,586.80
|
|
Thoracoscopy w/lobectomy
|
$3,408.80 |
$3,408.80 |
$3,408.80 |
$3,408.80
|
|
Thoracoscopy w/mediast exc
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$2,172.00
|
|
Thoracoscopy w/pericard exc
|
$1,942.40 |
$1,942.40 |
$1,942.40 |
$1,942.40
|
|
Thoracoscopy w/pleurectomy 32656
|
$3,905.60 |
$3,905.60 |
$3,905.60 |
$3,409.02
|
|
Thoracoscopy w/sac drng 32659
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$1,780.00
|
|
Thoracoscopy w/sac fb remove
|
$1,736.80 |
$1,736.80 |
$1,736.80 |
$1,736.80
|
|
Thoracoscopy w/thymus resect
|
$2,964.80 |
$2,964.80 |
$2,964.80 |
$4,290.40
|
|
Thoracoscopy w/wedge resect
|
$4,232.00 |
$4,232.00 |
$4,232.00 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$383.20 |
$383.20 |
$383.20 |
$477.00
|
|
Thoracoscopy w w resect diag 32668
|
$383.20 |
$383.20 |
$383.20 |
$304.20
|
|
Thoracostomy w/flap drng 32036
|
$3,798.40 |
$3,798.40 |
$3,798.40 |
$3,198.00
|
|
Thoracostomy w/rib resection 32035
|
$3,544.00 |
$3,544.00 |
$3,544.00 |
$2,935.40
|
|
Thoracotomy opn free adhesions 32124
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$2,256.80
|
|
Thoracotomy w/expl
|
$1,973.60 |
$1,973.60 |
$1,973.60 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,138.76
|
|
Thorax spine fusion
|
$3,044.00 |
$3,044.00 |
$3,044.00 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$529.60 |
$529.60 |
$529.60 |
$529.60
|
